Properties (14)
Id 50d05021-cc10-45b3-995b-f555a274a2ed
Year 2025
Cssclasses
- purpleRed
Aliases
- When Everyday Sounds Become Barriers
- (Özdeş & Yılmaz, 2025)
Import Date 03-23-2026
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Dv Authors Nazife Öztürk Özdeş, Suna Tokgöz Yılmaz,
Dv Initial Source Misophonia MOC
Dv Status #status/reviewed
Dv Limitations • Sample size of 40 individuals with misophonia and 40 controls may limit generalizability of findings. • HINT test utilized only one misophonic trigger. • MSL diagnostic criterion may include individuals with subclinical sound sensitivity and reduce specificity for clinically significant misophonia. • Use of single common trigger (fly buzzing) may not fully reflect diversity of clinically prominent triggers such as orofacial eating or breathing sounds. • Cross-sectional design does not allow observation of changes in misophonic responses or adaptation processes over time. • Study did not incorporate physiological response measurements.
Dv Future Directions • Future studies employing variety of triggering sounds could offer more comprehensive evaluation of effects of misophonia on speech perception. • Larger and more diverse sample could provide more robust conclusions. • Longitudinal studies could address limitation of cross-sectional design. • Incorporating physiological response measurements (heart rate, skin conductance) in future research could enable deeper investigation into physiological underpinnings of misophonic reactions.
Dv Relevance • study looking at the impact of triggers on speech perception, finding that triggers reduced speech in noise perception in Misophonics compared to controls • a good example of experimental evidence of trigger specific impacts on cognition in Misophonia ALTHOUGH, I find the use of the sound of a fly acting as the trigger condition... confusing.. I guess it can work but... odd • they say they selected it because it mimicked the frequency and intensity characteristics of human speech (important for the task in this study) and that it was identified as a common trigger sound in the Misophonic sample.
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When Everyday Sounds Become Barriers: The Effect of Misophonia on Speech Perception
Status:: #status/reviewed
Metadata
- Item Type: #journalArticle
- Authors:: Nazife Öztürk Özdeş, Suna Tokgöz Yılmaz,
- Date:
- Date Added: 1762038321000
- URL: https://onlinelibrary.wiley.com/doi/10.1002/brb3.70924
- DOI: 10.1002/brb3.70924
- Cite Key: ozdesWhenEverydaySounds2025
- Topics: [object Object]
- Tags:: #reviewed, #Misophonia, #trigger-sounds, #Speech-Perception, #auditory-processing,
- PDF Attachments
Abstract
| Background/Purpose | Background- • Misophonia typically manifests during adolescence or early adulthood and is more commonly reported among females. • Prevalence estimates suggest approximately 20% of the general population experiences misophonic symptoms, with clinical-level misophonia at about 5%. • Emotional effects of triggering sounds are influenced by social context and perceived acceptability of actions generating the sounds, not solely acoustic characteristics. • Neuroimaging studies show atypical activation patterns in the anterior insula and anterior cingulate cortex, regions involved in emotional processing and salience detection. • Misophonia may stem from disturbances in neural integration of auditory processing and emotional regulation networks. • Strong emotional responses associated with misophonia may redirect attentional and cognitive resources away from auditory processing tasks. • One study found individuals with misophonia demonstrated diminished selective attention capacity when exposed to trigger sounds. • Another study reported approximately 15% of adults with misophonia had mild SNR loss. • Little research has systematically explored how misophonia affects speech perception in realistic noisy scenarios. Purpose- • To evaluate speech perception performance in noise in individuals with misophonia. • To investigate effects of the number of misophonic triggering sounds on speech perception performance. • To investigate effects of misophonia severity on speech perception performance. |
| Participants/samples | |
| Measures | • Audiological: pure tone audiometry (125–16,000 Hz), speech audiometry, immittance measurements • Misophonia assessment: Misophonia Symptom List (MSL) for diagnosis and trigger identification; Misophonia Questionnaire (MQ) for symptom severity assessment • Hyperacusis differentiation: Khalfa Hyperacusis Questionnaire (HQ), loudness discomfort level (LDL) measurements • Speech perception: Turkish Hearing in Noise Test (HINT) in adaptive format |
| Procedures | Stimuli- • HINT administered in two scenarios: Scenario 1 with speech-shaped noise only (test's default noise); Scenario 2 with speech-shaped noise combined with buzzing fly sound (misophonic trigger). • Buzzing fly sound identified as common trigger among all MG participants based on MSL. • Background noise: speech-shaped noise mimicking average frequency and intensity characteristics of human speech (sounds like steady, soft hissing or murmuring). • Both speech signal and background noise presented at 65 dB SPL via external loudspeaker positioned 1 meter in front of participant at 0° azimuth. Task description- • Participants repeated each sentence aloud after hearing it. • Initial SNR set at 0 dB; adjusted in 2 dB steps based on correct or incorrect responses. • Each 20-sentence HINT list took approximately 5 minutes; total test time for both conditions approximately 30 minutes. • Testing conducted in sound-treated booth complying with ANSI S3.1-1999 standards; background noise below 35 dBA. • Only words repeated completely and accurately were scored. |
| Results | Comparison Between Groups • Kruskal-Wallis test indicated statistically significant differences in speech perception in noise performance between MG and CG across the four HINT conditions. • In standard HINT condition: no significant difference between MG and CG. • In HINT with trigger condition: MG exhibited significantly worse performance than CG; difference was statistically significant. Within-Group Comparisons • In MG: significant difference between HINT and HINT with trigger measurements; performance decreased with misophonic trigger present. • In CG: no statistically significant difference between HINT and HINT with trigger measurements. Correlation Analyses • Weak positive correlation between HINT and HINT with trigger conditions in MG. • Moderate positive correlation between HINT scores and MQ scores in MG. • Strong positive correlation between HINT scores and number of misophonic triggers in MG. • Moderate correlation between HINT with trigger scores and MQ in MG. • Strong positive correlation between MQ scores and number of misophonic triggers in MG. |
