Misophonia and its Relationship with Other Psychiatric Disorders

Year 2023, Volume: 5 Issue: 2, 406 - 14, 15.05.2023

Kemal Mutlu Lut Tamam Zeynep Namlı Mehmet Emin Demirkol Mahmut Onur Karaytuğ

https://doi.org/10.37990/medr.1208093

Abstract

Aim: Research show that misophonia accompanies many psychiatric disorders and should be considered a mental disorder. Although there are suggested diagnostic criteria, no clear ones have been defined yet. This study aims to investigate the relationship of misophonia with other mental disorders and to determine its possible category in diagnostic classification systems.
Material and Methods: We included the patients who applied to the outpatient clinics of the XX University Faculty of Medicine, Department of Psychiatry for the first time and healthy volunteers without a history of psychiatric disorder. A sociodemographic data form, Misophonia Interview Scale, Beck Anxiety Inventory (BAI), Beck Depression Inventory (BDI), Barratt Impulsivity Scale (BIS), and Yale-Brown Obsession Compulsion Rating Scale (YBOCS) were administered to the participants.
Results: 60.1% of the participants (n=158) did not have misophonia, 21.3% (n=56) had disorder-level misophonia, and 18.6% (n=49) had symptom-level misophonia. Except for the YBOCS-total and obsession/compulsion scale scores of the group with misophonia, all other mean scale scores were significantly higher than those without misophonia (p<0.05 for each). The participants with misophonia were mostly in the group diagnosed with anxiety disorders. There was a moderately positive correlation between the Misophonia Symptom List total score and the BAI score in participants with an anxiety disorder (p=0.001).
Conclusion: The higher scale scores of individuals with misophonia support that it may be a mental disorder. The results that misophonia most frequently accompanies anxiety disorders and is associated with the severity of anxiety suggest that it can be classified as an anxiety disorder in the diagnostic classification. Recognition of misophonia by clinicians and the development treatment algorithms will increase patients' quality of life.

