Centrality of panic specifically supports the Swedo definitions emphasis on emotions beyond hatred

Shan et al. (2024) applied EBIC gLASSO network analysis to Duke Misophonia Questionnaire (DMQ) data from 144 adults with varying levels of misophonia severity and found that "I felt panic" was among the highest-influence items in the symptom sub-network, second only to the internalizing cognitive response "I need to get away from the sound." The authors specifically noted this finding as support for the Swedo et al. (2022) consensus definition, which characterizes misophonia as producing a range of emotional responses and explicitly argues against reducing the condition to "hatred of sound." They concluded that the centrality of panic in the symptom network underscores the importance of capturing diverse affective responses, including internalizing emotions, in both the conceptualization and assessment of misophonia (Shan et al., 2024).