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need for objective measures, anger attribution assessment, and longitudinal designs to examine reactivity-recovery mechanisms

Shane 2026 suggests that future research should incorporate objective measures such as physiological monitoring and acoustic sampling to complement self-report data, while also examining whether anger in misophonia is directed outward (toward sound sources) or inward (toward the self) using momentary attribution items. Studies should investigate contextual and dispositional factors that moderate emotional response intensity and recovery speed, including the mechanisms underlying why reactivity magnitude and recovery duration appear dissociable, and whether distinct cognitive, attentional, or regulatory processes contribute differently to each phase. Finally, longitudinal studies with diverse samples using updated assessment tools (DMQ, MisoQuest, S-Five, Sussex Misophonia Scale) are needed to examine developmental trajectories, test causal mechanisms, and integrate laboratory paradigms with real-world assessments to enhance both experimental control and ecological validity (Shan et al., 2026).