Properties (11)
Year 2025
Abstract
Cssclasses
  • purpleRed
Aliases
  • What’s next for misophonia?
  • (Abraham et al., 2025)
Key Terms
  • Misophonia
  • Misokinesia
  • Misophonia Assessment Interview (MAI)
  • thematic analysis
Import Date 08-24-2025
Dv Relevance • looked at a (relatively small N = 20) sample of Misophonics to gauge Misophonics priorities for research moving forward. • great source for justifying research priorities for future projects
Dv Limitations • Sample not demographically diverse (primarily White, female, high SES). • Potential bias from participant familiarity with research context. • Findings may not generalize to broader misophonia populations.
Dv Status #status/reviewed
Dv Future Directions N/A
Checked For Zettle Notes true

What’s next for misophonia? Child and parent priorities for misophonia advocacy, treatment, and research

Status:: #status/reviewed


Metadata


Abstract

Background/Purpose Background-
• Misophonia most commonly begins in childhood, yet research on youth populations is limited.
• Despite increasing prevalence estimates, public awareness of misophonia remains low.
• There are few validated, protocolized treatments specific to misophonia.
• Existing therapies (e.g., CBT, SSRIs) show some promise, but evidence is limited mostly to case studies or a single RCT.

Purpose-

• To gather perspectives from youth with misophonia and their parents on priorities for advocacy, research, and treatment.
• To identify unmet needs from lived experience to guide future clinical and research directions.
Participants/samples • N = 20 child-parent dyads.
• Youth ages 10–17 (M = 13.45, SD = 2.59); 80% female, 100% White, predominantly high SES.
• Participants recruited via social media, prior studies, and clinician referrals.
• Inclusion: clinically significant misophonia per updated MAI, English-speaking, US-based.
• Exclusion: developmental delays preventing open-ended responses, or active psychosis/suicidality.
Measures • Misophonia symptoms assessed using the Misophonia Assessment Interview.
• Interviews coded thematically to capture experiences, priorities, and perspectives on treatment and advocacy.
Procedures • Semi-structured, video-based interviews (~30–60 minutes).
• Separate interviews for children and parents.
• Recordings transcribed and analyzed using MaxQDA with inductive thematic analysis.
• Coding reliability established at 82% agreement across double-coded transcripts.
Results Eight emergent themes

1. Advancing Awareness for Advocacy:
• Participants emphasized the lack of public and clinical awareness of misophonia.
• Misophonia’s debilitating impact often underestimated, limiting willingness to request accommodations.

2. Misophonia is Outside a Child’s Control:
• Reactions to triggers are involuntary.
• Misunderstanding by others often results in blame or expectations of self-control beyond developmental capabilities.

3. Practical and Misophonia-Specific Therapies Needed:
• Dissatisfaction with non-specific treatments (e.g., general anxiety treatments).
• Desire for practical, discrete coping tools (e.g., better headphone alternatives).

4. Understanding the Neurobiology of Misophonia:
• Calls for research using neuroimaging (e.g., fMRI) to validate biological underpinnings.
• Understanding etiology could alleviate parental guilt and aid intervention.

5. Defining Misophonia Beyond Sound Triggers:
• Visual triggers (i.e., misokinesia) also important and under-researched.

6. Understanding the Daily Impact of Misophonia:
• Participants want research on functional impacts (school, family life).
• Suggest family-based interventions could be beneficial.

7. Uncovering the Misophonia–Mental Health Connection:
• Participants report high co-occurrence with anxiety and depression.
• Emphasis on misophonia contributing to rather than stemming from mental health issues.

8. Long-Term Prognosis:
• Desire for longitudinal research on how symptoms change over time.
• Families seek guidance on long-term management and outcomes.
Discussion/Limits Conclusion-
• Advocacy: Greater public and professional awareness is urgently needed.

• Treatment: Practical, accessible, and condition-specific therapies are critical.

• Research: Participants identified needs aligned with expert recommendations—particularly in neurobiology, comorbidities, daily impacts, and misokinesia.



Limitations:: • Sample not demographically diverse (primarily White, female, high SES).
• Potential bias from participant familiarity with research context.
• Findings may not generalize to broader misophonia populations.
Relevance:: • looked at a (relatively small N = 20) sample of Misophonics to gauge Misophonics priorities for research moving forward.
• great source for justifying research priorities for future projects

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