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Id 38f96298-3f91-4107-9429-296441529c18
Year 2026
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- (Chalotra et al., 2026)
Import Date 06-14-2026
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Dv Authors Suman Chalotra, Nirali Chauhan, Deepa Valame, Neha Surkund, Kajal Bhatiwal, Prashanth Prabhu,
Dv Initial Source Misophonia MOC
Dv Status #status/Bare-bones-review
Dv Limitations • Results should be interpreted within the context of the study's sample size and design (author-stated qualifier; site specificity not identified as a named limitation). • Age heterogeneity may contribute to variability in symptom reporting. • Psychometric evaluation could be further strengthened; noted as requiring follow-up in future studies.
Dv Future Directions • Larger, more diverse populations recommended to examine demographic and clinical correlates. • Further investigation into multifactorial contributors: environmental exposure, personality, prior experiences. • Further investigation of the potential gender-related predisposition to misophonia, including differences in emotional and behavioral responses to triggers.
Dv Relevance • demonstrates the clinical utility of a Marathi (Indian language) translated version of the A-MISO-S, finding it satisfactory
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Prevalence of misophonia in a tertiary healthcare hospital in Mumbai with Marathi translated Amsterdam misophonia scale A-MISO-S
Status:: #status/Bare-bones-review
Metadata
- Item Type: #journalArticle
- Authors:: Suman Chalotra, Nirali Chauhan, Deepa Valame, Neha Surkund, Kajal Bhatiwal, Prashanth Prabhu,
- Date:
- Date Added: 1781393036000
- URL: https://link.springer.com/10.1186/s43163-026-01108-1
- DOI: 10.1186/s43163-026-01108-1
- Cite Key: chalotraPrevalenceMisophoniaTertiary2026
- Topics: [object Object]
- Tags:: #A-MISO-S, #Bare-bones-review-🦴, #clinical, #Misophonia, #translation-validation,
- PDF Attachments
Abstract
| Background/Purpose | Background- • Misophonia defined by intense aversive emotional/physiological response to specific auditory triggers; autonomic and limbic hyperactivation. • Triggers most commonly human-generated sounds (lip-smacking, whistling, voice tones); person-specific; self-generated sounds typically do not trigger response. • Visual triggers (leg-swinging, scratching, eating) reported in approximately 45% of individuals. • Behavioral coping includes earplugs, increasing ambient noise, verbal confrontation. • Physical concomitants documented: tics, severe chest pain, muscle spasms, urges to harm others, urinary urgency, sexual arousal, gastrointestinal discomfort. • Frequently comorbid: tinnitus, OCD personality disorder, Tourette syndrome, schizotypal PD, ADHD, mood and panic disorders, trichotillomania. • Prevalence varies widely across populations: UK 49.1%, Germany 33.3%, Delhi India 17.63%, Mysuru India 28.28%, Turkey 12.8%. • No misophonia questionnaire has been translated or validated in any Indian language; significant barrier to clinical assessment and research in non-English-speaking populations. • A-MISO-S selected for translation based on widespread usage, strong empirical foundation, brevity, and ease of administration. Purpose- • Translate and validate the A-MISO-S into Marathi to enable clinical diagnosis and research in Marathi-speaking populations. • Assess prevalence and demographic correlates of misophonia in a Mumbai hospital population. • Contribute to cross-cultural adaptation of psychological assessment tools for the Indian context. |
| Participants/samples | • N = 227; 96 males, 131 females; mean age 34.29 years; age range 18–77. • Divided into three age groups: 18–40, 41–60, >60 years. • Non-parametric snowball sampling; recruited from tertiary healthcare teaching hospital students, relatives, and friends. • Excluded: self-reported psychiatric illness; current medication use; risk of severe emotional distress from questionnaire content. • All participants reported normal hearing; no hearing loss, sensitivity to loud sounds, or tinnitus. |
| Measures | • A-MISO-S: 6 clinician-rated items (0–4 each); total 0–24; severity bands: subclinical (0–4), mild (5–9), moderate (10–14), severe (15–19), extreme (20–24). • Data collected via face-to-face structured interview administered by audiologist. |
