Body

In a 2019 fMRI study using a stop-signal task, Eijsker et al. found that individuals with misophonia showed a response bias favoring accuracy over speed. This was reflected in longer stop-signal delays compared to controls, without a corresponding difference in stop-signal reaction time, suggesting intact inhibitory control. The authors linked this bias to behavioral inflexibility and perfectionism traits commonly observed in OCD, proposing that it may reflect intolerance for errors and an obsessive focus on task accuracy consistent with compulsive rather than impulsive symptomatology.