The relationship between maladaptive daydreaming and academic procrastination, depression, anxiety and stress levels in medical students

Abstract

Aims: Maladaptive daydreaming (MD) is a condition characterized by excessive and immersive daydreaming, often linked to psychological distress and behavioral difficulties. This research examines the correlation between MD, academic procrastination, and psychological distress among medical students. Methods: A cross-sectional study was conducted with medical students who completed self-report questionnaires, including the MD scale (MDS-16), the Depression, Anxiety, and Stress Scale (DASS-21), and the Tuckman Procrastination Scale (TPS). Pearson correlation and multiple regression analyses were performed to assess associations between MD, academic procrastination, and psychological distress. Results: The findings revealed a significant positive correlation between MD and academic procrastination (r=.181, p<.05). Additionally, MD was positively associated with depression (r=.245, p<.001), anxiety (r=.222, p<.001), and stress (r=.216, p<.001). However, MD did not show a significant direct association with academic performance (β=−0.07, p=.28). Conclusion: While MD is strongly linked to academic procrastination and psychological distress, its direct impact on academic performance remains unclear. Future research should further explore the mechanisms underlying these associations and consider intervention strategies for individuals experiencing MD-related difficulties.

Keywords

• Maladaptive daydreaming
• academic procrastination
• psychological distress
• depression
• anxiety

References

1. Bigelsen J, Schupak C. Compulsive fantasy: proposed evidence of an under-reported syndrome through a systematic study of 90 self-identified non-normative fantasizers. Conscious Cogn. 2011;20(4):1634-1648. doi:10.1016/j.concog.2011.08.013
2. Somer E, Somer L, Jopp DS. Parallel lives: a phenomenological study of the lived experience of maladaptive daydreaming. J Trauma Dissoc. 2016;17(5):561-576. doi:10.1080/15299732.2016.1160463
3. Bigelsen J, Lehrfeld JM, Jopp DS, Somer E. Maladaptive daydreaming: evidence for an under-researched mental health disorder. Conscious Cogn. 2016;42:254-266. doi:10.1016/j.concog.2016.03.017
4. Alenizi MM, Alenazi SD, Almushir S, et al. Impact of maladaptive daydreaming on grade point average (GPA) and the association between maladaptive daydreaming and generalized anxiety disorder (GAD). Cureus. 2020;12(10):e10776. doi:10.7759/cureus.10776
5. Schouwenburg HC. Academic procrastination. In: Procrastination and Task Avoidance. 1995.
6. Rezaei-Gazki P, Ilaghi M, Masoumian N. The triangle of anxiety, perfectionism, and academic procrastination: exploring the correlates in medical and dental students. BMC Med Educ. 2024;24(1):1-7. doi:10. 1186/s12909-024-05145-3
7. Bäulke L, Daumiller M, Dresel M. How conscientiousness and neuroticism affect academic procrastination: mediated by motivational regulation? Z Entwicklungspsychol Padagog Psychol. 2019;51(4):216-227. doi:10.1026/0049-8637/a000225
8. Özer BU, Demir A, Ferrari JR. Exploring academic procrastination among Turkish students: possible gender differences in prevalence and reasons. J Soc Psychol. 2009;149(2):241-257. doi:10.3200/SOCP.149.2.241-257

