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Wednesday, July 21, 2010

Comments

Days of gambling may be an arbitrary metric (reliable, scientifically valid, and irrelevant to the real world – Kazdin, A. E. (2006). Arbitrary metrics: Implications for identifying evidence-based treatments. American Psychologist, 61(1), 42-79.). While days of use may be a good indication for level of problems, the amount lost, and other consequences of the gambling would seem to be required to provide context for days of use.

Thanks for the study and presenting it. There are two comments:
1. Is there a plan for follow up with this client population? I was thinking at intervals of 6 months and a year. This gets at the question of change in a different way and is important when we are budgeting money for programs designed with deifferent treatment orientations.
2. The variables introduced by the persons who conduct the MI should be teased out in future studies. It would be very important to use staff that are recovering gamblers (or other addictions) and those who have no history of addiction.
3. The question about where stopping gambling leaves the client population is also unanswered. Are they more depressed or in grief from losing gambling in their lives? What have they really lost - getting high or shame (plus debt, angry families, loss of a job, debt, etc.) after losing? Or are they relieved and demonstrate increasede capacity to relate to close others in their lives?

Thanks again.

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