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EXPLORING THE AUDIOLOGICAL AND EMOTIONAL RESPONSES TO MISOPHONIA: PRELIMINARY DATA FROM SOUTH KOREA
1DEPARTMENT OF OTORHINOLARYNGOLOGY-HEAD AND NECK SURGERY, NOWON EULJI MEDICAL CENTER, EULJI UNIVERSITY SCHOOL OF MEDICINE, SEOUL, KOREA©ö, EULJI TINNITUS AND HEARING RESEARCH INSTITUTE, NOWON EULJI MEDICAL CENTER, SEOUL, KOREA©÷,DEPARTMENT OF PSYCHOLOGY, YONSEI UNIVERSITY, SEOUL, KOREA©ø, DEPARTMENT OF PSYCHOLOGY, UNIVERSITY OF ILLINOIS URBANA-CHAMPAIGN, CHAMPAIGN, IL, USA©ù, DEPARTMENT OF SPEECH AND HEARING SCIENCE, UNIVERSITY OF ILLINOIS URBANA-CHAMPAIGN, CHAMPAIGN, IL, USA⁵, DEPARTMENT OF OTORHINOLARYNGOLOGY, UNIVERSITY OF SAO PAULO SCHOOL OF MEDICINE, SãO PAULO, BR⁶
HYO JUNG CHOI, HYO JUNG CHOI©ö©÷, HYUN JOON SHIM©ö,©÷, JUYOEN HUR©ø, HOWARD BERENBAUM©ù, GIBBEUM KIM⁵, NAMITHA JAIN⁵, FATIMA HUSAIN⁵, JEANNE OITICICA⁶
¸ñÀû: Misophonia is a sound tolerance disorder causing strong negative reactions to specific sounds. This study aims to investigate the types of sounds that trigger misophonia, the emotional responses to these sounds, and the audiological correlates of misophonia in individuals with misophonia symptoms. This research is part of the An Inter- Disciplinary Cross-National Study of Misophonia project and reports preliminary data from South Korea. ¹æ¹ý:Sixty-three misophonic participants (M:F = 15:48) and 30 controls were recruited. They completed questionnaires, including the Duke Misophonia Questionnaire, the Hyperacusis Questionnaire (HQ), the Tinnitus Handicap Inventory, and the Hearing Handicap Inventory. They also underwent discomfort index measurements for 46 different trigger sounds and audiological assessments, which included the measurement of loudness discomfort levels (LDLs). °á°ú:The misophonic group exhibited a significantly higher overall discomfort index compared to the control group (0.64 ¡¾ 0.29 vs 0.30 ¡¾ 0.26; p = 0.007). Eating-related sounds were rated as the most uncomfortable, in the following order: eating food, soft chewing, slurping while eating, and slurping. Using the diagnostic criteria for hyperacusis (HQ score > 22 and LDL < 90 dB at two or more frequencies), 26 participants in the misophonic group were diagnosed with hyperacusis. The hyperacusis subgroup exhibited a significantly higher overall discomfort index compared to the non-hyperacusis subgroup (0.76 ¡¾ 0.28 vs 0.56 ¡¾ 0.28; p = 0.002), and a significant correlation was found between the HQ score and the overall discomfort index (R©÷ = 0.367, p < 0.001). However, no significant differences in the discomfort index were observed based on the presence of hearing loss or tinnitus, psychiatric treatment history, or age. °á·Ð:Misophonia is associated with heightened sensitivity to specific sounds, particularly eating-related noises. The prevalence of hyperacusis was higher in the misophonic group compared to the control group, and those with hyperacusis exhibited greater discomfort in response to trigger sounds, with no link to other auditory abilities or symptoms.


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