9. Hayat AA, Jahanian M, Bazrafcan L, Shokrpour N. Prevalence of academic procrastination among medical students and its relationship with their academic achievement. Shiraz E-Med J. 2020;21(7):1-7. doi:10. 5812/semj.96049
10. Hayat AA, Kojuri J, Amini M. Academic procrastination of medical students: the role of internet addiction. J Adv Med Educ Prof. 2020;8(2): 83-88. doi:10.30476/JAMP.2020.85000.1159
11. Rabin LA, Fogel J, Nutter-Upham KE. Academic procrastination in college students: the role of self-reported executive function. J Clin Exp Neuropsychol. 2011;33(3):344-357. doi:10.1080/13803395.2010.518597
12. Kljajic K, Gaudreau P. Does it matter if students procrastinate more in some courses than in others? A multilevel perspective on procrastination and academic achievement. Learn Instr. 2022;12:786249. doi:10.3389/fpsyg.2021.786249
13. Rebetez MML, Rochat L, Barsics C, Van der Linden M. Procrastination as a self-regulation failure: the role of impulsivity and intrusive thoughts. Psychol Rep. 2018;121(1):26-41. doi:10.1177/0033294117720695
14. Somer E, Lehrfeld J, Bigelsen J, Jopp DS. Development and validation of the maladaptive daydreaming scale (MDS). Conscious Cogn. 2016;39:77-91. doi:10.1016/j.concog.2015.12.001
15. Metin S, Gocmen B, Metin B. Turkish validity and reliability study of maladaptive daydreaming scale. Psychiatry Behav Sci. 2022;12(1):1-5. doi:10.5455/PBS.20210907111754
16. Tuckman BW. The development and concurrent validity of the procrastination scale. Educ Psychol Meas. 1991;51(2):473-480. doi:10. 1177/00131644915120
17. Özer BU, Saçkes M, Tuckman BW. Psychometric properties of the Tuckman procrastination scale in a Turkish sample. Psychol Rep. 2013; 113(3):874-884. doi:10.2466/03.20.PR0.113x28z7
18. Lovibond PF, Lovibond SH. The structure of negative emotional states: comparison of the depression anxiety stress scales (DASS) with the beck depression and anxiety inventories. Behav Res Ther. 1995;33(3):335-343. doi:10.1016/0005-7967(94)00075-u
19. Sariçam H. The psychometric properties of Turkish version of depression anxiety stress scale-21 (DASS-21) in health control and clinical samples. JCBPR. 2018;7(1):19-30. doi:10.5455/JCBPR.274847
20. Bashir MMI. Prevalence of maladaptive daydreaming among medical students at the University of Khartoum, Sudan, in 2020–2021. Middle East Curr Psychiatry. 2021;28(1):41.
21. HKammad ZA, Ali Hussain M. Prevalence of proneness to maladaptive daydreaming syndrome in Basra medical students. Int J Early Child Spec Educ. 2021;20(1):2009-2013. doi:10.17051/ilkonline.2021.01.219
22. Akhtar A, Shamim H, Khokhar MM, Rehman G. Academic performance and suicidal ideation in young maladaptive daydreamers: a cross-sectional descriptive study. J Pak Med Assoc. 2025;75(1):52-55. doi:10.47391/JPMA.11316
23. Kam JWY, Handy TC. The neurocognitive consequences of the wandering mind: a mechanistic account of sensory-motor decoupling. Front Psychol. 2013;4:725. doi:10.3389/fpsyg.2013.00725
24. Steel P, Svartdal F, Thundiyil T, Brothen T. Examining procrastination across multiple goal stages: a longitudinal study of temporal motivation theory. Front Psychol. 2018;9:327. doi:10.3389/fpsyg.2018.00327
25. Nowacki A, Pyszkowska A. It is all about discomfort avoidance: maladaptive daydreaming, frustration intolerance, and coping strategies–a network analysis. Curr Psychol. 2024;43(34):27447-27455. doi:10.1007/s12144-024-06382-x
26. Goda Y, Yamada M, Kato H, Matsuda T, Saito Y, Miyagawa H. Procrastination and other learning behavioral types in e-learning and their relationship with learning outcomes. Learn Individ Differ. 2015;37: 72-80. doi:10.1016/j.lindif.2014.11.001
27. Wäschle K, Allgaier A, Lachner A, Fink S, Nückles M. Procrastination and self-efficacy: tracing vicious and virtuous circles in self-regulated learning. Learn Instr. 2014;29(1):103-114. doi:10.1016/j.learninstruc. 2013.09.005
28. Blunt AK, Pychyl TA. Task aversiveness and procrastination: a multi-dimensional approach to task aversiveness across stages of personal projects. Pers Individ Dif. 2000;28(1):153-167. doi:10.1016/S0191-8869 (99)00091-4
29. Wiwatowska E, Pietruch M, Katafoni P, Michałowski JM. “I can’t focus now, I will study tomorrow”-the link between academic procrastination and resistance to distraction. Learn Individ Differ. 2023;107:102364. doi: 10.1016/j.lindif.2023.102364
30. Somer E. Maladaptive daydreaming: ontological analysis, treatment rationale. Front Psychother Tra Dissoc. 2018;1(2):1-22. doi:10.XXXX/ftpd.2017.0006
31. Soffer-Dudek N, Somer E. Trapped in a daydream: daily elevations in maladaptive daydreaming are associated with daily psychopathological symptoms. Front Psychiatry. 2018;9:194. doi:10.3389/fpsyt.2018.00194
32. Sándor A, Bugán A, Nagy A, Bogdán LS, Molnár J. Attachment characteristics and emotion regulation difficulties among maladaptive and normal daydreamers. Curr Psychol. 2023;42(2):1617-1634. doi:10. 1007/s12144-021-02223-3
33. Somer E, Somer L, Halpern N. Representations of maladaptive daydreaming and the self: a qualitative analysis of drawings. Arts Psychother. 2019;63:102-110. doi:10.1016/j.aip.2018.12.004