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Id fb19687b-3547-4eb1-b3e9-bd71ce086c19

Year 2025

Abstract

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Assessment of auditory conditions in misophonia treatment research
(Muñoz et al., 2025)

Import Date 01-22-2026

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Dv Authors Karen Muñoz, Doris Velasquez, Makara Humes, Diana Ortiz, Michael P. Twohig,

Dv Initial Source Misophonia MOCMisophonia

Dv Limitations • Heavy reliance on case reports with small samples and potential bias. • Studies only in English. • Excluded research addressing misophonia as a secondary issue.

Dv Future Directions • Standardize audiological evaluation in misophonia treatment research. • Expand RCTs and controlled studies with active comparison groups. • Investigate the impact of auditory comorbidities (e.g., tinnitus, hyperacusis) on treatment outcomes. • Develop validated tools for pediatric misophonia assessment. • Emphasize interdisciplinary collaboration in treatment planning.

Dv Relevance • a lit review of 15 studies looking at studies of behavioral and audiological interventions for Misophonia. • highlights the need for research into audiological comorbidities with Misophonia • a decent spin up for onboarding new audio people to Misophonia , but most if not all of the sources had been reviewed by me by the time i saw this paper, and those that I haven’t have been added to the que.

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Assessment of auditory conditions in misophonia treatment research: a scoping review

Status::

Metadata

Item Type: #journalArticle
Authors:: Karen Muñoz, Doris Velasquez, Makara Humes, Diana Ortiz, Michael P. Twohig,
Date Added: April 23, 2025
URL: https://www.tandfonline.com/doi/full/10.1080/14992027.2025.2467768
DOI: 10.1080/14992027.2025.2467768
Cite Key: munozAssessmentAuditoryConditions2025
Tags:: #Bare-bones-review-🦴 #Misophonia, #literature-review,
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Abstract


Background/Purpose	Background- • Misophonia involves disproportionate emotional responses to everyday sounds, often beginning in childhood and persisting into adulthood. • Although auditory thresholds in misophonia are usually normal, it may co-occur with conditions such as tinnitus or hyperacusis, though prevalence estimates vary. • No universally accepted diagnostic criteria exist, and prevalence estimates range from 20–34% in non-clinical populations. • Prior research lacks clarity on the role of auditory comorbidities in treatment outcomes. • Previous systematic reviews have identified promising but limited behavioral treatments with poor methodological rigor (e.g., Mattson et al., 2023). Purpose- • To identify and describe behavioral treatment studies focused on misophonia and assess the extent to which auditory conditions were evaluated in these studies. • To explore how audiological assessments were integrated into misophonia treatment and identify gaps in interdisciplinary assessment protocols.
Participants/samples	• 15 peer-reviewed articles included. • 6 studies with pediatric participants (ages 10–17); 9 studies with adult participants. • All studies used behavioral (non-pharmacological) interventions and measured misophonia outcomes. Inclusion Criteria: • Behavioral/audiological interventions targeting misophonia as the primary concern. • Published in English before February 29, 2024. • Excluded: pharmacological interventions, studies lacking post-treatment misophonia outcome data.
Measures	• Psychological Measures: AMISO-S, MQ, AMISO-R, MAQ, SFive, CGI-I. • Audiological Measures: Hearing thresholds, self-reported tinnitus/hyperacusis, LDLs. • Only 3 studies formally assessed auditory comorbidities. • 9 studies assessed for psychological comorbidities (e.g., anxiety, ADHD, depression).
Procedures	N/A
Results	• Misophonia severity decreased post-treatment in all studies (range: 19–93% improvement). • CBT was the most frequently used intervention. • Only three studies evaluated auditory comorbidities: • One adult case report (Vanaja & Abigail, 2020): no hyperacusis, normal hearing. • One pediatric case (Cecilione et al., 2022): negative for hyperacusis. • One RCT (Jager et al., 2020b): auditory status assessed but not integrated into treatment planning. • Two-thirds of included studies were case reports, limiting generalizability. • RCT and open trial showed promising but limited evidence of efficacy (e.g., 37–48% clinical response).
Discussion/Limits	Conclusion- • Behavioral treatments, especially CBT-based, show potential to reduce misophonia severity. • There is insufficient integration of audiological assessment into misophonia treatment research. • Timely assessment and interdisciplinary treatment (audiology + psychology) is essential, particularly due to early onset in childhood.
Limitations::	• Heavy reliance on case reports with small samples and potential bias. • Studies only in English. • Excluded research addressing misophonia as a secondary issue.
Future Directions::	• Standardize audiological evaluation in misophonia treatment research. • Expand RCTs and controlled studies with active comparison groups. • Investigate the impact of auditory comorbidities (e.g., tinnitus, hyperacusis) on treatment outcomes. • Develop validated tools for pediatric misophonia assessment. • Emphasize interdisciplinary collaboration in treatment planning.
Relevance::	• a lit review of 15 studies looking at studies of behavioral and audiological interventions for Misophonia. • highlights the need for research into audiological comorbidities with Misophonia • a decent spin up for onboarding new audio people to Misophonia , but most if not all of the sources had been reviewed by me by the time i saw this paper, and those that I haven’t have been added to the que.

Notes

key terms

Misophonia – A sound tolerance disorder characterized by intense emotional reactions (e.g., anger, irritation, disgust) to specific trigger sounds (e.g., chewing, tapping), not attributable to auditory thresholds or damage.
Hyperacusis – An auditory condition involving increased sensitivity to normal environmental sounds, often assessed via self-report or loudness discomfort levels (LDLs).
CBT (Cognitive Behavioral Therapy) – A psychological intervention that addresses dysfunctional emotions and behaviors through goal-oriented procedures.
ACT (Acceptance and Commitment Therapy) – A behavioral therapy focusing on psychological flexibility through acceptance and mindfulness strategies.
DBT (Dialectical Behavior Therapy) – A therapy combining cognitive-behavioral techniques with concepts of mindfulness, often used for emotion regulation.
AMISO-S – Amsterdam Misophonia Scale, a tool for measuring severity of misophonia symptoms.
MQ – Misophonia Questionnaire, a self-report measure of misophonia-related symptoms.
CGI-I – Clinical Global Impressions - Improvement, a clinician-rated scale assessing treatment response.
Scoping Review – A type of research synthesis that maps existing literature on a topic, identifying gaps and trends.

my engagement notes

my questions

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Bookmarks

reading notes

Pediatric treatment trends

All pediatric studies were case reports with psychological treatments.
Typical onset of misophonia was around ages 5–11.
Family involvement (e.g., session participation, support strategies) was a beneficial component in some cases.

Audiological research gaps

Despite frequent co-occurrence of auditory symptoms (e.g., tinnitus, hyperacusis), objective audiological testing is rare in treatment research.
Researchers advocate including audiological professionals in misophonia assessment teams.

Treatment evolution and maintenance

Some studies demonstrated maintained treatment effects at 6–12 months post-treatment.
Symptoms often increased in number and severity over time if untreated.

zettlekasten

Muñoz et al. 2025 literature review findings and implications for treatment approaches of Misophonia moving forward