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Few studies have, however, assessed the specific phenomenology of misophonia in youth. We investigated clinical characteristics in a treatment-seeking sample of youth with misophonia (n = 95, 8-18 years), using validated instruments to assess misophonia phenomenology, psychiatric comorbidity, emotional\/behavioral problems, attention problems, sensory processing, and quality of life. The most prevalent triggers were eating sounds and the most common responses irritation\/anger and anticipation anxiety. Psychiatric comorbidity was present in 27.4% of cases (eg, anxiety disorders 10.5%; attention-deficit hyperactivity disorder 8.4%). Internalizing psychopathology was more prevalent than externalizing. Adolescents reported differences in auditory, tactile, visual, and taste\/smell sensory processing compared with a norm group, as well as heightened sensory awareness and avoidance. Misophonia severity was inversely related to quality of life in children\/parents. Future research should investigate the underlying mechanisms of misophonia in youth. Pre-registered: The Netherlands Trial Register (CCMO): NL-OMON20775,\n                    <jats:ext-link xmlns:xlink=\"http:\/\/www.w3.org\/1999\/xlink\" ext-link-type=\"uri\" xlink:href=\"https:\/\/onderzoekmetmensen.nl\/nl\/trial\/20775\">https:\/\/onderzoekmetmensen.nl\/nl\/trial\/20775<\/jats:ext-link>\n                  <\/jats:p>","DOI":"10.1177\/00099228261467192","type":"journal-article","created":{"date-parts":[[2026,9,19]],"date-time":"2026-09-19T09:01:20Z","timestamp":1789808480000},"page":"1393-1405","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":0,"title":["Clinical Characteristics of Children and Adolescents With Misophonia"],"prefix":"10.1177","volume":"65","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-0203-2906","authenticated-orcid":false,"given":"Lotte R.","family":"Rappoldt","sequence":"first","affiliation":[{"name":"Department of Psychiatry, Amsterdam UMC, University of Amsterdam, The Netherlands"},{"name":"Levvel, Academic Center for Child and Adolescent Psychiatry, Amsterdam, The Netherlands"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0003-8620-293X","authenticated-orcid":false,"given":"Carola","family":"de Wit","sequence":"additional","affiliation":[{"name":"Levvel, Academic Center for Child and Adolescent Psychiatry, Amsterdam, The Netherlands"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0000-5408-1852","authenticated-orcid":false,"given":"Marthe M.","family":"van der Pol","sequence":"additional","affiliation":[{"name":"Department of Psychiatry, Amsterdam UMC, University of Amsterdam, The Netherlands"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0000-3544-6377","authenticated-orcid":false,"given":"Simone","family":"Slaghekke","sequence":"additional","affiliation":[{"name":"Department of Psychiatry, Amsterdam UMC, University of Amsterdam, The Netherlands"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2964-5892","authenticated-orcid":false,"given":"Caroline","family":"Houben","sequence":"additional","affiliation":[{"name":"Levvel, Academic Center for Child and Adolescent Psychiatry, Amsterdam, The Netherlands"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0088-9906","authenticated-orcid":false,"given":"Kees J.","family":"Kan","sequence":"additional","affiliation":[{"name":"Research Institute of Child Development and Education, University of Amsterdam, The Netherlands"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9004-0836","authenticated-orcid":false,"given":"Andr\u00e9 B.","family":"Rietman","sequence":"additional","affiliation":[{"name":"Department of Child and Adolescent Psychiatry\/Psychology, Erasmus MC Sophia Children\u2019s Hospital, Rotterdam, The Netherlands"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3191-3844","authenticated-orcid":false,"given":"Damiaan","family":"Denys","sequence":"additional","affiliation":[{"name":"Department of Psychiatry, Amsterdam UMC, University of Amsterdam, The Netherlands"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Elisabeth M. 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