Category: Obsessive Compulsive and Related Disorders

PS1- #B34 - Profile Analysis of Psychological Symptoms Associated With Misophonia: A Community Sample

Friday, Nov 17
8:30 AM – 9:30 AM
Location: Indigo Ballroom CDGH, Level 2, Indigo Level

Keywords: OCD (Obsessive Compulsive Disorder) | Anxiety | Stress

Misophonia is characterized by extreme selective sound sensitivity which results in aversive reactions and autonomic arousal. It has recently been recognized as a condition associated with significant disability. Research has only just begun to evaluate psychopathological correlates of misophonia. This study sought to identify profiles of psychopathology that characterize misophonia in a large adult community sample (N=628). Participants completed a battery of measures via Amazon’s Mechanical Turk (MTurk). The battery of measures assessed anxiety, anxiety sensitivity, depression, stress responses, anger, dissociative experiences, obsessive- compulsive symptoms and beliefs, distress tolerance, and bodily perceptions, as well as misophonia severity. Profile Analysis via Multidimensional Scaling (PAMS) was employed to evaluate profiles associated with misophonia and those without symptoms. Three profiles were extracted. The first two profiles accounted for 70% total variance and did not show distinctions between those with and without misophonia. The third profile accounted for eleven percent total variance. This profile showed that misophonia is associated with lower obsessive compulsive symptoms for obsessions, neutralizing, and washing, higher levels of obsessive-compulsive symptoms associated with ordering and harm avoidance, and higher levels of anxiety sensitivity, specifically more awareness of interoceptive experiences, compared to those not endorsing misophonia. Correlation analysis between this third profile and the associated clinical scales shows that misophonia is related to several clinical features. Individual profile severity is significantly associated with obsessive-compulsive cognitions related to inflated responsibility and threat estimation (r=.41), perfectionism and intolerance of uncertainty (r=.34), depression (r=.30), anxiety (r=.32), stress (r=.37), anger (r=.26), bodily perceptions awareness (r=.18), bodily perceptions stress response (r=.19), dissociative experiences (r=.30), and behavioral inhibition and action (r=.22). Individual profile severity is not significantly related to obsessive-compulsive cognitions related to importance of thoughts and thought control and distress tolerance. Further, research is called for involving diagnostic interviewing and experimental methods to clarify these putative mechanisms associated with misophonia. 

Lauren Mancusi

Fordham University
East Meadow, New York

Dean McKay

Fordham University
Bronx, New York

Se-Kang Kim

Fordham University

Eric A. Storch

Professor, College Of Medicine Pediatrics
University of South Florida; Rogers Behavioral Health – Tampa; Johns Hopkins All Children’s Hospital
St. Petersburg, Florida

Christopher Spankovich

University of Mississippi Medical Center