Properties (15)
Id f40782a3-b91a-4bbc-9c87-8b638e0745fa
Year 2024
Abstract
Cssclasses
- purpleRed
Aliases
- Emotion dysregulation in misophonia
- (Dixon et al., 2024)
Import Date 05-26-2026
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Dv Authors Laura J. Dixon, Carey J. Sevier, Alexandra M. Freshley,
Dv Initial Source Misophonia MOC
Dv Status #status/reviewed
Dv Limitations • Cross-sectional design; no causal inference possible • Limited questionnaire battery; more comprehensive measures may reveal additional patterns • Stress covariate does not capture comorbid anxiety, depression, or other relevant diagnoses • Misophonia identified by questionnaire-based criteria rather than diagnostic interview; heterogeneity within the clinical group unaddressed • Strategies subscale could not be evaluated in regression due to multicollinearity
Dv Future Directions • Prospective studies to examine which emotion dysregulation facets predict onset and worsening of misophonia • Experimental and experience-sampling designs to clarify temporal relationships between dysregulation and symptom expression • Include recently developed misophonia measures aligned with consensus definition (e.g., Duke-Vanderbilt Misophonia Screening Questionnaire) • Account for comorbid diagnoses and additional psychological processes in future models • Examine discrete emotion regulation strategies (e.g., reappraisal, suppression) within Gross's process model in misophonia populations • Clinical group comparisons to identify regulation deficits specific to misophonia versus other disorders
Dv Relevance • a large sample survey study looking ant emotion regulation issues in Misophonia, finding significant emotional dysregulation reported in Misophonics and strong correlations between emotional dysregulation and Misophonic responsivity • claims to be the first to show a unique association of emotion dysregulation and impaired function in Misophonia ([pdf](zotero://open-pdf/library/items/YXTLXY92?page=5&annotation=8KS7BZ99)) • showed that specific facets of emotional regulation particularly Clarity, Goals, and Impulse, uniquely predicted misophonia reactions and impairment above demographics and stress. they go onto to conclude these facets are prime targets for training in future interventions
Notes Audited 2026-05-26T19:23:00
Audit Notes audited as review was done
•
Emotion dysregulation in misophonia: Findings from a nationally representative sample
Status:: #status/reviewed
Metadata
- Item Type: #journalArticle
- Authors:: Laura J. Dixon, Carey J. Sevier, Alexandra M. Freshley,
- Date:
- Date Added: 1776542326000
- URL: https://linkinghub.elsevier.com/retrieve/pii/S0022395624005971
- DOI: 10.1016/j.jpsychires.2024.10.022
- Cite Key: dixonEmotionDysregulationMisophonia2024
- Topics: [object Object]
- Tags:: #Emotion-Regulation, #Misophonia, #reviewed, #sound-sensitivity,
- PDF Attachments
Abstract
| Background/Purpose | Background- • Misophonia involves intense negative emotional responses (irritation to rage, disgust, anxiety) plus behavioral, physiological, and cognitive reactions to trigger sounds • Clinical prevalence estimated at 2.2–12.8% of adults; sound sensitivity reported in up to 78.5% • Emotion dysregulation is established as a transdiagnostic factor across psychopathology; interventions targeting it improve clinical outcomes • Prior studies link misophonia severity to general emotion dysregulation in college and community samples • Cassiello-Robbins et al. (2020) identified specific DERS deficits in misophonia and showed impulse control difficulties mediated neuroticism–misophonia relationship • Guetta et al. (2022) showed unique emotion dysregulation–misophonia association after controlling for mental health symptoms • Prior work limited to convenience samples; no nationally representative examination of specific DERS subscale contributions across distinct symptom domains Purpose- • Characterize emotion regulation difficulties in a nationally representative sample of adults with clinical misophonia • Compare emotion dysregulation between clinical and subclinical misophonia groups • Examine unique role of specific emotion dysregulation facets across three misophonia symptom domains: sound sensitivity, emotional/behavioral reactions, and functional impairment |
| Participants/samples | • N = 4005 U.S. adults recruited via Ipsos KnowledgePanel (probability-based, address-sampling) • Post-stratification weights applied to correct for over/under-sampling • Mean age ~48 years; ~52% female; ~63% White non-Hispanic • Clinical misophonia group: n = 185; subclinical group: n = 3490 • Institutional review board approved |
| Measures | • Stress: Perceived Stress Scale–4 (PSS-4); covariate • Emotion dysregulation: DERS-16 total and five subscales (Clarity, Goals, Impulse, Strategies, Nonacceptance) • Misophonia sound sensitivity: MQ Sounds Scale (7 items) • Misophonia emotional/behavioral reactions: MQ Emotions and Behaviors Scale (10 items) • Misophonia-related impairment: Work and Social Adjustment Scale (WSAS; 5 domains) |
| Procedures | • Online survey administered through KnowledgePanel • Skip logic applied: MQ Emotions/Behaviors and WSAS presented only to participants endorsing sound sensitivity • Clinical group identified via dual-criterion cutoff (MQ Severity + Amsterdam Misophonia Scale) • Mean imputation for scales with ≥75% item completion |
