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Bunuel
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Between D and E, IMO E seems more accurate because the experiment wants to test the impact of the environment and if stress free environment can reduce the bouts of depression. E talks about environment which is more in line with the point of focus.
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I think that it is E over D because the question is asking "in relation to the hypothesis tested".

E can impact the results, but it is not related to the focus of the study - which is the environment­
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The amount of AD depends on the degree of illness. Which has not mentioned in the passage, so E is clearer

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Why is B not right, I would think if you relocate people that want to stay at home to mental health hospital they would be likely to be depressed, which would answer why they had an equal number of bouts of depression

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It seems like D & E are very closely related to the answer. Is there a specific reason why we should choose E over D?
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ARG1497
Between D and E, IMO E seems more accurate because the experiment wants to test the impact of the environment and if stress free environment can reduce the bouts of depression. E talks about environment which is more in line with the point of focus.
Let’s take E. In the ideal scenario, as per the question, patients in mental health care facilities (MHC) would have a higher number of depression bouts. If you remove the stress-causing factors at home, then depression bouts should come down. If acclimatization was the problem, that would instead increase the number of depression bouts, and hence it challenges whether the study truly tested a stress-free environment.
In most GMAT questions, the premise is taken as fact and usually not challenged.
The question asks: “Which would contribute the most to understanding the significance of the experiment results in relation to the hypothesis tested?" This should mean: what do the results (equal number of depression bouts) imply — does this outcome really show that the stress-free environment at home was the factor or not?
Therefore, I don’t think the GMAT would ever test whether acclimatization itself can cause stress. Not an official question though but answer is framed ambiguous That’s why E is debatable as the OA.
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Here is what I am thinking-

Hypothesis- the stress-free environment of such facilities is the sole reason for their success

Finding- both groups had an equal number of depression bouts.

Question- What would contribute the most to understanding the significance of the experiment results in relation to the hypothesis tested?
In short- what would help us understand the experiment results better.

Note- Since this is a scientific experiment, all aspects of the experiment should be the same for both the study groups- doctors, treatment protocol, treatment duration, etc. the only variable should be the thing being studied- Environment.

A. Whether most of the patients observed in the home environments were living with family members.
Could be an option if no other options are available, but not really a very strong contributor.

B. Whether there were some patients in the health care facility who would have preferred to remain in their home environments.
Incorrect- Preference of environment is not being tested. Plus even if a patient preferred either of the options, it would be a random assignment.

C. Whether the doctors observing patients in their home environments were more accredited than the doctors observing the other group.
Incorrect- Doctors are not the focus of the experiment, the environment is. And again, in case of a scientific experiment, even the treating physicians will be following a predefined protocol which is established prior to the start of the experiment.


D. Whether the dosage of anti-depressive medicine was the same for patients in both the groups studied.
Incorrect- Drug dosage is not under review. And follow the same logic as in answer B and C.

E. Whether the time period of study was sufficient for patients to acclimatize to new surroundings that could otherwise have caused severe anxiety.
Correct- Answer is looking at the environment, and also will help us determine the significance of the study and is a better choice over A since family members would be more of an external factor than an environmental factor.

To understand option E a bit better, let’s say the study was for 3 months-
Both groups had suffered 30 bouts each. What would help us understand this better?
If the bouts were evenly spaced across both groups- 10 per month, or did it change for one of the group? If the MHC group initially suffered 15 in the first month, 10 in the second and then 5 in the third vs the home group suffering 10 in each month. Or maybe it increased for the MHC group- 5 in the first month, 10 in the second and 15 in the third. All three of these would have different inferences being drawn. So knowing this would help us best understand the result of the experiment.
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