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CONVERGENCE BETWEEN GAMBLING AND GAMING: DOES THE GAMBLING AND GAMING INDUSTRY HAVE A RESPONSIBILITY IN PROTECTING THE CONSUMER?

2019; Mary Ann Liebert, Inc.; Volume: 23; Issue: 9 Linguagem: Inglês

10.1089/glr2.2019.2397

2572-5327

Jeffrey L. Derevensky, Mark D. Griffiths,

Sexuality, Behavior, and Technology

Gaming Law ReviewVol. 23, No. 9 ArticlesFree AccessCONVERGENCE BETWEEN GAMBLING AND GAMING: DOES THE GAMBLING AND GAMING INDUSTRY HAVE A RESPONSIBILITY IN PROTECTING THE CONSUMER?Jeffrey L. Derevensky and Mark D. GriffithsJeffrey L. DerevenskyJeffrey L. Derevensky is a James McGill Professor and the director of the International Centre for Youth Gambling Problems and High-Risk Behaviors at McGill University in Montréal, Québec.Search for more papers by this author and Mark D. GriffithsMark D. Griffiths is Distinguished Professor of Behavioural Addiction and director of the International Gaming Research Unit in the Psychology Department at Nottingham Trent University in Nottingham, United Kingdom.Search for more papers by this authorPublished Online:13 Nov 2019https://doi.org/10.1089/glr2.2019.2397AboutSectionsView articleView PDFView PDF Plus ToolsAdd to favoritesDownload CitationsTrack CitationsPermissions Back To Publication ShareShare onFacebookTwitterLinked InRedditEmail View articleTechnological advances during the past two decades have fundamentally changed day-to-day human behavior. With the increasing availability of high-speed broadband Internet services, the widespread use of smartphones, and the importance of social media, human lives have been forever altered. For some, it is hard to remember lives without social media, the Internet, or smartphones. In some cases, virtual assistants such as Siri and Alexa have become indispensable sources for acquiring information. While technological advances have irrevocably changed contemporary living, the gambling and gaming industries have been particularly revolutionized by these advances.GAMBLING VS. GAMING—WHAT'S IN A NAME?The terms "gambling" and "gaming" are frequently used synonymously—particularly by those working in the gambling industry. Gambling involves wagering money or something of value on an event with an uncertain outcome. Gambling typically comprises three elements: consideration (an amount of money or something of financial value wagered), risk (in the form of chance events), and a prize (typically money but may simply be something of financial value). Gaming on the other hand, is a formalized expression of play. Games can come in many different types and genres; they can involve social play or role-playing, they can comprise board games such as Monopoly or Scrabble, they may include video games which are played on a game console (e.g., Call of Duty), or may come in the form of electronic/digital games played via a computer or smartphone (e.g., Candy Crush Saga). One of the "classic" categorization of game types was that proposed by Caillois1 who claimed all games comprised one of four types: agon (i.e., competitive games), alea (chance-based games), mimicry (simulation games), and ilinx (vertigo-type games such as children spinning around and making themselves dizzy). In the context of gambling games, agon and alea are crucial in that they offer a combination of skill, chance, and luck.Historically, Frank Fahrenkopf, the first chief executive and president of the powerful lobbying group the American Gaming Association (AGA)—the industry's representative organization which was founded in 1994—helped shape current attitudes toward gambling. While historically gambling has been around for centuries, it has often been morally associated with sin and vice. Fahrenkopf helped change some people's perceptions of gambling from sin and vice to one of entertainment. At the time of the creation of the AGA, the casino industry in Nevada viewed themselves as gambling establishments. Fahrenkopf came to the position with an impressive resumé in hand (having previously served as the chairman of the Republican National Committee under President Reagan). His tenure as president of the AGA witnessed the rapid expansion of casinos as entertainment centers, not only in the U.S. but internationally.Leading the AGA for over 17 years, Fahrenkopf, aided by other visionaries, helped move the industry from strictly gambling to one of first-class entertainment while still maintaining the emphasis on gambling (activities where individuals staked money on a game to win a greater amount of money). In doing so, he helped change the terminology used by the gambling industry from gambling to gaming, a major source of entertainment enjoyed by tens of millions of individuals. Around the same time, Steve Wynn opened what was then the largest hotel in the world (the Mirage) in Las Vegas and