Evidence map›Paper›PMID 42560766›Full record

ArticleJournal of behavioral addictions2026

Financial harms of regular gaming: Cross-national evidence from the international gaming survey.

Benjamin Johnson, Gary Chung Kai Chan, John B Saunders, Daniel Stjepanović, Wim van den Brink, Caitlin McClure-Thomas, Jiang Long, Kristiana Siste, Min Zhao, Na Zhong and 3 more

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

13 authors.

Benjamin Johnson1National Centre for Youth Substance Use Research, Faculty of Health, Medicine and Behavioural Sciences, The University of Queensland, Brisbane, Australia.ORCID https://orcid.org/0000-0003-2831-0150
Gary Chung Kai Chan1National Centre for Youth Substance Use Research, Faculty of Health, Medicine and Behavioural Sciences, The University of Queensland, Brisbane, Australia.ORCID https://orcid.org/0000-0002-7569-1948
John B Saunders1National Centre for Youth Substance Use Research, Faculty of Health, Medicine and Behavioural Sciences, The University of Queensland, Brisbane, Australia.ORCID https://orcid.org/0000-0002-1824-1000
Daniel Stjepanović1National Centre for Youth Substance Use Research, Faculty of Health, Medicine and Behavioural Sciences, The University of Queensland, Brisbane, Australia.ORCID https://orcid.org/0000-0003-4307-423X
Wim van den Brink2Department of Clinical Neuropsychology, Vrije Universiteit Amsterdam, The Netherlands.ORCID https://orcid.org/0000-0001-8301-0121
Caitlin McClure-Thomas1National Centre for Youth Substance Use Research, Faculty of Health, Medicine and Behavioural Sciences, The University of Queensland, Brisbane, Australia.ORCID https://orcid.org/0000-0002-3605-0742
Jiang Long3Shanghai Mental Health Center, Shanghai Jiao Tong University School of Medicine, Shanghai, China.ORCID https://orcid.org/0000-0001-6571-0589
Kristiana Siste4Psychiatry Department, Faculty of Medicine, Universitas Indonesia, Indonesia.ORCID https://orcid.org/0000-0001-7435-6243
Min Zhao3Shanghai Mental Health Center, Shanghai Jiao Tong University School of Medicine, Shanghai, China.ORCID https://orcid.org/0000-0002-4551-043X
Na Zhong3Shanghai Mental Health Center, Shanghai Jiao Tong University School of Medicine, Shanghai, China.ORCID https://orcid.org/0000-0002-4656-2936
Pim Widdershoven5Department of Clinical, Neuro- and Developmental Psychology, Faculty of Behavioral and Movement Sciences, Vrije Universiteit Amsterdam, The Netherlands.ORCID https://orcid.org/0009-0000-6514-8063
Anne Marije Kaag2Department of Clinical Neuropsychology, Vrije Universiteit Amsterdam, The Netherlands.ORCID https://orcid.org/0000-0001-5696-5758
Janni Leung1National Centre for Youth Substance Use Research, Faculty of Health, Medicine and Behavioural Sciences, The University of Queensland, Brisbane, Australia.ORCID https://orcid.org/0000-0001-5816-2959

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background and aims: Gaming disorder is recognised in ICD-11 as an addictive disorder associated with persistent gaming leading to functional impairment. While many video games include monetised features such as microtransactions and other in-game purchases, financial harms are rarely examined as a potential negative consequence. The present study examined associations between higher versus lower risk of gaming disorder and two financial outcomes: game-related overspending and financial harm. Methods: Data were from the International Gaming Study 2024, a cross-sectional survey of 1,522 adult regular gamers from Australia (n = 303), China (n = 314), Indonesia (n = 300), Netherlands (n = 303) and the United States (n = 302). Gaming disorder was screened using the Gaming Disorder Identification Test (GADIT), with participants classified into higher-risk (≥5) versus lower-risk (<5) groups. Results: In adjusted logistic models, membership in the higher-risk group was strongly associated with overspending (OR = 5.36, 95% CI: 3.31-8.69) and financial harm (OR = 7.76, 95% CI: 4.88-12.35). More specifically, among participants in the higher-risk group 80.2% reported overspending and 77.8% reported financial harm compared to 42.6 and 30.6% in the lower-risk group. Odds of financial harms were higher in China and Indonesia than in Australia, while odds in the United States and Netherlands did not differ significantly from Australia. Discussion and Conclusions: Financial harms from gaming are common and most pronounced among individuals at higher risk of gaming disorder but are not limited to this group. These findings highlight the need for greater awareness of the risk for gaming-related financial harm, alongside strengthened consumer protection measures.

Indexed as

Behavior, AddictiveInternet Addiction DisorderVideo GamesAdultAustraliaChinaCross-Sectional StudiesFemaleHumansIndonesiaMaleNetherlandsUnited StatesYoung Adultfinancial impactgaming disorderIGD

Identifiers

PMID42560766
PMCPMC13678404

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.