| Procedures | • Translation phase followed AAOS guidelines. • Forward translation: independently performed by two native Marathi speakers fluent in English; synthesized by a translator with technical and linguistic background. • Backward translation: performed by two speech and hearing sciences professionals with high proficiency in both languages. • Face validity review: panel of five experienced audiologists (minimum five years clinical experience); revisions incorporated. • Formal permission obtained from original A-MISO-S authors prior to translation. • Validation phase: structured face-to-face interviews with 227 participants. • Test-retest: 30 randomly selected participants re-administered the questionnaire after two weeks. • Concurrent validity: 30 bilingual participants completed the English version first; Marathi version administered after two weeks. • EFA conducted using Promax rotation. • Chi-square tests used to examine associations between misophonia severity and gender, age, and education. • Kruskal-Wallis test used for age group comparisons. |
| Results | Psychometric properties • Internal consistency of the translated scale was good (Cronbach's alpha). • Test-retest reliability was excellent (ICC). • EFA yielded a single-factor solution; all items loaded strongly; factor explained a majority of total variance. • Cross-language equivalence between English and Marathi versions was strong (Pearson r). Prevalence and severity • Majority of participants scored in the subclinical range; approximately one-quarter mild; smaller proportions moderate and severe; none extreme. • Clinically significant misophonia (moderate or higher) present in approximately 11% of the sample. Demographic correlates • Females significantly more likely to exhibit misophonia than males. • No significant association between age and misophonia occurrence or severity across the three age groups. |
| Discussion/Limits | Conclusion- • The Marathi A-MISO-S demonstrates adequate internal consistency and psychometric structure for clinical use in diagnosing misophonia. • Prevalence of clinically significant misophonia was 11%, which the authors describe as closely aligning with Delhi findings and consistent with global estimates (cited range: 12.8%–49.1%) • Subtle female predominance in mild category echoes prior studies; a potential gender-related predisposition is suggested, with females possibly experiencing and expressing more pronounced irritation or disgust in response to triggers. • No participants reported prior contact with mental health services; lower service utilization may reflect limited awareness and stigma associated with seeking mental health care in India. • Absence of age-related differences suggests misophonia affects individuals across a wide age range without a clear developmental pattern; linked to atypical auditory-emotional processing that may be stable across the lifespan. • Environmental exposure, personality traits, and prior experiences may play a more prominent role in onset and severity than chronological age. • Early identification and intervention are critical given documented negative effects on emotional, social, and physical well-being. |
| Limitations:: | • Results should be interpreted within the context of the study's sample size and design (author-stated qualifier; site specificity not identified as a named limitation). • Age heterogeneity may contribute to variability in symptom reporting. • Psychometric evaluation could be further strengthened; noted as requiring follow-up in future studies. |
| Future Directions:: | • Larger, more diverse populations recommended to examine demographic and clinical correlates. • Further investigation into multifactorial contributors: environmental exposure, personality, prior experiences. • Further investigation of the potential gender-related predisposition to misophonia, including differences in emotional and behavioral responses to triggers. |
| Relevance:: | • demonstrates the clinical utility of a Marathi (Indian language) translated version of the A-MISO-S, finding it satisfactory |
Notes
key terms and concepts
A-MISO-S (Amsterdam Misophonia Scale–Revised) – six clinician-rated items each scored 0–4; cumulative 0–24; categories: subclinical, mild, moderate, severe, extreme.
Misophonia – intense aversive emotional and physiological response to specific auditory stimuli, typically involving hyperactivation of the autonomic and limbic systems.
Cross-cultural adaptation – standardized translation and validation protocol (AAOS guidelines) enabling use of a psychometric tool in a new language and cultural context.
Internal consistency – degree to which scale items measure the same construct; assessed via Cronbach's alpha.
Test-retest reliability – temporal stability of scores across two administrations; assessed via intraclass correlation coefficient.
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contextual statement
In a 2026 study, Chalotra attempted to translate and validate the A-MISO-S into Marathi and assess misophonia prevalence by conducting face-to-face structured interviews with 227 adults (96M/131F, ages 18–77) recruited through snowball sampling at a tertiary hospital in Mumbai, India.
summary statement
Zettelkasten
Validation of a Marathi translated A-MISO-S scale and evidence of significance Indian prevalence