co-occurring hyperacusis and Misophonia related to amplified reactivity rather then increased Misophonic responsivity

In a 2026 study, Woolley examined the convergence between audiometric and self-reported indicators of hyperacusis by administering self-report measures ( and loudness discomfort level (LDL) testing to 60 treatment-seeking adults with misophonia. the authors note that even though they found self reported hyperacusis was linked to heightened emotional/behavioral reactions to triggers sounds, it was not linked to increased MQ total or symptoms scores. they propose this could indicate that the co occurrence of the conditions enhances affective reactivity rather then increasing the breath/reactivity of Misophonic resposnes. (Woolley et al., 2026b)