Implications of early maladaptive schemes in Misophonia

In a 2026 study, Fazi examined associations between misophonia severity, early maladaptive schemas, personality trait domains, and psychological symptoms by administering self-report questionnaires to 72 adults with self-identified misophonia and 72 matched controls. They found that the misophonia group scored higher than controls on all 18 EMSs, all personality trait domains, and depression/anxiety measures, and that Entitlement and Emotional Inhibition independently predicted misophonia severity while EMSs added variance beyond personality traits and symptoms. From this they concluded that personality traits reflect broad dispositional vulnerability while EMSs represent more specific cognitive-emotional processes shaping appraisal of triggers, supporting a hierarchical model and suggesting EMSs as clinical targets (Fazi et al., 2026).