School of Social Work, University of Haifa.
Baruch Ivcher School of Psychology, Reichman University.
J Consult Clin Psychol. 2023 May;91(5):285-300. doi: 10.1037/ccp0000790. Epub 2023 Jan 12.
Maladaptive daydreaming (MD) is a compulsive form of daydreaming that causes distress and functional impairment. We present the first treatment trial for MD.
We tested the effectiveness of an eight-session internet-based self-help training for mindfulness and self-monitoring and compared three groups across three measurement points in time. A sample of 557 people was randomly assigned. A total of 353 participants (age [] = 28.3[10.5], 76% female, 77% unmarried) completed our program: full-intervention group ( = 114, psychoeducation + motivation enhancement + mindfulness + self-monitoring), partial-intervention group ( = 125, identical excluding self-monitoring), and waiting-list group (n = 125, internet-based support as usual).
All MD measures assessing daydreaming pathology, daydreaming frequency, and life functioning showed significant improvement with a large effect size (ES) from baseline to posttreatment in both intervention groups, whereas the wait-list group showed no significant improvement, MD: (3, 349) = 35.76, < .0001, η² = 0.24; frequency: (3, 349) = 32.06, < .001, η² = 0.22; functioning: (3, 349) = 20.43, < .001, η² = 0.15. Mindfulness with self-monitoring training for MD was superior to mindfulness alone in the short term, but they both were equally efficient in the long term. Both interventions were superior to relying on internet-based support forums only. The clinically significant improvement rate of mindfulness with self-monitoring training was 24%, while the reliable improvement rate reached 39%. At the 6-month follow-up, achievements were maintained.
A brief internet-based intervention program comprising mindfulness meditation and self-monitoring facilitated recovery or improvement in many individuals with MD. (PsycInfo Database Record (c) 2023 APA, all rights reserved).
病态白日梦（MD）是一种强迫性的白日梦形式，会引起痛苦和功能障碍。我们提出了 MD 的首个治疗试验。
我们测试了基于互联网的正念和自我监测的八节自助训练的有效性，并在三个时间测量点比较了三组。共有 557 人被随机分配。共有 353 名参与者（年龄 [] = 28.3[10.5]，76%为女性，77%未婚）完成了我们的计划：完整干预组（ = 114，心理教育+动机增强+正念+自我监测）、部分干预组（ = 125，相同但不包括自我监测）和等待名单组（n = 125，基于互联网的常规支持）。
所有评估白日梦病理、白日梦频率和生活功能的 MD 测量指标均显示出从基线到治疗后有显著改善，且干预组的效果较大（ES），而等待名单组则没有显著改善，MD：（3, 349）= 35.76，<0.0001，η² = 0.24；频率：（3, 349）= 32.06，<0.001，η² = 0.22；功能：（3, 349）= 20.43，<0.001，η² = 0.15。MD 的正念与自我监测训练短期优于正念训练，而长期则效果相同。两种干预措施均优于仅依赖基于互联网的支持论坛。正念与自我监测训练的临床显著改善率为 24%，而可靠改善率达到 39%。在 6 个月的随访中，结果得到维持。
一个简短的基于互联网的干预程序，包括正念冥想和自我监测，促进了许多 MD 患者的康复或改善。（PsycInfo 数据库记录（c）2023 APA，保留所有权利）。
