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Secondary emotional and somatic consequences of misophonia in youth
Guzick et al. (2024) thematically analyzed focused interviews with 20 youth-parent dyads and found that beyond acute trigger reactions, youth experienced chronic stress, anxiety, depression, emotional exhaustion, somatic complaints attributed to muscle tension, guilt over aggressive responses, and negative self-perception, with high emotional burden carrying through the school day. The authors concluded that these secondary consequences contribute substantially to the disorder's burden and warrant clinical attention independent of trigger reactivity itself (Guzick et al., 2024).