2nd International Pediatric Audiology Congress, İstanbul, Türkiye, 4 - 06 Nisan 2025, cilt.15, sa.1, ss.64, (Özet Bildiri)
Introduction: Misophonia is a disorder characterized by re duced sound tolerance, manifesting as behavioral, emotional, and physiological reactions to specific trigger stimuli, influ enced by memory, attention, and neurocognitive processes. Previous research suggests that multisensory integration and the mirror neuron system may play a role in the mechanisms underlying misophonia.
Aim: The primary aim of this study was to assess speech-in noise perception in individuals with misophonia, specifical ly under conditions involving visual triggers. The secondary objective was to evaluate frequency-specific auditory atten tion in individuals with misophonia.
Material and methods: The study included 62 partici pants aged 18–30 years (31 with misophonia, 31 controls). Participants were administered the Misophonia Assessment Questionnaire, pure-tone audiometry, the Frequency-Specific Auditory Attention Test for Adults, and the Turkish Matrix Test. The Turkish Matrix Test was conducted in three stages at a fixed intensity of 65 dB SPL with a 0 dB signal-to-noise ratio, using a non-adaptive paradigm. In the first stage, no visual stimulus was presented. In the second stage, a neutral visual stimulus was presented, and in the third stage, visual trigger stimuli were used.
Results: In the Turkish Matrix Test, no statistically significant difference was observed between individuals with misopho nia and the control group in the absence of visual stimuli or in the presence of a neutral visual stimulus (p > 0.05). When exposed to misophonia-triggering visual stimuli, individu als with misophonia exhibited significantly lower speech in-noise perception scores in both the right and left ears, compared to the control group (p < .0.05). In the Frequency Specific Auditory Attention Test for Adults, no significant group differences were observed in scores from the general lists, mid-frequency lists, or high-frequency lists (p > 0.05). However, in the low-frequency lists, individuals with miso phonia achieved significantly higher scores compared to the control group (p < .0.05).
Conclusions: These findings support previous research and strengthen the hypothesis that misophonia involves mul tisensory processing. Moreover, these results suggest a po tential effect of misophonia on frequency-specific auditory attention mechanisms.
Keywords: misophonia • speech-in-noise perception • visual triggers • multisensory integration