Misophonia Journal Articles

Personal Story – Developing Misophonia
August 14, 2016
Life With Misophonia
September 16, 2016

Misophonia Journal Articles

Reference List of Journal ArticlesJournals in Library
Comments by Tom Dozier

Here is the list of the most relevant journal articles on misophonia that I put together for the webinar with clinicians. Many of them have comments from me after the article describing what is unique or meaningful in the article.  Almost all of these are peer reviewed journal articles.

Bernstein, R. M., Angell, K. L., & Dehle, C. M. (2013). A brief course of cognitive behavioural for the treatment of misophonia: a case example. The Cognitive Behaviour Therapist, 6, 1-13. doi: 10.1017/S1754470X13000172

  • Reports on positive CBT therapy for a 19-yr-old female. Social functioning was remediated, but she still found chewing sounds unpleasant.  Improvement maintained at 4-month follow-up.

Cash, T. V. (2015). Decreased Sound Tolerance (DST): Prevalence, Clinical Correlates, and Development of a DST Assessment Instrument.

Cavanna, A. E., (2014). What is misophonia and how can we treat it? Expert Review of Neurotherapeutics, 14, 357-359. doi: 101586/147375.2014.892418

Colucci, D. A. (2015). A Case of Amplified Misophonia?. The Hearing Journal, 68(2), 40.

  • Hearing aids made misophonia worse for this 80-year-old patient.

Donahoe, J. W., & Vegas, R. (2004). Pavlovian conditioning: The CS-UR relation. Journal Of Experimental Psychology: Animal Behavior Processes, 30(1), 17-33. doi:10.1037/0097-7403.30.1.17

  • This research study that indicates conditioning occurs with the temporal pairing of a neutral stimulus and an unconditioned response rather than the pairing of a neutral stimulus and an unconditioned stimulus. So conditioning is a stimulus-response association (CS-UR association) rather than a stimulus-stimulus association.  This could be very important in understanding the etiology of misophonia.

Dozier, T. H. (2015a). Counter Conditioning treatment for misophonia. Clinical Case Studies, 14, 1-14. doi; 10.1177/1534650114566924

  • Reports successful treatment of a middle-aged woman by treating specific triggers using counterconditioning. 10-month follow-up showed continued improvement.  The woman had a sharp pain in her chest when triggered.  It is proposed that misophonia consists of an aversive physical reflex elicited by the stimulus, and an emotional response elicited by the aversive physical reflex.

Dozier, T. H. (2015b). Etiology, composition, development and maintenance of misophonia: A conditioned aversive reflex disorder. Psychological Thought, 8, 1-16. doi: 10.5964/psyct.v8i1.132

  • Theory article supported by case examples. Proposes that misophonia is a conditioned physical reflex disorder.  The reflex maintains with exposure to stimuli in the natural environment.  Characteristics of conditioned reflexes (spontaneous recovery, response strength vs. stimulus strength) are observed when treating patients.  Proposed the name, Conditioned Aversive Reflex Disorder.

Dozier, T. H. (2015c). Treating the initial physical reflex of misophonia with the neural repatterning technique: A counterconditioning procedure. Psychological Thought, 8(2), 189–210. doi:10.5964/psyct.v8i2.138

  • Case study report of successful treatment of misophonia. The individual had a strong fist-clinch physical response.  Two triggers were treated.  Relaxing fists in natural environment reduced response to other triggers.

Dozier, T. H. (2015d). Understanding and Overcoming Misophonia, A Conditioned Aversive Reflex Disorder. Livermore, CA: Misophonia Treatment Institute.

  • This book explains misophonia, management techniques, and existing treatments.

Edelstein, M., Brang, D., Rouw, R., & Ramachandran, V.S. (2013). Misophonia: Physiological investigations and case descriptions. Frontiers in Human Neuroscience, 7(296), 1-11. doi: 10.3389/fnhum.2013.00296

  • Origin research study. Reports misophonia characteristics of 11 participants.  Measures skin conductance (SCR) of individuals and controls when exposed to misophonic stimuli.  SCR begins rising 2 seconds after trigger onset and continues to rise (15 sec duration).  This validates the verbal reports of anger/distress when exposed to triggers.

Fayzullina, S., Smith, R. P., Furlotte, N., Hu, Y., Hinds, D., & Tung, J. Y. (2015). White Paper 23-08 Genetic Associations with Traits in 23andMe Customers.

  • com study indicating there are specific genes that are more common in individuals with misophonia. Individuals responded to the question, “Does the sound of others chewing fill you with rage?”  80% no, 20% yes.  “Not sure” responses were excluded, but they were about 4%.

Ferreira, G. M., Harrison, B. J., & Fontenelle, L. F. (2013). Hatred of sounds: misophonic disorder or just an underreported psychiatric symptom. Annals of Clinical Psychiatry25(4), 271-274.

  • Proposes that misophonia may actually be a symptom of other underlying disorders. Three cases reported.

Jasterboff, M. M., & Jasterboff, P. J. (2002). Decreased sound tolerance and tinnitus retraining therapy (TRT). The Australian and New Zealand Journal of Audiology, 24, 74-84.

  • Coins the name misophonia. Describes misophonia as abnormally strong reactions of the autonomic and limbic systems resulting from enhanced connections between the auditory, limbic and autonomic systems, or enhanced reactivity of the limbic and autonomic system to sound… controlled by conditioned reflexes principles.”

