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Consensus Definition of Misophonia: A Delphi Study

Lookup NU author(s): Dr Sukhbinder Kumar



This work is licensed under a Creative Commons Attribution 4.0 International License (CC BY 4.0).


Copyright © 2022 Swedo, Baguley, Denys, Dixon, Erfanian, Fioretti, Jastreboff, Kumar, Rosenthal, Rouw, Schiller, Simner, Storch, Taylor, Werff, Altimus and Raver. Misophonia is a disorder of decreased tolerance to specific sounds or their associated stimuli that has been characterized using different language and methodologies. The absence of a common understanding or foundational definition of misophonia hinders progress in research to understand the disorder and develop effective treatments for individuals suffering from misophonia. From June 2020 through January 2021, the authors conducted a study to determine whether a committee of experts with diverse expertise related to misophonia could develop a consensus definition of misophonia. An expert committee used a modified Delphi method to evaluate candidate definitional statements that were identified through a systematic review of the published literature. Over four rounds of iterative voting, revision, and exclusion, the committee made decisions to include, exclude, or revise these statements in the definition based on the currently available scientific and clinical evidence. A definitional statement was included in the final definition only after reaching consensus at 80% or more of the committee agreeing with its premise and phrasing. The results of this rigorous consensus-building process were compiled into a final definition of misophonia that is presented here. This definition will serve as an important step to bring cohesion to the growing field of researchers and clinicians who seek to better understand and support individuals experiencing misophonia.

Publication metadata

Author(s): 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

Publication type: Article

Publication status: Published

Journal: Frontiers in Neuroscience

Year: 2022

Volume: 16

Online publication date: 17/03/2022

Acceptance date: 07/02/2022

Date deposited: 03/05/2022

ISSN (print): 1662-4548

ISSN (electronic): 1662-453X

Publisher: Frontiers Research Foundation


DOI: 10.3389/fnins.2022.841816


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Funder referenceFunder name
Milken Institute Center for Strategic Philanthropy
The REAM Foundation