Zarotti Nicolò, Tuthill Amber, Fisher Paul
Department of Clinical Psychology and Psychological Therapies, Norwich Medical School, University of East Anglia, Norwich, UK
Child Family and Young Person Service Central Norfolk, Norfolk and Suffolk NHS Foundation Trust, Norwich, UK.
J Cogn Psychother. 2022 Feb 8. doi: 10.1891/JCP-2021-0015.
Misophonia is a novel diagnosis characterised by extreme and uncontrollable autonomic reactions and emotional responses to selective auditory stimuli, which can significantly impair an individual's daily life. No agreed diagnostic criteria are currently available for misophonia, and any therapeutic guidance is yet to be formalised. In this case study, a tailored psychological intervention based on the cognitive model and developed around emotion regulation principles and techniques was adopted to treat misophonia in a 16-year-old female from the United Kingdom. The treatment lasted for 15 weeks and was delivered online due to the ongoing COVID-19 social distancing regulations. The results showed that the intervention was feasible and acceptable, and effective at reducing levels of misophonic symptoms from severe to moderate/mild while also improving emotion dysregulation and overall anxiety and depression. Particular improvements were observed for specific skills such as acceptance and awareness of emotional responses and increased access to emotion regulation strategies. These findings also translated into a number of reported daily life improvements in the client's psychological and social well-being. As the current evidence base on misophonia continues to develop, more methodologically rigorous research is warranted to build on the present findings and inform the adoption of further psychotherapeutic approaches to treat this new condition.
恐音症是一种全新的诊断病症，其特征是对特定听觉刺激产生极端且无法控制的自主反应和情绪反应，这会严重影响个体的日常生活。目前尚无公认的恐音症诊断标准，任何治疗指南也尚未正式确定。在本案例研究中，针对一名来自英国的16岁女性，采用了基于认知模型并围绕情绪调节原则和技巧制定的量身定制的心理干预措施来治疗恐音症。由于持续的新冠疫情社交距离规定，治疗持续了15周且通过线上方式进行。结果表明，该干预措施可行且可接受，能够有效将恐音症状从严重程度减轻至中度/轻度，同时还能改善情绪失调以及整体焦虑和抑郁状况。在诸如接受和意识到情绪反应以及更多地运用情绪调节策略等特定技能方面尤其有明显改善。这些发现还转化为该客户在心理和社会幸福感方面的多项日常生活改善报告。鉴于目前关于恐音症的证据基础仍在不断发展，有必要开展更多方法更为严谨的研究，以在当前研究结果的基础上进一步推进，并为采用更多心理治疗方法来治疗这种新病症提供依据。
