Disentangling the Relationship between Misophonia, Anxiety, and Obsessive Compulsive Personality Disorder

44 Pages Posted: 28 Jun 2023

Multiple version iconThere are 3 versions of this paper

Abstract

Misophonia is a disorder characterized by decreased tolerance to specific, often repetitive sounds or associated stimuli. These stimuli, commonly referred to as “triggers,” are repetitive, pattern-based sounds produced by others or generated by the environment and tend to evoke a wide range of distressing affective, physiological, cognitive, and behavioral responses. The primary aims of the present study were to examine the relationship between misophonia and obsessive compulsive personality disorder (OCPD) and to investigate the role of anxiety and obsessive compulsive disorder (OCD) in this relationship. Self-report questionnaires were used to assess misophonia symptom severity and structured diagnostic interviews were used to assess rates of lifetime and current DSM-5 psychiatric disorders in a community sample of 207 adults. Misophonia severity was positively correlated with higher anxiety, OCD diagnosis, OCD symptom severity, and OCPD symptom severity. When controlling for anxiety, OCD and personality disorder symptomatology, but not OCPD, accounted significantly for misophonia severity. These findings highlight the role of anxiety in explaining the connection between misophonia and OCPD and emphasize the need to account for anxiety to better understand the precise nature between misophonia and mental health problems.

Note:
Funding Declaration: Funding was provided by anonymous donors.

Conflicts of Interest: MZR is a Scientific Advisory Board Member for the Misophonia Research Fund. The remaining authors declare that the research was conducted in the absence of any commercial or financial relationships that could be construed as a potential conflict of interest.

Ethical Approval: The study was approved by the Duke Health Institutional Review Board, and all participants provided signed informed consent to participate.

Keywords: misophonia, obsessive compulsive personality disorder, Obsessive compulsive disorder, anxiety, personality disorders

Suggested Citation

Holtz, Zachary and Rosenthal, M. Zachary and Trumbull, Jacqueline, Disentangling the Relationship between Misophonia, Anxiety, and Obsessive Compulsive Personality Disorder. Available at SSRN: https://ssrn.com/abstract=4481619 or http://dx.doi.org/10.2139/ssrn.4481619

Zachary Holtz

Duke University ( email )

Department of Biostatistics and Bioinformatics
Durham, NC 27705
United States

M. Zachary Rosenthal (Contact Author)

Duke University ( email )

Department of Biostatistics and Bioinformatics
Durham, NC 27705
United States

Jacqueline Trumbull

Duke University ( email )

Department of Biostatistics and Bioinformatics
Durham, NC 27705
United States

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