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Nervenheilkunde 2023; 42(03): 121-127
DOI: 10.1055/a-1974-4420
Schwerpunkt

Monetarisierungsformen digitaler Spiele und Entwicklung einer Gaming Disorder

Erkenntnisse aus einer klinischen StichprobeForms of monetisation of digital games and development of a gaming disorderFindings from a clinical sample
David Mikusky
1   Klinik für Psychiatrie und Psychotherapie III, Universitätsklinikum Ulm
,
Simon Riedesser
1   Klinik für Psychiatrie und Psychotherapie III, Universitätsklinikum Ulm
,
Elias Bayha
1   Klinik für Psychiatrie und Psychotherapie III, Universitätsklinikum Ulm
,
Birgit Abler
1   Klinik für Psychiatrie und Psychotherapie III, Universitätsklinikum Ulm
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ZUSAMMENFASSUNG

Symptome einer spielbezogenen Verhaltensstörung (Gaming Disorder) sind in der 11. Auflage der International Classification of Diseases mit validen Kriterien beschrieben. Bei einer Prävalenz von 2–3 % ist nach Einführung der neuen Klassifizierung mit klinischen Vorstellungen entsprechender Patienten zu rechnen. Für die Einschätzung einer behandlungsbedürftigen Störung sind neben den Symptomen und Risikofaktoren auch die Kenntnis der rezipierten Spiele relevant, weil die Art der Bezahlung (Monetarisierungsformen) mit der Entwicklung einer Gaming Disorder in Verbindung gebracht wird.

In der vorliegenden Arbeit wurde eine klinische Stichprobe von 151 Spielern auf Symptome der Gaming Disorder (anhand des standardisierten Fragebogens Ten Item Internet Gaming Disorder Test) sowie ihren Spielepräferenzen hin untersucht. Die genannten Spiele wurden hinsichtlich einzelner Merkmale analysiert und für problematische und normale Spieler beschrieben. Neben der weiten Verbreitung potenziell räuberischer Monetarisierungsformen in unserer Stichprobe wurden von problematischen Spielern häufiger Spiele mit zufälligen Belohnungen (Lootboxen) konsumiert, die Ähnlichkeiten zu Glücksspielen aufweisen. Es werden Gründe für Lootbox-Engagement und gesellschaftspolitische Implikationen diskutiert sowie Folgerungen für die Forschung und die Praxis gezogen.

ABSTRACT

Symptoms of a gaming disorder are described in the 11th edition of the International Classification of Diseases with valid criteria. With a prevalence of 2–3 %, clinical presentations of corresponding patients are to be expected after the introduction of the new classification. In addition to symptoms and risk factors, knowledge of the games received is also relevant for the assessment of a disorder requiring treatment, because the type of payment (forms of monetisation) is associated with the development of a gaming disorder.

In the present study, a clinical sample of 151 gamers was examined for symptoms of gaming disorder (using the standardised questionnaire Ten Item Internet Gaming Disorder Test) as well as their gaming preferences. The games mentioned were analysed about individual characteristics and described for problem and normal gamers. In addition to the widespread use of potentially predatory forms of monetisation in our sample, problem gamers more frequently consumed games with random rewards (lootboxes), which show similarities to games of chance. Reasons for lootbox engagement are discussed, and implications for politics, research and practice are drawn.

