Misophonia in the UK: Prevalence and norms from the S-Five in a UK representative sample

Vitoratou, Silia; Hayes, Chloe; Uglik‐Marucha, Nora; Pearson, Oliver P.; Graham, Tom; Gregory, Jane

doi:10.1371/journal.pone.0282777

Cited by 23 publications

(51 citation statements)

References 47 publications

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“…It was interesting to note that this belief was not reflected in the 'Externalising' factor, which purports to measure the attribution of blame onto others (Vitoratou et al, 2021). The relative difference between the clinical and community norms (around 50% lower in the community sample) for this factor is much smaller compared with the other SFive factors (3-4 times lower in the community sample than the misophonia sample) (Vitoratou et al, 2023), which could mean that the externalising factor is possibly not a key feature in distinguishing those with and without misophonia, or that the current items in this factor do not adequately capture this concept. Further examination of this would be useful, particularly in relation to what might best capture change in response to intervention.…”

Section: Discussionmentioning

confidence: 97%

Session-by-session change in misophonia: a descriptive case study using intensive CBT

Gregory

Foster

2023

tCBT

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There is preliminary evidence that CBT may be helpful for improving symptoms of misophonia, but the key mechanisms of change are not yet known for this disorder of decreased tolerance to everyday sounds. This detailed case study aimed to describe the delivery of intensive, formulation-driven CBT for an individual with misophonia and report on session-by-session outcomes using a multi-dimensional measurement tool (SFive). The patient was offered 12 hours of treatment over five sessions, using transdiagnostic and misophonia-specific interventions. Reliable and clinically significant change was found from baseline to one-month follow-up. Visual inspection of outcome graphs indicated that change occurred on the ‘outbursts’ and ‘internalising appraisals’ SFive subscales following assessment, and on the ‘emotional threat’ subscale after the first treatment session. The other two subscales started and remained below a clinically significant level. The biggest symptom change appeared to have occurred after the second session, which included interventions engaging with trigger sounds. The results demonstrated the individualised nature of misophonia, supporting the use of individually tailored treatment for misophonia and highlighting the importance of using a multi-dimensional measurement tool. Key learning aims (1) To understand misophonic distress from a CBT perspective. (2) To learn a formulation-driven approach to misophonia. (3) To apply transdiagnostic interventions to misophonia. (4) To learn about misophonia-specific interventions. (5) To consider the value of a multi-dimensional measure of misophonia.

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Section: Discussionmentioning

confidence: 97%

Session-by-session change in misophonia: a descriptive case study using intensive CBT

Gregory

Foster

2023

tCBT

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“…Future treatment studies should use the measurement tools for misophonia now available that are multi-dimensional and have been subjected to rigorous psychometric evaluation (e.g. Rosenthal et al ., 2021; Vitoratou et al ., 2021; Rinaldi et al ., 2022), with both clinical (Vitoratou et al ., 2021) and comparison (Vitoratou et al ., 2023) norms available. Finally, while there was a significant decrease in scores for symptoms of depression and anxiety, it should be noted that at the beginning of treatment the average scores for both were in the mild range.…”

Section: Discussionmentioning

confidence: 99%

Targeting beliefs and behaviours in misophonia: a case series from a UK specialist psychology service

Gregory,

Graham,

Hayes

2023

Behav. Cogn. Psychother.