capitalized on what non-gambling contributions (e.g., entertainment, hotel occupancy, gourmet restaurants, and shopping) could bring to the gambling industry. Revenues from the entertainment portion of his many properties began to exceed that of gambling revenues. The movement from the terminology of gambling to gaming had begun in earnest in spite of the fact that huge revenues were still being generated from the gambling sector (e.g., slots, table games, sports wagering, etc.).The history of games, as Caillois noted, also dates back for centuries. In the latter half of the twentieth century, new electronic games began to emerge (i.e., video games) followed by digital online games in the 2000s. The history of video games goes as far back as the 1950s, with its popularity rapidly growing in the 1970s and 1980s. From 3D Tic-Tac-Toe and Pong to Mario Bros, FarmVille, Mafia Wars, and Candy Crush, to today's "cloud streaming gaming" such as Grand Theft Auto, League of Legends, Game of Thrones, Minecraft, and Fortnite, the gaming industry has emerged with millions of people worldwide engaged in gaming. While video game consoles and handheld games continue to evolve and still remain popular, there is a clear movement toward online gaming on the "cloud." The vast majority of these games are played for fun, although in some games, individuals can wager on the outcome of events. Technology has also brought about the convergence of gambling and gaming over the past decade.2 Whether in the form of "loot boxes," simulated social casino games, or esports, there is an evolving migration and intersection between gambling and gaming.GAMBLING AND GAMING CONVERGENCERecently, both gambling and gaming activities have become recognized as sharing similar features at structural and aesthetic levels, especially with the advent of online gambling and gaming. Papers going back decades have highlighted these similarities.3 Technological advances have permitted digital media content to be shared across multiple devices and networks, sometimes referred to as digital convergence.4 There has been concern that the structural boundaries between gaming and gambling have in some cases become blurred. King and his colleagues have argued that the overlap between gambling and gaming have become indistinguishable such that "hybrid gambling activities have adopted features of gaming and vice-versa."5The Morgan Stanley Research Report6 noted five primary types of convergence between gaming and gambling: (1) the introduction of gambling elements into social media games; (2) the use of social gaming features on online gambling sites; (3) the gamblification of non-gambling type games in which individuals have the opportunity to win items of value; (4) the consolidation of similar games on non-monetary sites where the operator of both non-gambling activities and online gambling activities are the same; and (5) the cross-marketing of online gambling sites to social casino players.SOME EXAMPLES OF CONVERGENCE: LOTTERY PRODUCTS, SOCIAL CASINO GAMES, LOOT BOXES, AND ESPORTSLottery corporations around the world have incorporated both childhood and adult games into scratchcards. Game themes such as Monopoly, Twister, Scrabble Sudoku, Yahtzee, Battleship, Bingo, and Pictionary (among many others) can be readily found. Today's casinos includes considerable digital technology adapted from the gaming industry. The slot machines found in casinos incorporate sophisticated graphics, frequently adapting themes from familiar games (e.g., Texas Tea Pinball, Guitar Warrior, Mario Bros.).The convergence between gaming and gambling is particularly noticeable in the rise of social casino type games (e.g., DoubleDown Casino, online gambling simulated practice sites or demo games designed to allow individuals to gamble for fun using virtual currency). These games clearly simulate many features of actual gambling activities while others allow players to spend money in order to continue playing.7 Gainsbury and colleagues concluded that these games may be offered as a separate product or may actually be linked directly to a gambling product (online or land-based).8 Of concern is that many online gambling practice sites have simulated gambling activities with unusually high payout rates in order to keep players engaged. Another major concern is the lack of age restrictions for playing social casino games (interestingly there are some gambling simulated video games where the stated recommended age is 3+ for consumers, for example, PlayStation 2's Casino Challenge). These social games remain enormously popular, with almost 2.5 billion active video game players.9 The structural characteristics of these social casino games closely mimic those of traditional gambling games and may serve as a gateway, precursor and/or pre-gambling training ground for