Selective Sound Intolerance and Emotional Distress: What Every Clinician Should Hear

Hadjipavlou, George; Baer, S.; Lau, Amanda; Howard, Andrew

doi:10.1097/psy.0b013e318180edc2

Cited by 51 publications

(59 citation statements)

References 7 publications

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“…Although misophonia is completely absent in the psychiatric literature, two case reports have been described in audiology and psychosomatic medicine [2], [3]. These cases have a similar age of onset and a comparable pattern of symptoms with avoidant behaviour resulting in social dysfunctioning.…”

Section: Discussionmentioning

confidence: 99%

“…As of yet, two case reports have been published in the field of audiology and psychosomatic medicine, although several misophonia newsgroups and networks (e.g. http://www.misophonia-uk.org) indicate that this condition may occur more often than is currently assumed [2], [3]. The suspicion of a wider spread prevalence of this disorder was supported by the number of patients with misophonia that were (self-) referred to our hospital following an announcement on a Dutch misophonia Internet newsgroup and our hospital website.…”

Section: Introductionmentioning

confidence: 99%

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Misophonia: Diagnostic Criteria for a New Psychiatric Disorder

2013

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BackgroundSome patients report a preoccupation with a specific aversive human sound that triggers impulsive aggression. This condition is relatively unknown and has hitherto never been described, although the phenomenon has anecdotally been named misophonia.Methodology and Principal Findings42 patients who reported misophonia were recruited by our hospital website. All patients were interviewed by an experienced psychiatrist and were screened with an adapted version of the Y-BOCS, HAM-D, HAM-A, SCL-90 and SCID II. The misophonia patients shared a similar pattern of symptoms in which an auditory or visual stimulus provoked an immediate aversive physical reaction with anger, disgust and impulsive aggression. The intensity of these emotions caused subsequent obsessions with the cue, avoidance and social dysfunctioning with intense suffering. The symptoms cannot be classified in the current nosological DSM-IV TR or ICD-10 systems.ConclusionsWe suggest that misophonia should be classified as a discrete psychiatric disorder. Diagnostic criteria could help to officially recognize the patients and the disorder, improve its identification by professional health carers, and encourage scientific research.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Misophonia: Diagnostic Criteria for a New Psychiatric Disorder

2013

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“…Also known as selective sound sensitivity syndrome, the term “misophonia” was first coined by Jastreboff (Jastreboff, 2000; Jastreboff and Jastreboff, 2001a,b, 2003) and little remains known about the condition. To our knowledge only two case studies (Hadjipavlou et al, 2008; Schwartz et al, 2011) and one clinical study (Schröder et al, 2013) have examined misophonia. In the latter study, psychiatrists presented questionnaires and administered interviews to 42 misophonics, an essential first step in showing that misophonia is a primary disorder with no obvious comorbidity with other known psychological or neurological conditions (Schröder et al, 2013).…”

Section: General Introductionmentioning

confidence: 99%

Misophonia: physiological investigations and case descriptions

Edelstein¹,

Brang²,

Rouw³

et al. 2013

Front. Hum. Neurosci.

231

465

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Misophonia is a relatively unexplored chronic condition in which a person experiences autonomic arousal (analogous to an involuntary “fight-or-flight” response) to certain innocuous or repetitive sounds such as chewing, pen clicking, and lip smacking. Misophonics report anxiety, panic, and rage when exposed to trigger sounds, compromising their ability to complete everyday tasks and engage in healthy and normal social interactions. Across two experiments, we measured behavioral and physiological characteristics of the condition. Interviews (Experiment 1) with misophonics showed that the most problematic sounds are generally related to other people's behavior (pen clicking, chewing sounds). Misophonics are however not bothered when they produce these “trigger” sounds themselves, and some report mimicry as a coping strategy. Next, (Experiment 2) we tested the hypothesis that misophonics' subjective experiences evoke an anomalous physiological response to certain auditory stimuli. Misophonic individuals showed heightened ratings and skin conductance responses (SCRs) to auditory, but not visual stimuli, relative to a group of typically developed controls, supporting this general viewpoint and indicating that misophonia is a disorder that produces distinct autonomic effects not seen in typically developed individuals.

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“…Misophonia is a newly defined psychiatric condition, which is characterized by the hatred of ordinary human sounds (Hadjipavlou et al, 2008; Schwartz et al, 2011; Edelstein et al, 2013; Ferreira and Harrison, 2013; Neal and Cavanna, 2013; Schröder et al, 2013). The central hallmark of misophonia is an aggressive impulse automatically triggered by sounds, such as breathing, chewing, and eating.…”

Section: Introductionmentioning

confidence: 99%

Diminished N1 Auditory Evoked Potentials to Oddball Stimuli in Misophonia Patients

Schröder

Diepen

Mazaheri

et al. 2014

Front. Behav. Neurosci.

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Misophonia (hatred of sound) is a newly defined psychiatric condition in which ordinary human sounds, such as breathing and eating, trigger impulsive aggression. In the current study, we investigated if a dysfunction in the brain’s early auditory processing system could be present in misophonia. We screened 20 patients with misophonia with the diagnostic criteria for misophonia, and 14 matched healthy controls without misophonia, and investigated any potential deficits in auditory processing of misophonia patients using auditory event-related potentials (ERPs) during an oddball task. Subjects watched a neutral silent movie while being presented a regular frequency of beep sounds in which oddball tones of 250 and 4000 Hz were randomly embedded in a stream of repeated 1000 Hz standard tones. We examined the P1, N1, and P2 components locked to the onset of the tones. For misophonia patients, the N1 peak evoked by the oddball tones had smaller mean peak amplitude than the control group. However, no significant differences were found in P1 and P2 components evoked by the oddball tones. There were no significant differences between the misophonia patients and their controls in any of the ERP components to the standard tones. The diminished N1 component to oddball tones in misophonia patients suggests an underlying neurobiological deficit in misophonia patients. This reduction might reflect a basic impairment in auditory processing in misophonia patients.

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Selective Sound Intolerance and Emotional Distress: What Every Clinician Should Hear

Cited by 51 publications

References 7 publications

Misophonia: Diagnostic Criteria for a New Psychiatric Disorder

Misophonia: Diagnostic Criteria for a New Psychiatric Disorder

Misophonia: physiological investigations and case descriptions

Diminished N1 Auditory Evoked Potentials to Oddball Stimuli in Misophonia Patients

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