Psychological Intervention for Misophonia

NCT05601284 — Not applicable, Unknown, 60 participants, Utah State University

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RegistryNCT05601284
StatusUnknown
PhaseNot applicable
Study typeInterventional; randomized, parallel, masking: double, treatment
Enrollment60 (Actual)
SponsorUtah State University (Other)
ConditionsMisophonia
InterventionsAcceptance and commitment therapy, Progressive relaxation training (Behavioral)
Datesstart 2022-10-24, primary completion 2025-10-30 (estimated), completion 2026-04-30 (estimated), first posted 2022-11-01, last updated 2024-07-26
Locations1 site in United States

Related Papers Related Patents Related Grants Related Experts
All trials for Misophonia All trials of Acceptance and commitment therapy All trials of Progressive relaxation training

-Summary

The investigators are proposing to test Acceptance and Commitment Therapy (ACT)+ traditional audiological behavioral intervention as an integrated, multi-disciplinary approach for the assessment and treatment of misophonia. Participants will be 60 adults with misophonia and will be randomly assigned to receive 12 sessions of ACT+behavioral intervention or receive 12 weeks of progressive relaxation training+psychoeducation (PRT; a commonly used active control condition) after undergoing a comprehensive psychological and audiological evaluation.

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+Detailed description

Acceptance and commitment therapy (ACT) is a promising psychotherapy for supporting traditional behavioral methods for treating misophonia, but has not been previously tested. ACT teaches skills to develop acceptance, mindfulness, and defusion from difficult internal experiences while increasing connections with personal values and encouraging meaningful behavioral changes.

This study will help determine if ACT+behavioral intervention is a feasible and acceptable treatment for misophonia, help clarify active psychological mechanisms of misophonia, and determine whether or not this combination of services can effectively help individuals diagnosed with misophonia.

+Arms and interventions

ArmTypeInterventionsDescription
Acceptance and commitment therapyExperimentalBehavioral: Acceptance and commitment therapyACT teaches skills to develop acceptance, mindfulness, and defusion from difficult internal experiences while increasing connections with personal values and encouraging meaningful behavioral changes. ACT for misophonia combines core ACT processes with a traditional audiological behavioral intervention for a integrated, multi-disciplinary approach for the assessment and treatment of misophonia. Treatment begins with a brief focus on the behavioral intervention, followed by the teaching of ACT skills to support the use of the behavioral methods. The intervention consists of 12 total individual sessions of ACT+behavioral management.
Progressive relaxation trainingActive comparatorBehavioral: Progressive relaxation trainingPRT for misophonia consists of basic psychoeducation for misophonia followed by PRT. PRT involves learning to tense and relax muscles. Early sessions focus on tensing and relaxing smaller muscle groups, while later sessions focus on larger muscle groups. Final sessions focus on relaxation as produced by recalling previous relaxation and a review of skills learned. PRT consists of 12 individual total sessions.
  • Acceptance and commitment therapy (Behavioral), also known as ACT: ACT teaches skills to develop acceptance, mindfulness, and defusion from difficult internal experiences while increasing connections with personal values and encouraging meaningful behavioral changes. ACT for misophonia combines core ACT processes with a traditional audiological behavioral intervention for a integrated, multi-disciplinary approach for the assessment and treatment of misophonia. Treatment begins with a brief focus on the behavioral intervention, followed by the teaching of ACT skills to support the use of the behavioral methods. The intervention consists of 12 total individual sessions of ACT+behavioral management.
  • Progressive relaxation training (Behavioral), also known as PRT: PRT for misophonia consists of basic psychoeducation for misophonia followed by PRT. PRT involves learning to tense and relax muscles. Early sessions focus on tensing and relaxing smaller muscle groups, while later sessions focus on larger muscle groups. Final sessions focus on relaxation as produced by recalling previous relaxation and a review of skills learned. PRT consists of 12 individual total sessions.

+Outcome measures

Primary outcomes

  • Misophonia Questionnaire [9-12 months]: Self-report of misophonia symptoms. There are two subscales. The first subscale (misophonia symptoms) ranges from 0 to 76 and the second (misophonia severity) ranges from 1 to 15. For both subscales, higher scores indicate worse outcomes.

+Eligibility

Sex: All, ages: 18 Years to any

Inclusion Criteria:

* Individuals seeking treatment for misophonia.
* Meet clinical cut-off for misphonia (minimum score of five on the Misophonia Questionnaire).
* Stable on psychotropic medication for at least 30 days.
* English speaking.

Exclusion Criteria:

* Presence of psychological and/or neurological impairments that would preclude someone from participating in the study or exceed misophonia as the primary presenting problem (e.g. active self-harm or need for treatment for psychosis).

+Locations (1)

FacilityCityCountryStatus
Utah State UniversityLogan, UtahUnited States

+Publications

  • Results publication: Bowers EM, Woolley MG, Munoz K, Petersen JM, Twohig MP. Acceptance and commitment therapy versus progressive relaxation training for misophonia: Randomized controlled trial protocol, interventions, and audiological assessments. Contemp Clin Trials. 2024 Oct;145:107671. doi: 10.1016/j.cct.2024.107671. Epub 2024 Aug 29. PMID 39182828

+Investigators