Pathological Gambling
Conditions
Keywords
experimental study, cognitive mechanisms, poker, cognitive remediation therapy
Brief summary
The PERHAPS project aims to fill two gaps in the scientific literature: on the one hand, studying the clinical and cognitive particularities of poker-related problems, and on the other hand, studying poker skill as a combination of multiple cognitive and emotional abilities. The underlying clinical aim is to develop a cognitive remediation therapy program dedicated to pathological gamblers.
Detailed description
In the literature, although compulsive poker players undoubtedly share similarities with the compulsive gamblers of other gambling games, clinicians have observed significant specificities in these patients, in terms of personality profile, gaming practices and associated troubles. These specificities could influence the effectiveness of treatment and prevention strategies in many ways. However, there are very few studies focused on the specific poker-related problems, particularly compared to other practices. Furthermore, skill at poker has often been treated as a unique and general ability. This binary vision is now considered widely insufficient and most researchers recommend exploring the individual cognitive abilities at play in poker skill. To the investigators knowledge, no study has done this to date. Consequently, the PERHAPS project aims to fill two gaps in the scientific literature: on the one hand, studying the clinical and cognitive particularities of poker-related problems, and on the other hand, studying poker skill as a combination of multiple cognitive and emotional abilities. Three profiles of poker players will be studied, depending on their gambling practices and whether or not they are addicted: a control group of 30 non-poker players, a group of 30 expert unproblematic poker players, and a group of 30 pathological poker players. The three groups will be compared with one another on: * Cognitive and emotional abilities (for expert players) or deficits (for pathological gamblers) * Clinical particularities of poker-related problems Secondarily (ancillary study), pathological poker gamblers will be compared with pathological gamblers of other gambling games (pure chance games n=30 and quasi-skill games n=30). The PERHAPS project aims to improve knowledge of gambling addiction, particularly as regards poker, in order to optimise prevention and care strategies. The clinical aim is especially to construct a cognitive remediation therapy program. It also intends to discuss the legal framework applied to poker under the gambling regulation.
Interventions
BEHAVIORALcognitive, emotional and clinical assessment
Cognitive and emotional assessment: Posner paradigm applied to emotional information (attention and emotional perception abilities), the modified Wisconsin Card Sorting Test (mental flexibility), the Hayling Sentence Completion Task (verbal inhibition), the Go - No Go test (motor inhibition) and the expressive suppression method (facial expression inhibition) Clinical assessment: gambling course and habits, level of cognitive distortions, control attribution (locus of control), social phobia, motivation for gambling, impulsivity, co-addictions, coping and gambling related-damage
Sponsors
Nantes University Hospital
Study design
Allocation
NON_RANDOMIZED
Intervention model
PARALLEL
Primary purpose
PREVENTION
Masking
NONE
Eligibility
Sex/Gender
ALL
Age
18 Years to 59 Years
Healthy volunteers
Yes
Inclusion criteria
* 18-59 years * good understanding of French, literate * correct level of vision and hearing * specific inclusion criteria for each group include frequency and length of poker practice, DSM-5 doagnostic criteria for gambling disorder
Exclusion criteria
* protected adults * important cognitive deficit (assessed by the MMSE) * psychotic syndrome whole life * other psychiatric disorders (mood disorders, anxiety disorders) and addictive disorders (disorders related to the use of alcoholic or other substances, excluding nicotine) that are present and not stabilized * unstable endocrine disorders * significant neurological disorders (such as head injuries (except mild), neurodegenerative diseases, unbalanced epilepsy, mental retardation, etc.) * psychoactive use (before participation) * color blindness * cardiac disorders * electronic implants
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| attention and emotional perception performances | only one assessment so at baseline | Modified Posner paradigm Performances will be compared between pathological poker players and non-poker players (to identify cognitive deficits in pathological players compared to baseline level) and between pathological poker players and expert unproblematic poker players (to identify cognitive deficits in pathological players compared to a gambler level) |
| mental flexibility performances | only one assessment so at baseline | Wisconsin Test (M-WCST) Performances will be compared between pathological poker players and non-poker players (to identify cognitive deficits in pathological players compared to baseline level) and between pathological poker players and expert unproblematic poker players (to identify cognitive deficits in pathological players compared to a gambler level) |
| inhibition performances | only one assessment so at baseline | Evaluation of inhibition at verbal level: Hayling sentence Completion Task Performances will be compared between pathological poker players and non-poker players (to identify cognitive deficits in pathological players compared to baseline level) |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| control attribution (locus of control) | only one assessment so at baseline | three-dimensional control location scale of Levenson (IPAH) |
| motivation for gambling | only one assessment so at baseline | clinical questionnaires : Gambling motivation questionnaire Reasons Questionnaire (GMQ) |
| level of cognitive distortions, | only one assessment so at baseline | clinical questionnaires : Gambling Related Cognitions Scale (GRCS) |
| psychiatric and addictive comorbidities | only one assessment so at baseline | clinical questionnaires : Mini International Neuropsychiatric Interview (MINI) |
| coping and gambling related-damage | only one assessment so at baseline | clinical questionnaires : COPE Brief Questionnaire |
| impulsivity profile | only one assessment so at baseline | clinical questionnaires : Impulsive Behavior Scale |
| level of social phobia | only one assessment so at baseline | clinical questionnaires : social phobia questionnaire Leibowitz, |
| gambling course and habits | only one assessment so at baseline | Standardized maintenance grid. The interview allows you to explore gambling habits, possible abstinence periods, different games the game of choice, current practice, damage and the quality of shoring, and resources. |
Countries
France
Outcome results
None listed