ArticleJournal of gambling studies2026
Pay to Play or Pay to Lose? The Impact of In-game Spending in Digital Games on Gambling Problems.
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.
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.
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.
Who cites it
1 citing paper in PubMed.
- You Pay, You Play? Understanding Loot Box Engagement, Demographic Profiles and Associations with Gambling and Gaming Disorder in Three Polish Studies.Journal of gambling studies · 2026Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
3 authors.
Funding
No grant is acknowledged in the PubMed record.
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.
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Registered trials
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.