Clinical characteristics of treatment-seeking youth with misophonia

IF 2.5 3区心理学 Q2 PSYCHOLOGY, CLINICAL Journal of Clinical Psychology Pub Date : 2024-03-02 DOI:10.1002/jclp.23672

Adam B. Lewin, Lauren Milgram, Sandra L. Cepeda, Sarah Dickinson, Morgan Bolen, Kelly Kudryk, Cassidy Bolton, Ashley R. Karlovich, Hannah L. Grassie, Aileen Kangavary, Sherelle L. Harmon, Andrew Guzick, Jill Ehrenreich-May

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Abstract

Objective

Misophonia is a psychiatric condition characterized by strong emotional and/or behavioral responses to auditory stimuli, leading to distress and functional impairment. Despite previous attempts to define and categorize this condition, misophonia is not currently included in the Diagnostic and Statistical Manual of Mental Disorders or International Classification of Diseases. The lack of formal diagnostic consensus presents challenges for research aimed at assessing and treating this clinical presentation.

Methods

The current study presents clinical characteristics of youth (N = 47) with misophonia in the largest treatment-seeking sample to date. We examined demographic characteristics of the sample, frequency of comorbid disorders, frequency of specific misophonia symptoms (i.e., triggers, emotional and behavioral responses, and impairments), and caregiver-child symptom agreement. Misophonia symptoms were evaluated using a multimodal assessment including clinician, youth, and caregiver reports on empirically established misophonia measures, and concordance among measures was assessed.

Results

Youth seeking treatment for misophonia presented with marked misophonia symptoms and an array of comorbid conditions. Youth and caregivers identified various triggers of misophonia symptoms (e.g., chewing sounds, breathing sounds), as well as a wide range of emotional (e.g., anger, annoyance, disgust) and behavioral (e.g., aggression, avoidance) responses to triggers. Youth and caregivers exhibited high agreement on misophonia triggers but lower agreement on symptom severity and associated impairment. Compared to younger children (aged 8−13), older children (aged 14+) appeared to report symptom severity and associated impairment more reliably.

Conclusion

Misophonia is a heterogenous and impairing clinical condition that warrants future investigation and evidence-based treatment development.

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寻求治疗的失音症青少年的临床特征。

目的：失音症是一种精神疾病，其特征是对听觉刺激产生强烈的情绪和/或行为反应，从而导致痛苦和功能障碍。尽管以前曾试图对这种病症进行定义和分类，但目前失音症并未被纳入《精神疾病诊断与统计手册》或《国际疾病分类》。缺乏正式的诊断共识给旨在评估和治疗这种临床表现的研究带来了挑战：本研究介绍了迄今为止最大的寻求治疗样本中患有失声症的青少年（N = 47）的临床特征。我们研究了样本的人口统计学特征、合并症的频率、特定失音症状（即诱因、情绪和行为反应以及障碍）的频率以及照顾者与儿童症状的一致性。嗜睡症症状的评估采用多模式评估，包括临床医生、青少年和照顾者对经验确立的嗜睡症测量方法的报告，并对测量方法之间的一致性进行评估：结果：寻求失音治疗的青少年有明显的失音症状和一系列合并症。青少年和照护者发现了引发失音症状的各种诱因（如咀嚼声、呼吸声），以及对诱因的各种情绪（如愤怒、恼怒、厌恶）和行为（如攻击、回避）反应。青少年和照护者对误咽症诱因的认同度较高，但对症状严重程度和相关障碍的认同度较低。与年龄较小的儿童（8-13 岁）相比，年龄较大的儿童（14 岁以上）对症状严重程度和相关障碍的报告似乎更可靠：失认症是一种异质性的临床损伤性疾病，值得在未来进行研究并开发循证治疗方法。

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来源期刊

Journal of Clinical Psychology PSYCHOLOGY, CLINICAL-

CiteScore

5.40

自引率

3.30%

发文量

177

期刊介绍： Founded in 1945, the Journal of Clinical Psychology is a peer-reviewed forum devoted to research, assessment, and practice. Published eight times a year, the Journal includes research studies; articles on contemporary professional issues, single case research; brief reports (including dissertations in brief); notes from the field; and news and notes. In addition to papers on psychopathology, psychodiagnostics, and the psychotherapeutic process, the journal welcomes articles focusing on psychotherapy effectiveness research, psychological assessment and treatment matching, clinical outcomes, clinical health psychology, and behavioral medicine.