Semin Hear 2014; 35(02): 084-091
DOI: 10.1055/s-0034-1372525
Thieme Medical Publishers 333 Seventh Avenue, New York, NY 10001, USA.

Misophonia: An Overview

Diane F. Duddy
1   Department of Otolaryngology, Head and Neck Surgery, Washington University in St. Louis School of Medicine, St. Louis, Missouri
Kristi A.M. Oeding
1   Department of Otolaryngology, Head and Neck Surgery, Washington University in St. Louis School of Medicine, St. Louis, Missouri
› Author Affiliations
Further Information

Publication History

Publication Date:
29 April 2014 (online)


Misophonia is a relatively new term in the field of audiology, and there currently is no evidence-based research available on this topic; nevertheless, there are patients suffering with misophonia who are seeking help. This article provides both historical and current definitions of misophonia, as well as controversy regarding the definition. In addition, current demographics and symptoms will be presented and discussed. Patient history forms and questionnaires will guide the clinician in determining if the patient symptoms are associated with misophonia. Some patients will be satisfied with a diagnosis, whereas other patients will seek treatment. Current audiological management options are based on habituation theories used for tinnitus patients and research to guide clinicians is limited. Research is needed to determine not only the etiology and pathophysiology of misophonia but also associated symptoms, possible hereditary factors, and other disease entities that may present as misophonia. Validated questionnaires and tests to measure treatment outcomes are needed to provide best practice treatment options.

  • References

  • 1 Edelstein M, Brang D, Rouw R, Ramachandran VS. Misophonia: physiological investigations and case descriptions. Front Hum Neurosci 2013; 7: 1-11
  • 2 Schröder A, Vulink N, Denys D. Misophonia: diagnostic criteria for a new psychiatric disorder. PLoS ONE 2013; 8 (1) 1-5
  • 3 Jastreboff M, Jastreboff P. Decreased sound tolerance and tinnitus retraining therapy (TRT). Aust N Z J Audiol 2002; 24 (2) 74-84
  • 4 Hadjipavlou G, Baer S, Lau A, Howard A. Selective sound intolerance and emotional distress: what every clinician should hear. Psychosom Med 2008; 70 (6) 739-740
  • 5 Sztuka A, Pospiech L, Gawron W, Dudek K. DPOAE in estimation of the function of the cochlea in tinnitus patients with normal hearing. Auris Nasus Larynx 2010; 37 (1) 55-60
  • 6 Johnson M. Misophonia. Considerations for providing misophonia care in your practice. Paper presented at: The National Meeting of the American Academy of Audiology. April 4 2013. Anaheim, CA
  • 7 Neal M, Cavanna AE. Selective sound sensitivity syndrome (misophonia) in a patient with Tourette syndrome. J Neuropsychiatry Clin Neurosci 2013; 25 (1) E01
  • 8 Ferreira GM, Harrison BJ, Fontenelle LF. Hatred of sounds: misophonic disorder or just an underreported psychiatric symptom?. Ann Clin Psychiatry 2013; 25 (4) 271-274
  • 9 Webber TA, Johnson PL, Storch EA. Pediatric misophonia with comorbid obsessive-compulsive spectrum disorders. Gen Hosp Psychiatry 2014; 36 (2) 231.e1-231.e2
  • 10 Goodman WK, Price LH, Rasmussen SA , et al. The Yale-Brown Obsessive Compulsive Scale. I. Development, use, and reliability. Arch Gen Psychiatry 1989; 46 (11) 1006-1011
  • 11 Goodman WK, Price LH, Rasmussen SA , et al. The Yale-Brown obsessive compulsive scale. II. Validity. Arch Gen Psychiatry 1989; 46 (11) 1012-1016
  • 12 PubMed. Available at: Accessed December 22, 2013
  • 13 Jastreboff PJ, Jastreboff MM. Tinnitus retraining therapy: a different view on tinnitus. ORL 2006; 68 (1) 23-30
  • 14 Veale D. A compelling desire for deafness. J Deaf Stud Deaf Educ 2006; 11 (3) 369-372
  • 15 Sztuka A, Pośpiech L, Gawron W, Dudek K. DPOAE in tinnitus patients with cochlear hearing loss considering hyperacusis and misophonia. Otolaryngol Pol 2006; 60 (5) 765-772
  • 16 Schwartz P, Leyendecker J, Conlon M. Hyperacusis and misophonia: the lesser-known siblings of tinnitus. Minn Med 2011; 94 (11) 42-43
  • 17 Kumar S, von Kriegstein K, Friston K, Griffiths TD. Features versus feelings: dissociable representations of the acoustic features and valence of aversive sounds. J Neurosci 2012; 32 (41) 14184-14192
  • 18 Johnson M. Misophonia 4S Provider Network USA. Available at: . Accessed December 22, 2013