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Global review of online video gaming policies to protect young people from harms

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Author(s): Xiao, Leon Y. ; Czakó, Andrea ; Deery, Callum ; Heath, Conor ; Király, Orsolya ; King, Daniel L. ; Demetrovics, Zsolt

Journal: Comprehensive Psychiatry

Year Published: 2026

Date Added: August 12, 2026

The authors reviewed 43 studies that evaluated online video gaming policies from around the world. The studies looked at policies designed to protect young people, including those that addressed age-inappropriate content, excessive gaming, loot boxes and other gambling-like features, and online safety.

The authors generally found that many gaming policies have not been thoroughly evaluated. Age rating systems can help parents and young people make informed decisions, but many youth still play games intended for older audiences. Restrictions on gaming time appear relatively easy to work around and have shown mixed results. Regulations that target loot boxes and gambling-like features, are often not complied with or enforced consistently. The findings can inform future research and policy efforts to improve gaming regulations designed to protect young people from harms.


Citation: Xiao, L. Y., Czakó, A., Deery, C., Heath, C., Király, O., King, D., & Demetrovics, Z. (2026). Global review of assessments of online video gaming policies affecting young people: Loot boxes, age ratings, gameplay time restrictions, and beyond. Comprehensive Psychiatry, 148, 152713. https://doi.org/10.1016/j.comppsych.2026.152713

Article DOI: https://doi.org/10.1016/j.comppsych.2026.152713

Keywords: adolescents ; age restriction ; children ; gaming disorder ; loot boxes ; online gaming ; problematic Internet use ; regulation ; technology use ; video games ; young people

Topics: Children and Youth ; Information for Policy Makers ; Online Gambling ; Priority Populations

Conceptual Framework Factors:   Social - Social Demographics ; Exposure - Convergence of Gaming and Gambling ; Gambling Environment ; Psychological - Lifespan Development ; Environment - Public Policy ; Gambling Exposure ; Social Factors

Study Design: Other Review

Study Funding:

This study received funding from the European Union through its Technical Support Instrument and implemented by the Council of Europe, in cooperation with the European Commission.

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