Henry, J. A., Jastreboff, M. M., Jastreboff, P. J., Schechter, M. A., & Fausti, S. A. (2003). Guide to conducting tinnitus retraining therapy initial and follow-up interviews. Journal of rehabilitation research and development, 40(2), 157.

  • This is included for the procedure of Tinnitus Retraining Therapy that Jastreboffs report as their treatment for misophonia.

Jastreboff, M.M., & Jastreboff, P.J. (2014). Treatments for decreased sound tolerance (hyperacusis and misophonia). Seminars in Hearing 35(2), 105-120. doi: 10.1055/s-0034-1372527

  • Reports the outcome data for 201 DST patients treated in their clinic. 83% report improvement, defined as a 2-point change in a 10-point self-report severity scale.

Johnson, P. L., Webber, T. A., Wu, M. S., Lewin, A. B., Murphy, T. K., & Storch, E. A. (2013). When selective audiovisual stimuli become unbearable: a case series on pediatric misophonia. Neuropsychiatry, 3(6), 569-575.

  • Reports on four cases, but not on treatment. Conclusion: Misophonia is unique.

McGuire, J. F., Wu, M. A., & Storch, E. A. (2015). Cognitive-Behavioral therapy for 2 youths with misophonia. Journal of Clinical Psychiatry, 76, 573-574. doi: 10.4088/JCP14cr09343

  • Case study of two children (17 and 11) with misophonia. CBT treatment resolved problem of social functioning in both.  No follow-up reported.

Neal, M., & Cavanna, A. E. (2013). Selective sound sensitivity syndrome (misophonia) in a patient with Tourette’s syndrome. The Journal of Neuropsychiatry and Clinical Neurosciences, 25, E01-E01. doi: 10.1176/appi.neuropsych.11100235

Reid, A. M., Guzick, A. G., Gernand, A., & Olsen, B. (2016). Intensive cognitive-behavioral therapy for comorbid misophonic and obsessive-compulsive symptoms: A systematic case study. Journal of Obsessive-Compulsive and Related Disorders, 10, 1-9.

  • Reports on positive exposure therapy for a 14-yr-old female in the middle of OCD exposure and response prevention treatment. A-Miso-S score dropped from 16 to 7 with 2 sessions treating only 1 trigger.  Score dropped to 4 at 3-month follow-up.

Schröder, A., San Giorgi, R., Van Wingen, G., Vulink, N., & Denys, D. (2015). P. 1. i. 015 Impulsive aggression in misophonia: results from a functional magnetic resonance imaging study. European Neuropsychopharmacology, (25), S307-S308.

Schröder, A., Vulink, N., & Denys, S. (2013). Misophonia: Diagnostic criteria for a new psychiatric disorder. PLoS ONE 8, e54706. doi: 10.1371/journal.pone.0054706

  • Proposes a diagnostic criteria for misophonia. Misophonia is different from other disorders.  Misophonia cannot be classified with the DSM or ICD criteria.  Misophonia characteristics and comorbid conditions reported on 42 patients.

Taylor, S., Conelea, C. A., McKay, D., Crowe, K. B., & Abramowitz, J. S. (2014). Sensory intolerance: latent structure and psychopathologic correlates. Comprehensive psychiatry, 55(5), 1279-1284.

  • Research study on sensory processing disorder that terms SPD sensitivity to loud or continual sounds as misophonia. This study leads to confusion regarding SPD and misophonia.  Dozier feels this study should not be considered a misophonia study because the criteria for stimuli was “I am very bothered by certain auditory sensations, such as the sound of alarms, sirens, appliances, or background noises like people talking or ticking clocks.” Also, “I am very bothered by certain tactile sensations, such as clothing textures or tightness; substances that feel sticky, greasy, or wet, or activities like haircuts or cutting my nails.”  “Sensory intolerant” was based on the combination of auditory and tactile sensitivity.

Webber, T. A., Johnson, P. L., & Storch, E. A. (2014). Pediatric misophonia with comorbid obsessive–compulsive spectrum disorders. General hospital psychiatry36(2), 231-e1.

  • Present a case of pediatric misophonia in the context of comorbid obsessive–compulsive disorder and Tourette’s syndrome. Suggests there are interrelationships among obsessive–compulsive spectrum disorders and misophonia, and that they share underlying pathophysiology, particularly within the dopaminergic and serotonergic neural systems. Clinical (i.e., treatment) and theoretical implications are discussed.

Webber, T. A., & Storch, E. A. (2015). Toward a theoretical model of misophonia. General hospital psychiatry, 37(4), 369.

Wu, M. S., Lewin, A. B., Murphy, T. K., & Storch, E. A. (2014) Misophonia, incidence, phenomenology, and clinical correlates in an undergraduate student sample. Journal of Clinical Psychology, 70, 994-1007. doi: 10.1002/jclp.22098

  • Original research. Survey of 483 undergraduate students.  9% report clinically significant misophonia and 3.5% more are somewhat sensitive to soft sounds.  Reports a strong association of misophonia and general sensory sensitivities.  Reports a moderate association with impairment of work/school and with social life.  Moderate correlations with anxiety and depression.  Misophonia severity generally maintains or worsens with time.  A mediating effect of anxiety symptoms on misophonia symptoms and rage is reported.


  1. Mixphymn says:

    Thank you very much for the invitation :). Best wishes.
    PS: How are you?

  2. Mixphymn says:

    hi guys :). I am looking for help for me and my girl. i am from France

Leave a Reply

Your email address will not be published. Required fields are marked *