Keywords

Misophonia, mental disorders, anxiety disorder, misophonia symptom list

Supporting Institution

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References

• Jastreboff MM, Jastreboff PJ. Components of decreased sound tolerance: hyperacusis, misophonia, phonophobia. ITHS News Lett. 2001;2:1-5.
• Wu MS, Lewin AB, Murphy TK, Storch EA. Misophonia: incidence, phenomenology, and clinical correlates in an undergraduate student sample. J Clin Psychol. 2014;70:994-1007.
• Møller AR. Misophonia, phonophobia, and “exploding head” syndrome. In: Moller AR, Langguth B, DeRidder D, Kleinjung T, eds, Textbook of Tinnitus. New York, NY: Springer. 2011;25-7.
• Jastreboff PJ, Jastreboff MM. Decreased sound tolerance: hyperacusis, misophonia, diplacousis, and polyacousis. In: Aminoff MJ, Boller F, Swabb DF, eds, Handbook of Clinical Neurology. Elsevier. 2015;375-87.
• Ferreira GM, Harrison BJ, Fontenelle LF. Hatred of sounds: misophonic disorder or just an underreported psychiatric symptom? Ann Clin Psychiatry. 2013;25:271-4.
• Jastreboff PJ, Jastreboff MM. Tinnitus retraining therapy for patients with tinnitus and decreased sound tolerance. Otolaryngol Clin North Am. 2003;36:321-36.
• Dozier TH, Lopez M, Pearson C. Proposed diagnostic criteria for misophonia: A multisensory conditioned aversive reflex disorder. Front Psychol. 2017;8:1-3.
• Öz G. The prevalence of misophonia symptoms and their relationship with sociodemographic characteristics and mental symptoms in Ankara. M.D.thesis, Hacettepe University, Ankara, 2016.
• Edelstein M, Brang D, Rouw R, Ramachandran VS. Misophonia: physiological investigations and case descriptions. Front Hum Neurosci. 2013;7:1-11.
• American Psychiatric Association. Diagnostic and Statistical Manual of Mental Disorders-5: DSM-5. American Psychiatric Association,Washington, 2013.
• Schröder A, Vulink N, Denys D. Misophonia: diagnostic criteria for a new psychiatric disorder. PLoS One. 2013;8:e54706.
• Goodman WK, Price LH, Rasmussen SA, et al. The Yale-Brown obsessive compulsive scale: I. Development, use, and reliability. Arch Gen Psychiatry. 1989;46:1006-11.
• Yilmaz Y, Hocaoglu C. Misophonia: a review. current approaches in psychiatry. 2021;13:383-93.
• Jager I, de Koning P, Bost T, et al. Misophonia: phenomenology, comorbidity and demographics in a large sample. PLoS One. 2020;15:e0231390.
• Siepsiak M, Sobczak AM, Bohaterewicz B, et al. Prevalence of misophonia and correlates of its symptoms among inpatients with depression. Int J Environ Res Public Health. 2020;17:5464.
• Robinson S, Hedderly T, Conte G, et al. Misophonia in children with tic disorders: a case series. J Dev Behav Pediatr. 2018;39:516-22.
• Erfanian M, Kartsonaki C, Keshavarz A. Misophonia and comorbid psychiatric symptoms: a preliminary study of clinical findings. Nord J Psychiatry. 2019;73:219-28.
• First MB, Williams JBW, Karg RS, Spitzer RL. User's guide for the SCID-5-CV Structured Clinical Interview for DSM-5® disorders: Clinical version. American Psychiatric Association Publishing, Washington, 2016.
• Elbir M, Alp Topbaş Ö, Bayad S, et al. Adaptation and reliability of the structured clinical interview for DSM-5-disorders - Clinician version (SCID-5/CV) to the Turkish language. Turk Psikiyatr Derg. 2019;30:51-6.
• Kılıç C, Öz G, Avanoğlu KB, Aksoy S. The prevalence and characteristics of misophonia in Ankara, Turkey: population-based study. BJPsych Open. 2021;7:e144.
• Beck AT, Epstein N, Brown G, Steer RA. An inventory for measuring clinical anxiety: psychometric properties. J Consult Clin Psychol. 1988;56:893-7.
• Ulusoy M, Sahin NH, Erkmen H. Turkish version of the Beck anxiety inventory: psychometric properties. J Cogn Psychother. 1998;12:163-72.
• Beck AT, Ward C, Mendelson M, et al. Beck depression inventory (BDI). Arch Gen Psychiatry. 1961;4:561-71.
• Hisli N. A reliability and validity study of Beck depression inventory in a university student sample. J Psychol. 1989;7:3-13.
• Patton JH, Stanford MS, Barratt ES. Factor structure of the Barratt impulsiveness scale. J Clin Psychol. 1995;51:768-74.
• Güleç H, Tamam L, Turhan M, et al. Psychometric properties of the Turkish version of the Barratt impulsiveness scale-11. Klin Psikofarmakol Bul. 2008;18:251-8.
• Tek C, Ulug B, Rezaki BG, et al. Yale-Brown obsessive compulsive scale and US National Institute of Mental Health Global obsessive compulsive scale in Turkish: reliability and validity. Acta Psychiatr Scand. 1995;91:410-3.
• Tabachnick BG, Fidell LS. Using multivariate statistics. 6th edition. Pearson, Boston, 2013.
• Vitoratou S, Uglik-Marucha N, Hayes C, et al. Item response theory investigation of misophonia auditory triggers. Audiol Res. 2021;11:567-81.
• Duddy DF, Oeding KAM. Misophonia: an overview. Semin Hear. 2014;35:84-91.
• Sanchez TG, Silva FE da. Familial misophonia or selective sound sensitivity syndrome: evidence for autosomal dominant inheritance? Braz J Otorhinolaryngol. 2018;84:553-9.
• Danesh A, Aazh H. Misophonia: A neurologic, psychologic, and audiologic complex. Hear J. 2020;73:20-2.
• Cavanna AE. What is misophonia and how can we treat it? Expert Rev Neurother. 2014;14:357-9.
• Jastreboff PJ, Jastreboff MM. Treatments for decreased sound tolerance (hyperacusis and misophonia). Semin Hear. 2014;35:105-20.
• Zhou X, Wu MS, Storch EA. Misophonia symptoms among Chinese university students: Incidence, associated impairment, and clinical correlates. J Obsessive Compuls Relat Disord. 2017;14:7-12.
• Norris JE, Kimball SH, Nemri DC, Ethridge LE. Toward a multidimensional understanding of misophonia using cluster-based phenotyping. Front Neurosci. 2022;16:832516.
• Cassiello-Robbins C, Anand D, McMahon K, et al. A preliminary investigation of the association between misophonia and symptoms of psychopathology and personality disorders. Front Psychol. 2021;11:519681.
• Frank B, McKay D. The suitability of an inhibitory learning approach in exposure when habituation fails: A clinical application to misophonia. Cogn Behav Pract. 2019;26:130-42.
• Quek TC, Ho CSH, Choo CC, et al. Misophonia in Singaporean psychiatric patients: A cross-sectional study. Int J Environ Res Public Health. 2018;15:1410.
• Daniels EC, Rodriguez A, Zabelina DL. Severity of misophonia symptoms is associated with worse cognitive control when exposed to misophonia trigger sounds. PLoS One. 2020;15:e0227118.
• Naragon-Gainey K. Meta-analysis of the relations of anxiety sensitivity to the depressive and anxiety disorders. Psychol Bull. 2010;136:128-50.
• Schadegg MJ, Clark HL, Dixon LJ. Evaluating anxiety sensitivity as a moderator of misophonia and dimensions of aggression. J Obsessive Compuls Relat Disord. 2021;30:100657.
• Natalini E, Dimaggio G, Varakliotis T, et al. Misophonia, maladaptive schemas and personality disorders: A report of three cases. J Contemp Psychother. 2020;50:29-35.
• Jakubovski E, Müller A, Kley H, et al. Prevalence and clinical correlates of misophonia symptoms in the general population of Germany. Front Psychiatry. 2022;13:1012424.
• Ferrer-Torres A, Giménez-Llort L. Misophonia: A systematic review of current and future trends in this emerging clinical field. Int J Environ Res Public Health. 2022;19:679.
• Brout JJ. A brief commentary on the consensus definition of misophonia. Front Neurosci. 2022;16:879070.