Maladaptive daydreaming should be included as a dissociative disorder in psychiatric manuals: position paper

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  • 002 a Maladaptive daydreaming should be included as a dissociative disorder in psychiatric manuals: position paper
  • 003 a Annegret Krause-Utz (Autor)
  • 003 a Christa Krüger (Autor)
  • 003 a Colin Ross (Autor)
  • 003 a Kathy Steele (Autor)
  • 003 a Nel Draijer (Autor)
  • 003 a Paula Thomson (Autor)
  • 003 a Richard Chefetz (Autor)
  • 003 a Vedat Şar (Autor)
  • 003 b 0000-0001-6913-0186
  • 003 a Adriano Schimmenti (Autor)
  • 003 a Alessandro Musetti (Autor)
  • 003 a Andrew Moskowitz (Autor)
  • 003 a Annemiek van Dijke (Autor)
  • 003 a Daniel Mamah (Autor)
  • 003 a David Spiegel (Autor)
  • 003 a Eli Somer (Autor)
  • 003 a Ellert Nijenhuis (Autor)
  • 003 a Etzel Cardeña (Autor)
  • 003 a Igor Pietkiewicz (Autor)
  • 003 a John O’Neil (Autor)
  • 003 a Joyanna Silberg (Autor)
  • 003 a Martin J. Dorahy (Autor)
  • 003 a Nirit Soffer-Dudek (Autor)
  • 003 a Paul Dell (Autor)
  • 003 a Peter Barach (Autor)
  • 003 a Peter Maves (Autor)
  • 003 a Philip Kinsler (Autor)
  • 003 a Steven N. Gold (Autor)
  • 003 a Suzette Boon (Autor)
  • 003 a Warwick Middleton (Autor)
  • 004 a Oryginalny artykuł naukowy
  • 006 a BRITISH JOURNAL OF PSYCHIATRY
  • 008 a 2025
  • 011 a 0007-1250
  • 012 a 1472-1465
  • 013 a https://doi.org/10.1192/bjp.2024.279
  • 014 a https://www.cambridge.org/core/journals/the-british-journal-of-psychiatry/article/maladaptive-daydreaming-should-be-included-as-a-dissociative-disorder-in-psychiatric-manuals-position-paper/54F944C59CB77D9224E6BB78ADBCDF4A
  • 015 a 1-5
  • 020 a Maladaptive daydreaming is a distinct syndrome in which the main symptom is excessive vivid fantasising that causes clinically significant distress and functional impairment in academic, vocational and social domains. Unlike normal daydreaming, maladaptive daydreaming is persistent, compulsive and detrimental to one’s life. It involves detachment from reality in favour of intense emotional engagement with alternative realities and often includes specific features such as psychomotor stereotypies (e.g. pacing in circles, jumping or shaking one’s hands), mouthing dialogues, facial gestures or enacting fantasy events. Comorbidity is common, but existing disorders do not account for the phenomenology of the symptoms. Whereas non-specific therapy is ineffective, targeted treatment seems promising. Thus, we propose that maladaptive daydreaming be considered a formal syndrome in psychiatric taxonomies, positioned within the dissociative disorders category. Maladaptive daydreaming satisfactorily meets criteria for conceptualisation as a psychiatric syndrome, including reliable discrimination from other disorders and solid interrater agreement. It involves significant dissociative aspects, such as disconnection from perception, behaviour and sense of self, and has some commonalities with but is not subsumed under existing dissociative disorders. Formal recognition of maladaptive daydreaming as a dissociative disorder will encourage awareness of a growing problem and spur theoretical, research and clinical developments.
  • 022 a trauma and stressor-related disorders
  • 022 a diagnosis and classification
  • 022 a Dissociative disorders
  • 022 a general adult psychiatry
  • 022 a obsessive–compulsive disorders
  • 966 a psychologia
  • 985 a Wydział Filozoficzny
  • 985 b Instytut Psychologii

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2025_art_Pietkiewicz_I i inni_Maladaptive-daydreaming-should-be-included-as-a-dissociative-disorder-in-psychiatric-manuals-positi.pdf (780 KB)

  • Licencja: CC BY 4.0
  • Wersja tekstu: Ostateczna opublikowana
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Repozytorium Akademii Ignatianum w Krakowie, które jest częścią Portalu Pracowniczego zostało zrealizowane w ramach projektu „Program wzmocnienia potencjału dydaktycznego Uczelni na rzecz rozwoju regionalnego” POWR.03.05.00-00-ZR10/18 współfinansowanego ze środków Unii Europejskiej w ramach Europejskiego Funduszu Społecznego.