ArticleFrontiers in psychiatry2026
Cognitive reappraisal as a component of process-based misophonia treatment: a mixed-methods pilot study of feasibility, acceptability and initial outcomes.
Article in Frontiers in psychiatry, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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6 authors.
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Abstract
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 ( 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 ( 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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