Body

Black et al. (2026) examined three forms of rumination (perseverative thinking, brooding, and anger rumination) in relation to misophonia severity, finding that all three were positively associated with S-Five total scores and all five subscales even after controlling for depression, anxiety, and hyperacusis. From this they conclude that rumination in misophonia is not reducible to comorbid affective symptoms but represents a unique and pervasive cognitive tendency, one that extends beyond trigger-specific replay to reflect a broader disposition toward perseverative negative thought in daily life (Black et al., 2026) .