Department of Clinical Sciences Lund, Lund University, Sweden; Department of Psychiatry and Behavioral Sciences, Baylor College of Medicine, Houston, TX, United States.
Department of Psychiatry and Behavioral Sciences, Baylor College of Medicine, Houston, TX, United States.
J Affect Disord. 2023 Oct 1;338:180-186. doi: 10.1016/j.jad.2023.05.093. Epub 2023 May 30.
Misophonia is characterized by intense emotional reactions to specific sounds or visual stimuli and typically onsets during childhood. An obstacle for research and clinical practice is that no comprehensively evaluated measures for pediatric misophonia exist.
In a sample of 102 youth meeting the proposed diagnostic criteria of misophonia, we evaluated the child and parent-proxy versions of the self-reported Misophonia Assessment Questionnaire (MAQ; assessing broad aspects of misophonia) and the child version of the Amsterdam Misophonia Scale (A-MISO-S; assessing misophonia severity). Confirmatory and exploratory factor analysis were used to examine factor structures of the measures. Further, child-parent agreement on the MAQ and associations between both measures and misophonia-related impairment, quality of life, and misophonia-related school interference were examined to evaluate aspects of convergent validity.
For both youth- and parent-ratings, four MAQ factors emerged: pessimism, distress, interference, and non-recognition. A-MISO-S showed a unidimensional structure, but the item 'effort to resist' did not load significantly onto the unidimensional factor. Good child-parent agreement on the MAQ scales were found and both MAQ and A-MISO-S were moderately to strongly associated with misophonia-related impairment, quality of life (inverse association), and misophonia-related school interference.
MAQ and A-MISO-S assess sensitivity to auditory but not visual stimuli, the sample size was modest, and repeated assessments were not conducted.
The combination of MAQ and A-MISO-S shows promise as a multidimensional assessment approach for pediatric misophonia. Future evaluations should include known-groups validity, screening performance, and sensitivity to change in symptom severity.
厌恶症的特征是对特定声音或视觉刺激产生强烈的情绪反应，通常在儿童时期发作。研究和临床实践的一个障碍是，目前没有经过全面评估的儿童厌恶症测量工具。
在符合厌恶症诊断标准的 102 名青少年样本中，我们评估了自我报告的厌恶症评估问卷（MAQ；评估厌恶症的广泛方面）的儿童和家长代理版本，以及儿童版阿姆斯特丹厌恶症量表（A-MISO-S；评估厌恶症的严重程度）。采用验证性和探索性因子分析来检验这些测量工具的因子结构。此外，还检验了 MAQ 儿童和家长之间的一致性，以及这两种测量方法与厌恶症相关的损伤、生活质量和厌恶症相关的学校干扰之间的相关性，以评估其收敛效度。
对于青少年和家长的评分，MAQ 有四个因素出现：悲观、苦恼、干扰和不认可。A-MISO-S 呈现出单一维度的结构，但“抗拒努力”这一项没有显著加载到单一维度的因子上。MAQ 量表的儿童和家长之间具有良好的一致性，并且 MAQ 和 A-MISO-S 与厌恶症相关的损伤、生活质量（负相关）和厌恶症相关的学校干扰均有中度至高度的相关性。
MAQ 和 A-MISO-S 评估对听觉而非视觉刺激的敏感性，样本量适中，且未进行重复评估。
MAQ 和 A-MISO-S 的结合显示出作为儿童厌恶症多维评估方法的潜力。未来的评估应包括已知群体的有效性、筛查性能以及对症状严重程度变化的敏感性。
