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June 27, 2026HealthcareOpen Access

Internet Gaming Disorder, Problem Gambling Symptoms and Mental Health in Spanish Adolescents: A Cross-Sectional Study on the Role of Microtransactions and Loot Boxes

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Authors

JPJ J PenaUniversidad de ExtremaduraRKRichard KjellgrenUniversity of StirlingJFJoaquim Armando FerreiraUniversity of Coimbra

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Overview

Cross-sectional study examines IGD, gambling symptoms, and mental health in adolescents, suggesting preventive strategies.

Key Points

  • This study aims to explore the associations between Internet Gaming Disorder (IGD), problem gambling symptoms, and various psychological factors in Spanish adolescents.
  • Cross-sectional study conducted with 343 secondary education students from Extremadura, Spain.
  • Utilized IGDS9-SF, SOGS-RA, Strengths and Difficulties Questionnaire (SDQ) to assess gaming and gambling behaviors.
  • Performed descriptive analyses, Spearman correlations, and multivariable regression analyses (Poisson and negative binomial).
  • IGD and problem gambling symptoms positively correlated (Spearman’s ρ = 0.386, p < 0.001).
  • Male gender associated with higher IGD (IRR = 1.21 [95% CI: 1.13–1.30]) and gambling (IRR = 2.90 [1.85–4.60]).
  • Microtransactions linked to both IGD (IRR = 1.17 [1.09–1.25]) and gambling (IRR = 1.74 [1.19–2.54]).

Cite This Study

Pena et al. (2026) studied this question.

synapsesocial.com/papers/6a3f68a3aea7db3c1953fad6https://doi.org/10.3390/healthcare14131846
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Also Consider

Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1The Mediating Role of Problematic Use of Loot-Boxes between Internet Gaming Disorder and Online Gambling Disorder (Preprint)2024
  2. 2Understanding internet gaming disorder in Mexican university students: prevalence and associated factors2026
  3. 3Internet Gaming Disorder and Mental Health of Pakistani Adolescents: A Cross-Sectional Study2024 · 2 citations
  4. 4Problematic Online Gaming and Gambling Among First-Year University Students: Identification of Profiles and Psychological Vulnerabilities2026
  5. 5Gambling in Online Gaming among Youth in Hong Kong: Does Internet Gaming Disorder (IGD) and Online Gambling Tendency Play a Role?2026