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Measuring misophonia in youth: A psychometric evaluation of child and parent measures

Cervin, Matti LU ; Guzick, Andrew ; Clinger, Jane ; Smith, Eleanor ; Goodman, Wayne K. ; Lijffijt, Marijn ; Murphy, Nicholas ; Rast, Catherine ; Schneider, Sophie C. and Storch, Eric A. (2023) In Journal of Affective Disorders 338. p.180-186
Abstract
Background
Misophonia is characterized by intense emotional reactions to specific sounds or visual stimuli and typically onsets during childhood. An obstacle for research and clinical practice is that no comprehensively evaluated measures for pediatric misophonia exist.

Methods
In a sample of 102 youth meeting the proposed diagnostic criteria of misophonia, we evaluated the child and parent-proxy versions of the self-reported Misophonia Assessment Questionnaire (MAQ; assessing broad aspects of misophonia) and the child version of the Amsterdam Misophonia Scale (A-MISO-S; assessing misophonia severity). Confirmatory and exploratory factor analysis were used to examine factor structures of the measures. Further, child-parent... (More)
Background
Misophonia is characterized by intense emotional reactions to specific sounds or visual stimuli and typically onsets during childhood. An obstacle for research and clinical practice is that no comprehensively evaluated measures for pediatric misophonia exist.

Methods
In a sample of 102 youth meeting the proposed diagnostic criteria of misophonia, we evaluated the child and parent-proxy versions of the self-reported Misophonia Assessment Questionnaire (MAQ; assessing broad aspects of misophonia) and the child version of the Amsterdam Misophonia Scale (A-MISO-S; assessing misophonia severity). Confirmatory and exploratory factor analysis were used to examine factor structures of the measures. Further, child-parent agreement on the MAQ and associations between MAQ/A-MISO-S and impairment, quality of life, and misophonia-related school interference were examined to evaluate aspects of convergent validity.

Results
For both youth- and parent-ratings, four MAQ factors emerged: pessimism, distress, interference, and non-recognition. A-MISO-S showed a unidimensional structure, but the item ‘effort to resist’ did not load significantly onto the unidimensional factor. Good child-parent agreement on the MAQ scales were found and both MAQ and A-MISO-S were moderately to strongly associated with misophonia-related impairment and school interference, and inversely associated with quality of life.

Limitations
MAQ and A-MISO-S assess sensitivity to auditory but not visual stimuli, the sample size was modest, and repeated assessments were not conducted.

Conclusions
The combination of MAQ and A-MISO-S shows promise as a multidimensional assessment approach for pediatric misophonia. Future evaluations should include known-groups validity, screening performance, and sensitivity to change in symptom severity. (Less)
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author
; ; ; ; ; ; ; ; and
organization
publishing date
type
Contribution to journal
publication status
published
subject
in
Journal of Affective Disorders
volume
338
pages
180 - 186
publisher
Elsevier
external identifiers
  • scopus:85163131124
  • pmid:37263358
ISSN
0165-0327
DOI
10.1016/j.jad.2023.05.093
language
English
LU publication?
yes
id
62140066-4125-43e0-840a-bbe8f185257b
date added to LUP
2023-05-31 10:47:48
date last changed
2023-09-04 10:49:42
@article{62140066-4125-43e0-840a-bbe8f185257b,
  abstract     = {{Background<br/>Misophonia is characterized by intense emotional reactions to specific sounds or visual stimuli and typically onsets during childhood. An obstacle for research and clinical practice is that no comprehensively evaluated measures for pediatric misophonia exist.<br/><br/>Methods<br/>In a sample of 102 youth meeting the proposed diagnostic criteria of misophonia, we evaluated the child and parent-proxy versions of the self-reported Misophonia Assessment Questionnaire (MAQ; assessing broad aspects of misophonia) and the child version of the Amsterdam Misophonia Scale (A-MISO-S; assessing misophonia severity). Confirmatory and exploratory factor analysis were used to examine factor structures of the measures. Further, child-parent agreement on the MAQ and associations between MAQ/A-MISO-S and impairment, quality of life, and misophonia-related school interference were examined to evaluate aspects of convergent validity.<br/><br/>Results<br/>For both youth- and parent-ratings, four MAQ factors emerged: pessimism, distress, interference, and non-recognition. A-MISO-S showed a unidimensional structure, but the item ‘effort to resist’ did not load significantly onto the unidimensional factor. Good child-parent agreement on the MAQ scales were found and both MAQ and A-MISO-S were moderately to strongly associated with misophonia-related impairment and school interference, and inversely associated with quality of life.<br/><br/>Limitations<br/>MAQ and A-MISO-S assess sensitivity to auditory but not visual stimuli, the sample size was modest, and repeated assessments were not conducted.<br/><br/>Conclusions<br/>The combination of MAQ and A-MISO-S shows promise as a multidimensional assessment approach for pediatric misophonia. Future evaluations should include known-groups validity, screening performance, and sensitivity to change in symptom severity.}},
  author       = {{Cervin, Matti and Guzick, Andrew and Clinger, Jane and Smith, Eleanor and Goodman, Wayne K. and Lijffijt, Marijn and Murphy, Nicholas and Rast, Catherine and Schneider, Sophie C. and Storch, Eric A.}},
  issn         = {{0165-0327}},
  language     = {{eng}},
  month        = {{05}},
  pages        = {{180--186}},
  publisher    = {{Elsevier}},
  series       = {{Journal of Affective Disorders}},
  title        = {{Measuring misophonia in youth: A psychometric evaluation of child and parent measures}},
  url          = {{http://dx.doi.org/10.1016/j.jad.2023.05.093}},
  doi          = {{10.1016/j.jad.2023.05.093}},
  volume       = {{338}},
  year         = {{2023}},
}