Somer Eli, Soffer-Dudek Nirit, Ross Colin A
*School of Social Work, University of Haifa, Haifa; †Department of Psychology, Ben-Gurion University of the Negev, Beer-Sheva, Israel; and ‡The Colin A. Ross Institute, Richardson, Texas.
J Nerv Ment Dis. 2017 Jul;205(7):525-530. doi: 10.1097/NMD.0000000000000685.
To determine the comorbidity profile of individuals meeting criteria for a proposed new disorder, daydreaming disorder (more commonly known as maladaptive daydreaming [MD]), the Structured Clinical Interview for Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition (DSM-5) and the Structured Clinical Interview for DSM-IV Dissociative Disorders were administered to 39 participants who met criteria for MD on a structured interview. We determined high rates of comorbidity: 74.4% met criteria for more than three additional disorders, and 41.1% met criteria for more than four. The most frequent comorbid disorder was attention deficit hyperactivity disorder (76.9%); 71.8% met criteria for an anxiety disorder, 66.7% for a depressive disorder, and 53.9% for an obsessive-compulsive or related disorder. Notably, 28.2% have attempted suicide. Individuals meeting criteria for MD have complex psychiatric problems spanning a range of DSM-5 disorders. This finding provides evidence that MD is different than normal daydreaming and that these individuals experience considerable distress and impairment.
为确定符合一种拟议的新疾病——白日梦障碍（更常见的名称是适应不良性白日梦[MD]）标准的个体的共病情况，我们对39名在结构化访谈中符合MD标准的参与者进行了《精神疾病诊断与统计手册》第五版（DSM-5）的结构化临床访谈以及DSM-IV分离性障碍的结构化临床访谈。我们确定了较高的共病率：74.4%符合三种以上其他疾病的标准，41.1%符合四种以上的标准。最常见的共病疾病是注意力缺陷多动障碍（76.9%）；71.8%符合焦虑症标准，66.7%符合抑郁症标准，53.9%符合强迫症或相关障碍标准。值得注意的是，28.2%曾有自杀企图。符合MD标准的个体存在跨越一系列DSM-5疾病的复杂精神问题。这一发现提供了证据，表明MD不同于正常白日梦，且这些个体经历了相当大的痛苦和损害。
