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Hierbei fungieren als \u201eTrigger\u201c \u201emenschliche K\u00f6rperger\u00e4usche\u201c, z.\u00a0B. Schlucken\/Schmatzen\/Atemger\u00e4usche oder Ger\u00e4usche, die von Menschen, aber nicht vom menschlichen K\u00f6rper erzeugt werden (z. B. Klicken Kugelschreiberknopf), ferner Tier\u2011\/Maschinenger\u00e4usche. Die Betroffenen versp\u00fcren sofort eine negativ-emotionale Reaktion wie Wut, Aggression, Ekel u.a. Objektivierbare Ver\u00e4nderungen sind Herzfrequenzerh\u00f6hung und Blutdruckver\u00e4nderungen. Die emotionale Reaktion ist individuell und h\u00e4ngt z.\u00a0B. von Ger\u00e4uschart, pers\u00f6nlicher Vorerfahrung, sozialem Kontext oder psychologischem Profil ab. Die Misophonie ist bisher als Krankheit nicht definiert und keinem offiziellen Diagnosesystem zugeordnet, sie scheint eine eigenst\u00e4ndige St\u00f6rung zu sein: Assoziationen bestehen u.\u00a0a. mit Aufmerksamkeits\u2011\/Zwangsst\u00f6rungen, Tinnitus, Hyperakusis, Autismus-Spektrum-Krankheiten. Definitionskriterien wurden 2013 ver\u00f6ffentlicht; verschiedene, validierte Frageb\u00f6gen wurden bisher zur Misophonieauspr\u00e4gung entwickelt. Studien mit funktionellen MRT-Untersuchungen des Kopfes zeigten eine \u00fcberm\u00e4\u00dfige Aktivierung des anterioren Inselkortex (AIC) und seiner benachbarten Regionen, die f\u00fcr Emotionsverarbeitung\/-regulation verantwortlich sind. Bisher gibt es keine randomisierten kontrollierten Studien zur Therapie. Einzelne Publikationen beschreiben kognitive Verhaltensinterventionen, Retrainingtherapien und Schallmaskierungssysteme. Zur Triggerreduktion werden Ohrst\u00f6psel\/Musikkopfh\u00f6rer verwendet. Auch HNO-\u00c4rzte k\u00f6nnen mit Misophoniepatienten konfrontiert werden, z.\u00a0B. zur Kl\u00e4rung des H\u00f6rverm\u00f6gens oder Beratung von Therapiem\u00f6glichkeiten. Der Bericht stellt eine \u00dcbersicht des aktuellen Wissensstands zur Misophonie sowie ihrer Diagnostik und Therapie dar.<\/jats:p>","DOI":"10.1007\/s00106-021-01072-7","type":"journal-article","created":{"date-parts":[[2021,6,25]],"date-time":"2021-06-25T13:03:14Z","timestamp":1624626194000},"page":"3-13","update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":9,"title":["\u201eWut im Ohr\u201c: Misophonie","\u201cEar rage\u201d: misophonia"],"prefix":"10.1007","volume":"70","author":[{"given":"C.","family":"Schwemmle","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"C.","family":"Arens","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"297","published-online":{"date-parts":[[2021,6,25]]},"reference":[{"key":"1072_CR1","doi-asserted-by":"crossref","first-page":"991","DOI":"10.2147\/PRBM.S179138","volume":"12","author":"H Aazh","year":"2019","unstructured":"Aazh\u00a0H, Landgrebe\u00a0M, Danesh\u00a0AA, Moore\u00a0BC (2019) Cognitive behavioral therapy for alleviating the distress caused by tinnitus, hyperacusis and Misophonia. 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