gambling.10 Social casino games are typically offered through a variety of social networking sites but can also be found on video game platforms, with other versions available for other handheld devices (smartphones, tablets, and portable computers).In 2014, superData.com reported that there were an estimated 173 million people engaged in social casino gaming on a monthly basis (triple the amount engaging in online gambling).11 Kim and his colleagues reported they found that approximately 26% of a sample of social casino players (N=409) who never initially gambled online were found to have migrated over to, and engaged in, online gambling after a six-month period,12 further supporting the Morgan Stanley Report's concerns that social casino games may be a training ground for future gambling. Today's global revenues of social casino gaming were reported to be in excess of $3.2 billion.13Another example often cited in the psychological literature concerning the convergence between gambling and gaming are video games that include the purchasing of "loot boxes." Here, gamers use real money to buy keys to open the boxes, crates, chests, cases, or bundles where they receive a chance selection of virtual items. In-game virtual items that can be "won" can include basic customization (i.e., cosmetic) options for a gamer's online avatar and gameplay assets that can help gamers to progress more effectively while gaming.14 These types of embedded activities within video games are becoming increasingly common, with estimates that the total revenues generated by loot boxes in 2018 likely exceeded $30 billion. Griffiths has noted that many of the characteristics of loot boxes are commonly associated with gambling.15 Keith Whyte, in testimony before the U.S. Federal Trade Commission, argued that loot boxes are akin to slot machines.16 Players who play a slot machine or unlock a loot box are risking money for the chance of winning a prize or reward that is of value to the player. Common characteristics to both loot boxes and slot machines include the random distribution of prizes, variable value of the prizes, near-miss features, visual and sound cues associated with participation and reward, and are based upon intermittent variable schedules of reinforcement. Zendle and colleagues concluded that among gamers aged over 18 years, the more money spent on loot boxes the more likely they are to be problem gamblers.17 However, their studies could not determine whether the buying of loot boxes acts as a "gateway" to problem gambling or whether the buying of loot boxes appeals more to problem gamblers than non-problem gamblers.The issue of whether loot boxes are actually a form of gambling has been debated by a number of stakeholders including gambling regulators, the gaming industry, and legislators, all of whom have provided diverse perspectives and opinions. The question of skill vs. chance has been at the heart of the argument. Players, using real money, can purchase virtual in-game items which can be redeemed for purchasing keys to open the loot box, where they have the opportunity to get other virtual items enabling them to be more successful at the game. Is this popular? The U.K. Gambling Commission (2018) reported that 31% of children aged 11–16 years had bought loot boxes, and that the amount of money spent on loot boxes was associated with the severity of gambling problems.18 While the U.K. Gambling Commission concluded that where prizes are used within the game itself does not constitute gambling per se,19 other jurisdictions have concluded it represents a form of gambling.20 Whyte concluded that "there is reasonable concern that gambling-related harm may occur to some loot box users, particularly among minors and individuals with or at risk for gambling problems."21Given that all of the empirical research has been based upon correlational cross-sectional studies, further longitudinal studies are needed to determine the direction of this relationship. Furthermore, while the gaming industry has repeatedly suggested that loot boxes are not gambling, a number of jurisdictions including Belgium and the Netherlands have concluded that loot boxes meet the established criteria for gambling and have declared them illegal.22 King and colleagues go further, suggesting that some in-game purchasing systems could be characterized as "unfair or exploitative," with limited or nor no consumer protection especially for vulnerable populations (e.g., children and adolescents, problem gamers).23Finally, another area of convergence is in the area of esports (electronic sports). Esports represent a new and rapidly growing phenomenon. The skill involved in mastering video/online games has led to the professionalization of esports.24 Playing video games has become one of the most popular recreational activities engaged in