Is 'Better' Always Better? Cognitive Performance in Children with Misophonia vs. Controls

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Siepsiak, Marta
Turek, A.
MichaƂowska, M.
Gambin, M.
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Advances in Cognitive Psychology
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2025-08-27
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Misophonia is a disorder characterized by adverse reactions to specific repetitive sounds, such as oral and nasal noises made by humans (e.g., chewing, sniffing) and environmental sounds (e.g., animal licking, tapping). These reactions can manifest early in life and involve the nervous, autonomic, and perceptual systems. Cognitive functions appear to play a key role in how these stimuli are processed in individuals with misophonia. or tapping. Although it is associated with various psychiatric disorders, it also presents distinct clinical features that suggest alterations in cognitive processing, particularly selective attention and inhibitory control. However, research on cognitive processes in situations without exposure to trigger sounds in individuals with misophonia, especially children, remains limited. Given that misophonia typically begins in childhood or adolescence, understanding its early cognitive profile is crucial. This study investigated cold cognitive processes, including inhibitory control, selective and divided attention, along with verbal and abstract reasoning, using performance-based tests in children with misophonia (n = 32) and controls without sound-related issues (n = 30), aged 7–17. Children with misophonia outperformed controls in divided attention (p < .001) and inhibitory control (p < .001), with no differences in other cognitive domains. Logistic regression showed that better inhibitory control increased the likelihood of misophonia, while linear regression indicated that misophonia status and selective attention predicted better inhibitory control. These results suggest that misophonia in children is related to enhanced inhibitory control rather than deficits in cognitive functioning. A better understanding of these cognitive processes could be an important step toward understanding the nature of misophonia, especially in pediatric populations.
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misophonia
inhibitory control
attention
decreased sound tolerance
children
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Acquisition Date16.12.2025
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Acquisition Date16.12.2025
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