Clinical features and influencing factors of misophonia severity
10.3969/j.issn.1006-2483.2026.05.019
- VernacularTitle:厌声症的临床特征及严重程度影响因素分析
- Author:
Weixin ZHANG
1
;
Keyu ZHAO
2
;
Yaping WU
3
;
Yuehan ZHAO
1
Author Information
1. School of Clinical Medicine, Shandong Second Medical University, Weifang, Shandong 261000, China;Clinical Psychology Department, Weifang People's Hospital, Weifang , Shandong 261000, China
2. Department of Psychology, Shandong Chronic Disease Hospital, Qingdao, Shandong 266000, China
3. School of Clinical Medicine, Shandong Second Medical University, Weifang, Shandong 261000, China
- Publication Type:Journal Article
- Keywords:
Misophonia;
Clinical features;
Comorbidity
- From:
Journal of Public Health and Preventive Medicine
2026;37(5):87-91
- CountryChina
- Language:Chinese
-
Abstract:
Objective To investigate clinical features and severity influencing factors of misophonia in psychiatric outpatients. Methods A total of 130 misophonia patients from Weifang People's Hospital (Oct 2023-Jun 2025) were assessed with scales and psychiatric interviews. Linear regression was used to analyze influencing factors. Results Among the 52.3% reported gradually worsening symptoms. Primary triggers were human oronasopharyngeal sounds (65.3%). Core emotional responses were disgust (86.2%) and anger (61.5%), with 75.4% experiencing loss of control. Common coping strategies included covering ears/wearing earplugs (66.1%) and avoidance (64.6%). Mean Amsterdam Misophonia Scale-Revised score was 26.4±5.2, indicating severe social dysfunction. Common comorbidities were obsessive-compulsive disorder (11.5%), depressive disorder (8.5%), and social anxiety disorder (5.4%). Multivariate analysis identified depressive disorder, social anxiety disorder, obsessive-compulsive disorder and post-traumatic stress disorder as independent factors affecting severity (all P<0.05). Conclusion Misophonia follows a chronic course with severe impairment in social functioning and quality of life. Obsessive-compulsive disorder, depressive disorder, social anxiety disorder, and post-traumatic stress disorder are key factors influencing symptom severity.
