Evidence map›Paper›PMID 42698434›Full record

ArticleFrontiers in public health2026

Heavy spenders in digital games: expenditure disparities and associations between microtransactions, gaming disorder and gambling disorder among adolescents.

Markus Meschik, Elena Hammer, Doris Malischnig, Natalia Wächter, Mark D Griffiths

Abstract read
In one paragraph

Article in Frontiers in public health, 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.

Markus MeschikDepartment of Social Sciences, University of Applied Sciences, St. Pölten, Austria.
Elena HammerDepartment Building, Environment and Society, FH JOANNEUM, Graz, Austria.
Doris MalischnigTherapy Center Ybbs, Vienna Healthcare Group, Ybbs an der Donau, Austria.
Natalia WächterDepartment for Educational Sciences, University of Graz, Graz, Austria.
Mark D GriffithsPsychology Department, Nottingham Trent University, Nottingham, United Kingdom.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Free-to-play games have transformed the economics of digital play, shifting revenue from upfront sales to continuous microtransactions. Research on the free-to-play model has largely focused on specific mechanics such as loot boxes or pay-to-win systems. However, little is known about how adolescents' spending behaviour relates to problematic engagement. Drawing on survey data from 2,308 Austrian students aged 10-19 years (48.8% male; M = 14.3 years, SD = 2.1), the present study examined the distribution of in-game expenditure and its association with gaming disorder, gambling disorder, and socioeconomic status. Expenditure was highly unequal: 10% of players accounted for 61.4% of all spending, and heavy spenders showed higher prevalences of gaming disorder and gambling disorder than casual spenders. Expenditures were not significantly associated with socioeconomic status, suggesting that high spending is not limited to adolescents with greater family affluence. The concentration of spending resembles patterns observed in other highly unequal expenditure markets, including gambling, suggesting potential structural similarities between the two industries. These findings raise questions about the assumption that microtransactions are harmless optional features and suggest that policy efforts targeting only loot boxes may not fully address potential risks associated with broader monetization practices among adolescent gamers.

Indexed as

Adolescent BehaviorBehavior, AddictiveGamblingInternet Addiction DisorderVideo GamesAdolescentAustriaChildDigital MediaFemaleHumansMaleSurveys and QuestionnairesYoung Adultadolescentsfree-to-playgambling disordergaming disorderin-game purchasesloot boxesmicrotransactions

Identifiers

PMID42698434
PMCPMC13541447

What OpenQuestion holds

Textmetadata
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.