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In a 2024 study, Woolley attempted to characterize the onset, symptom progression, triggers, and psychiatric comorbidities in treatment-seeking adults with misophonia by conducting structured clinical interviews (Duke Misophonia Interview and DIAMOND) and administering self-report questionnaires to 60 adults meeting clinical criteria for misophonia. . While 60% reported reactions specific to certain people or situations, 40% experienced distress from triggers produced by anyone. Individuals with generalized (non-person-specific) reactions reported significantly higher self-reported misophonia severity on the MQ (β=4.78, p=.024). This generalization may increase severity through heightened hypervigilance and more frequent triggering episodes. All participants were bothered by human-produced sounds, with eating sounds being nearly universal (97%), though additional non-human triggers did not increase overall severity (Woolley et al., 2024).