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Background: Misophonia, a disorder of decreased sound tolerance, can cause significant distress and impairment. Cognitive behavioural therapy (CBT) may be helpful for improving symptoms of misophonia, but the key mechanisms of the disorder are not yet known. Aims: This case series aimed to evaluate individual, formulation-driven CBT for patients with misophonia in a UK psychology service. Method: A service evaluation of one-to-one therapy for patients with misophonia (n=19) was conducted in a specialist psychology service. Patients completed an average of 13 hours of therapy with a focus on the meaning applied to their reactions to sounds and associated behaviours. Primary outcome measures were the Misophonia Questionnaire (MQ) and the Amsterdam Misophonia Scale (A-MISO-S). Repeated measures t-tests were used to compare scores from pre-treatment to follow-up, and reliable and clinically significant change on the MQ was calculated. Results: Scores significantly improved on both misophonia measures, with an average of 38% change on the MQ and 40% change on the A-MISO-S. From pre-treatment to follow-up, 78% of patients showed reliable improvement on the MQ and 61% made clinically significant change. Conclusions: Limitations included a lack of control group, small sample size, and the use of an outcome measure that had not been thoroughly validated for a treatment-seeking sample. These results suggest that one-to-one, formulation-driven CBT for misophonia is worth exploring further using experimental design. Potential mechanisms to explore further include feared consequences of escalating reactions, the role of safety-seeking behaviours and the impact of early memories associated with reactions to sounds.

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“…Furthermore, people with functional impairment due to misophonia report higher psychopathology symptoms, lower interpersonal emotion regulation, and lower quality of life than individuals without impairment (Möllmann et al, 2023). Even though misophonia only appeared in the clinical literature as recently as 2001 (Jastreboff and Jastreboff, 2001), research suggests that close to 20% of individuals experience at least moderate symptoms of the condition (Wu et al, 2014;Mattson et al, 2023;Vitoratou et al, 2023). This research suggests that a notable portion of the population may suffer from impairing symptoms of misophonia, highlighting the pressing need for more treatment and prevention efforts.…”

Section: Introductionmentioning

confidence: 99%

“…Recent research has highlighted problematic emotional responses as the mechanism underlying impairment in misophonia. People with misophonia report a range of affective responses to their misophonic triggers, especially anger, anxiety and disgust (Dibb and Golding, 2022;Savard et al, 2022;Andermane et al, 2023;Vitoratou et al, 2023). Studies also have pointed to the relationship between misophonia and problems with emotion regulation, particularly difficulties controlling impulsive behavior while upset (Cassiello-Robbins et al, 2020a;Guetta et al, 2022;Rinaldi et al, 2023).…”

Section: Introductionmentioning

confidence: 99%

The unified protocol for transdiagnostic treatment of emotional disorders for misophonia: a pilot trial exploring acceptability and efficacy

McMahon,

Cassiello-Robbins,

Greenleaf

et al. 2024

Front. Psychol.

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IntroductionMisophonia is a recently defined disorder characterized by distressing responses to everyday sounds, such as chewing or sniffling. Individuals with misophonia experience significant functional impairment but have limited options for evidenced-based behavioral treatment. To address this gap in the literature, the current pilot trial explored the acceptability and efficacy of a transdiagnostic cognitive-behavioral approach to treating symptoms of misophonia.MethodsThis trial was conducted in two studies: In Study 1, the Unified Protocol for Transdiagnostic Treatment of Emotional Disorders (UP) was delivered to eight patients in order to receive feedback to guide revisions to the treatment to suit this population. In Study 2, ten patients received the revised UP treatment to explore its acceptability and preliminary efficacy. This study used a single-case experimental design with multiple baselines, randomizing patients to either a 2-week baseline or 4-week baseline prior to the 16 weeks of treatment, followed by four weeks of follow-up.ResultsThe findings from these studies suggested that patients found both the original and adapted versions of the UP to be acceptable and taught them skills for how to manage their misophonia symptoms. Importantly, the findings also suggested that the UP can help remediate symptoms of misophonia, particularly the emotional and behavioral responses.DiscussionThese findings provide preliminary evidence that this transdiagnostic treatment for emotional disorders can improve symptoms of misophonia in adults.

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Misophonia in the UK: Prevalence and norms from the S-Five in a UK representative sample

Cited by 23 publications

References 47 publications

Session-by-session change in misophonia: a descriptive case study using intensive CBT

Session-by-session change in misophonia: a descriptive case study using intensive CBT

Targeting beliefs and behaviours in misophonia: a case series from a UK specialist psychology service

The unified protocol for transdiagnostic treatment of emotional disorders for misophonia: a pilot trial exploring acceptability and efficacy

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