The development and validation of the Misophonia response scale

Dibb, Bridget; Golding, Sarah E.; Dozier, Thomas H.

doi:10.1016/j.jpsychores.2021.110587

Cited by 29 publications

(37 citation statements)

References 39 publications

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“…To address this limitation, future studies should use validated measures to assess the relationship between misophonia and measures of the impact of tinnitus and hyperacusis, measures of anxiety and depression, and hearing-related variables. Examples of these measures are MisoQuest ( Siepsiak et al, 2020 ), the Amsterdam Misophonia Scale ( Schroder et al, 2013 ; Naylor et al, 2021 ), the Misophonia Response Scale ( Dibb et al, 2021 ), the Core Discriminant Sounds of Misophonia ( Enzler et al, 2021b ), the Duke Misophonia Questionnaire ( Rosenthal et al, 2021 ) and the Misophonia Questionnaire (MQ) ( Wu et al, 2014 ).…”

Section: Discussionmentioning

confidence: 99%

Audiological and Other Factors Predicting the Presence of Misophonia Symptoms Among a Clinical Population Seeking Help for Tinnitus and/or Hyperacusis

et al. 2022

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This paper evaluates the proportion and the audiological and other characteristics of patients with symptoms of misophonia among a population seeking help for tinnitus and/or hyperacusis at an audiology clinic (n = 257). To assess such symptoms, patients were asked “over the last 2 weeks, how often have you been bothered by any of the following problems? Feeling angry or anxious when hearing certain sounds related to eating noises, lip-smacking, sniffling, breathing, clicking sounds, tapping?”. The results of routine audiological tests and self-report questionnaires were gathered retrospectively from the records of the patients. Measures included: pure tone audiometry, uncomfortable loudness levels (ULLs), and responses to the tinnitus impact questionnaire (TIQ), the hyperacusis impact questionnaire (HIQ), and the screening for anxiety and depression in tinnitus (SAD-T) questionnaire. The mean age of the patients was 53 years (SD = 16) (age range 17 to 97 years). Fifty four percent were female. Twenty-three percent of patients were classified as having misophonia. The presence and frequency of reporting misophonia symptoms were not related to audiometric thresholds, except that a steeply sloping audiogram reduced the likelihood of frequent misophonia symptoms. Those with more frequent misophonia symptoms had lower values of ULLmin (the across-frequency average of ULLs for the ear with lower average ULLs) than those with less frequent or no reported symptoms. The reported frequency of experiencing misophonia symptoms increased with increasing impact of tinnitus (TIQ score ≥9), increasing impact of hyperacusis (HIQ score >11), and symptoms of anxiety and depression (SAD-T score ≥4). It is concluded that, when assessing individuals with tinnitus and hyperacusis, it is important to screen for misophonia, particularly when ULLmin is abnormally low or the TIQ, HIQ or SAD-T score is high. This will help clinicians to distinguish patients with misophonia, guiding the choice of therapeutic strategies.

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Section: Discussionmentioning

confidence: 99%

Audiological and Other Factors Predicting the Presence of Misophonia Symptoms Among a Clinical Population Seeking Help for Tinnitus and/or Hyperacusis

et al. 2022

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“…Additionally, this study provides the first psychometric evidence supporting the reliability, latent structure, and validity of the DVMSQ as a measure of misophonia symptom severity and impairment in both general-population adults and adults on the autism spectrum, a population in which misophonia and other forms of clinically significant decreased sound tolerance are prevalent (Williams et al, 2021c,e). Although a large number of novel self-report questionnaires have recently been proposed to measure misophonia severity (Schröder et al, 2013;Wu et al, 2014;Jager et al, 2020;Siepsiak et al, 2020;Dibb et al, 2021;Remmert et al, 2021;Rinaldi et al, 2021;Rosenthal et al, 2021;Vitoratou et al, 2021), the DVMSQ differs from the majority of these measures in that it was specifically designed to operationalize the diagnostic criteria for misophonia as proposed by different authors (Schröder et al, 2013;Dozier et al, 2017;Jager et al, 2020). Further, unlike other measures, which typically assign misophonia caseness on the basis of theoretically or empirically based cutoff scores, the DVMSQ provides a criterion-based algorithm to determine whether an individual reports all symptoms and sufficient functional impairment to warrant being classified as having clinically significant misophonia.…”

Section: Introductionmentioning

confidence: 99%

Psychometric validation of a brief self-report measure of misophonia symptoms and functional impairment: The duke-vanderbilt misophonia screening questionnaire

