observed top down influence in Misophonia triggers suggests interventions targeted at breaking trigger associative links

A 2022 study looked at the specificity of Misophonic responses, using a signal to noise paradigm. on trials where the source of sounds were identified, Misophonic participants reported greater aversiveness then controls, with a similar but weaker trend for generally aversive sounds. from this the authors suggest that interventions  might benefit from focus on braking the associative links with specific trigger sounds. (Savard et al., 2022)