Cognitive reappraisal as a component of process-based misophonia treatment: a mixed-methods pilot study of feasibility, acceptability and initial outcomes

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Authors
Siepsiak, Marta
Śliwerski, Andrzej
Turek-Wojnarowicz, Anna
Araszkiewicz, Weronika
Gambin, Małgorzata
Rosenthal, Mark Zachary
Monograph
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Date
2026-06-24
Publisher
Journal title
Frontiers in Psychiatry
Issue
Volume
17
Pages
Pages
1-18
DOI
ISSN
1664-0640
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https://www.frontiersin.org/journals/psychiatry/articles/10.3389/fpsyt.2026.1744882/full
Access date
2026-06-24
Abstract PL
Abstract EN
Objective: 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.Methods: The intervention included a 90-minute group session and three 30-minute individual online sessions over four weeks. Adults (N = 23) were recruited using structured interviews. Misophonia symptoms were assessed at two pre-treatment time points and post-treatment. Semi-structured group interviews explored participants’ experiences.Results: 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 (Estimate = -8.47, SE = 2.32, t(42.45) = -3.65, p < 0.001), 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.Conclusion: CR shows promise as a component of misophonia treatment that warrants further controlled evaluation. The participant’s feedback highlights the importance of tailoring interventions to individual needs and patient perspectives.
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Keywords PL
Keywords EN
cognitive reappraisal
decreased sound tolerance
feasibility & acceptability
misophonia
pilot study
process-based treatment
psychological intervention
psychotherapy
Keywords other
Sustainable Development Goals
SDG 3. Good Health and Well-being
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https://share.swps.edu.pl/handle/swps/2451
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cc-by
Except as otherwise noted, this item is licensed under the Attribution licence | Permitted use of copyrighted works
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