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In addition, it will be necessary to clarify whether the additional time window observed in the NG group is due to a reduced virtual exposure to poker or more globally to virtual environments. The heterogeneity in our OPG group in terms of addictive risk could influence performance on the IGT, which is known to be lower for people with GDs. 36 Thus, the range of participants with a maximum score of 10 indicates that some subjects should have at least one risky gambling behaviour. The OPG group had an average score in the CPGI of 3.14 (3.12) and a median of 2, with a score higher than 3 suggesting at‐risk gambling behaviour and higher than 8 identifying excessive gambling. However, psychometric data showed that our OPG group was not exactly comparable to the NG group.
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For both groups, a learning effect was observed during the task, as reflected by significant differences in the net score between the first and last blocks of the task (Figure 1). In addition, while our OPG group was not recruited from the addiction service but through communication and advertising in the local Besançon‐based press, we observed that some participants had a CPGI score that indicated risky gambling behaviour. Few (if any) online poker sites allow action to be taken „in the dark”, while this is usually allowed and applied by players in real gaming houses. The actions by the Department of Justice were also criticized by gaming law experts, including I.
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- We observed in the OPG group, a score range of 0 to 10 for the CPGI (median, 2), five volunteers had excessive gambling activity as defined by the CPGI (score ≥7).
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In the future, it would be interesting to continue the investigations by considering the time spent on the screen in general, and more specifically, on videogames to confirm that the differences observed are not due to this exposure. These data confirm that adopting behaviours at risk of addiction constitutes in itself a risk of manifesting another addiction. One other topographic map was specific to the NG group and was observed between 215 and 295 ms after the outcome. 13 , 40 In our situation, the map originating between 150 and 175 ms was generated by the temporal lobe, previously identified as playing a leading role in the learning of visual material, which, given the visual nature of our task, appears coherent. 37 , 38 , 39 Furthermore, in the OPG group, we observed a negative correlation between IGT performance on the last blocks (conceptual phase) and CPGI scores. Indeed, the difference in the net score for the NG group appeared between the first block and the last five blocks, whereas the difference appeared later for the OPG group (between the first three blocks and the last three).
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To assess whether there was a relationship between decision‐making in the IGT and gambling habits, we performed a Pearson two‐tailed correlation between the net score during the conceptual phase and the CPGI score in the OPG group. A least significant difference post hoc correction was applied when necessary. Statistical analyses were performed with Statistica (StatSoft Europe, Hamburg, Germany) and R 3.4.1 (R Development Core Team) software. Electrodes with an aberrant signal (e.g., excessive noise due to malfunctioning or a bad signal during data collection) were interpolated using a three‐dimensional spline algorithm. Epochs of 700 ms (100 ms prior to reward feedback to 600 ms after reward feedback) were extracted from the raw data and analysed, with a baseline correction applied from before to the onset of the feedback (100–0 ms). Data were bandpass‐filtered between 1 and 30 Hz (Butterworth), and a notch filter fixed to 50 Hz was applied to remove environmental artefacts.
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To determine their gambling habits and risk profiles, especially for the OPG group, participants performed the Canadian Problem Gambler Index (CPGI). Prior to participating in the study, the participants received information regarding the aims and procedures of the experiment and gave their written informed consent to participate. None of them had any medical history of psychiatric disorders, substance use (except for tobacco and alcohol), neurological diseases, traumatic brain injury or stroke, and they were not taking any medication at the time of the study. The NG group reported that they never did poker betting nor any other gambling activities (except some gambling experiences in the past), while the OPG group reported an active online poker activity (predominantly or exclusively online).