Evidence map›Paper›PMID 41556971›Full record

ArticleJournal of behavioral addictions2026

Should gaming disorder include non-digital gaming activities, e.g., collectible card games, tabletop games?

James L Sanders, Matthew W R Stevens, Marcela Radünz, Paul H Delfabbro, Daniel L King

Abstract read
In one paragraph

Article in Journal of behavioral addictions, 2026. 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

5 authors.

James L Sanders1Faculty of Health Sciences, University of Lethbridge, Canada.ORCID https://orcid.org/0000-0001-7398-2031
Matthew W R Stevens2College of Education, Psychology & Social Work, Flinders University, Australia.ORCID https://orcid.org/0000-0002-8797-9244
Marcela Radünz2College of Education, Psychology & Social Work, Flinders University, Australia.ORCID https://orcid.org/0000-0002-2858-0313
Paul H Delfabbro3School of Psychology, The University of Adelaide, Australia.ORCID https://orcid.org/0000-0002-0466-5611
Daniel L King2College of Education, Psychology & Social Work, Flinders University, Australia.ORCID https://orcid.org/0000-0002-1762-2581

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

This commentary critically considers the case for including non-digital gaming within the scope of gaming disorder. The ICD-11 category for gaming disorder refers to gaming (i.e., 'digital gaming' or 'video-gaming') which may be predominantly 'online' (i.e., over the internet) versus 'offline'. Non-digital forms of gaming (i.e., gaming that does not involve any electronic devices and is not conducted over the internet) are not explicitly recognized. We suggest that gaming in both digital and non-digital formats is an activity of relevance to addiction studies and public health, and that an exclusive focus on digital gaming may overlook potential non-digital game-related risks and harms. We refer to popular collectible card games (e.g., Pokémon, Magic: The Gathering [MtG]) and tabletop games (e.g., Warhammer 40K), as these activities seem to have the most in common with online games, particularly in relation to similarities to digital monetization schemes (e.g., loot boxes). We call for research to investigate the relative costs and benefits of engagement in non-digital gaming activities. If highly involved players of non-digital games tend to not report gaming disorder symptoms or harm, then it may be worthwhile examining how these players differ from digital game players. Finally, investigating non-digital gaming may produce new insights into developing effective interventions and preventive measures for problematic digital gaming.

Indexed as

Behavior, AddictiveInternet Addiction DisorderVideo GamesDigital MediaHumansInternetcard gamesgaming disorderhazardous gamingloot boxnon-digital gamingtabletop gaming

Identifiers

PMID41556971
PMCPMC13132346

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
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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.