Gaming Disorder
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How Video Games are Crossing Definitions and Generations: Preparing for 2019 and Beyond The Original Electronic Mobile Gaming OBJECTIVES Describe recent trends in video gaming that connect to gambling. Identify vulnerable populations and criteria connecting problem “gaming” and gambling. Describe methods of addressing gaming and gambling in their problem gambling work. 1:36 PM All of the slides and resources for this presentation are at: www.preventionlane.org/gaming Where We Are Now. HEADS UP There may be content here that could present as a trigger to some. Please take care of yourself and give yourself a break if needed. 1. TRENDS. - GAMIFICATION - MARKETING - BLURRINESS Lottery machine at Sea-Tac Airport , 3/18 We don’t think of these things as gambling. Therefore, we don’t think our young people are gambling. DEFINITION: GAMBLING Risking__________ something of value in the _____hopes_________________ of obtaining something of greater value. Source: American Psychiatric Association - DSM-5 (2013). BLURRING LINES? Anything of value the sponsor awards in a promotion. 1. PRIZE: (Example: real money or a virtual reward to help advancing in a game.) A process beyond the participant's direct control 2. CHANCE: determines the outcome. (Example: an instant-win game at a fast food restaurant.) Requires money or significant effort. 3. CONSIDERATION: (Example: inviting Facebook friends in order to gain new “lives.”) BLURRED LINES IN DEFINITIONS 1. PRIZE 2. CHANCE 3. CONSIDERATION “FREEMIUM.” FREE* APPS… * (WITH “IN-APP PURCHASES.”) DO RATINGS STOP MOST KIDS? REAL MONEY FOR PRETEND MONEY / PRIZES Of 100 most popular Facebook games, more than half (54%) include gambling content (22% are slot-based) Giroux, 2016 TYPICAL FREEMIUM SCENARIO: WOOHOO! &@*$#! COOL FREE IT’S GETTING OOH! HARDER. GAME! WAYS TO LEVEL UP FASTER! Source: Custer, R. & Rosenthal, M. LET’S PLAY “GUESS THE SPORT!” ANSWER: OVERWATCH (VIDEO GAME) Source: http://www.espn.com/esports/story/_/id/24153101/overwatch-league-playoffs-london-spitfire-becomes-first-overwatch- league-playoffs-finalist ESPORTS: COMPETITIVE VIDEO GAMING May 2, 2018: https://www.nytimes.com/2018/05/02/style/fortnite.html GAMERS ARE THE NEW STARS As of 10/18: 9.5 million followers https://www.forbes.com/sites/insertcoin/2018/04/07/ninjas-new-fortnite-twitch-records-5-million-followers-250000-subs-875000-a-month/#5895314b478f ESPORTS = COMPETITIVE VIDEO GAMING TRADITIONAL SPORTS ESPORTS Etc… Etc…And new games keep coming… BETTING ON THE GAMES GAMBLING IN ESPORTS. 1. Betting on professional gaming teams 2017 Overwatch World Cup Image source: pcgamer.com 2. Fantasy 3. Betting esports in-game Image source: csgostash.com decorations (skins”) SKINS. Entertainment. Street Cred. Possible $. Image Source: https://csgostash.com/ WHAT’S THE DIFFERENCE? Image Source: itunes.com WHAT’S THE DIFFERENCE? Image Source: macys.com “MICROTRANSACTIONS” REAL $, VIRTUAL PRIZES LOOT BOXES: ANOTHER FORM OF MICROTRANSACTION Small payment. Could get something really cool… but probably not. LOOT BOXES: ANOTHER FORM OF MICROTRANSACTION Animation source: https://gfycat.com/gifs/detail/zealousglossygazelle “DFS” - DEMONSTRATION: [Here’s our super duper quick coverage of daily fantasy sports] 2. VULNERABLE GROUPS & CONNECTING DOTS. YOUTH: MOST SENSITIVE TO DOPAMINE. The brain is still developing until 25 The PREFRONTAL CORTEX is the LAST PART to develop. WHAT OTHER GROUPS? SIMILARITIES IN SIGNS OF A PROBLEM. Struggle with Change in cutting back friends Preoccupation Job/school problems. Withdrawal/ isolation Unusual amount of Using it as $ or $ problems an escape $! 2018 World Health Organization ICD-11: Gaming Disorder Source: World Health Organization. (2018). http://www.who.int/features/qa/gaming-disorder/en/ DOUBTS... HAVE WE HEARD THIS STORY BEFORE? https://www.nytimes.com/2018/07/02/health/internet- gaming-addiction.html SO MANY CONNECTIONS… Source: https://www.businessinsider.com.au/ how-video-game-companies-are-using-gambling-tactics-to-make-customers-addicted-2017-9 CROSSWALKING GAMING & GAMBLING DISORDER CRITERIA Source: Petry, et al., 2014. An international consensus for assessing internet gaming disorder using the new DSM-5 approach http://dx.doi.org/10.1111/add.12457 CRITERIA: GAMBLING DISORDER • Tolerance • Risk/lose relationships • Preoccupation • Use to escape • Inability to cut back/quit Key Differences: • Irritability when cutting • Continue despite neg. back/quitting consequences (gaming) • “Chasing” losses • Bailouts (gambling) • Lying or concealing Source: Petry, et al., 2014. An international consensus for assessing internet gaming disorder using the new DSM-5 approach http://dx.doi.org/10.1111/add.12457 THESE ARE THE SAME DISORDERS IN EVERYTHING BUT THE MONEY. SO WHAT DO WE DO? PREVENTION Parental Controls Education SCREEN ACTIVITY. Monitor payment! WHAT DO YOU THINK? PREVENTION SOME POPULATIONS SHOULD NOT GAMBLE. Replace RECOVERY Skill-based activity Mindfulness Addition, not subtraction. Social replacements WHAT DO YOU THINK? Thank you! Please stay in touch. www.preventionlane.org [email protected] @julhynes @PreventionLane.