Evidence map›Paper›PMID 41186668›Full record

ArticleJournal of gambling studies2026

Pay to Play or Pay to Lose? The Impact of In-game Spending in Digital Games on Gambling Problems.

Ilkka Vuorinen, Iina Savolainen, Atte Oksanen

Abstract read
In one paragraph

Article in Journal of gambling studies, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–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

1 citing paper in PubMed.

  1. 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

3 authors.

Ilkka VuorinenEmerging Technologies Lab, Faculty of Social Sciences, Tampere University, Tampere, FI-33014, Finland. ilkka.vuorinen@tuni.fi.ORCID http://orcid.org/0000-0002-6344-9599
Iina SavolainenEmerging Technologies Lab, Faculty of Social Sciences, Tampere University, Tampere, FI-33014, Finland.ORCID http://orcid.org/0000-0002-8811-965X
Atte OksanenEmerging Technologies Lab, Faculty of Social Sciences, Tampere University, Tampere, FI-33014, Finland.ORCID http://orcid.org/0000-0003-4143-5580

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

During the mid-2010s, microtransactions within digital games became more common, raising concerns that the gambling-like features in these games would contribute to increases in gambling problems. However, studies on the topic have been mostly cross-sectional. To fill this gap, this study uses longitudinal nationwide survey data collected from 949 adult Finnish participants every six months from the spring of 2021 to the fall of 2024 to investigate the impact of microtransactions on gambling problems-measured using the Problem Gambling Severity Index (PGSI)-over time. Gambling participation, mental health issues, and alcohol use were used as control variables, and age and gender were used as background variables. The results showed that although microtransactions had significant positive fixed and random effects on gambling problems, the effects disappeared when gambling participation was added to the models. Therefore, the effect of microtransactions on gambling problems may only be indirect. This implies that the main regulatory focus should be on actual gambling participation, whether or not it is encouraged by the purchasable content in some digital games.

Indexed as

Behavior, AddictiveDigital MediaGamblingVideo GamesAdultCross-Sectional StudiesFemaleFinlandHumansLongitudinal StudiesMaleMiddle AgedSurveys and QuestionnairesAlcohol useGamblingGamingLongitudinal researchMental healthMicrotransactions

Identifiers

PMID41186668
PMCPMC13269470

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

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.