Transcranial Magnetic Stimulation in Misophonia

ConditionMisophonia
Trial statusRecruiting
Trial phaseNot applicable
Trial typeInterventional
Biological sexAll
Age18-55
SponsorIcahn School of Medicine at Mount Sinai

About this trial

The purpose of the project is to assess the efficacy of parietal transcranial magnetic stimulation in misophonia. N=60 participants will undergo two transcranial magnetic stimulation sessions: one inhibitory and another excitatory. During both sessions, the parietal region will be stimulated. Participants will perform computerized tasks immediately before and after the stimulation, while EEG, heart rate, and skin temperature will be recorded. These recordings will be used to assess if TMS can be used to improve tolerance to misophonia triggers.

Eligibility criteria

This trial does not accept healthy volunteers

Qualifiers

Hypersensitive to presence of a specific sound, which may be accompanied by irritation, anger/outbursts, or fear.

Must be between the ages of 18 - 55.

Must be fluent in English since the study's instructions, surveys, and tasks will be in English.

Disqualifiers

Epilepsy or previous episode of convulsion or seizure.

Previous episode of fainting spell or syncope.

Head trauma.

Hearing problems.

Trial design

Design model

Crossover

Treatments tested in this trial

  • Transcranial Magnetic Stimulation (TMS)

    Other intervention

    Transcranial Magnetic Stimulation (TMS) is an FDA-approved non-invasive brain stimulation technology. It is currently used for treating depression. Applications to other disorders such as OCD and anxiety using TMS are currently under investigation. TMS will be administered for 25 minutes.

Treatment groups

60 Participants
are divided into 2 treatment groups
Group A: Inhibitory-Excitatory (IE) then Excitatory-Inhibitory (EI)Active comparator 1 intervention
Group B: Excitatory-Inhibitory (EI) then Inhibitory-Excitatory (IE)Active comparator 1 intervention

Trial outcomes

Primary outcomes

1

Unpleasantness Rating Scale

Participants will be presented with a slider with extremes labelled as extremely unpleasant and extremely pleasant. Ratings will be provided for audio clips and visual cues. Full scale from 0-100, higher score indicates more unpleasantness

Time frame
after each session, 72 hours apart (each session is 2 hours)

Secondary outcomes

1

Heart Rate

The heart rate (number of beats per minute) will be measured using a wristwatch worn by the participant.

Time frame
after each session, 72 hours apart (each session is 2 hours)
2

Skin Conductance Response

Skin conductance, a measure capturing the amount of sweat, will be measured using a wristwatch worn by the participant.

Time frame
after each session, 72 hours apart (each session is 2 hours)
3

EEG P1-N1-P2 Complex Peak Amplitude

Amplitude (microvolts) of P1, N1, and P2 peaks measured in the parietal region

Time frame
after each session, 72 hours apart (each session is 2 hours)
4

EEG P1-N1-P2 Complex Peak Latency

Latency (milliseconds) of P1, N1, and P2 peaks measured in the parietal region

Time frame
after each session, 72 hours apart (each session is 2 hours)

Other outcomes

Sponsors and contacts

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