2022

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Misophonia is a newly described disorder of sound tolerance characterized by strong negative emotional reactions to specific “trigger” sounds, resulting in significant distress, pathological avoidance, and impairment in daily life. Research on misophonia is still in its infancy, and most existing psychometric tools for assessing misophonia symptoms have not been extensively validated. The purpose of the current study was to introduce and psychometrically validate the duke-vanderbilt Misophonia Screening Questionnaire (DVMSQ), a novel self-report measure of misophonia symptoms that can be used to determine misophonia “caseness” in clinical and research settings. Employing large online samples of general population adults (n = 1403) and adults on the autism spectrum (n = 936), we rigorously evaluated the internal structure, reliability, validity, and measurement invariance of the DVMSQ. Results indicated that 17 of the 20 original DVMSQ items fit well to a bifactor structure with one “general misophonia” factor and four specific factors (anger/aggression, distress/avoidance, impairment, and global impact). DVMSQ total and subscale scores were highly reliable in both general population and autistic adult samples, and the measure was found to be approximately invariant across age, sex, education level, and autism status. DVMSQ total scores also correlated strongly with another measure of misophonia symptoms (Duke Misophonia Questionnaire–Symptom Scale), with correlations between these two measures being significantly stronger than correlations between the DVMSQ and scales measuring other types of sound intolerance (Inventory of Hyperacusis Symptoms [General Loudness subscale] and DSM-5 Severity Measure for Specific Phobia [modified for phonophobia]). Additionally, DVMSQ items were used to operationalize diagnostic criteria for misophonia derived from the Revised Amsterdam Criteria, which were further updated to reflect a recent consensus definition of misophonia (published after the development of the DVMSQ). Using the new DVMSQ algorithm, 7.3% of general population adults and 35.5% of autistic adults met criteria for clinically significant misophonia. Although additional work is needed to further investigate the psychometric properties of the DVMSQ and validate its theory-based screening algorithm using best-estimate clinical diagnoses, this novel measure represents a potentially useful tool to screen for misophonia and quantify symptom severity and impairment in both autistic adults and the general population.

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“…This prospective design allowed measurement of predictor variables at baseline and the outcome variables at follow-up. This design enabled 1 A subset of the data was published in Dibb et al (2021).…”

Section: Designmentioning

confidence: 99%

A longitudinal investigation of quality of life and negative emotions in misophonia

Dibb

Golding²

2022

Front. Neurosci.

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AimsThis longitudinal study examined the role of anger, disgust, and anxiety in the experience of misophonia, the quality of life of those with self-reported misophonia in comparison to those without misophonia, and the association of misophonia and quality of life over time.MethodsAn online longitudinal survey was conducted, with misophonia, anger, disgust, anxiety, depression, self-esteem, and quality of life measured at two time points (6-months apart) in two groups of people (those with self-reported misophonia and those without misophonia).ResultsAnger and disgust emerged as the primary predictors of misophonic responses. Anxiety and depression were not significantly associated with misophonia over time. Differences in quality of life were observed between those with and without self-reported misophonia in the current study, with lower scores across the SF-36 domains of role limitations due to emotional problems, energy/fatigue, emotional wellbeing, social functioning, and general health for those with misophonia compared to those without misophonia. Compared with other studies, scores for those with self-reported misophonia were lower than those with long-term physical conditions, similar to those with tinnitus, but higher than those with obsessive compulsive disorder. Misophonia was predictive of quality of life over time but only on two domains: role limitations due to emotional problems (predictors: avoidance, emotional responses, and impact on participation in life) and pain (predictor: impact on participation in life). Depression remained a strong predictor of quality of life over time.ConclusionAnger and disgust are more strongly associated with the experience of misophonia than anxiety. Quality of life in people with self-reported misophonia is lower than in the general population and may be similar to those with tinnitus. Depression, avoiding triggers, the extent of the emotional response, and perceived impact on participation in life are associated with perceptions of lower quality of life over time for people with self-reported misophonia.

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The development and validation of the Misophonia response scale

Cited by 29 publications

References 39 publications

Audiological and Other Factors Predicting the Presence of Misophonia Symptoms Among a Clinical Population Seeking Help for Tinnitus and/or Hyperacusis

Audiological and Other Factors Predicting the Presence of Misophonia Symptoms Among a Clinical Population Seeking Help for Tinnitus and/or Hyperacusis

Psychometric validation of a brief self-report measure of misophonia symptoms and functional impairment: The duke-vanderbilt misophonia screening questionnaire

A longitudinal investigation of quality of life and negative emotions in misophonia

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