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Wednesday, July 24, 2013

Comments


It is not clear what the length of treatment or frequency were.

The definition of relapse is troubling:
"“relapse” is indicated by more than two isolated episodes of gambling or one episode where the total expense was higher than a week’s worth of gambling prior than treatment. Those who dropped out of treatment were also included in the relapse category."

The definitions of relapse involving episodes of gambling might seem appropriate if a total abstinence model were used, but two episodes of gambling early in the treatment might be less significant than one episode at the end of treatment.

Collapsing dropouts into the relapse category might distort the statistics. Secondary sources to confirm that dropouts continued gambling could add more validity to the analysis. There are a variety of reasons that lead to dropping out other than continuation of gambling. Your comments on a more personalized treatment style for those who are not "agreeable" are particularly on target.

Still, it is an interesting study. I am glad you posted it.

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