The Prevalence and Severity of Misophonia in a UK Undergraduate Medical Student Population and Validation of the Amsterdam Misophonia Scale

Naylor, Jay; Caimino, Charlotte; Scutt, Polly; Hoare, Derek J.; Baguley, David

doi:10.1007/s11126-020-09825-3

Cited by 74 publications

(107 citation statements)

References 22 publications

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“…This highlights the putative variability in misophonia diagnosis (and severity). This echoes the rather high prevalence rates of misophonia found by Wu et al 7 (20%) and Naylor et al 9 (49.1%). The latter have stated that only 0.3% had severe cases of misophonia, and that misophonia seemed to affect many people mildly, but only a few severely.…”

Section: The Misoquest and Misophonic Soundssupporting

confidence: 83%

“…Prevalence reports of misophonia show large variability and range from 6% to 49.1% [7][8][9] . These differ considerably due to the different assessment methods and criterion that were used to define misophonia.…”

Section: Introductionmentioning

confidence: 99%

“…These differ considerably due to the different assessment methods and criterion that were used to define misophonia. Besides, misophonia severity varies: Naylor et al 9 found that 37%, 12% and 0.3% of medical students had mild, moderate, and severe symptoms, respectively. They suggested that misophonia affects many people mildly, but only a few severely.…”

Section: Introductionmentioning

confidence: 99%

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A Psychoacoustic Test for Misophonia Assessment

Enzler

Loriot

Fournier

et al. 2021

Preprint

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Misophonia is a condition where a strong arousal response is triggered when hearing specific human generated sounds, like chewing, and/or repetitive tapping noises, like pen clicking. It is diagnosed with clinical interviews and questionnaires since no psychoacoustic tools exist to assess its presence. The present study was aimed at developing and testing a new assessment tool for misophonia. The method was inspired by an approach we have recently developed for hyperacusis. It consisted of presenting subjects (n=253) with misophonic, pleasant, and unpleasant sounds in an online experiment. The task was to rate them on a pleasant to unpleasant visual analog scale. Subjects were labeled as misophonics (n=78) or controls (n=55) by using self-report questions and a misophonia questionnaire, the MisoQuest. There was a significant difference between controls and misophonics in the median global rating of misophonic sounds. On the other hand, median global rating of unpleasant, and pleasant sounds did not differ significantly. We selected a subset of the misophonic sounds to form the core discriminant sounds of misophonia (CDSMiso). A metric: the CDS score, was used to quantitatively measure misophonia, both with a global score and with subscores. The latter could specifically quantify aversion towards different sound sources/events, i.e., mouth, breathing/nose, throat, and repetitive sounds. A receiver operating characteristic analysis showed that the method accurately classified subjects with and without misophonia (accuracy = 91 %). The present study suggests that the psychoacoustic test we have developed can be used to assess misophonia reliably and quickly.

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Section: The Misoquest and Misophonic Soundssupporting

confidence: 83%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

A Psychoacoustic Test for Misophonia Assessment

Enzler

Loriot

Fournier

et al. 2021

Preprint

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show abstract

“…A final item is used for free responses and assesses the worst feared consequence of not being able to avoid misophonic triggers. The A-MISO-S was preliminarily validated in a sample of medical students and demonstrated good internal consistency (α = .81; Naylor et al, 2020). As with the MQ, additional studies are needed with the A-MISO-S using community samples in order to VALIDATION OF DUKE MISOPHONIA QUESTIONNAIRE 8 enhance the generalizability of this measure.…”

Section: A Review Of Extant Self-report Measures Of Misophoniamentioning

confidence: 99%

“…A related limitation to the A-MISO-S is that item generation and refinement was not done using psychometric analyses. Nonetheless, the original A-MISO-S and a revised version have been widely used in misophonia research across multiple countries, suggesting it merits additional psychometric evaluation and is promising as a useful and brief measure (Eijsker et al, 2019;Erfanian et al, 2018Erfanian et al, , 2019aErfanian et al, , 2019bJager et al, 2020;Kluckow et al, 2014;Natalini et al, 2020;Naylor et al, 2020;Quek et al, 2018;Rouw et al, 2017;Schröder et al, 2014).…”

