What sound sources trigger misophonia? Not just chewing and breathing

Objectives Misophonia is a highly prevalent yet understudied condition characterized by aversion toward particular environmental sounds. Oral/nasal sounds (e.g., chewing, breathing) have been the focus of research, but variable experiences warrant an objective investigation. Experiment 1 asked whether human‐produced oral/nasal sounds were more aversive than human‐produced nonoral/nasal sounds and non‐human/nature sounds. Experiment 2 additionally asked whether machine‐learning algorithms could predict the presence and severity of misophonia. Method Sounds were presented to individuals with misophonia (Exp.1: N = 48, Exp.2: N = 45) and members of the general population (Exp.1: N = 39, Exp.2: N = 61). Aversiveness ratings to each sound were self‐reported. Results Sounds from all three source categories—not just oral/nasal sounds—were rated as significantly more aversive to individuals with misophonia than controls. Further, modeling all sources classified misophonia with 89% accuracy and significantly predicted misophonia severity ( r = 0.75). Conclusions Misophonia should be conceptualized as more than an aversion to oral/nasal sounds, which has implications for future diagnostics and experimental consistency moving forward.