[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"detail-sidebar-cat-1-en-105":3,"doc-seo-201043-105":53,"doc-detail-201043-en":127},{"code":4,"msg":5,"data":6},0,"success",[7,14,19,24,29,34,39,44,49],{"id":8,"doc_module":9,"doc_module_name":10,"category_name":11,"show_sort_weight":12,"slug":13},11,1,"Template","Presentations",90,"presentations",{"id":15,"doc_module":9,"doc_module_name":10,"category_name":16,"show_sort_weight":17,"slug":18},12,"Resumes",80,"resumes",{"id":20,"doc_module":9,"doc_module_name":10,"category_name":21,"show_sort_weight":22,"slug":23},14,"Invoices",70,"invoices",{"id":25,"doc_module":9,"doc_module_name":10,"category_name":26,"show_sort_weight":27,"slug":28},15,"Posters",60,"posters",{"id":30,"doc_module":9,"doc_module_name":10,"category_name":31,"show_sort_weight":32,"slug":33},16,"Social Media",50,"social-media",{"id":35,"doc_module":9,"doc_module_name":10,"category_name":36,"show_sort_weight":37,"slug":38},17,"Forms",40,"forms",{"id":40,"doc_module":9,"doc_module_name":10,"category_name":41,"show_sort_weight":42,"slug":43},18,"Letters",30,"letters",{"id":45,"doc_module":9,"doc_module_name":10,"category_name":46,"show_sort_weight":47,"slug":48},21,"Paper Templates",5,"papers-templates",{"id":50,"doc_module":9,"doc_module_name":10,"category_name":51,"show_sort_weight":4,"slug":52},158,"General","general-158",{"code":4,"msg":54,"data":55},"ok",{"site_id":56,"language":57,"slug":58,"title":59,"keywords":60,"description":61,"schema_data":62,"social_meta":120,"head_meta":122,"extra_data":124,"updated_unix":126},105,"en","the-convergence-of-simulated-gambling-monetary-gambling-and-gambling-harm-an-integrative-literature-review-of-stimulus-and-suppression-pathways","The convergence of simulated gambling, monetary gambling and gambling harm - An integrative literature review of stimulus and suppression pathways","","This report delivers an integrative public health literature review examining the convergence of simulated gambling, monetary gambling, and gambling harm. It synthesizes conceptual and empirical evidence on stimulus and suppression pathways, with emphasis on risk and protective factors that may link simulated gambling experiences to later harm. The review also evaluates prevalence patterns for loot box purchasing, profiles of purchasers, evidence for concurrence and migration, and evidence-based harm reduction strategies. Findings support targeted prevention and minimization of gambling harm.",{"@graph":63,"@context":119},[64,80,102],{"@type":65,"itemListElement":66},"BreadcrumbList",[67,71,74,77],{"item":68,"name":69,"@type":70,"position":9},"https://docshare.wps.com","Home","ListItem",{"item":72,"name":10,"@type":70,"position":73},"https://docshare.wps.com/template/",2,{"item":75,"name":46,"@type":70,"position":76},"https://docshare.wps.com/template/paper-templates/",3,{"item":78,"name":59,"@type":70,"position":79},"https://docshare.wps.com/template/the-convergence-of-simulated-gambling-monetary-gambling-and-gambling-harm-an-integrative-literature-review-of-stimulus-and-suppression-pathways/201043/",4,{"url":78,"name":59,"@type":81,"image":82,"author":87,"headline":59,"publisher":90,"fileFormat":93,"inLanguage":57,"description":61,"dateModified":94,"datePublished":95,"encodingFormat":93,"isAccessibleForFree":96,"interactionStatistic":97},"DigitalDocument",{"url":83,"@type":84,"width":85,"height":86},"https://docshare.wps.com/thumbnails/the-convergence-of-simulated-gambling-monetary-gambling-and-gambling-harm-an-integrative-literature-review-of-stimulus-and-suppression-pathways/201043.png","ImageObject",442,249,{"name":88,"@type":89},"Fahsai","Person",{"url":68,"name":91,"@type":92},"DocShare","Organization","application/vnd.openxmlformats-officedocument.wordprocessingml.document","2026-10-07","2026-09-04",true,{"@type":98,"interactionType":99,"userInteractionCount":101},"InteractionCounter",{"@type":100},"ViewAction",8,{"@type":103,"mainEntity":104},"FAQPage",[105,111,115],{"name":106,"@type":107,"acceptedAnswer":108},"What