by children, adolescents, and adults alike.25 Not only are people actively engaged in video game playing but competitive video game communities have evolved with esports also becoming a spectator sport, and wagering on the outcome of competitions and tournaments is growing. Whether engaging in esports for the competition or for fun and entertainment, esports have garnered a huge following via online streaming platforms such as Twitch and YouTube.26 Esports are basically competitive video game playing, coordinated by different leagues, where players participate in group gaming competitions. Viewers can watch professional gamers compete against each other in a variety of games. Griffiths has argued that there may be motivational differences between casual/recreational players and those seeking high levels of competition.27 While a relatively new phenomenon, the popularity of esports has witnessed enormous growth, with viewers filling major stadiums to watch competitions, with a worldwide audience viewing competitions through video streaming to be in excess of 450 million viewers in 2019, with $1.1 billion dollars in revenue. Championship tournaments have upwards of 60 million unique visitors watching.28 Colleges and universities are now building stadiums to house school-sponsored teams, with the International Olympic Committee considering esports as an Olympic event.A growing number of youth are interested in becoming professional video game players or gaming programmers. While there are differences between esport players and esport spectators, in some of his writings, Griffiths paralleled professional video game playing to professional gamblers (i.e., poker players), articulating similarities with respect to the excessive time spent gaming or gambling, issues surrounding the near-miss phenomenon, the use of sophisticated graphics, color, and sound, and the perceived skill involved in both activities.29WHY SHOULD WE BE CONCERNED ABOUT THE CONVERGENCE BETWEEN GAMING AND GAMBLING?In most jurisdictions, there are no age restrictions on games that simulate gambling activities, the use of loot boxes, or wagering on Esports (where regulated, most jurisdictions require a minimum age of either 18 or 21 for gambling). As noted in the Morgan Stanley Report, social casino simulated games may be an entry into real gambling, sometimes with distorted payout rates (i.e., higher probabilities of winning compared to real gambling), and may be encouraging young people to gamble.30 There is a growing body of evidence that early engagement in social casino type games is a popular activity among children and that young adults who participate in these games are also more likely to engage in actual gambling activities and experience gambling-related problems.31 The fact that some video games for the Wii, Nintendo, and PlayStation have casino-type games targeting children as young as 3+ years is concerning. Such gambling-themed games may normalize gambling,32 and where payout rates exceed the norm, it may provide a sense of confidence among young people that they can be successful when gambling.33 Parke and his colleagues also suggested that the "freemium" model may induce social rewards (e.g., bragging rights) which may be more a powerful motivator for continued play.34CAN THE GAMBLING AND GAMING INDUSTRY WORK WITH THE ACADEMIC RESEARCH COMMUNITY?During the past 30 years, the gambling industry has made great strides and efforts toward promoting responsible gambling. A wide variety of harm-minimization and prevention measures have been established and in many cases universally adopted (e.g., voluntary self-exclusion policies). The gambling industry, along with academic researchers, have developed many harm minimization tools that could similarly be used by the gaming industry. Griffiths and Pontes have argued that the gaming industry has an abundance of high-quality data in the form of player account information (behavioral tracking data) and that if the industry elects to work with researchers it would help all stakeholders to learn more about the acquisition, development, and maintenance of gaming and problematic gaming.35 It would also be helpful if reports presented by the gaming and/or gambling industries examining player data and migration from gaming to gambling (or vice versa) could be shared with academic researchers and regulators to better understand how specific individuals develop problems with either or both of these activities. Attempts at acquiring this data have, in general, not proven successful with the video gaming industry. Griffiths and Pontes note that while there is a need for cooperation, the integrity of independent research should not be jeopardized or undermined.36Derevensky and Richard,37 in commenting on Griffiths and Pontes' suggestions,38 similarly argued for greater collaborative