{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,10]],"date-time":"2026-06-10T05:51:35Z","timestamp":1781070695305,"version":"3.54.1"},"reference-count":67,"publisher":"Wiley","issue":"10","license":[{"start":{"date-parts":[[2023,6,21]],"date-time":"2023-06-21T00:00:00Z","timestamp":1687305600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["J Clin Psychol"],"published-print":{"date-parts":[[2023,10]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Objectives<\/jats:title><jats:p>Misophonia\u2014an unusually strong intolerance of certain sounds\u2014can cause significant distress and disruption to those who have it but is an enigma in terms of our scientific understanding. A key challenge for explaining misophonia is that, as with other disorders, it is likely to emerge from an interaction of traits that also occur in the general population (e.g., sensory sensitivity and anxiety) and that are transdiagnostic in nature (i.e., shared with other disorders).<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>In this preregistered study with a large sample of participants (<jats:italic>N<\/jats:italic>\u2009=\u20091430), we performed a cluster analysis (based on responses to questions relating to misophonia) and identified two misophonia subgroups differing in severity, as well as a third group without misophonia. A subset of this sample (<jats:italic>N<\/jats:italic>\u2009=\u2009419) then completed a battery of measures designed to assess sensory sensitivity and clinical comorbidities.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Clinical symptoms were limited to the most severe group of misophonics (including autistic traits, migraine with visual aura, anxiety sensitivity, obsessive\u2010compulsive traits). Both the moderate and severe groups showed elevated attention\u2010to\u2010detail and hypersensitivity (across multiple senses). A novel symptom network model of the data shows the presence of a central hub linking misophonia to sensory sensitivity which, in turn, connects to other symptoms in the network (relating to autism, anxiety, etc.).<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>The core features of misophonia are sensory\u2010attentional in nature with severity linked strongly to comorbidities.<\/jats:p><\/jats:sec>","DOI":"10.1002\/jclp.23552","type":"journal-article","created":{"date-parts":[[2023,6,21]],"date-time":"2023-06-21T14:26:21Z","timestamp":1687357581000},"page":"2364-2387","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":27,"title":["A symptom network model of misophonia: From heightened sensory sensitivity to clinical comorbidity"],"prefix":"10.1002","volume":"79","author":[{"given":"Nora","family":"Andermane","sequence":"first","affiliation":[{"name":"School of Psychology University of Sussex Brighton 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