does the report mean by simulated gambling?","Question",{"text":109,"@type":110},"Simulated gambling refers to games with features that resemble or function like commercial gambling activities. It includes products such as loot boxes and games with mini gambling components, even when real money cannot be won.","Answer",{"name":112,"@type":107,"acceptedAnswer":113},"What research objectives does the report address?",{"text":114,"@type":110},"The report synthesizes evidence on concurrence and migration between simulated and monetary gambling, reviews conceptual risk and protective factors, assesses empirical evidence to identify gaps, and proposes strategies to prevent and minimize gambling harm linked to simulated gambling.",{"name":116,"@type":107,"acceptedAnswer":117},"How were studies selected for the review?",{"text":118,"@type":110},"The review used a systematic search of academic and peer-reviewed grey literature. Included studies investigated the relationship between simulated and monetary gambling, were peer-reviewed, published since 2000, published in English, and available as full text, following PRISMA guidance.","https://schema.org",{"og:url":78,"og:type":121,"og:title":59,"og:site_name":91,"og:description":61},"article",{"robots":123,"canonical":78},"index,follow",{"doc_id":125,"site_id":56},201043,1788516502,{"code":4,"msg":5,"data":128},{"doc_id":125,"user_id":129,"nickname":88,"user_avatar":130,"doc_module":9,"category_id":45,"category_name":46,"doc_title":59,"doc_description":61,"doc_content":131,"file_id":132,"file_url":133,"file_type":134,"file_size":135,"view_count":101,"is_deleted":4,"is_public":9,"is_downloadable":9,"audit_status":9,"page_count":136,"language":137,"language_code":57,"site_id":56,"html_lang":57,"table_of_contents":138,"faqs":139,"seo_title":140,"seo_description":61,"update_tm":126,"read_time":141},549768702563,"https://ap-avatar.wpscdn.com/avatar/8000c4aa63b76e948b?x-image-process=image/resize,m_fixed,w_180,h_180&k=1786536092046926083","FINAL REPORT\nThe convergence of simulated gambling, monetary gambling and gambling harm: An integrative literature review of stimulus and suppression pathways\nPrepared for:\nThe New Zealand Ministry of Health\nPrepared by:\nExperimental Gambling Research Laboratory, Central Queensland University, Australia:\nNerilee Hing, Michelle Gossner, Lisa Lole, Matthew Rockloff and Matthew Browne\n3 July 2025\n\u000f\nAcknowledgements\nWe thank the Ministry of Health in New Zealand for supporting this study under its Gambling Harm Research Program 2023/24 – 2024/25. We also acknowledge the in-kind contributions to the project made by CQUniversity.\nDisclosure statement\nThe authors declare no conflict of interest in relation to this report or project.\nDisclaimer\nThis report was prepared under contract to the New Zealand Ministry of Health. The copyright in this article is owned by the Crown and administered by the Ministry. The views of the authors do not necessarily represent the views or policy of the New Zealand Ministry of Health. The Ministry makes no warranty, express or implied, nor assumes any liability or responsibility for use of, or reliance on, the contents of this report.\nCiting this report\nHing, N., Gossner, M., Lole, L., Rockloff, M., & Browne, M. (2025). The convergence of simulated gambling, monetary gambling and gambling harm: An integrative literature review of stimulus and suppression pathways. Wellington: Ministry of Health.