efforts between the gaming industry and academic researchers. The examples provided in this article suggest that (1) there is convergence and some migration between gaming and gambling, (2) social casino type games may be particularly problematic for some individuals and that such games may be socially and behaviorally conditioning gambling-like behavior and be a risk factor in the acquisition of gambling with real money and later problem gambling, (3) loot boxes may be problematic and that there is an association between loot box buying and problem gambling, and (4) many of the social gambling games may be an early training ground for future gambling and gambling-related problems.A better understanding of the risk factors and vulnerabilities of individuals experiencing problems would be beneficial to the treatment and prevention communities.39 While the World Health Organization in its International Classification of Diseases (ICD-11)40 officially recognized Gaming Disorder as a legitimate mental health disorder, the gaming industry has been reluctant to accept its existence. Ultimately, the goal should be to help minimize any potential problems and develop prevention programs for high-risk individuals. Derevensky and Richard41 supported the arguments elucidated by Griffiths and Pontes42 that many of the tools and harm minimization strategies adopted by the gambling industry may be relevant within the gaming industry. A number of social media tools, modeled upon the gambling industry, have already been suggested by Apple, Facebook, and Instagram, including self-exclusion, limit setting, etc. Using research to help inform prevention initiatives will go a long way to help protect users. Together, working in collaboration, vulnerable populations can be protected.CONSUMER PROTECTIONWhile the gambling industry has embraced the notion of consumer protection and has adopted ethical codes of practice,43 the video gaming industry has lagged behind. Using the National Council on Problem Gambling's Internet Responsible Gambling Standards as an example, both gamers and gamblers should be provided with highly visible and readily accessible tools and information to help them make informed decisions (for gamers this would necessitate being informed about risks associated with excessive gaming, embedded forms of gambling, costs involved in purchasing additional time, probabilities of winning specific items when buying loot boxes, etc.).44 Risks associated with excessive gaming should be emphasized, along with allowing players to self-exclude themselves from playing. Discussions and indications about the potential problematic and/or addictive nature of games should be included in personal statements. Whether gamers will read such warnings remains uncertain but that does not mean it should not be done. References to resources about gaming (e.g., gamequitters.com) would be helpful, especially for parents.The gaming industry often argues that the responsibility of the amount of time and the types of games engaged in by children and adolescents should be relegated and monitored by parents. While parents clearly have a responsibility to ensure their children play within reasonable limits, the video gaming industry, as has been done by the gambling industry, can certainly help in minimizing potential problems. While there are distinct differences between gambling and gaming, adopting a public health approach in developing effective policies appears warranted. As Griffiths and Pontes suggested,45 there is no need to reinvent the wheel. However, there remains an onus on the gaming industry to develop and initiate responsible gaming measures that facilitate player protection and harm minimization. Unlike gambling which has legal age restrictions, there are rarely legal age restrictions associated with gaming (although most video games have age ratings to help parents buy age-appropriate games), and harm minimization strategies may be more difficult to implement and be accepted because of this.There is little doubt that both gambling and gaming have entertainment value and may have multiple benefits for the majority of individuals who engage in them, yet there remains concern when either gambling or gaming become excessive. Differentiating gaming from gambling will be important for the industry and academics going forward. However, their psychological and behavioral similarities and areas of overlap should not be overlooked. While the gambling industry has stepped up its duty of care in relation to social responsibility and consumer protection, it is now time for the gaming industry to do so as well.1 R. Caillois, Man, Play and Games (New York: Free Press 1958).2 M.D. Griffiths, D.L. King, and P.H. Delfabbro, The Technological Convergence of Gambling and Gaming Practices, in The Wiley-Blackwell Handbook