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September 14, 2026American Journal of Audiology

Distinguishing Misophonia From Nonclinical Sound Aversion: Emotional Response Profiles for Auditory Triggers

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Authors

HWHana V. WeissKWKathy R. Vander Werff

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Overview

Case-control study reveals intense anger and disgust toward triggers in misophonia, suggesting specific emotional profiles distinguish clinical disorders from typical sound aversion.

Key Points

  • To examine whether specific auditory trigger sounds, emotional response types, and reaction intensities differentiate clinically significant misophonia from nonclinical sound aversion.
  • Conducted an online comparative survey of 168 participants (N=84 with misophonia, N=84 nonclinical controls).
  • Assessed misophonia classification using the Duke-Vanderbilt Misophonia Screening Questionnaire (DVMSQ) and measured responses to 37 sounds using the Selective Sound Sensitivity Syndrome Scale Trigger Checklist.
  • Evaluated demographic variables, mental health comorbidities, and sound-emotion heat map visualizations across both groups.
  • The misophonia group exhibited significantly more trigger sounds, higher DVMSQ scores, and greater emotional intensity across emotions compared to controls.
  • While controls experienced primarily irritation, participants with misophonia reported significantly higher frequencies of anger (with large effect sizes), disgust, distress, and panic, particularly across 18 eating and oral sounds.
  • Demographic variables and psychiatric diagnoses showed minimal associations with primary outcomes, confirming that differences in emotional response profiles were not driven by comorbidities.

Cite This Study

Weiss et al. (2026) studied this question.

synapsesocial.com/papers/6aa7b2f70926e14a848b1917https://doi.org/10.1044/2026_aja-25-00333
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Also Consider

Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1Using a standardized sound set to help characterize misophonia: The International Affective Digitized Sounds2024 · 1 citations
  2. 2Psychoacoustic assessment of misophonia.2025
  3. 3Differential brain responses to affective sounds in misophonia and hyperacusis: A task-based fMRI approach2026
  4. 4Misophonia is associated with heightened emotion evocation by music2024
  5. 5The effect of misophonia on cognitive and social judgments2024 · 3 citations