Loot boxes and problem gambling: Investigating the "gateway hypothesis". (August 2022)

• Record Type: Journal Article
• Authors: Spicer, Stuart Gordon; Fullwood, Chris; Close, James; Nicklin, Laura Louise; Lloyd, Joanne; Lloyd, Helen
• Is Part Of: Addictive behaviors. Volume 131(2022)
• Publication Date: 2022-08
• Subjects: Loot boxes -- Problem gambling -- Gateway hypothesis -- Video games -- Impulsivity -- Problem video gaming; Substance abuse -- Periodicals; Alcoholism -- Periodicals; Drug addiction -- Periodicals; Nicotine addiction -- Periodicals; Smoking -- Periodicals; Gambling -- Psychological aspects -- Periodicals; Electronic journals; 362.29
• DOI: 10.1016/j.addbeh.2022.107327
• Languages: English
• ISSNs: 0306-4603

Abstract

Highlights: Novel "gateway hypothesis" survey of 1102 loot box purchasers who also gamble. Evidence of gateway effects; loot boxes influencing gambling and the reverse. Gateway effects associated with higher problem gambling scores. Gateway effects associated with higher spend, but not higher income. Reasons include normalisation of gambling-like behaviours and addiction. Abstract: Loot boxes are purchasable items in video games with a chance-based outcome. They have attracted substantial attention from academics and legislators over recent years, partly because of associations between loot box engagement and problem gambling. Some researchers have suggested that loot boxes may act as a gateway into subsequent gambling and/or problem gambling. However, such "gateway effects" have not been formally investigated. Using a survey of 1102 individuals who both purchase loot boxes and gamble, we found that 19.87% of the sample self-reported either "gateway effects" (loot boxes causally influencing subsequent gambling) or "reverse gateway effects" (gambling causally influencing subsequent loot box engagement). Both subsets of participants had higher scores for problem gambling, problem video gaming, gambling-related cognitions, risky loot boxes engagement, and impulsivity. These individuals also had a tendency for higher loot box and gambling spend; suggesting that potential gateway effects are related to measurable risks and harms. Moreover, the majority of participants reporting gateway effects were under 18 when they first purchased loot boxes. Content analysis of free text responses revealed several reasons for self-reported gateway effects, the most frequent of which were sensation-seeking, normalisation of gambling-like behaviours, and the addictive nature of both activities. Whilst the cross-sectional nature of our findings cannot conclusively establish directions of causality, thus highlighting the need for longitudinal research, we conclude that there is a case for legislation on loot boxes for harm minimisation purposes.