Effectiveness of a Mindfulness-Based Cognitive Behavioral Mobile Intervention for Misophonia

Trial statusNot yet recruiting
Trial phaseNot applicable
Trial typeInterventional
Biological sexAll
Age18+
SponsorSakarya University

About this trial

Misophonia is characterized by strong emotional and physiological reactions to specific trigger sounds and may interfere with daily functioning and emotional well-being. This randomized controlled trial will evaluate the effectiveness of a mobile application based on mindfulness-based cognitive behavioral interventions for adults with misophonia symptoms.

A total of 60 participants will be randomly assigned to either an intervention group or a control group. Participants in the intervention group will use a three-week mobile intervention that includes psychoeducation, cognitive behavioral techniques, gradual exposure to trigger sounds, mindfulness, breathing and relaxation exercises, and self-monitoring tools. The control group will not receive the mobile intervention during the study period.

Outcomes will be assessed before the intervention, immediately after the three-week intervention, and four weeks after the intervention. The main outcome will be change in misophonia symptoms. Secondary outcomes will include depression, anxiety, stress, and difficulties in emotion regulation.

Eligibility criteria

This trial does not accept healthy volunteers

Qualifiers

Age 18 years or older.

Meeting the misophonia criteria proposed by Jager et al. (2020).

Reporting at least one trigger sound.

Having a Misophonia Scale total score greater than 60.5.

Disqualifiers

Misophonia symptoms being better explained by another condition or disorder based on the eligibility screening.

A Misophonia Scale total score of 60.5 or lower.

Development of marked distress or functional impairment during the study that requires discontinuation and referral for professional mental health support.

Trial design

Design model

Parallel

Treatments tested in this trial

  • Mindfulness-Based Cognitive Behavioral Mobile Intervention

    Behavioral

    A three-week mobile behavioral intervention developed for adults with misophonia symptoms. The intervention integrates psychoeducation, cognitive behavioral techniques, self-monitoring, cognitive restructuring, graded exposure to trigger sounds, Subjective Units of Distress Scale (SUDS) monitoring, mindfulness practices, breathing exercises, relaxation techniques, and supportive audio content. The program is designed to target maladaptive thoughts, avoidance behaviors, emotional reactivity, physiological arousal, and difficulties in emotion regulation associated with misophonia.

Treatment groups

60 Participants
are divided into 2 treatment groups
Group A: Intervention GroupExperimental treatment 1 intervention
Group B: Control GroupNo intervention 0 interventions

Trial outcomes

Primary outcomes

1

Change in Misophonia Scale Total Score

Misophonia symptoms will be assessed using the 30-item Misophonia Scale developed by Koroglu and Durat (2024). Each item is rated on a 5-point Likert scale, yielding a total score ranging from 30 to 150. Higher scores indicate lower misophonia severity, whereas lower scores indicate greater misophonia severity. Changes in total scores will be compared between the intervention and control groups.

Time frame
Baseline, 3 weeks, and 7 weeks

Secondary outcomes

1

Change in DASS-21 Depression Subscale Score

Depressive symptoms will be assessed using the Depression subscale of the 21-item Depression Anxiety Stress Scale (DASS-21). The subscale consists of 7 items rated on a 4-point Likert scale from 0 to 3. Higher scores indicate greater severity of depressive symptoms. Changes in depression scores will be compared between the intervention and control groups.

Time frame
Baseline, 3 weeks, and 7 weeks
2

Change in DASS-21 Anxiety Subscale Score

Anxiety symptoms will be assessed using the Anxiety subscale of the 21-item Depression Anxiety Stress Scale (DASS-21). The subscale consists of 7 items rated on a 4-point Likert scale from 0 to 3. Higher scores indicate greater severity of anxiety symptoms. Changes in anxiety scores will be compared between the intervention and control groups.

Time frame
Baseline, 3 weeks, and 7 weeks
3

Change in DASS-21 Stress Subscale Score

Stress symptoms will be assessed using the Stress subscale of the 21-item Depression Anxiety Stress Scale (DASS-21). The subscale consists of 7 items rated on a 4-point Likert scale from 0 to 3. Higher scores indicate greater severity of stress symptoms. Changes in stress scores will be compared between the intervention and control groups.

Time frame
Baseline, 3 weeks, and 7 weeks
4

Change in Difficulties in Emotion Regulation Scale-16 (DERS-16) Total Score

Difficulties in emotion regulation will be assessed using the 16-item Difficulties in Emotion Regulation Scale (DERS-16). The scale consists of 16 items rated on a 5-point Likert scale. Higher total scores indicate greater difficulties in emotion regulation. Changes in DERS-16 total scores will be compared between the intervention and control groups.

Time frame
Baseline, 3 weeks, and 7 weeks

Other outcomes

Sponsors and contacts

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Sakarya University

Lead sponsor

The Scientific and Technological Research Council of Turkey

Collaborator

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