Center for Misophonia and Emotion Regulation, Department of Psychiatry and Behavioral Sciences, Duke University Medical Center, Durham, North Carolina, United States of America.
Department of Psychology and Neuroscience, Duke University, Durham, North Carolina, United States of America.
PLoS One. 2024 Feb 22;19(2):e0296218. doi: 10.1371/journal.pone.0296218. eCollection 2024.
The relationship between misophonia, stress, and traumatic stress has not been well characterized scientifically. This study aimed to explore the relationships among misophonia, stress, lifetime traumatic events, and traumatic stress. A community sample of adults with self-reported misophonia (N = 143) completed structured diagnostic interviews and psychometrically validated self-report measures. Significant positive correlations were observed among perceived stress, traumatic stress, and misophonia severity. However, multivariate analyses revealed that perceived stress significantly predicted misophonia severity, over and above traumatic stress symptoms. The number of adverse life events was not associated with misophonia severity. Among symptom clusters of post-traumatic stress disorder, only hyperarousal was associated with misophonia severity. These findings suggest that transdiagnostic processes related to stress, such as perceived stress and hyperarousal, may be important phenotypic features and possible treatment targets for adults with misophonia.
目前，尚未从科学角度充分阐明恐音症、压力和创伤后压力之间的关系。本研究旨在探讨恐音症、压力、终生创伤性事件和创伤后压力之间的关系。一个由自我报告有恐音症的成年人组成的社区样本（N=143）完成了结构化的诊断访谈和心理测量验证的自我报告措施。感知压力、创伤后压力和恐音症严重程度之间存在显著的正相关。然而，多元分析显示，感知压力可显著预测恐音症严重程度，而创伤后压力症状则不能。生活中的不良事件数量与恐音症严重程度无关。在创伤后应激障碍的症状群中，只有过度警觉与恐音症严重程度相关。这些发现表明，与压力相关的跨诊断过程，如感知压力和过度警觉，可能是成人恐音症的重要表型特征和可能的治疗靶点。
