Evidence map›Paper›PMID 41354675›Full record

ArticleScientific reports2025

Net Promoter Score inversion may signal problematic digital use.

Julian Runge

Abstract read
In one paragraph

Article in Scientific reports, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing 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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

1 author.

Julian RungeMedill School of Journalism, Media, Integrated Marketing Communications, Northwestern University, 1845 Sheridan Road, Evanston, IL, 60208, USA. julian.runge@northwestern.edu.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Problematic consumption of digital experiences poses rising risks to consumer well-being, yet early detection remains challenging. This article examines whether data routinely collected in digital products can reveal indicators of problematic use. Drawing on dual-process theory, research on compulsive consumption, and clinical diagnostic criteria, the study proposes that Net Promoter Score (NPS) inversion-defined as negative evaluation of a product concurrent with sustained or increased consumption-may signal dysregulated use. The prevalence of this pattern is assessed using data from a free-to-play mobile game with loot boxes, indicating that a sizable proportion of users exhibit NPS inversion. These users report disliking the game yet continue playing, possibly experiencing problems with self-control and compulsion. The study discusses implications of this finding for research and emphasizes applications of such data in in-market systems for early detection and prevention.

Indexed as

Internet Addiction DisorderVideo GamesAdultFemaleHumansMaleClickstream dataMobile gamesNet Promoter Score inversionProblematic digital use

Identifiers

PMID41354675
PMCPMC12682906

What OpenQuestion holds

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LicenceCC BY-NC-ND
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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.