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Savard 2022 findings in support of top down processes in Misophonia

In a 2022 study examining subjective aversiveness ratings and sound-source identification across trigger and non-trigger sounds at varying signal-to-noise ratios, Savard and colleagues found that, on trials where triggers were correctly identified, individuals with higher misophonia severity reported the strongest aversive responses. This pattern was also observed for generally unpleasant sounds but was more pronounced for trigger sounds, supporting the interpretation that misophonia is driven primarily by top-down evaluative processes rather than bottom-up sensory differences.(Savard et al., 2022)