Treatment of Misophonia: Comparison of Exposure and Sound Therapy
NCT ID: NCT05993286
Last Updated: 2023-08-15
Study Results
The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.
Basic Information
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COMPLETED
NA
76 participants
INTERVENTIONAL
2019-03-01
2021-04-01
Brief Summary
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\- Is exposure more effective on misophonic symptoms than sound therapy? Participants are randomly assinged to three groups of treatment;
1. Psychoeducation
2. Psychoeducation + Exposure
3. Psychoeducation + Sound Therapy
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Detailed Description
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Conditions
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Study Design
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RANDOMIZED
PARALLEL
TREATMENT
SINGLE
Study Groups
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Psychoeducation
This was an active control group and included information on the proposed mechanism of the development of misophonia, how symptoms are reinforced, and basic coping skills.
Psychoeducation
A psychoeducation session, prepared by the research team was delivered by the investigator to each patient at the study intake.
Exposure Therapy and Psychoeducation
Exposure has been successfully used in the treatment of anxiety disorders, phobias, and obsessions. There are also case reports showing its effectiveness in the treatment of misophonia. The proposed procedure is to expose the misophonic person to the triggering sound in a controlled and gradual manner until habituation/desensitization to the trigger occurs. In the current research setting, each participant was asked to choose the two misophonic sounds that are most disturbing.
Exposure Therapy
At Week 0, the homework was to expose oneself to these sounds for 20 minutes a day, three days a week for three weeks.
At the Week 3 interview, the frequency and severity of the homework were adjusted based on the degree of improvement in the symptoms and the person's adherence to the instructions.
Psychoeducation
A psychoeducation session, prepared by the research team was delivered by the investigator to each patient at the study intake.
Sound Therapy and Psychoeducation
The music used in the current study was adapted from the protocol used by Jastreboff and Jastreboff (2013) for the treatment of misophonia. It includes noises such as white (noise with equal volume in all octaves) or pink noise (noise that decreases by 3 dB per octave towards high frequencies) or relaxing instrumental music
Sound Therapy
Participants were asked to listen to specifically modulated music for twenty minutes a day, three days a week, for the first three weeks. At the Week 3 assessment, if the patient reported no or little benefit in their misophonia symptoms, the instruction was modified (intensified) to listening to the same music for forty minutes a day, three days a week.
Psychoeducation
A psychoeducation session, prepared by the research team was delivered by the investigator to each patient at the study intake.
Interventions
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Exposure Therapy
At Week 0, the homework was to expose oneself to these sounds for 20 minutes a day, three days a week for three weeks.
At the Week 3 interview, the frequency and severity of the homework were adjusted based on the degree of improvement in the symptoms and the person's adherence to the instructions.
Sound Therapy
Participants were asked to listen to specifically modulated music for twenty minutes a day, three days a week, for the first three weeks. At the Week 3 assessment, if the patient reported no or little benefit in their misophonia symptoms, the instruction was modified (intensified) to listening to the same music for forty minutes a day, three days a week.
Psychoeducation
A psychoeducation session, prepared by the research team was delivered by the investigator to each patient at the study intake.
Eligibility Criteria
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Inclusion Criteria
Exclusion Criteria
* Mental retardation or dementia
* those who had previously received exposure or sound therapy for misophonia symptoms.
18 Years
ALL
No
Sponsors
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Hacettepe University
OTHER
Responsible Party
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Kezban Burcu Avanoğlu
Consultant
Principal Investigators
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Cengiz Kılıç, Prof.
Role: STUDY_DIRECTOR
Hacettepe University
Locations
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Hacettepe University Department of Psychiatry
Ankara, , Turkey (Türkiye)
Countries
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References
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Swedo SE, Baguley DM, Denys D, Dixon LJ, Erfanian M, Fioretti A, Jastreboff PJ, Kumar S, Rosenthal MZ, Rouw R, Schiller D, Simner J, Storch EA, Taylor S, Werff KRV, Altimus CM, Raver SM. Consensus Definition of Misophonia: A Delphi Study. Front Neurosci. 2022 Mar 17;16:841816. doi: 10.3389/fnins.2022.841816. eCollection 2022.
Kilic C, Oz G, Avanoglu KB, Aksoy S. The prevalence and characteristics of misophonia in Ankara, Turkey: population-based study. BJPsych Open. 2021 Aug 6;7(5):e144. doi: 10.1192/bjo.2021.978.
Jager IJ, Vulink NCC, Bergfeld IO, van Loon AJJM, Denys DAJP. Cognitive behavioral therapy for misophonia: A randomized clinical trial. Depress Anxiety. 2020 Dec 18;38(7):708-18. doi: 10.1002/da.23127. Online ahead of print.
Other Identifiers
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16969557
Identifier Type: -
Identifier Source: org_study_id
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