Department of Psychiatry and Behavioral Sciences, Baylor College of Medicine, Houston, TX.
J Psychiatr Pract. 2024 Sep 1;30(5):374-378. doi: 10.1097/PRA.0000000000000800.
Misophonia is characterized by decreased tolerance to idiosyncratic and repetitive human-generated sounds (ie, triggers), coupled with affective-based reactions that result in impairment and distress. Often having its onset in youth, misophonia can become especially prominent during key developmental periods, including emerging adulthood. While efforts to develop interventions for misophonia remain ongoing, a consensus has not yet been reached concerning recommended first-line treatments. Acceptance and commitment therapy (ACT), which has demonstrated efficacy in treating various psychiatric disorders via targeting psychological flexibility processes, represents one potentially feasible approach for addressing misophonia. This case study describes the application of an individually delivered, 12-session ACT intervention for a black female in her early 20s with misophonia. Descriptive data collected at 4 time points (pretreatment, mid-treatment, posttreatment, and at 2-month follow-up) suggested the potential promise of ACT as a treatment for misophonia, improving psychological flexibility processes and reducing secondary depression and anxiety symptoms. Findings are discussed in the context of the possible mechanisms of ACT most likely responsible for misophonia-related clinical improvement. More rigorous studies (eg, clinical trials) are needed to confirm promising findings from existing case studies.
恐音症的特征是对独特且重复的人为声音（即触发因素）的容忍度降低，同时伴有基于情感的反应，导致功能障碍和痛苦。恐音症通常在青少年时期发病，在关键的发育阶段，包括成年早期，可能会变得尤为突出。虽然针对恐音症的干预措施仍在不断发展，但对于推荐的一线治疗方法尚未达成共识。接受和承诺疗法（ACT）通过针对心理灵活性过程来治疗各种精神障碍，已被证明具有疗效，它是一种解决恐音症的潜在可行方法。本案例研究描述了一种针对一位 20 岁出头的黑人女性的个体化 12 次 ACT 干预措施的应用，该女性患有恐音症。在 4 个时间点（治疗前、治疗中期、治疗后和 2 个月随访）收集的描述性数据表明，ACT 作为恐音症治疗方法具有一定的潜力，可改善心理灵活性过程，并减少继发性抑郁和焦虑症状。研究结果结合了 ACT 最可能导致与恐音症相关的临床改善的可能机制进行了讨论。需要更严格的研究（例如临床试验）来证实现有案例研究中的有希望的发现。
