Maladaptive daydreaming (MD) is an immersive fantasy activity that leads to distress and socio-occupational dysfunction. MD has many features suggestive of behavioural addiction, but research exploring the phenomenology of this clinical construct is limited. MD has also been purported to be a maladaptive strategy to cope with distress, but often leads to uncontrollable absorption in fantasy world, social withdrawal and neglected aspects of everyday life. In this paper, we report the case of a 16-year-old boy who developed internet gaming disorder and MD after experiencing cyberbullying from his peers. The patient engaged in vivid, fanciful imagery that lasted for hours, leading to social dysfunction and academic deterioration. Baseline assessment revealed a Maladaptive Daydreaming Scale-16 score of 65 (cut-off 50) and an Internet Gaming Test-20 score of 86 (cut-off 71). The patient was managed primarily with psychological intervention. The therapy focused on behaviour modification and cognitive restructuring. Patients in clinical setting should be questioned about MD when presenting with excessive use of technology or other forms of behavioural addictions. Further studies are necessary to determine the biopsychosocial factors of MD and its correlates. There is also a need to study treatment and management approaches for treating MD.

中文翻译：

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与网络游戏成瘾相关的不良适应性白日梦的现象学分析：病例报告

适应不良的白日梦（MD）是一种身临其境的幻想活动，会导致困扰和社会职业功能障碍。MD具有许多暗示行为上瘾的特征，但是探索这种临床构造的现象学的研究是有限的。MD也被认为是应对痛苦的不良适应策略，但通常会导致幻想世界无法控制的吸收，社交退缩以及日常生活中被忽视的方面。在本文中，我们报告了一个16岁男孩的案例，该男孩在遭受同伴的网络欺凌后发展为网络游戏障碍和MD。该患者持续了数小时的生动，幻想的图像，导致社交功能障碍和学业恶化。基线评估显示，不良适应白日梦量表16的得分为65（截止值为50），互联网游戏测试20的得分为86（截止值为71）。该患者主要通过心理干预进行治疗。该疗法侧重于行为改变和认知重构。当过度使用技术或其他形式的行为成瘾时，应向处于临床环境中的患者询问有关MD的信息。为了确定MD及其相关因素的生物心理因素，还需要进一步的研究。还需要研究用于治疗MD的治疗和管理方法。当过度使用技术或其他形式的行为成瘾时，应向处于临床环境中的患者询问有关MD的信息。为了确定MD及其相关因素的生物心理因素，还需要进一步的研究。还需要研究用于治疗MD的治疗和管理方法。当过度使用技术或其他形式的行为成瘾时，应向处于临床环境中的患者询问有关MD的信息。为了确定MD及其相关因素的生物心理因素，还需要进一步的研究。还需要研究用于治疗MD的治疗和管理方法。