Schlüsselwörter

Gaming Disorder - Monetarisierungsformen - Lootboxen

Key words

Gaming disorder - monetarisation - lootboxes


Publication History

Article published online:
03 March 2023

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  • Literatur

  • 1 American Psychiatric Association Diagnostic and Statistical Manual of Mental Disorders. Washington: American Psychiatric Association; 2013
    Search in Google Scholar
  • 2 Feng W, Ramo DE, Chan SR. et al Internet gaming disorder: Trends in prevalence 1998–2016. Addictive Behaviors 2017; 75: 17-24
    CrossrefPubMedSearch in Google Scholar
  • 3 World Health Organization. ICD-11: International classification of diseases (11th revision) 2019. https://icd.who.int/ Accessed 10 Feb 2022
  • 4 Stevens MWR, Dorstyn D, Delfabbro PH. et al Global prevalence of gaming disorder: A systematic review and meta-analysis. Australian and New Zealand Journal of Psychiatry 2021; 55: 553-568
    CrossrefPubMedSearch in Google Scholar
  • 5 Mikusky D, Abler B. Wann machen digitale Spiele krank? Überlegungen zur Gaming Disorder im ICD-11. Nervenheilkunde 2021; 40: 27-34
    Thieme ConnectSearch in Google Scholar
  • 6 Zendle D, Meyer R, Ballou N.. The changing face of desktop video game monetisation: An exploration of exposure to loot boxes, pay to win, and cosmetic microtransactions in the most-played Steam games of 2010–2019. PLoS One. 2020
    CrossrefPubMedSearch in Google Scholar
  • 7 MontielI Basterra-González A, Machimbarrena JM. et al Loot box engagement: A scoping review of primary studies on prevalence and association with problematic gaming and gambling. PLoS One. 2022
    CrossrefPubMedSearch in Google Scholar
  • 8 Zendle D, Meyer R, Cairns P. et al The prevalence of loot boxes in mobile and desktop games. Addiction 2020; 115: 1768-1772
    CrossrefPubMedSearch in Google Scholar
  • 9 von Meduna M, Steinmetz F, Ante L. et al Loot boxes are gambling-like elements in video games with harmful potential: Results from a large-scale population survey. Technol Soc 2020; 63: 101395
    CrossrefSearch in Google Scholar
  • 10 Lovell N.. ARPPU in freemium games. www.gamesbrief.com/2011/11/arppu-in-freemium-games/
  • 11 King DL, Delfabbro PH, Gainsbury SM. et al Unfair play? Video games as exploitative monetized services: An examination of game patents from a consumer protection perspective. Comput Human Behav 2019; 101: 131-143
    CrossrefSearch in Google Scholar
  • 12 King DL, Delfabbro PH. Predatory monetization schemes in video games (e. g. ‘loot boxes’) and internet gaming disorder. Addiction 2018; 113: 1967-1969
    CrossrefPubMedSearch in Google Scholar
  • 13 Drummond A, Sauer JD.. Video game loot boxes are psychologically akin to gambling. Nat Hum Behav. 2020
    CrossrefPubMedSearch in Google Scholar
  • 14 Kristian R, Nielsen L, Grabarczyk P. Are Loot Boxes Gambling?. Random Reward Mechanisms in Video Games 2019: 171-207
    PubMedSearch in Google Scholar
  • 15 Wartberg L, Kriston L, Thomasius R. Internet gaming disorder and problematic social media use in a representative sample of German adolescents: Prevalence estimates, comorbid depressive symptoms and related psychosocial aspects. Computers in Human Behavior 2020; 103: 31-36
    CrossrefSearch in Google Scholar
  • 16 Király O, Sleczka P, Pontes HM. et al Validation of the Ten-Item Internet Gaming Disorder Test (IGDT-10) and evaluation of the nine DSM-5 Internet Gaming Disorder criteria. Addictive Behaviors 2017; 64: 253-260
    CrossrefPubMedSearch in Google Scholar
  • 17 King DL, Chamberlain SR, Carragher N. et al Screening and assessment tools for gaming disorder: A comprehensive systematic review. Clin Psychol Rev. 2020
    CrossrefPubMedSearch in Google Scholar