| Results | - Clinical misophonia group showed greater emotion dysregulation than subclinical group across all DERS-16 subscales and total score; large effects throughout - Zero-order correlations: emotion dysregulation subscales had small associations with sound sensitivity and moderate associations with reactions and impairment - Sound sensitivity model: Clarity, Goals, and Nonacceptance emerged as significant unique predictors; Impulse did not; small incremental effect of emotion dysregulation beyond demographics and stress - Reactions model: all four entered DERS-16 subscales (Clarity, Goals, Impulse, Nonacceptance) were significant unique predictors; medium incremental effect; emotion dysregulation accounted for more variance than demographics or stress - Impairment model: Clarity, Goals, and Impulse were significant unique predictors; Nonacceptance was not; medium incremental effect - Strategies subscale excluded from regression due to multicollinearity; bivariate correlations with reactions and impairment were moderate - Stress was a significant covariate across all three models - Full models accounted for small-medium variance in sounds, and large variance in reactions and impairment |
| Discussion/Limits | Conclusion- • Emotion dysregulation differentiates clinical from subclinical misophonia across all regulation dimensions • Emotion dysregulation uniquely predicts misophonia symptoms beyond demographics and stress in a nationally representative sample, strengthening confidence in the finding against sampling bias • Larger effects for reactions and impairment than for sound sensitivity align with theoretical models emphasizing how people respond to distress rather than frequency of exposure • Emotional clarity, goal-directed behavior, and impulse control are particularly relevant to functional impairment in misophonia • All four tested facets of emotion dysregulation (Clarity, Goals, Impulse, Nonacceptance) were significant unique predictors of emotional and behavioral reactions to misophonia sounds; three of the four predicted impairment, and three (overlapping but distinct set) predicted sound sensitivity • DERS-16 means from this sample provide a normative reference point for clinicians assessing misophonia patients • Findings support incorporating emotion regulation–targeted interventions into misophonia treatment |
| Limitations:: | • Cross-sectional design; no causal inference possible • Limited questionnaire battery; more comprehensive measures may reveal additional patterns • Stress covariate does not capture comorbid anxiety, depression, or other relevant diagnoses • Misophonia identified by questionnaire-based criteria rather than diagnostic interview; heterogeneity within the clinical group unaddressed • Strategies subscale could not be evaluated in regression due to multicollinearity |
| Future Directions:: | • Prospective studies to examine which emotion dysregulation facets predict onset and worsening of misophonia • Experimental and experience-sampling designs to clarify temporal relationships between dysregulation and symptom expression • Include recently developed misophonia measures aligned with consensus definition (e.g., Duke-Vanderbilt Misophonia Screening Questionnaire) • Account for comorbid diagnoses and additional psychological processes in future models • Examine discrete emotion regulation strategies (e.g., reappraisal, suppression) within Gross's process model in misophonia populations • Clinical group comparisons to identify regulation deficits specific to misophonia versus other disorders |
| Relevance:: | • a large sample survey study looking ant emotion regulation issues in Misophonia, finding significant emotional dysregulation reported in Misophonics and strong correlations between emotional dysregulation and Misophonic responsivity • claims to be the first to show a unique association of emotion dysregulation and impaired function in Misophonia (pdf) • showed that specific facets of emotional regulation particularly Clarity, Goals, and Impulse, uniquely predicted misophonia reactions and impairment above demographics and stress. they go onto to conclude these facets are prime targets for training in future interventions |
Notes
key terms and concepts
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Misophonia – disorder characterized by reduced tolerance and intense negative responses to specific trigger sounds, accompanied by emotional, behavioral, physiological, and cognitive reactions.
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Emotion dysregulation – difficulties in awareness and acceptance of emotions, engaging in goal-directed behavior, inhibiting impulsive behavior when distressed, and accessing effective regulation strategies.
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DERS-16 – Difficulties in Emotion Regulation Scale (16-item brief version); five subscales: Clarity, Goals, Impulse, Strategies, Nonacceptance.
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Clinical misophonia – defined by scores ≥7 on MQ Severity Scale and ≥10 on Amsterdam Misophonia Scale.
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Subclinical misophonia – endorsement of sensitivity to one or more misophonia sounds without meeting clinical threshold.
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Transdiagnostic factor – a process implicated in the development and maintenance of symptoms across multiple psychological disorders.
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Bookmarks
- limitations (page 5)
reading notes
contextual statement
In a 2024 study, Dixon examined emotion dysregulation in misophonia using a nationally representative sample of 4005 U.S. adults, administering the DERS-16, MQ, and WSAS to compare clinical and subclinical groups and identify unique DERS subscale predictors across three misophonia symptom domains.