Servane Barrault

Cognitive distortions, anxiety, and depression among regular and pathological gambling online poker players.

The aims were to assess cognitive distortions and psychological distress (anxiety and depression) among online poker players of different levels of gambling intensity (non-pathological gamblers [NPG], problem gamblers [PbG], and pathological gamblers [PG]), and to examine the relationship between these variables and gambling pathology. Overall, 245 regular online poker players recruited on an Internet forum completed online self-report scales assessing pathological gambling (South Oaks Gambling Screen [SOGS]), psychological distress (Hospital Anxiety and Depression Scale [HADS]) and cognitive distortions (Gambling-Related Cognition Scale). Based on their SOGS scores, poker players were ranked into three groups: NPG (n=146), PbG (n=55), and PG (n=44). All poker players appeared to be more anxious than depressive. PG exhibited higher levels of depression and anxiety than did PbG and NPG. Cognitive distortions also significantly discriminated PG from PbG and NPG. A regression model showed that the perceived inability to stop gambling, the illusion of control, depression (HADS D), and anxiety were good predictors for pathological gambling among poker players. Our results suggest that cognitive distortions play an important role in the development and maintenance of gambling pathology. This study also underlines the role of anxiety and depression in pathological gambling among poker players. It seems relevant to take these elements into account in the research, prevention, and treatment of pathological gambling poker players.

Special features of poker

Poker is now one of the most popular types of online gambling, mostly because of its particular structural characteristics. This study aims to investigate the representations of regular poker players of the games special features, along with their probable links with tilt (i.e. loss of control during the game) and problem gambling. Twenty-three regular poker players recruited online took part in a research interview. All interviews were recorded and fully transcribed. A quantitative lexical analysis was performed using the software Alceste®. Six classes were identified, encompassing 73% of the whole corpus. The main themes were chance vs. skill, sensations and emotions linked to poker, discovery of poker, tilt, differences between live and online gambling, and risks of excessive poker involvement. The experience of tilt appears to be an important feature of poker. Poker players also tended to report more emotional and social aspects of problem gambling than financial consequences. The results underline the structural specificities of poker through the players representations. The role of emotions and sensations in poker, as they are both sought by the players and involved in the loss of control, may have an influence on the development and maintenance of problem gambling.

Online and live regular poker players: Do they differ in impulsive sensation seeking and gambling practice?

Background and aims Online gambling appears to have special features, such as anonymity, speed of play and permanent availability, which may contribute to the facilitation and increase in gambling practice, potentially leading to problem gambling. The aims of this study were to assess sociodemographic characteristics, gambling practice and impulsive sensation seeking among a population of regular poker players with different levels of gambling intensity and to compare online and live players. Methods 245 regular poker players (180 online players and 65 live players) completed online self-report scales assessing sociodemographic data, pathological gambling (SOGS), gambling practice (poker questionnaire) and impulsive sensation seeking (ImpSS). We used SOGS scores to rank players according to the intensity of their gambling practice (non-pathological gamblers, problem gamblers and pathological gamblers). Results All poker players displayed a particular sociodemographic profile: they were more likely to be young men, executives or students, mostly single and working full-time. Online players played significantly more often whereas live players reported significantly longer gambling sessions. Sensation seeking was high across all groups, whereas impulsivity significantly distinguished players according to the intensity of gambling. Discussion Our results show the specific profile of poker players. Both impulsivity and sensation seeking seem to be involved in pathological gambling, but playing different roles. Sensation seeking may determine interest in poker whereas impulsivity may be involved in pathological gambling development and maintenance. Conclusions This study opens up new research perspectives and insights into preventive and treatment actions for pathological poker players.

The impact of alexithymia on pathological gamblers' decision making: a preliminary study of gamblers recruited in "sportsbook" casinos.

Objective:We investigated whether alexithymia is at the root of the decision-making deficit classically reported in pathological gamblers. Background:Alexithymia has been shown to be a recurrent personality trait of pathological gamblers and to impair the decision-making abilities of nonpathological gamblers, but no previous studies have investigated whether alexithymia significantly affects pathological gamblers’ decision making. Although investigations of pathological gamblers typically have studied those seeking treatment, most pathological gamblers do not seek treatment. Thus, to study people representative of the general population of pathological gamblers, we conducted our study in “sportsbook” casinos with a small sample of gamblers who were not seeking treatment. Methods:We recruited gamblers in sportsbooks and classified them based on their scores on the South Oaks Gambling Screen and the Toronto Alexithymia Scale: 3 groups of pathological gamblers (6 alexithymic, 8 possibly alexithymic, and 6 nonalexithymic) and 8 healthy controls. All of the participants completed an adaptation of the Iowa Gambling Task. Results:The alexithymic group chose less advantageously on the task than the other groups. The severity of the deficit in decision-making abilities was related to the severity of alexithymia, even when we controlled for the effects of anxiety and depression. Conclusions:Our findings provide preliminary evidence that alexithymia might be a critical personality trait underlying pathological gamblers’ decision-making deficits.

