Mediation of the misophonia–childhood trauma relationship as support for prioritizing skills training and the use of Dialectical Behavior Therapy as misophonia interventions

A 2026 study found that the presence of emotion regulation difficulties mediated the relationship between childhood trauma and misophonia severity. They go on to describe how the findings of impulse control difficulties being a key link suggests that the management of sudden, intense emotional behavioral reactions should be prioritized in misophonia interventions, suggesting Dialectical Behavior Therapy as one approach, given its strong emphasis on distress tolerance and impulse control skills (Kılınçel et al., 2026) .