of Disordered Gambling 327–346 (D.C.S. Richard, A. Blaszczynski, and L. Nower, eds., Chichester: Wiley 2014); D.L. King, P.H. Delfabbro, and M.D. Griffiths, The Convergence of Gambling and Digital Media: Implications for Gambling in Young People, 26 J. Gambling Stud. 175–187 (2010a); D.L. King, P.H. Delfabbro, and M.D. Griffiths, The Role of Structural Characteristics in Problem Video Game Playing: A Review, 4 Cyberpsychology: J. Psychosocial Res. Cyberspace 1 (2010b).3 E.g., S. Fisher and M.D. Griffiths, Current Trends in Slot Machine Gambling: Research and Policy Issues, 11 J. Gambling Stud. 239–247 (1995); M.D. Griffiths, Amusement Machine Playing in Childhood and Adolescence: A Comparative Analysis of Video Games and Fruit Machines, 14 J. Adolescence 53–73 (1991).4 M.D. Griffiths, Social Gambling via Facebook: Further Observations and Concerns, 17 Gaming L. Rev. & Econ. 104–106 (2013); S. Gainsbury, D. King, B. Abarbanel, P. Delfabbro, and N. Hing, Convergence of Gambling and Gaming in Digital Media (Melbourne, VIC: Victorian Responsible Gambling Foundation 2015); D.L. King, S.M. Gainsbury, P.H. Delfabbro, N. Hing, and B. Abarbanel, Distinguishing Between Gaming and Gambling Activities in Addiction Research, 4(4) J. Behav. Addictions 215–220 (2015).5 Gainsbury et al., supra note 4; King, Gainsbury, et al., supra note 4.6 Morgan Stanley, Social Gambling: Click Here to Play (Morgan Stanley Blue Paper, New York: Morgan Stanley Research, 2012).7 J.L. Derevensky and S.M. Gainsbury, Social Casino Gaming and Adolescents: Should We Be Concerned and Is Regulation in Sight?, 44 Int'l J. L. & Psychiatry 1–6 (2016); M.D. Griffiths, Adolescent Gambling and Gambling-Type Games on Social Networking Sites: Issues, Concerns, and Recommendations, 33(2) Aloma: Revista de Psicologia, Ciències de l'Educació i de l'Esport 31–37 (2015); King, Gainsbury, et al., supra note 4.8 Gainsbury et al., supra note 4.9 Christina Gough, Number of Active Video Gamers Worldwide from 2014 to 2021, Statista (Aug. 9, 2019), retrieved from https://www.statista.com/statistics/748044/number-video-gamers-world/ (Sept. 20, 2019).10 Derevensky and Gainsbury, supra note 7; Gainsbury et al., supra note 4; M.D. Griffiths, Gaming in Social Network Sites: A Growing Concern?, 9 World Online Gambling 12–13 (2010); Griffiths, Social Gambling via Facebook, supra note 4; Griffiths, Adolescent Gambling, supra note 7; J. Parke, H. Wardle, J. Rigbye, and A. Parke, Exploring Social Gambling: Scoping, Classification and Evidence Review (Final report submitted to UK Gambling Commission, 2013).11 C. Martin, Big Data and Social Casino Gaming, Canadian Gaming Lawyer Mag. Summer 2014, at 4–7.12 H.S. Kim, M.J. Wohl, M.M. Salmon, R. Gupta, and J. Derevensky, Do Social Casino Gamers Migrate to Online Gambling? An Assessment of Migration Rate and Potential Predictors, 31(4) J. Gambling Stud. 1819–1831 (2015).13 Social Casino—Q4 2017, SuperData (2017), retrieved from https://www.superdataresearch.com/market-data/social-casino-single-issue/ (Oct. 6, 2019).14 A. Drummond and J.D. Sauer, Video Game Loot Boxes Are Psychologically Akin to Gambling, 2 Nature Human Behav. 530–532 (2018); M.D. Griffiths, Is the Buying of Loot Boxes in Video Games a Form of Gambling or Gaming?, 22(1) Gaming L. Rev. 52–54 (2018).15 Griffiths, Is the Buying of Loot Boxes, supra note 14.16 Statement of Keith Whyte Executive Director, National Council on Problem Gambling—Loot Boxes or Slot Machines? Similarities and Solutions from the Gambling Addiction Prevention Field (Aug. 7, 2019), retrieved from http://www.ncpgambling.org/wp-content/uploads/2019/08/NCPG-statement-on-loot-boxes-to-FTC_August-2019-.pdf.17 D. Zendle and P. Cairns, Video Game Loot Boxes Are Linked to Problem Gambling: Results of a Large-Scale Survey, 13(11) PloS One 1–12 (2018); D. Zendle, C. McCall, H. Barnett, and P. Cairns, Paying for Loot Boxes Is Linked to Problem Gambling, Regardless of Specific Features Like Cash-Out and Pay-to-Win, 102 Computers Hum. Behav. 181–191 (2019); D. Zendle, R. Meyer, and H. Over, Adolescents and Loot Boxes: Links with Problem Gambling and Motivations for Purchase, 6(6) Royal Society Open Sci. 190049 (2019).18 U.K. Gambling Commission, Young People and Gambling, 2018: A Research Study Among 11–16 Year Olds in Great Britain (2018), https://www.gamblingcommission.gov.uk/PDF/survey-data/Young-People-and-Gambling-2018-Report.pdf.19 Id.20 E. Chansky and E. Okerberg, Loot Box or Pandora's Box? Regulation of Treasure Chests in Video Games, National Law Review (July 22, 2018), retrieved from https://www.natlawreview.com/article/loot-box-or-pandora-s-box-regulation-treasure-chests-video-games.21 Statement of Keith Whyte, supra note 16.22 Id.23 D.L. King, P.H. Delfabbro, S.M. Gainsbury, M. Dreier, N. Greer, and J. Billieux, Unfair Play? Video Games as Exploitative Monetized Services: An Examination of Game Patents from a Consumer Protection Perspective. 