PDF(Pubmed)
Abstract：
BACKGROUND: This case series highlights the connection between childhood intense imagery movements (IIM) and adult-reported maladaptive daydreaming (MD). Motor stereotypies occur in typically developing children and also with co-occurring neurodevelopmental differences. A subgroup with complex motor stereotypies reports accompanying intense imagery, often enhanced by the movements. This phenomenon can persist into adulthood and, in some cases, will need active management to prevent significant distress and impairment.
METHODS: Six adults, self-reporting maladaptive daydreaming associated with stereotypies, are presented to demonstrate the associations.
METHODS: The clinical significance and function of IIM and MD are unclear, but several hypotheses are discussed, including the mechanism of emotional regulation through sensory seeking, as a process for processing childhood psychological trauma, as intrusive thoughts or images as part of a subtype of Obsessive Compulsive Disorder, or as a result of diverse attentional networks seen in neurodevelopmental disorders.
CONCLUSIONS: This paper highlights important connections between IIM and MD. Many adults with MD show a childhood origin of stereotypical movements. Whilst immersive daydreaming may provide creativity and emotional regulation, there is evidence of distress and impairment of function for some adults, leading to MD diagnoses. Recognizing this phenomenon is important for all neurologists and physicians working with stereotypical movements.
METHODS: Six adults, self-reporting maladaptive daydreaming associated with stereotypies, are presented to demonstrate the associations.
METHODS: The clinical significance and function of IIM and MD are unclear, but several hypotheses are discussed, including the mechanism of emotional regulation through sensory seeking, as a process for processing childhood psychological trauma, as intrusive thoughts or images as part of a subtype of Obsessive Compulsive Disorder, or as a result of diverse attentional networks seen in neurodevelopmental disorders.
CONCLUSIONS: This paper highlights important connections between IIM and MD. Many adults with MD show a childhood origin of stereotypical movements. Whilst immersive daydreaming may provide creativity and emotional regulation, there is evidence of distress and impairment of function for some adults, leading to MD diagnoses. Recognizing this phenomenon is important for all neurologists and physicians working with stereotypical movements.
摘要：
背景：这个案例系列强调了儿童强烈图像运动（IIM）与成人报道的适应不良白日梦（MD）之间的联系。运动刻板印象发生在通常发育中的儿童中，也伴随着神经发育差异。一个具有复杂运动刻板印象的亚组报告伴随着强烈的意象，经常被运动增强。这种现象可以持续到成年，在某些情况下,将需要积极的管理，以防止重大的困扰和损害。
方法：六个成年人，自我报告与刻板印象相关的适应不良的白日梦，展示了这些协会。
方法：IIM和MD的临床意义和功能尚不清楚，但是讨论了几个假设，包括通过感官寻求进行情绪调节的机制，作为处理童年心理创伤的过程，作为强迫症亚型的一部分的侵入性思想或图像，或者由于神经发育障碍中的不同注意力网络。
结论：本文重点介绍了IIM和MD之间的重要联系。许多患有MD的成年人表现出陈规定型运动的童年起源。虽然身临其境的白日梦可以提供创造力和情绪调节，有证据表明一些成年人的痛苦和功能受损，导致MD诊断。认识到这种现象对于所有从事定型运动的神经学家和医生都很重要。
方法：六个成年人，自我报告与刻板印象相关的适应不良的白日梦，展示了这些协会。
方法：IIM和MD的临床意义和功能尚不清楚，但是讨论了几个假设，包括通过感官寻求进行情绪调节的机制，作为处理童年心理创伤的过程，作为强迫症亚型的一部分的侵入性思想或图像，或者由于神经发育障碍中的不同注意力网络。
结论：本文重点介绍了IIM和MD之间的重要联系。许多患有MD的成年人表现出陈规定型运动的童年起源。虽然身临其境的白日梦可以提供创造力和情绪调节，有证据表明一些成年人的痛苦和功能受损，导致MD诊断。认识到这种现象对于所有从事定型运动的神经学家和医生都很重要。
