针对恐音症的元认知人际治疗：一项单病例研究。
Metacognitive Interpersonal Therapy for Misophonia: A Single-Case Study.
作者信息
Natalini Eleonora, Fioretti Alessandra, Eibenstein Rebecca, Eibenstein Alberto
机构信息
Tinnitus Center, European Hospital, Via Portuense 700, 00149 Rome, Italy.
Department of Biotechnological and Applied Clinical Sciences, University of L'Aquila, 67100 L'Aquila, Italy.
出版信息
Brain Sci. 2024 Jul 17;14(7):717. doi: 10.3390/brainsci14070717.
BACKGROUND
Misophonia is a chronic condition in which the exposure to specific sounds increases the arousal and recurrence of specific intense negative emotions. We hypothesized that misophonia may be strongly related to maladaptive interpersonal schemas that create difficulties in interpersonal relationships. Subjects with maladaptive interpersonal schemas think that other people try to subjugate, criticize, dominate, exploit, deceive, disregard, and humiliate them. Furthermore, these patients typically endorse a representation of self as mistreated, constricted, harmed, damaged, humiliated, impotent, inadequate, or fragile.
METHODS
We describe the course of a treatment of Metacognitive Interpersonal Therapy (MIT) in a young man presenting misophonia and co-occurrent obsessive-compulsive personality disorder (OCPD) and avoidant personality disorder (AvPD), with narcissistic traits and normal hearing. We collected qualitative and quantitative data at the beginning of the intervention and at 2 years follow-up.
RESULTS
The therapy aimed at increasing awareness of maladaptive interpersonal schemas and promoting a healthy self. The results reported a significant decrease in misophonia; behavioural experiments were used to increase the quality of social relationships and tolerance to the trigger sounds.
CONCLUSIONS
MIT can be an effective therapy for the treatment of misophonia.
背景
恐音症是一种慢性病症，暴露于特定声音会加剧特定强烈负面情绪的唤起和复发。我们推测，恐音症可能与在人际关系中造成困难的适应不良人际图式密切相关。具有适应不良人际图式的个体认为他人试图征服、批评、支配、剥削、欺骗、漠视和羞辱他们。此外，这些患者通常认可将自己表征为受虐待、受限制、受伤害、受损、受羞辱、无力、不足或脆弱的形象。
方法
我们描述了一名患有恐音症、并发强迫型人格障碍（OCPD）和回避型人格障碍（AvPD）、具有自恋特质且听力正常的年轻男性接受元认知人际治疗（MIT）的过程。我们在干预开始时和随访2年时收集了定性和定量数据。
结果
该治疗旨在提高对适应不良人际图式的认识并促进健康的自我认知。结果显示恐音症显著减轻；采用行为实验来提高社会关系质量和对触发声音的耐受性。
结论
元认知人际治疗可能是治疗恐音症的有效方法。
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