| Discussion/Limits | Conclusion- • The authors conclude that misophonia is a condition that adversely affects speech perception in noise. • The findings indicate that presence of triggering sounds significantly impairs speech perception ability in noise in individuals with misophonia. • The data support that increased severity of misophonia and greater number of triggering sounds are associated with further declines in HINT performance. • The authors conclude that misophonia is not merely an emotional or psychological condition but also one that influences neurophysiological functioning. • The findings indicate that emotional reactions to triggering sounds may interfere with auditory attention, particularly in socially relevant listening situations. • The data support that misophonia may involve unique mechanisms affecting allocation of cognitive resources in presence of triggering stimuli. • The authors conclude that the decline in performance during HINT with misophonic stimulus may be related to selective attention and utilization of cognitive resources. • The findings indicate that comparable performance between misophonic participants and controls in standard HINT may be due to inability of test's speech noise stimulus to adequately represent challenges experienced by individuals with misophonia in daily life. • The data support that severity of misophonia symptoms may impact speech perception in noise, potentially leading to communication difficulties in daily life. |
| Limitations:: | • Sample size of 40 individuals with misophonia and 40 controls may limit generalizability of findings. • HINT test utilized only one misophonic trigger. • MSL diagnostic criterion may include individuals with subclinical sound sensitivity and reduce specificity for clinically significant misophonia. • Use of single common trigger (fly buzzing) may not fully reflect diversity of clinically prominent triggers such as orofacial eating or breathing sounds. • Cross-sectional design does not allow observation of changes in misophonic responses or adaptation processes over time. • Study did not incorporate physiological response measurements. |
| Future Directions:: | • Future studies employing variety of triggering sounds could offer more comprehensive evaluation of effects of misophonia on speech perception. • Larger and more diverse sample could provide more robust conclusions. • Longitudinal studies could address limitation of cross-sectional design. • Incorporating physiological response measurements (heart rate, skin conductance) in future research could enable deeper investigation into physiological underpinnings of misophonic reactions. |
| Relevance:: | • study looking at the impact of triggers on speech perception, finding that triggers reduced speech in noise perception in Misophonics compared to controls • a good example of experimental evidence of trigger specific impacts on cognition in Misophonia ALTHOUGH, I find the use of the sound of a fly acting as the trigger condition... confusing.. I guess it can work but... odd • they say they selected it because it mimicked the frequency and intensity characteristics of human speech (important for the task in this study) and that it was identified as a common trigger sound in the Misophonic sample. |
Notes
key terms and concepts
- misophonia – a condition characterized by intense emotional reactions (anger, anxiety, disgust) to specific sounds typically produced by others.
- speech-in-noise (SiN) – the ability to understand speech in the presence of background noise.
- signal-to-noise ratio (SNR) – the difference in decibels between speech signal and background noise; higher SNR values indicate worse speech perception performance.
- Hearing in Noise Test (HINT) – adaptive test evaluating sentence recognition and repetition under various noise conditions; results expressed as SNR in dB.
- Misophonia Symptom List (MSL) – validated 50-item checklist of misophonic triggers used for diagnosis and trigger identification.
- Misophonia Questionnaire (MQ) – assessment tool measuring symptom severity; scores range 0–68 with higher scores indicating more frequent symptoms and increased negative responses.
- loudness discomfort level (LDL) – intensity levels (in dB HL) at which sounds cause discomfort; used to distinguish hyperacusis.
- triggering sound – specific auditory stimulus that elicits strong emotional/physiological responses in individuals with misophonia.
my engagement notes
my questions
my comments
- for the Misophonia trigger condition they used the sound of a fly buzzing... an odd choice and I guess it could work, but odd. also only having the one trigger exemplar is weak.
- they say they selected it because it mimicked the frequency and intensity characteristics of human speech (important for the task in this study) and that it was identified as a common trigger sound in the Misophonic sample. (page 4)
Bookmarks
reading notes
contextual statement
In a 2025 study, Özdeş attempted to evaluate speech perception performance in noise of individuals with misophonia by administering the Hearing in Noise Test under two scenarios (speech noise alone and speech noise combined with a buzzing fly trigger sound) to 40 adults with misophonia and 40 matched controls.
summary statement
In a 2025 study, Özdeş evaluated the speech perception performance in noise of individuals with misophonia and investigated the effects of triggering sound number and symptom severity by administering the Hearing in Noise Test under two scenarios (speech-shaped noise alone and speech-shaped noise combined with a buzzing fly trigger) to 40 adults with misophonia and 40 matched controls. They found that the presence of a triggering sound significantly impaired speech perception in noise in the misophonia group compared to controls, with no between-group difference in the standard noise-only condition; within the misophonia group, performance significantly declined when the trigger was present, whereas the control group showed no difference between conditions; higher misophonia severity and greater number of triggers were associated with worse performance. From this they concluded that misophonia adversely affects speech perception in noise, particularly when triggering sounds are present, and that the condition influences neurophysiological functioning beyond emotional or psychological responses, with implications for understanding communication difficulties and developing therapeutic interventions.