Evidence map›Paper›PMID 38533626›Full record

ReviewMovement disorders clinical practice2024

Intense Imagery Movements May Lead to Maladaptive Daydreaming: A Case Series and Literature Review.

Tammy Hedderly, Claire Eccles, Osman Malik, Farah Abdulsatar, Clare Mitchell, Tamsin Owen, Nirit Soffer-Dudek, Claire Grose, Thomas V Fernandez, Sally Robinson and 1 more

Open access · hybridAbstract readReviewCase Reports
In one paragraph

Review in Movement disorders clinical practice, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
2.1field-weighted citation impact, top 14% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

2 citing papers in PubMed, 6 citations in OpenAlex.

  1. Maladaptive daydreaming should be included as a dissociative disorder in psychiatric manuals: position paper.The British journal of psychiatry : the journal of mental science · 2025
    Review
  2. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

11 authors at 8 institutions in 4 countries.

Tammy HedderlyTic and Neurodevelopmental Movements Service (TANDeM), Children's Neurosciences, Evelina London Children's Hospital, Guys and St Thomas' NHS Foundation Trust, London, UK.
Claire EcclesLeeds and York Partnership NHS Foundation Trust, Leeds, UK.ORCID 0009-0005-9832-0663
Osman MalikTic and Neurodevelopmental Movements Service (TANDeM), Children's Neurosciences, Evelina London Children's Hospital, Guys and St Thomas' NHS Foundation Trust, London, UK.
Farah AbdulsatarDepartment of Paediatrics, Schulich School of Medicine and Dentistry, University of Western Ontario, London, Ontario, Canada.
Clare MitchellDepartment of Paediatrics, Schulich School of Medicine and Dentistry, University of Western Ontario, London, Ontario, Canada.
Tamsin OwenTic and Neurodevelopmental Movements Service (TANDeM), Children's Neurosciences, Evelina London Children's Hospital, Guys and St Thomas' NHS Foundation Trust, London, UK.
Nirit Soffer-DudekDepartment of Psychology, Ben-Gurion University of the Negev, Beersheba, Israel.
Claire GroseTic and Neurodevelopmental Movements Service (TANDeM), Children's Neurosciences, Evelina London Children's Hospital, Guys and St Thomas' NHS Foundation Trust, London, UK.
Thomas V FernandezChild Study Center and Department of Psychiatry, Yale University School of Medicine, New Haven, Connecticut, USA.
Sally RobinsonEssex Child and Adolescent Mental Health Services, North East London NHS Foundation Trust, Rainham, UK.
Eli SomerFaculty of Social Welfare and Health Studies, University of Haifa, Haifa, Israel.
Guy's and St Thomas' NHS Foundation Trust · GBWestern University · CABen-Gurion University of the Negev · ILKing's College London · GBLeeds and York Partnership NHS Foundation Trust · GBNorth East London NHS Foundation Trust · GBUniversity of Haifa · ILYale University · US

Funding

2/7-Collaborative genomic studies of Tourette DisorderR01MH115963 · NIMH · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI STATE, MATTHEW W. · 2018 to 2022
$4.9M
Neurofeedback from the supplementary motor area for Tourette SyndromeR01MH127147 · NIMH · YALE UNIVERSITY · PI Michelle Hampson · 2022 to 2026
$3.9M
CLC NIH HHS R01 MH115963CLC NIH HHS R01 MH127147DLA Piper Law Firm Paid consultant for expert testimony related to poFoundation for OCD Research Breaking through OCD GeneticsIsrael Science Foundation Dissociative Mechanisms of Maladaptive DaydreamingNIMH NIH HHS R01 MH127147
6 · The paper itself

Abstract

backgroundThis 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. CASES: Six adults, self-reporting maladaptive daydreaming associated with stereotypies, are presented to demonstrate the associations. LITERATURE REVIEW: 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.

conclusionsThis 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.

Indexed as

ImaginationAdolescentAdultFantasyFemaleHumansMaleMiddle AgedMovementObsessive-Compulsive DisorderYoung Adultdefault mode networkhyperphantasiaintense imagery movementsmaladaptive daydreamingstereotyped behavior

Identifiers

PMID38533626
PMCPMC11145148
OpenAlexW4393226601

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.