{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,24]],"date-time":"2026-06-24T06:46:26Z","timestamp":1782283586334,"version":"3.54.5"},"reference-count":69,"publisher":"Frontiers Media SA","license":[{"start":{"date-parts":[[2026,6,24]],"date-time":"2026-06-24T00:00:00Z","timestamp":1782259200000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"DOI":"10.13039\/100019326","name":"Misophonia Research Fund","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100019326","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["frontiersin.org"],"crossmark-restriction":true},"short-container-title":["Front. Psychiatry"],"abstract":"<jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>Misophonia is a subtype of decreased sound tolerance associated with significant distress and reduced quality of life. Although no evidence-based treatments exist specifically for misophonia, cognitive behavioral therapies (CBTs) show promise. Cognitive reappraisal (CR), a core transdiagnostic CBT intervention, is frequently used in experimental studies, however, its effects on misophonia in ecologically valid conditions remain untested. Similarly, the needs and perspectives of individuals with misophonia regarding treatment are underexplored. This study developed and evaluated a CR protocol tailored for misophonia, assessing feasibility, acceptability and satisfaction, as well as preliminary assessment of the intervention outcomes through an uncontrolled quantitative as well as qualitative design.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>\n                      The intervention included a 90-minute group session and three 30-minute individual online sessions over four weeks. Adults (\n                      <jats:italic>N<\/jats:italic>\n                      =\u00a023) were recruited using structured interviews. Misophonia symptoms were assessed at two pre-treatment time points and post-treatment. Semi-structured group interviews explored participants\u2019 experiences.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      No significant changes were observed between the two pre-treatment assessments in three of the five symptom subscales, partially confirming baseline symptom stability. In contrast, a significant post-treatment reduction in externalizing responses to misophonia triggers was observed (\n                      <jats:italic>Estimate<\/jats:italic>\n                      \u00a0=\u00a0-8.47, SE\u00a0=\u00a02.32,\n                      <jats:italic>t<\/jats:italic>\n                      (42.45) = -3.65,\n                      <jats:italic>p<\/jats:italic>\n                      &amp;lt;\u00a00.001), with similar improvements across other S-Five subscales. Qualitative data highlighted feelings of isolation, appreciation for the group format, and a need for more individualized support.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>CR shows promise as a component of misophonia treatment that warrants further controlled evaluation. The participant\u2019s feedback highlights the importance of tailoring interventions to individual needs and patient perspectives.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.3389\/fpsyt.2026.1744882","type":"journal-article","created":{"date-parts":[[2026,6,24]],"date-time":"2026-06-24T05:46:55Z","timestamp":1782280015000},"update-policy":"https:\/\/doi.org\/10.3389\/crossmark-policy","source":"Crossref","is-referenced-by-count":0,"title":["Cognitive reappraisal as a component of process-based misophonia treatment: a mixed-methods pilot study of feasibility, acceptability and initial outcomes"],"prefix":"10.3389","volume":"17","author":[{"given":"Marta","family":"Siepsiak","sequence":"first","affiliation":[{"name":"Department of Psychology, SWPS University in Warsaw","place":["Warsaw, Poland"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Andrzej","family":"\u015aliwerski","sequence":"additional","affiliation":[{"name":"Institute of Psychology, University of \u0141\u00f3d\u017a","place":["\u0141\u00f3d\u017a, Poland"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Anna","family":"Turek-Wojnarowicz","sequence":"additional","affiliation":[{"name":"Faculty of Psychology, University of Warsaw","place":["Warsaw, Poland"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Weronika","family":"Araszkiewicz","sequence":"additional","affiliation":[{"name":"Faculty of Psychology, University of Warsaw","place":["Warsaw, Poland"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ma\u0142gorzata","family":"Gambin","sequence":"additional","affiliation":[{"name":"Faculty of Psychology, University of Warsaw","place":["Warsaw, Poland"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mark Zachary","family":"Rosenthal","sequence":"additional","affiliation":[{"name":"Department of Psychiatry & Behavioral Sciences, Duke University","place":["Durham, NC, United States"]},{"name":"Department of Psychology & Neuroscience, Duke University","place":["Durham, NC, United States"]}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1965","published-online":{"date-parts":[[2026,6,24]]},"reference":[{"key":"B1","doi-asserted-by":"publisher","DOI":"10.3389\/FNINS.2022.841816","article-title":"Consensus definition of misophonia: A Delphi study","volume":"16","author":"Swedo","year":"2022","journal-title":"Front Neurosci"},{"key":"B2","doi-asserted-by":"publisher","DOI":"10.37708\/psyct.v13i2.454","article-title":"Self-identified misophonia phenomenology, impact, and clinical correlates","volume":"13","author":"Claiborn","year":"2020","journal-title":"psychol Thought."},{"key":"B3","doi-asserted-by":"publisher","DOI":"10.1002\/jclp.22500","article-title":"A large-scale study of misophonia","volume":"74","author":"Rouw","year":"2018","journal-title":"J Clin Psychol"},{"key":"B4","doi-asserted-by":"publisher","DOI":"10.3389\/fpsyt.2022.1012424","article-title":"Prevalence and clinical correlates of misophonia symptoms in the general population of Germany","volume":"13","author":"Jakubovski","year":"2022","journal-title":"Front Psychiatry"},{"key":"B5","doi-asserted-by":"publisher","DOI":"10.1007\/s00127-024-02707-0","article-title":"The prevalence of misophonia in a representative population-based survey in Germany","volume":"60","author":"Pfeiffer","year":"2024","journal-title":"Soc Psychiatry Psychiatr Epidemiol"},{"key":"B6","doi-asserted-by":"publisher","DOI":"10.1016\/j.jpsychires.2024.10.022","article-title":"Emotion dysregulation in misophonia: Findings from a nationally representative sample","volume":"180","author":"Dixon","year":"2024","journal-title":"J Psychiatr Res"},{"key":"B7","doi-asserted-by":"publisher","DOI":"10.1080\/08039488.2019.1609086","article-title":"Misophonia and comorbid psychiatric symptoms: a preliminary study of clinical findings","volume":"73","author":"Erfanian","year":"2019","journal-title":"Nordic. 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