Longitudinal associations between maladaptive daydreaming and psychological distress during the COVID-19 health crisis

J Behav Addict. 2023 Feb 28;12(1):288-294. doi: 10.1556/2006.2023.00001. Print 2023 Mar 30.

Abstract

Background and aims: Maladaptive Daydreaming (MD) is a suggested syndrome where individuals become addicted to fantasizing vividly for hours on end at the expense of engaging in real-world relationships and functioning. MD can be seen as a behavioral addiction. However, a paucity of longitudinal research means that there is no empirical evidence confirming the stability of this alleged addiction. Moreover, the direction of its association with psychopathology is unclear.

Methods: We examine, for the first time, long-term stability and longitudinal associations between MD, psychological distress (stress, anxiety, and depression symptoms) and COVID-19 related exposure.

Results: Participants (N = 814) completed an online survey twice, with a lag of 13 months. A two-wave structural equation model demonstrated high MD stability and positive cross-lagged pathways from MD to psychological distress. COVID-19 related exposure was not a longitudinal predictor.

Discussion and conclusions: MD is a stable condition and a risk factor for an increase in psychological distress.

Keywords: COVID-19; anxiety; depression; maladaptive daydreaming; psychological distress; stress.

MeSH terms

  • Anxiety
  • Anxiety Disorders
  • COVID-19*
  • Depression / epidemiology
  • Humans
  • Psychological Distress*
  • Stress, Psychological / complications
  • Stress, Psychological / psychology
  • Surveys and Questionnaires