\nTable of contents\u0013 TOC \\o \"1-1\" \\h \\z \\u \u0014\n\u0013 HYPERLINK \\l \"_Toc195429392\" \u0014Executive summary\t\u0013 PAGEREF _Toc195429392 \\h \u00142\u0015\u0015\n\u0013 HYPERLINK \\l \"_Toc195429393\" \u0014Chapter 1. Background\t\u0013 PAGEREF _Toc195429393 \\h \u001410\u0015\u0015\n\u0013 HYPERLINK \\l \"_Toc195429394\" \u0014Chapter 2. Methods for the literature review\t\u0013 PAGEREF _Toc195429394 \\h \u001415\u0015\u0015\n\u0013 HYPERLINK \\l \"_Toc195429395\" \u0014Chapter 3. Research evidence on the concurrence and migration between simulated gambling, monetary gambling, and gambling harm\t\u0013 PAGEREF _Toc195429395 \\h \u001420\u0015\u0015\n\u0013 HYPERLINK \\l \"_Toc195429396\" \u0014Chapter 4. Factors proposed as shaping the concurrence and migration between simulated gambling, monetary gambling and gambling harm\t\u0013 PAGEREF _Toc195429396 \\h \u001444\u0015\u0015\n\u0013 HYPERLINK \\l \"_Toc195429397\" \u0014Chapter 5. Empirical evidence for risk and protective factors related to simulated gambling that can increase or reduce gambling harm\t\u0013 PAGEREF _Toc195429397 \\h \u001464\u0015\u0015\n\u0013 HYPERLINK \\l \"_Toc195429398\" \u0014Chapter 6. Harm reduction strategies\t\u0013 PAGEREF _Toc195429398 \\h \u001479\u0015\u0015\n\u0013 HYPERLINK \\l \"_Toc195429399\" \u0014References\t\u0013 PAGEREF _Toc195429399 \\h \u001486\u0015\u0015\n\u0013 HYPERLINK \\l \"_Toc195429400\" \u0014Appendix A. Search string for each database\t\u0013 PAGEREF _Toc195429400 \\h \u0014105\u0015\u0015\n\u0013 HYPERLINK \\l \"_Toc195429401\" \u0014Appendix B. Summary of quality assessment process across all journal articles\t\u0013 PAGEREF _Toc195429401 \\h \u0014106\u0015\u0015\n\u0015\n\u000f\nExecutive summary\nThis report presents a literature review on the convergence of simulated gambling, monetary gambling and gambling harm. Using a public health framework, it also reviews conceptual and empirical evidence for risk and protective factors for gambling harm that might arise from simulated gambling and suggests strategies to help reduce this harm.\nWhat is simulated gambling?\nSimulated gambling comprises games with features that resemble or function like commercial gambling activities (King, 2018). This study categorises simulated gambling products into two main types:\nLoot boxes are virtual containers available for purchase or received as rewards in most mainstream digital games. When unlocked, loot boxes provide players with digital items, such as weapons, special abilities or cosmetic items (skins). Players often do not know what the prize is in advance, or how many loot boxes they need to purchase to win a desired item.\nSimulated gambling games are categorised in this study into 1) social casino games, 2) demo or practice games, and 3) games with mini gambling components. These games replicate the look and feel of gambling games as a central or peripheral feature of play, alt","cbCaicluO4qBoA5o","https://ap.wps.com/l/cbCaicluO4qBoA5o","docx",1371850,108,"English","# Executive summary\n## What is simulated gambling?\n## Research objectives\n## Methods\n## Key findings\n## Concurrence and migration between simulated gambling, monetary gambling and gambling harm\n## Prevalence of loot box purchasing\n## Profiles of loot box purchasers","[{\"question\":\"What does the report mean by simulated gambling?\",\"answer\":\"Simulated gambling refers to games with features that resemble or function like commercial gambling activities. It includes products such as loot boxes and games with mini gambling components, even when real money cannot be won.\"},{\"question\":\"What research objectives does the report address?\",\"answer\":\"The report synthesizes evidence on concurrence and migration between simulated and monetary gambling, reviews conceptual risk and protective factors, assesses empirical evidence to identify gaps, and proposes strategies to prevent and minimize gambling harm linked to simulated gambling.\"},{\"question\":\"How were studies selected for the review?\",\"answer\":\"The review used a systematic search of academic and peer-reviewed grey literature. Included studies investigated the relationship between simulated and monetary gambling, were peer-reviewed, published since 2000, published in English, and available as full text, following PRISMA guidance.\"}]","The convergence of simulated gambling, monetary gambling and gambling harm - An integrative literature review of stimulus and suppression pathways | DOCX",38]