Scrutinizing the Gateway Relationship Between Gaming and Gambling Disorder: Scoping Review With a Focus on the Southeast Asian Region

Abstract BackgroundThe gaming and gambling overlap has intensified with new evidence emerging. However, the relationship between gaming and gambling in the digital space is still inconclusive, especially in resource-limited Asian countries. ObjectiveThis study aims...

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Main Authors: Kristiana Siste, Daniel L King, Enjeline Hanafi, Lee Thung Sen, Adrian Adrian, Belinda Julivia Murtani
Format: Article
Language:English
Published: JMIR Publications 2025-01-01
Series:JMIR Serious Games
Online Access:https://games.jmir.org/2025/1/e59740
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author Kristiana Siste
Daniel L King
Enjeline Hanafi
Lee Thung Sen
Adrian Adrian
Belinda Julivia Murtani
author_facet Kristiana Siste
Daniel L King
Enjeline Hanafi
Lee Thung Sen
Adrian Adrian
Belinda Julivia Murtani
author_sort Kristiana Siste
collection DOAJ
description Abstract BackgroundThe gaming and gambling overlap has intensified with new evidence emerging. However, the relationship between gaming and gambling in the digital space is still inconclusive, especially in resource-limited Asian countries. ObjectiveThis study aims to review available evidence on the possible interaction and focuses specifically on the gateway interaction between gambling and gaming. Additionally, this review delves into the state of evidence from the Southeast Asian region, providing an in-depth analysis of this underexplored area. MethodsWe performed a scoping review by sifting through the publications in five databases. We focused on the gateway interaction and provided a possible pathway model, while two other convergence relationships were provided for comparison. ResultsThe scoping review identified a total of 289 publications, with the majority being empirical (n=181), although only 12 studies used longitudinal designs. A significant proportion of the publications (n=152) concentrated on the correlation or comorbidity between gaming and gambling. Most of the evidence has originated from Global North countries, with very limited research emerging from Southeast Asia (n=8). The most commonly studied gambling-like element in video games was loot boxes (n=105). Other elements investigated included esports betting, skin betting, token wagering, gambling advertisements, and gambling-like features. Several longitudinal studies have highlighted the risk of the gateway effect associated with gamblification involvement. However, emerging evidence suggests more nuanced underlying mechanisms that drive the transition from gaming to gambling. ConclusionsOverall, there is early evidence of linkage between gambling and gaming, through shared structural and biopsychosocial characteristics. This association possibly extends beyond disparate comorbidity, as such engagement in one activity might influence the risk of partaking in the other behavior. The field requires further longitudinal data to determine the directionality and significant precipitating factors of the gateway effect, particularly evidence from Asia.
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spelling doaj-art-ec6939ebfb344a31b8dcc651418096782025-01-22T21:01:34ZengJMIR PublicationsJMIR Serious Games2291-92792025-01-0113e59740e5974010.2196/59740Scrutinizing the Gateway Relationship Between Gaming and Gambling Disorder: Scoping Review With a Focus on the Southeast Asian RegionKristiana Sistehttp://orcid.org/0000-0001-7435-6243Daniel L Kinghttp://orcid.org/0000-0002-1762-2581Enjeline Hanafihttp://orcid.org/0000-0003-1668-3347Lee Thung Senhttp://orcid.org/0000-0001-5540-5652Adrian Adrianhttp://orcid.org/0009-0008-9582-2256Belinda Julivia Murtanihttp://orcid.org/0000-0002-9467-1467 Abstract BackgroundThe gaming and gambling overlap has intensified with new evidence emerging. However, the relationship between gaming and gambling in the digital space is still inconclusive, especially in resource-limited Asian countries. ObjectiveThis study aims to review available evidence on the possible interaction and focuses specifically on the gateway interaction between gambling and gaming. Additionally, this review delves into the state of evidence from the Southeast Asian region, providing an in-depth analysis of this underexplored area. MethodsWe performed a scoping review by sifting through the publications in five databases. We focused on the gateway interaction and provided a possible pathway model, while two other convergence relationships were provided for comparison. ResultsThe scoping review identified a total of 289 publications, with the majority being empirical (n=181), although only 12 studies used longitudinal designs. A significant proportion of the publications (n=152) concentrated on the correlation or comorbidity between gaming and gambling. Most of the evidence has originated from Global North countries, with very limited research emerging from Southeast Asia (n=8). The most commonly studied gambling-like element in video games was loot boxes (n=105). Other elements investigated included esports betting, skin betting, token wagering, gambling advertisements, and gambling-like features. Several longitudinal studies have highlighted the risk of the gateway effect associated with gamblification involvement. However, emerging evidence suggests more nuanced underlying mechanisms that drive the transition from gaming to gambling. ConclusionsOverall, there is early evidence of linkage between gambling and gaming, through shared structural and biopsychosocial characteristics. This association possibly extends beyond disparate comorbidity, as such engagement in one activity might influence the risk of partaking in the other behavior. The field requires further longitudinal data to determine the directionality and significant precipitating factors of the gateway effect, particularly evidence from Asia.https://games.jmir.org/2025/1/e59740
spellingShingle Kristiana Siste
Daniel L King
Enjeline Hanafi
Lee Thung Sen
Adrian Adrian
Belinda Julivia Murtani
Scrutinizing the Gateway Relationship Between Gaming and Gambling Disorder: Scoping Review With a Focus on the Southeast Asian Region
JMIR Serious Games
title Scrutinizing the Gateway Relationship Between Gaming and Gambling Disorder: Scoping Review With a Focus on the Southeast Asian Region
title_full Scrutinizing the Gateway Relationship Between Gaming and Gambling Disorder: Scoping Review With a Focus on the Southeast Asian Region
title_fullStr Scrutinizing the Gateway Relationship Between Gaming and Gambling Disorder: Scoping Review With a Focus on the Southeast Asian Region
title_full_unstemmed Scrutinizing the Gateway Relationship Between Gaming and Gambling Disorder: Scoping Review With a Focus on the Southeast Asian Region
title_short Scrutinizing the Gateway Relationship Between Gaming and Gambling Disorder: Scoping Review With a Focus on the Southeast Asian Region
title_sort scrutinizing the gateway relationship between gaming and gambling disorder scoping review with a focus on the southeast asian region
url https://games.jmir.org/2025/1/e59740
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