Background <p>Misophonia, a disorder marked by heightened emotional and physiological reactions to specific sounds, remains understudied in non-Western populations. This cross-sectional study examines the prevalence, triggers, and clinical characteristics of misophonia among adults in Odisha, India.</p> Methods <p>A cohort of 1,793 participants (mean age: 31.3 ± 6.14 years; 55% male) completed a structured questionnaire, including the culturally adapted Revised Amsterdam Misophonia Questionnaire (AMISOS-R).</p> Results and Discussion <p>Results indicated that 41.10% of participants reported misophonic symptoms, with 16.84% meeting criteria for clinically significant cases. Predominant auditory triggers included non-verbal sounds such as chalk scratching (31.88%) and pen ticking (11.66%), diverging from Western studies where human-generated oral/nasal sounds (e.g., chewing) are more common. Comorbid auditory conditions included tinnitus (12.07%) and hyperacusis (6.24%). Coping strategies were predominantly avoidance-based (83.76%), though such behaviors may exacerbate social dysfunction. The severity distribution revealed subclinical (59.02%), mild (31.47%), moderate (6.91%), and severe (2.57%) cases, suggesting limited clinical intervention needs for most. Regional prevalence aligned with global estimates (5–20%) but highlighted cultural and methodological influences on diagnostic variability.</p> Conclusion <p>Despite limitations, including self-reported data and gender analysis gaps, this study advances understanding of misophonia’s epidemiology in South Asia, emphasizing the role of environmental and cultural factors in shaping its manifestations. Future research should prioritize longitudinal designs and validated regional instruments to refine diagnostic and therapeutic frameworks.</p>

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Proportion and Characteristics of Misophonia Among Adult Population in the Indian State of Odisha

  • Archisman Shubhadarshan,
  • Sweety Rani Boro,
  • Rojalin Gaen,
  • Ritupurna Rout

摘要

Background

Misophonia, a disorder marked by heightened emotional and physiological reactions to specific sounds, remains understudied in non-Western populations. This cross-sectional study examines the prevalence, triggers, and clinical characteristics of misophonia among adults in Odisha, India.

Methods

A cohort of 1,793 participants (mean age: 31.3 ± 6.14 years; 55% male) completed a structured questionnaire, including the culturally adapted Revised Amsterdam Misophonia Questionnaire (AMISOS-R).

Results and Discussion

Results indicated that 41.10% of participants reported misophonic symptoms, with 16.84% meeting criteria for clinically significant cases. Predominant auditory triggers included non-verbal sounds such as chalk scratching (31.88%) and pen ticking (11.66%), diverging from Western studies where human-generated oral/nasal sounds (e.g., chewing) are more common. Comorbid auditory conditions included tinnitus (12.07%) and hyperacusis (6.24%). Coping strategies were predominantly avoidance-based (83.76%), though such behaviors may exacerbate social dysfunction. The severity distribution revealed subclinical (59.02%), mild (31.47%), moderate (6.91%), and severe (2.57%) cases, suggesting limited clinical intervention needs for most. Regional prevalence aligned with global estimates (5–20%) but highlighted cultural and methodological influences on diagnostic variability.

Conclusion

Despite limitations, including self-reported data and gender analysis gaps, this study advances understanding of misophonia’s epidemiology in South Asia, emphasizing the role of environmental and cultural factors in shaping its manifestations. Future research should prioritize longitudinal designs and validated regional instruments to refine diagnostic and therapeutic frameworks.