Publication Date
1-1-2025
Journal
Psychopathology
DOI
10.1159/000535044
PMID
39369709
PMCID
PMC11794031
PubMedCentral® Posted Date
1-1-2026
PubMedCentral® Full Text Version
Author MSS
Abstract
Introduction: Misophonia is an increasingly recognized disorder characterized by negative emotional and sensory reactions to specific noises. Although misophonia most often begins in childhood, there has been minimal research on its clinical presentation in youth. This qualitative study explored cognitive behavioral processes that are involved in misophonia and its associated functional impairment in young people and their families.
Methods: Focused interviews were conducted with 20 youth with misophonia (ages 10-17) and their parents. Thematic analyses of these interviews using a cognitive behavioral theoretical framework were conducted.
Results: A number of themes were identified, which included internalizing and externalizing cognitive behavioral processes at the individual level (e.g., hypervigilance, anticipatory anxiety, escape, automatic negative attributions), secondary emotional and functional consequences (e.g., negative perception of self, guilt, anxiety, depression, emotional exhaustion, concentration difficulties at school), as well as significant impacts to school, social life, and particularly to family life (e.g., conflict/tension, anger and resentment, family accommodation). These themes are integrated in a proposed theoretical model.
Discussion: Misophonia is characterized by several transdiagnostic cognitive behavioral processes, including avoidance, maladaptive cognitions, emotional reactivity, and family communication difficulties, as well as significant functional impairment. Developing treatments that target these processes has the potential to help youth overcome misophonia and improve the quality of life of youth and their families.
Keywords
Humans, Adolescent, Male, Female, Child, Qualitative Research, Family, Emotions, Hearing Disorders, sensory overresponsivity, impairment, family, youth, CBT, cognitive behavioral therapy
Published Open-Access
yes
Recommended Citation
Guzick, Andrew Giles; Rast, Catherine Elizabeth; Maddox, Brenna Burns; et al., ""How Can I Get Out of This?": A Qualitative Study of the Phenomenology and Functional Impact of Misophonia in Youth and Families" (2025). Faculty, Staff and Students Publications. 7932.
https://digitalcommons.library.tmc.edu/baylor_docs/7932