Hôpital Paul Brousse, APHP, Université Paris-Saclay, Université Paris-Sud, UVSQ, CESP, INSERM, Villejuif, France.
CMAP, Ecole Polytechnique, Palaiseau, Ile-de-France, France.
BMJ Open. 2018 Dec 22;8(12):e022541. doi: 10.1136/bmjopen-2018-022541.
Self-exclusion is one of the main responsible gambling tools. The aim of this study was to assess the reliability of self-exclusion motives in self-reports to the gambling service provider.
This is a retrospective cohort using prospective account-based gambling data obtained from a poker gambling provider.
Over a period of 7 years we included all poker gamblers self-excluding for the first time, and reporting a motive for their self-exclusion (n=1996). We explored two groups: self-excluders who self-reported a motive related to addiction and those who reported a commercial motive.
No between-group adjusted difference was found on gambling summary variables. Sessions in the two groups were poorly discriminated one from another on four different machine-learning models. More than two-thirds of the gamblers resumed poker gambling after a first self-exclusion (n=1368), half of them within the first month. No between-group difference was found for the course of gambling after the first self-exclusion. 60.1% of first-time self-excluders self-excluded again (n=822). Losses in the previous month were greater before second self-exclusions than before the first.
Reported motives for self-exclusion appear non-informative, and could be misleading. Multiple self-exclusions seem to be more the rule than the exception. The process of self-exclusion should therefore be optimised from the first occurrence to protect heavy gamblers.
自我排除是负责任赌博的主要工具之一。本研究旨在评估向赌博服务提供商报告的自我排除动机的可靠性。
这是一项使用从扑克赌博提供商获得的基于前瞻性账户的赌博数据的回顾性队列研究。
在 7 年的时间里,我们首次纳入了所有进行扑克赌博且首次自我排除的参与者,并报告了他们自我排除的动机(n=1996)。我们探讨了两组参与者:报告与成瘾相关动机的自我排除者和报告商业动机的自我排除者。
在赌博总结变量方面,两组之间没有调整后的差异。在四个不同的机器学习模型中,两组的赌博场次难以区分。超过三分之二的赌徒在首次自我排除后(n=1368)重新开始扑克赌博,其中一半人在第一个月内。在首次自我排除后的赌博过程中,两组之间没有差异。60.1%的首次自我排除者再次自我排除(n=822)。与首次自我排除前相比,第二次自我排除前的上个月损失更大。
报告的自我排除动机似乎没有提供有用的信息,可能会产生误导。多次自我排除似乎更常见,而不是例外。因此,应从首次发生开始优化自我排除过程,以保护重度赌徒。