Anxiety, Depression and Emotion Regulation Among Regular Online Poker Players

Poker is a type of gambling that has specific features, including the need to regulate one’s emotion to be successful. The aim of the present study is to assess emotion regulation, anxiety and depression in a sample of regular poker players, and to compare the results of problem and non-problem gamblers. 416 regular online poker players completed online questionnaires including sociodemographic data, measures of problem gambling (CPGI), anxiety and depression (HAD scale), and emotion regulation (ERQ). The CPGI was used to divide participants into four groups according to the intensity of their gambling practice (non-problem, low risk, moderate risk and problem gamblers). Anxiety and depression were significantly higher among severe-problem gamblers than among the other groups. Both significantly predicted problem gambling. On the other hand, there was no difference between groups in emotion regulation (cognitive reappraisal and expressive suppression), which was linked neither to problem gambling nor to anxiety and depression (except for cognitive reappraisal, which was significantly correlated to anxiety). Our results underline the links between anxiety, depression and problem gambling among poker players. If emotion regulation is involved in problem gambling among poker players, as strongly suggested by data from the literature, the emotion regulation strategies we assessed (cognitive reappraisal and expressive suppression) may not be those involved. Further studies are thus needed to investigate the involvement of other emotion regulation strategies.

Problem Gambling and Sub-dimensions of Impulsivity among Regular Online Poker Players

Introduction: Impulsivity is a personality dimension known to be closely linked to addictive behaviour, including problem gambling. The aim of the present study is to assess impulsivity and its sub-dimensions (non-planning, attentional and motor impulsivity) among a sample of regular poker players, in order to determine whether these subtypes are linked to problem gambling and its severity. Method: 232 regular online poker players completed online questionnaires (socio-demographic data, CPGI, BIS-11). CPGI was used to divide them into four groups according to the intensity of their gambling practice (non-problem gamblers, low problem gamblers, moderate problem gamblers and severe problem gamblers). Results: Impulsivity significantly differentiated gamblers according to the intensity of their gambling behaviour and correlated significantly with problem gambling, confirming the idea that impulsivity is linked to the severity of problem gambling. Among its sub dimensions, only attentional impulsivity did not discriminate between the four groups of gamblers. Motor impulsivity and non-planning were significantly higher in severe problem gamblers and correlated with problem gambling. Motor impulsivity was also a significant predictor of problem gambling. Discussion: Consistent with the literature, our results underline the link between impulsivity and problem gambling among poker players. In particular, motor impulsivity and non-planning appeared to play a role in the development and/or maintenance of problem gambling. These results may have clinical implications in terms of treatment and prevention, and open avenues of research regarding impulsivity among problem gamblers.

Are online poker problem gamblers sensation seekers

The purpose of this research was to examine the relationship between sensation seeking and online poker gambling in a community sample of adult online poker players, when controlling for age, gender, anxiety and depression. In total, 288 online poker gamblers were recruited. Sociodemographic data, gambling behavior (CPGI), sensation seeking (SSS), depression and anxiety (HADS) were evaluated. Problem online poker gamblers have higher sensation seeking scores (total, thrill and adventure, disinhibition and boredom susceptibility subscores) and depression scores than non-problem online poker gamblers. Being male, with total sensation seeking, disinhibition and depression scores are factors associated with online poker problem gambling. These findings are interesting in terms of harm reduction. For example, because disinhibition could lead to increased time and money spent, protective behavioral strategies like setting time and monetary limits should be encouraged in poker online gamblers.

Does gambling type moderate the links between problem gambling, emotion regulation, anxiety, depression and gambling motives

ABSTRACT The aim of this study is to assess the link between emotion regulation, depression, anxiety and gambling motives among a population of regular gamblers, distinguishing between strategic and chance game players. We recruited 287 regular gamblers online, including both problem (PG) and non-problem gamblers (NPG). All participants completed online questionnaires to screen for problem gambling (SOGS) and to assess emotion regulation (ERQ), anxiety and depression (HADS) and gambling motives (GMQ-F). In this sample, 33.4% of participants were PG. PG scored significantly higher than NPG on the GMQ-F (except for the social subscale) and HADS, but not in ERQ. Gamblers who played both strategic and chance games displayed more frequent and severe gambling problems and had higher depression and anxiety scores than those playing only strategic games. Overall, enhancement and financial motives and depression significantly predicted PG. Finally, the study found that gambling type moderates the relationship between problem gambling and expressive suppression, depression and gambling motives. The results show the intricate relationship between gambling motives and psychiatric symptoms (in particular, depression) in PG. Mixed and strategic gamblers share common motives, but coping, financial and enhancement were stronger among PG. Finally, they emphasize the differences between different types of gamblers.