At present, the authors do not have a theory to explain why these are the most common forms of comorbidity.
The most frequent forms of comorbidity in maladaptive daydreaming, in one study, were attention deficit hyperactivity disorder (76.9%), anxiety disorders (71.8%), major depressive disorder (56.4%), and obsessive‐compulsive disorder (OCD 53.9% 12). The daydreaming has an addictive or compulsive aspect to it, but the person realizes that it is an internal fantasy world and does not confuse the fantasy with external reality. The daydreaming involves a complex inner world with many characters and elaborate plots. It can be differentiated from normal daydreaming with both self‐report measures and a structured interview that incorporates proposed diagnostic criteria for the disorder ( 11, 13). Somer and colleagues ( 12) found that maladaptive daydreaming is characterized by extensive daydreaming that occupies many hours per day, causes significant subjective distress and interferes with function, and is accompanied by extensive comorbidity ( 12).
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