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Mimicry in misophonia: A large-scale survey of prevalence and relationship with trigger sounds

Lookup NU author(s): Paris Ash, Dr Ester Benzaquen, Dr Sukhbinder Kumar

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Abstract

© 2023 The Authors. Journal of Clinical Psychology published by Wiley Periodicals LLC. Background: Misophonia is often referred to as a disorder that is characterized by excessive negative emotional responses, including anger and anxiety, to “trigger sounds” which are typically day-to-day sounds, such as those generated from people eating, chewing, and breathing. Misophonia (literally “hatred of sounds”) has commonly been understood within an auditory processing framework where sounds cause distress due to aberrant processing in the auditory and emotional systems of the brain. However, a recent proposal suggests that it is the perceived action (e.g., mouth movement in eating/chewing sounds as triggers) of the trigger person, and not the sounds per se, that drives the distress in misophonia. Since observation or listening to sounds of actions of others are known to prompt mimicry in perceivers, we hypothesized that mimicking the action of the trigger person may be prevalent in misophonia. Apart from a few case studies and anecdotal information, a relation between mimicking and misophonia has not been systematically evaluated. Method: In this work, we addressed this limitation by collecting data on misophonia symptoms and mimicry behavior using online questionnaires from 676 participants. Results: Analysis of these data shows that (i) more than 45% of individuals with misophonia reported mimicry, indicating its wide prevalence, (ii) the tendency to mimic varies in direct proportion to misophonia severity, (iii) compared to other human and environmental sounds, trigger sounds of eating and chewing are more likely to trigger mimicking, and (iv) the act of mimicking provides some degree of relief from distress to people with misophonia. Conclusion: This study shows prevalence of mimicry and its relation to misophonia severity and trigger types. The theoretical framework of misophonia needs to incorporate the phenomenon of mimicry and its effect on management of misophonia distress.


Publication metadata

Author(s): Ash PA, Benzaquen E, Gander PE, Berger JI, Kumar S

Publication type: Article

Publication status: Published

Journal: Journal of Clinical Psychology

Year: 2024

Volume: 80

Issue: 1

Pages: 186-197

Print publication date: 01/01/2024

Online publication date: 18/10/2023

Acceptance date: 30/09/2023

ISSN (print): 0021-9762

ISSN (electronic): 1097-4679

Publisher: John Wiley and Sons Inc.

URL: https://doi.org/10.1002/jclp.23605

DOI: 10.1002/jclp.23605


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Funding

Funder referenceFunder name
Misophonia Research Fund

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