  • 18 Király O, Bőthe B, Ramos-Diaz J. et al Ten-Item Internet Gaming Disorder Test (IGDT-10): Measurement invariance and cross-cultural validation across seven language-based samples. Psychol Addict Behav 2019; 33: 91-103
    CrossrefPubMedSearch in Google Scholar
  • 19 Rho MJ, Lee H, Lee TH. et al Risk factors for internet gaming disorder: Psychological factors and internet gaming characteristics. Int J Environ Res Public Health 2018
    CrossrefPubMedSearch in Google Scholar
  • 20 Heng S, Zhao H, Wang M.. In-game Social Interaction and Gaming Disorder: A Perspective From Online Social Capital. Front Psychiatry. 2021
    CrossrefPubMedSearch in Google Scholar
  • 21 Dreier M, Wölfling K, Duven E. et al Free-to-play: About addicted Whales, at risk Dolphins and healthy Minnows. Monetarization design and Internet Gaming Disorder. Addictive Behaviors 2017; 64: 328-333
    CrossrefPubMedSearch in Google Scholar
  • 22 Macur M, Pontes HM.. Internet Gaming Disorder in adolescence: investigating profiles and associated risk factors. BMC Public Health. 2021
    CrossrefPubMedSearch in Google Scholar
  • 23 Király O, Tóth D, Urbán R. et al Intense video gaming is not essentially problematic. Psychology of Addictive Behaviors 2017; 31: 807-817
    CrossrefPubMedSearch in Google Scholar
  • 24 Nicklin LL, Spicer SG, Close J. et al “It’s the attraction of winning that draws you in” – a qualitative investigation of reasons and facilitators for videogame loot box engagement in UK gamers. J Clin Med. 2021
    CrossrefPubMedSearch in Google Scholar
  • 25 Lemenager T, Neissner M, Sabo T. et al “Who Am I” and “How Should I Be”: a Systematic Review on Self-Concept and Avatar Identification in Gaming Disorder. Curr Addict Rep 2020; 07: 166-193
    CrossrefSearch in Google Scholar
  • 26 Chung W, Sun CK, Tsai IT. et al A systematic review and meta-analysis on the clinical implications of probability discounting among individuals with Internet gaming disorder. Sci Rep. 2021
    CrossrefPubMedSearch in Google Scholar
  • 27 Raneri PC, Montag C, Rozgonjuk D. et al The role of microtransactions in Internet Gaming Disorder and Gambling Disorder: A preregistered systematic review. Addictive Behaviors Reports. 2022
    CrossrefPubMedSearch in Google Scholar
  • 28 Spicer SG, Nicklin LL, Uther M. et al Loot boxes, problem gambling and problem video gaming: A systematic review and meta-synthesis. New Media Soc 2022; 24: 1001-1022
    CrossrefSearch in Google Scholar
  • 29 Hing N, Rockloff M, Russell AMT. et al Loot box purchasing is linked to problem gambling in adolescents when controlling for monetary gambling participation. J Behav Addict. 2022
    CrossrefPubMedSearch in Google Scholar
  • 30 Ide S, Nakanishi M, Yamasaki S. et al Adolescent problem gaming and loot box purchasing in video games: Cross-sectional observational study using population-based cohort data. JMIR Serious Games. 2021
    CrossrefPubMedSearch in Google Scholar
  • 31 Hall LC, Drummond A, Sauer JD. et al Effects of self-isolation and quarantine on loot box spending and excessive gaming-results of a natural experiment. Peer J. 2021
    CrossrefPubMedSearch in Google Scholar
  • 32 Zendle D, Cairns P.. Video game loot boxes are linked to problem gambling: Results of a large-scale survey. PLoS One. 2018
    CrossrefPubMedSearch in Google Scholar
  • 33 Zendle D, Meyer R, Over H.. Adolescents and loot boxes: Links with problem gambling and motivations for purchase. R Soc Open Sci. 2019
    CrossrefPubMedSearch in Google Scholar
  • 34 Larche CJ, Chini K, Lee C. et al Rare Loot Box Rewards Trigger Larger Arousal and Reward Responses, and Greater Urge to Open More Loot Boxes. J Gambl Stud 2021; 37: 141-163
    CrossrefPubMedSearch in Google Scholar