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In a 2024 audiological assessment of 60 adults with misophonia, Muñoz et al. found that 97% had normal hearing thresholds, though 15% showed mild speech-in-noise (SNR) loss, 25% had tonal LDLs suggestive of hyperacusis, and self-reports indicated elevated misophonia severity (MQ mean = 38.05; 58% ≥ moderate), with 12% and 77% reporting clinically significant hyperacusis and hearing problems, respectively. Despite normal audiometric profiles and excellent word recognition, many participants reported difficulties with sound tolerance, speech perception in noise, and tinnitus, highlighting a mismatch between objective audiological data and subjective experience. The authors concluded that misophonia cannot be fully captured through standard hearing tests alone and emphasized the need for standardized, multidimensional assessment protocols that account for perceptual and affective symptoms. (Muñoz et al., 2024)