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- An Automated Online Measure for Misophonia
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An Automated Online Measure for Misophonia: The Sussex Misophonia Scale for Adults
Status:: #status/reviewed
Metadata
- Item Type: #journalArticle
- Authors: Julia Simner, Louisa J. Rinaldi, Jamie Ward,
- Date Added: March 16, 2024
- URL: http://journals.sagepub.com/doi/10.1177/10731911241234104
- DOI: 10.1177/10731911241234104
- Cite Key: simnerAutomatedOnlineMeasure2024
- Tags: #assessment, #aversion, #factor-structure, #Misophonia, #sensory-sensitivity, #sound-sensitivity, #validation
- PDF Attachments
Abstract
| Background/Purpose | Background- - Existing measures of misophonia have limitations - Need for a validated, comprehensive measure of misophonia symptoms Purpose- - Develop and validate a new questionnaire (SMS-Adult) to measure misophonia in adults - Determine factor structure of misophonia symptoms - Establish diagnostic threshold for clinically significant misophonia |
| Participants/samples | - 501 adults total (398 female, 82 male, 12 non-binary, 9 unreported) - 143 self-declared misophonics recruited from online communities - 358 from general/student population |
| Measures | - Sussex Misophonia Scale for Adults (SMS-Adult) - Misophonia Questionnaire (MQ; Wu et al., 2014) |
| Procedures | - Participants completed SMS-Adult and MQ online - SMS-Adult Part 1: 48 trigger items across 8 categories - SMS-Adult Part 2: 53 Likert-type items on emotions/behaviors/consequences |
| Results | - EFA revealed 5-factor structure for SMS-Adult Part 2: 1. Feelings/Isolation 2. Life consequences 3. Intersocial reactivity 4. Avoidance/Repulsion 5. Pain - ROC analysis showed "excellent" classification accuracy (AUC = .91) - Optimal diagnostic threshold of 50.5/156 on SMS-Adult Part 2 - 87.5% sensitivity, 86.2% specificity at this threshold - Strong correlations between SMS-Adult and MQ scores |
| Limitations:: | • Self-report data • Possible sampling bias toward more severe cases • Some redundancy in questionnaire items |
| Future Directions:: | • Validate in independent samples • Examine longitudinal consistency • Further explore potential gender differences |
| Relevance:: | • describes the development and validation of a web based misophonia assessment • the measure shows some promise, but has limitations in regards to describing intensity of specific triggers, and could use further validation • the web based tool makes scoring easy and automatic, and they has systems in place to insure confidentiality • could use a deeper review should I decide to use this in a future study |
Notes
Key Terms
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Misophonia - A sound sensitivity disorder characterized by strong aversion to specific sounds (e.g. chewing) that are easily ignored by most people but highly aversive to those with misophonia
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Sussex Misophonia Scale for Adults (SMS-Adult) - A new questionnaire developed by the authors to measure misophonia symptoms in adults
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Receiver operator characteristics (ROC) - Statistical analysis used to evaluate the classification accuracy of the SMS-Adult questionnaire
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Exploratory factor analysis (EFA) - Statistical technique used to identify underlying factor structure of the SMS-Adult questionnaire items
my engagement notes
my questions
my comments
- Author highlights something I hadn’t thought about the fact that a lot of Misophonia triggers are slightly disturbing. Even people without Misophonia so there’s an inherent difficulty in separating the phonic effect from just general aversiveness. (page )
Bookmarks
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bookmark for describing the development of the measure (page 2)
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bookmark for talking about the validation and dx criteria in the context of clinical work and research (page 8)
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bookmark discussing limitations (page 10)
reading notes
- SMS-Adult available online with automated scoring (www.misophonia-hub.org/test)
- Parallel adolescent version available for continuity across age groups
- 99.4% of misophonics had at least one trigger in top 39 ranked triggers
- Pain included as a factor, though its role in misophonia definition remains debated
- Threshold should be interpreted as indicating clinically significant symptoms, while recognizing misophonia exists on a spectrum of severity
zettelkasten
commentary on the nature of Misophonic triggers as generally aversive