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Peer-reviewedCC BY 4.0Clinical Pediatrics

Clinical Characteristics of Children and Adolescents With Misophonia

  • Lotte R. Rappoldt1,2
  • Carola de Wit2
  • Marthe M. van der Pol1
  • Simone Slaghekke1
  • Caroline Houben2
  • Kees J. Kan3
  • André B. Rietman4
  • Damiaan Denys1
  • Elisabeth M. W. J. Utens1,2,3
  • Nienke C. C. Vulink1
4 affiliations
  1. 1Department of Psychiatry, Amsterdam UMC, University of Amsterdam, The Netherlands
  2. 2Levvel, Academic Center for Child and Adolescent Psychiatry, Amsterdam, The Netherlands
  3. 3Research Institute of Child Development and Education, University of Amsterdam, The Netherlands
  4. 4Department of Child and Adolescent Psychiatry/Psychology, Erasmus MC Sophia Children’s Hospital, Rotterdam, The Netherlands
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Abstract

Misophonia has a serious impact on children and families. Few studies have, however, assessed the specific phenomenology of misophonia in youth. We investigated clinical characteristics in a treatment-seeking sample of youth with misophonia (n = 95, 8-18 years), using validated instruments to assess misophonia phenomenology, psychiatric comorbidity, emotional/behavioral problems, attention problems, sensory processing, and quality of life. The most prevalent triggers were eating sounds and the most common responses irritation/anger and anticipation anxiety. Psychiatric comorbidity was present in 27.4% of cases (eg, anxiety disorders 10.5%; attention-deficit hyperactivity disorder 8.4%). Internalizing psychopathology was more prevalent than externalizing. Adolescents reported differences in auditory, tactile, visual, and taste/smell sensory processing compared with a norm group, as well as heightened sensory awareness and avoidance. Misophonia severity was inversely related to quality of life in children/parents. Future research should investigate the underlying mechanisms of misophonia in youth. Pre-registered: The Netherlands Trial Register (CCMO): NL-OMON20775, https://onderzoekmetmensen.nl/nl/trial/20775

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Cite

BibTeXRIS
BibTeX
@article{rappoldt2026clinical,
  title = {{Clinical Characteristics of Children and Adolescents With Misophonia}},
  author = {Lotte R. Rappoldt and Carola de Wit and Marthe M. van der Pol and Simone Slaghekke and Caroline Houben and Kees J. Kan and André B. Rietman and Damiaan Denys and Elisabeth M. W. J. Utens and Nienke C. C. Vulink},
  journal = {Clinical Pediatrics},
  year = {2026},
  month = sep,
  doi = {10.1177/00099228261467192},
  url = {https://doi.org/10.1177/00099228261467192},
  note = {CC BY 4.0},
}
RIS
TY  - JOUR
TI  - Clinical Characteristics of Children and Adolescents With Misophonia
AU  - Lotte R. Rappoldt
AU  - Carola de Wit
AU  - Marthe M. van der Pol
AU  - Simone Slaghekke
AU  - Caroline Houben
AU  - Kees J. Kan
AU  - André B. Rietman
AU  - Damiaan Denys
AU  - Elisabeth M. W. J. Utens
AU  - Nienke C. C. Vulink
PY  - 2026
DA  - 2026/09/19
JO  - Clinical Pediatrics
DO  - 10.1177/00099228261467192
UR  - https://doi.org/10.1177/00099228261467192
AB  - Misophonia has a serious impact on children and families. Few studies have, however, assessed the specific phenomenology of misophonia in youth. We investigated clinical characteristics in a treatment-seeking sample of youth with misophonia (n = 95, 8-18 years), using validated instruments to assess misophonia phenomenology, psychiatric comorbidity, emotional/behavioral problems, attention problems, sensory processing, and quality of life. The most prevalent triggers were eating sounds and the most common responses irritation/anger and anticipation anxiety. Psychiatric comorbidity was present in 27.4% of cases (eg, anxiety disorders 10.5%; attention-deficit hyperactivity disorder 8.4%). Internalizing psychopathology was more prevalent than externalizing. Adolescents reported differences in auditory, tactile, visual, and taste/smell sensory processing compared with a norm group, as well as heightened sensory awareness and avoidance. Misophonia severity was inversely related to quality of life in children/parents. Future research should investigate the underlying mechanisms of misophonia in youth. Pre-registered: The Netherlands Trial Register (CCMO): NL-OMON20775, https://onderzoekmetmensen.nl/nl/trial/20775
SN  - 0009-9228
SN  - 1938-2707
ER  -