Evidence map›Paper›PMID 39819569›Full record

ReviewJMIR serious games2025

Scrutinizing the Gateway Relationship Between Gaming and Gambling Disorder: Scoping Review With a Focus on the Southeast Asian Region.

Kristiana Siste, Daniel L King, Enjeline Hanafi, Lee Thung Sen, Adrian Adrian, Belinda Julivia Murtani

Abstract readReview
In one paragraph

Review in JMIR serious games, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

3 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Article
  3. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors.

Kristiana SisteDepartment of Psychiatry, Faculty of Medicine, Universitas Indonesia - Dr. Cipto Mangunkusumo National Referral Hospital, Jakarta, Indonesia.ORCID http://orcid.org/0000-0001-7435-6243
Daniel L KingCollege of Education, Psychology and Social Work, Flinders University, Adelaide, Australia.ORCID http://orcid.org/0000-0002-1762-2581
Enjeline HanafiDepartment of Psychiatry, Faculty of Medicine, Universitas Indonesia - Dr. Cipto Mangunkusumo National Referral Hospital, Jakarta, Indonesia.ORCID http://orcid.org/0000-0003-1668-3347
Lee Thung SenDepartment of Psychiatry, Faculty of Medicine, Universitas Indonesia - Dr. Cipto Mangunkusumo National Referral Hospital, Jakarta, Indonesia.ORCID http://orcid.org/0000-0001-5540-5652
Adrian AdrianDepartment of Psychiatry, Faculty of Medicine, Universitas Indonesia - Dr. Cipto Mangunkusumo National Referral Hospital, Jakarta, Indonesia.ORCID http://orcid.org/0009-0008-9582-2256
Belinda Julivia MurtaniDepartment of Psychiatry, Faculty of Medicine, Universitas Indonesia - Dr. Cipto Mangunkusumo National Referral Hospital, Jakarta, Indonesia.ORCID http://orcid.org/0000-0002-9467-1467

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: The gaming and gambling overlap has intensified with new evidence emerging. However, the relationship between gaming and gambling in the digital space is still inconclusive, especially in resource-limited Asian countries. Objective: This study aims to review available evidence on the possible interaction and focuses specifically on the gateway interaction between gambling and gaming. Additionally, this review delves into the state of evidence from the Southeast Asian region, providing an in-depth analysis of this underexplored area. Methods: We performed a scoping review by sifting through the publications in five databases. We focused on the gateway interaction and provided a possible pathway model, while two other convergence relationships were provided for comparison. Results: The scoping review identified a total of 289 publications, with the majority being empirical (n=181), although only 12 studies used longitudinal designs. A significant proportion of the publications (n=152) concentrated on the correlation or comorbidity between gaming and gambling. Most of the evidence has originated from Global North countries, with very limited research emerging from Southeast Asia (n=8). The most commonly studied gambling-like element in video games was loot boxes (n=105). Other elements investigated included esports betting, skin betting, token wagering, gambling advertisements, and gambling-like features. Several longitudinal studies have highlighted the risk of the gateway effect associated with gamblification involvement. However, emerging evidence suggests more nuanced underlying mechanisms that drive the transition from gaming to gambling. Conclusions: Overall, there is early evidence of linkage between gambling and gaming, through shared structural and biopsychosocial characteristics. This association possibly extends beyond disparate comorbidity, as such engagement in one activity might influence the risk of partaking in the other behavior. The field requires further longitudinal data to determine the directionality and significant precipitating factors of the gateway effect, particularly evidence from Asia.

Indexed as

behavioral addictionconvergencegamblificationgambling advertisementgateway effectmonetized gaming

Identifiers

PMID39819569
PMCPMC11753718

What OpenQuestion holds

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.