These were urge, erroneous cognitions about the outcomes of gambling, negative affect, dysfunctional relationships and environmental gambling triggers. With the large number of variables considered to be related to relapse in problem gamblers, five key factors emerged that ‘push’ the gambler towards relapse. The groups were recorded, recordings were then transcribed and analysed using thematic, textual analysis. This study used four focus groups comprising thirty participants who were gamblers, gamblers’ significant others, therapists and counsellors. In the second paper, the authors describe how interacting factors ‘pull’ the problem gambler away from relapse. In this two-part process, factors interact sequentially and simultaneously within the problem gambler to produce a series of mental and behavioural events that ends with relapse when the ‘push’ overcomes ‘pull’ (part one) or as described in part two, continued abstinence when ‘pull’ overcomes ‘push’. In this paper the authors describe part one of a two part, linked relapse process: the ‘push’ towards relapse. This study aimed to develop an empirically based description of relapse in Electronic Gaming Machine problem gambling.
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