Profile Analysis of Psychological Symptoms Associated With Misophonia: A Community Sample
Abstract
Misophonia is characterized by extreme aversive reactions to certain classes of sounds. It has recently been recognized as a condition associated with significant disability. Research has begun to evaluate psychopathological correlates of misophonia. This study sought to identify profiles of psychopathology that characterize misophonia in a large community sample. A total of N = 628 adult participants completed a battery of measures assessing anxiety and anxiety sensitivity, depression, stress responses, anger, dissociative experiences, obsessive-compulsive symptoms and beliefs, distress tolerance, bodily perceptions, as well as misophonia severity. Profile Analysis via Multidimensional Scaling (PAMS) was employed to evaluate profiles associated with elevated misophonia and those without symptoms. Three profiles were extracted. The first two accounted for 70% total variance and did not show distinctions between groups. The third profile accounted for 11% total variance, and showed that misophonia is associated with lower obsessive-compulsive symptoms for neutralizing, obsessions generally, and washing compared to those not endorsing misophonia, and higher levels of obsessive-compulsive symptoms associated with ordering and harm avoidance. This third profile extracted also showed significant differences between those with and without misophonia on the scale assessing physical concerns (that is, sensitivity to interoceptive sensations) as assessed with the ASI-3. Further research is called for involving diagnostic interviewing and experimental methods to clarify these putative mechanisms associated with misophonia.
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Patients with misophonia experience higher anxiety than normal individuals.
“As mentioned earlier, patients with misophonia experience higher anxiety than normal individuals (6, 11, 31, 32).”
From Effectiveness of Online Group-mindfulness and Acceptance-based Therapy and Cognitive-behavioral Therapy on Misophonia (2022) · cites this paper as [32]
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- Authors
- McKay, D., Kim, S.-K., Mancusi, L., Storch, E. A., & Spankovich, C.
- Affiliations
- Fordham University (US)
- Johns Hopkins University (US)
- University of Mississippi Medical Center (US)
- Corresponding author
- McKay, Dean
- Venue
- Behavior Therapy
- Publisher
- Elsevier BV
- Published
- 2018-03
- Volume
- 49
- Issue
- 2
- Pages
- 286-294
- ISSN
- 0005-7894 (ISSN-L)
- OpenAlex
- W2735472261
- Cited by
- 89
- References
- 37
- Citations by year
- 2026: 13 · 2025: 8 · 2024: 9 · 2023: 8 · 2022: 21 · 2021: 12 · 2020: 7 · 2019: 7 · 2018: 4
- FWCI
- 3.07
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Behavior Therapy (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Life Sciences › Neuroscience › Sensory Systems › Hearing, Cochlea, Tinnitus, Genetics
- Health Sciences › Health Professions › Speech and Hearing › Noise Effects and Management
- Life Sciences › Neuroscience › Cognitive Neuroscience › Hearing Loss and Rehabilitation
- Keywords
- misophonia, obsessive-compulsive symptoms, anxiety sensitivity, interoceptive sensitivity, harm avoidance, community sample
- MeSH terms
- Adolescent, Adult, Aged, Female, Hearing Disorders, Humans, Male, Middle Aged, Sound, Young Adult
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