Section: A Review Of Extant Self-report Measures Of Misophoniamentioning

confidence: 99%

Development and Initial Validation of the Duke Misophonia Questionnaire

Rosenthal

Anand

Cassiello-Robbins

et al. 2021

Preprint

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Misophonia is characterized by decreased tolerance and accompanying defensive motivational system responding to certain aversive sounds and contextual cues associated with such stimuli, typically repetitive oral (e.g., eating sounds) or nasal (e.g., breathing sounds) stimuli. Responses elicit significant psychological distress and impairment in functioning, and include acute increases in (a) negative affect (e.g., anger, anxiety, and disgust), (b) physiological arousal (e.g., sympathetic nervous system activation), and (c) overt behavior (e.g., escape behavior and verbal aggression toward individuals generating triggers). A major barrier to research and treatment of misophonia is the lack of rigorously validated assessment measures. As such, the primary purpose of this study was to develop and psychometrically validate a self-report measure of misophonia, the Duke Misophonia Questionnaire (DMQ). There were two phases of measure development. In Phase 1, items were generated and iteratively refined from a combination of the scientific literature and qualitative feedback from misophonia sufferers, their family members, and professional experts. In Phase 2, a large community sample of adults (n = 424) completed DMQ candidate items and other measures needed for psychometric analyses. A series of iterative analytic procedures (e.g., factor analyses and IRT) were used to derive final DMQ items and scales. The final DMQ is 86 items, and includes subscales: (1) Trigger frequency (16 items), (2) Affective Responses (5 items), (3) Physiological Responses (8 items), (4) Cognitive Responses (10 items), (5) Coping Before (6 items), (6) Coping During (10 items), (7) Coping After (5 items), (8) Impairment (12 items), and Beliefs (14 items). Composite scales were derived for overall Symptom Severity (combined Affective, Physiological, and Cognitive subscales) and Coping (combined the three Coping subscales). The analytic procedures used enable administration of the total DMQ, individual subscales, or the derived composite scales.

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Mimicry in misophonia: A large‐scale survey of prevalence and relationship with trigger sounds

Ash,

Benzaquén,

Gander

et al. 2023

J Clin Psychol

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BackgroundMisophonia is often referred to as a disorder that is characterized by excessive negative emotional responses, including anger and anxiety, to “trigger sounds” which are typically day‐to‐day sounds, such as those generated from people eating, chewing, and breathing. Misophonia (literally “hatred of sounds”) has commonly been understood within an auditory processing framework where sounds cause distress due to aberrant processing in the auditory and emotional systems of the brain. However, a recent proposal suggests that it is the perceived action (e.g., mouth movement in eating/chewing sounds as triggers) of the trigger person, and not the sounds per se, that drives the distress in misophonia. Since observation or listening to sounds of actions of others are known to prompt mimicry in perceivers, we hypothesized that mimicking the action of the trigger person may be prevalent in misophonia. Apart from a few case studies and anecdotal information, a relation between mimicking and misophonia has not been systematically evaluated.MethodIn this work, we addressed this limitation by collecting data on misophonia symptoms and mimicry behavior using online questionnaires from 676 participants.ResultsAnalysis of these data shows that (i) more than 45% of individuals with misophonia reported mimicry, indicating its wide prevalence, (ii) the tendency to mimic varies in direct proportion to misophonia severity, (iii) compared to other human and environmental sounds, trigger sounds of eating and chewing are more likely to trigger mimicking, and (iv) the act of mimicking provides some degree of relief from distress to people with misophonia.ConclusionThis study shows prevalence of mimicry and its relation to misophonia severity and trigger types. The theoretical framework of misophonia needs to incorporate the phenomenon of mimicry and its effect on management of misophonia distress.

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The Prevalence and Severity of Misophonia in a UK Undergraduate Medical Student Population and Validation of the Amsterdam Misophonia Scale

Cited by 74 publications

References 22 publications

A Psychoacoustic Test for Misophonia Assessment

A Psychoacoustic Test for Misophonia Assessment

Development and Initial Validation of the Duke Misophonia Questionnaire

Mimicry in misophonia: A large‐scale survey of prevalence and relationship with trigger sounds

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