101 Computers Hum. Behav. 131–143 (2019).24 F. Bányai, M.D. Griffiths, O. Király, and Z. Demetrovics, The Psychology of eSports: A Systematic Literature Review, 35(2) J. Gambling Stud. 351–365 (2019); K. Faust, J. Meyer, and M.D. Griffiths, Competitive Gaming: The Potential Benefits of Scientific Study, 3(1) Int'l J. Cyber Behav. Psychol. & Learning 67–76 (2013).25 Entertainment Software Association, Essential Facts About the Computer and Video Game Industry (2017), retrieved from https://www.theesa.com/wp-content/uploads/2019/03/ESA_EssentialFacts_2017.pdf.26 Bányai et al., supra note 24.27 M.D. Griffiths, The Psychosocial Impact of Professional Gambling, Professional Video Gaming, and eSports, 28 Casino & Gaming Int'l 59–63 (2017).28 Christina Gough, eSports Market—Statistics and Facts, Statista (Mar. 7, 2019), retrieved from https://www.statista.com/topics/3121/esports-market/ (Sept. 20, 2019).29 Griffiths, The Psychosocial Impact of Professional Gambling, supra note 27.30 Morgan Stanley, supra note 6.31 Derevensky and Gainsbury, supra note 7; Gainsbury et al., supra note 4; Griffiths, Adolescent Gambling, supra note 7; Ipsos MORI, Underage Gambling in England and Wales: A Research Study Among 16 Year Olds on Behalf of the National Lottery Commission (London: National Lottery Commission, 2011).32 Morgan Stanley, supra note 6; Gainsbury et al., supra note 4.33 Gainsbury et al., supra note 4.34 Parke et al., supra note 10.35 M.D. Griffiths and H.M. Pontes, The Future of Gaming Disorder Research and Player Protection: What Role Should the Video Gaming Industry and Researchers Play?, Int'l J. Mental Health & Addiction 1–7 (2019).36 Id.37 J.L. Derevensky and J. Richard, Response to Commentary: The Future of Gaming Disorder Research and Player Protection: What Role Should the Video Gaming Industry and Researchers Play?, Int'l J. Mental Health & Addiction 1–6 (2019).38 Griffiths and Pontes, supra note 35.39 D.L. King, E. Koster, and J. Billieux, Study What Makes Games Addictive, 573 Nature 346 (2019).40 World Health Organization, International Classification of Disease (11th ed., Geneva: World Health Organization, 2019).41 Derevensky and Richard, supra note 37.42 Griffiths and Pontes, supra note 35.43 American Gaming Association, Responsible Gaming Code of Conduct (Jan. 3, 2019), retrieved from https://www.americangaming.org/member-code-of-conduct/ (Sept. 18, 2019); M. Carran, Consumer Protection in EU Online Gambling Regulation: Review of the Implementation of European Union Commission Recommendation 2014/478/EU Across EU States (prepared for the European Gaming and Betting Association 2018), retrieved from https://www.egba.eu/uploads/2018/12/181206-Consumer-Protection-in-EU-Online-Gambling-EGBA-Executive-Summary.pdf (Sept. 18, 2019); National Council on Problem Gambling, Internet Responsible Gambling Standards (Apr. 23, 2012), retrieved from http://www.ncpgambling.org/files/faq/Internet%20Responsible%20Gambling%20Standards%20April%2023%202012.pdf; National Council on Problem Gambling, Internet Responsible Gambling Standards (Sept. 27, 2019).44 National Council on Problem Gambling, Internet Responsible Gambling Standards (Sept. 27, 2019.45 Griffiths and Pontes, supra note 35.FiguresReferencesRelatedDetailsCited ByWhat Game We Are Playing: the psychosocial context of problem gambling, problem gaming and poor well-being among Italian high school students.Heliyon, Vol. 184Loot boxes, problem gambling and problem video gaming: A systematic review and meta-synthesis17 July 2021 | New Media & Society, Vol. 34Secondary analysis of loot box data: Are high-spending "whales" wealthy gamers or problem gamblers?Addictive Behaviors, Vol. 117Meta-analysis of the relationship between problem gambling, excessive gaming and loot box spending26 April 2021 | International Gambling Studies, Vol. 15Gaming-Gambling Convergence: Trends, Emerging Risks, and Legislative Responses20 April 2021 | International Journal of Mental Health and Addiction, Vol. 22BibliographieEvaluation of Gambling Sector Activity in Lithuania, Latvia, Slovak Republic and Czech Republic13 January 2021 | SHS Web of Conferences, Vol. 92"What Game are We Playing?": the Psychosocial Context of Problem Gambling and Gaming Among Italian High School StudentsSSRN Electronic Journal, Vol. 184Gambling-gaming convergence: new developments and future directions17 September 2020 | International Gambling Studies, Vol. 20, No. 3 Volume 23Issue 9Nov 2019 InformationCopyright 2019, 2019 Mary Ann Liebert, Inc., publishersTo cite this article:Jeffrey L. Derevensky and Mark D. Griffiths.Gaming Law Review.Nov 2019.633-639.http://doi.org/10.1089/glr2.2019.2397Published in Volume: 23 Issue 9: November 13, 2019Online Ahead of Print:October 30, 2019Keywordsgamblinggamingconsumer protection