Measuring misophonia in youth: A psychometric evaluation of child and parent measures

Cervin, Matti; Guzick, Andrew G.; Clinger, Jane; Smith, Eleanor E A; Draper, Isabel A.; Goodman, Wayne K.; Lijffijt, Marijn; Murphy, Nicholas; Rast, Catherine E.; Schneider, Sophie C.; Storch, Eric A.

doi:10.1016/j.jad.2023.05.093

Cited by 7 publications

(6 citation statements)

References 25 publications

(44 reference statements)

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“…Scores of 5 and above are considered clinically elevated, and scores of 15 and above indicate severe misophonia symptoms. Previous studies have demonstrated adequate‐to‐good internal consistency for the A‐MISO among youth with misophonia (Cervin et al, 2023; Guzick et al, 2023). In the current study, the AMISO‐S caregiver ( α = .71) and youth ( α = .70) reports exhibited adequate internal consistency.…”

Section: Methodsmentioning

confidence: 93%

“…Scores above 22 indicate clinically elevated symptoms, and scores above 43 indicate severe symptoms. The MAQ parent‐ and child‐reported versions have shown strong internal consistency among a sample of youth with misophonia (Cervin et al, 2023). In the current study, the MAQ caregiver ( α = .94) and youth ( α = .92) reports exhibited strong internal consistency.…”

Section: Methodsmentioning

confidence: 99%

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Clinical characteristics of treatment‐seeking youth with misophonia

Lewin,

Milgram,

Cepeda

et al. 2024

J Clin Psychol

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ObjectiveMisophonia is a psychiatric condition characterized by strong emotional and/or behavioral responses to auditory stimuli, leading to distress and functional impairment. Despite previous attempts to define and categorize this condition, misophonia is not currently included in the Diagnostic and Statistical Manual of Mental Disorders or International Classification of Diseases. The lack of formal diagnostic consensus presents challenges for research aimed at assessing and treating this clinical presentation.MethodsThe current study presents clinical characteristics of youth (N = 47) with misophonia in the largest treatment‐seeking sample to date. We examined demographic characteristics of the sample, frequency of comorbid disorders, frequency of specific misophonia symptoms (i.e., triggers, emotional and behavioral responses, and impairments), and caregiver‐child symptom agreement. Misophonia symptoms were evaluated using a multimodal assessment including clinician, youth, and caregiver reports on empirically established misophonia measures, and concordance among measures was assessed.ResultsYouth seeking treatment for misophonia presented with marked misophonia symptoms and an array of comorbid conditions. Youth and caregivers identified various triggers of misophonia symptoms (e.g., chewing sounds, breathing sounds), as well as a wide range of emotional (e.g., anger, annoyance, disgust) and behavioral (e.g., aggression, avoidance) responses to triggers. Youth and caregivers exhibited high agreement on misophonia triggers but lower agreement on symptom severity and associated impairment. Compared to younger children (aged 8−13), older children (aged 14+) appeared to report symptom severity and associated impairment more reliably.ConclusionMisophonia is a heterogenous and impairing clinical condition that warrants future investigation and evidence‐based treatment development.

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Section: Methodsmentioning

confidence: 93%

Section: Methodsmentioning

confidence: 99%

Clinical characteristics of treatment‐seeking youth with misophonia

Lewin,

Milgram,

Cepeda

et al. 2024

J Clin Psychol

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“…This suggests that misophonia symptoms may start earlier than previously thought [ 13 , 29 , 32 ]. However, little attention has been paid to misophonia and its consequences in children and adolescents, although the condition usually begins in childhood [ 33 ].…”

Section: Childhood Clinical Presentation Of Misophonic Syndrome and A...mentioning

confidence: 99%

“…A milestone in understanding pediatric misophonia is a proper diagnosis, the accurate measurement of symptoms, and an assessment of their impact on daily life and mental and social health [ 33 ]. Even for patients at an early age, for the pediatric population, there are some solid psychometric assessment tools using misophonia measurement scales, as shown in Table 1 .…”

Section: Childhood Clinical Presentation Of Misophonic Syndrome and A...mentioning

confidence: 99%

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Association between Chronic Misophonia-Induced Stress and Gastrointestinal Pathology in Children—A Hypothesis

Bodo,

Salcudean,

Nirestean

et al. 2024

Children

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Misophonia is a neurophysiological disorder with behavioral implications, is complex and multifactorial in origin, and is characterized by an atypical and disproportionate emotional response to specific sounds or associated visual stimuli. Triggers include human-generated sounds, mainly sounds related to feeding and breathing processes, and repetitive mechanical sounds. In response to the triggering stimulus, the patient experiences immediate, high-intensity, disproportionate physical and emotional reactions that affect their quality of life and social functioning. The symptoms of misophonia can occur at any age, but onset in childhood or adolescence is most common. Affected children live in a constant state of anxiety, suffer continuous physical and emotional discomfort, and are thus exposed to significant chronic stress. Chronic stress, especially during childhood, has consequences on the main biological systems through the dysregulation of the hypothalamic–pituitary–adrenal axis, including the gastrointestinal tract. Here, we provide arguments for a positive correlation between misophonic pathology and gastrointestinal symptoms, and this hypothesis may be the starting point for further longitudinal studies that could investigate the correlations between these childhood vulnerabilities caused by misophonia and their effect on the gastrointestinal system. Further research to study this hypothesis is essential to ensure correct and timely diagnosis and optimal psychological and pharmacological support.

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Misophonia in Children and Adolescents: Age Differences, Risk Factors, Psychiatric and Psychological Correlates. A Pilot Study with Mothers’ Involvement

Siepsiak,

Turek,

Michałowska

et al. 2023

Child Psychiatry Hum Dev

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Misophonia is a type of disorder characterized by decreased sound tolerance. While it typically begins in childhood, research on its characteristics in this population is limited. We assessed 90 children aged 7–18 with and without misophonia, along with their mothers, using interviews, questionnaires, and performance-based tests. Younger children with misophonia were more likely to use aggression in response to triggers than older, while adolescents largely reported self-harm during triggers. Children with misophonia did not differ from their peers in terms of ADHD, ODD, ASD, dyslexia, social and emotional competencies, head injuries, epilepsy, tinnitus, being prematurely born, or delivered via cesarean sections. However, they had significantly higher symptoms of anxiety and depression, more frequent occurrences of OCD, migraines, and psychosomatic complaints. Their mothers self-reported postpartum depression significantly more frequently than mothers in the control group. There is a need for further research on pediatric misophonia, with the involvement and assessment of parents.

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Measuring misophonia in youth: A psychometric evaluation of child and parent measures

Cited by 7 publications

References 25 publications

Clinical characteristics of treatment‐seeking youth with misophonia

Clinical characteristics of treatment‐seeking youth with misophonia

Association between Chronic Misophonia-Induced Stress and Gastrointestinal Pathology in Children—A Hypothesis

Misophonia in Children and Adolescents: Age Differences, Risk Factors, Psychiatric and Psychological Correlates. A Pilot Study with Mothers’ Involvement

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