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Development and Initial Validation of the Duke Misophonia Questionnaire
M Zachary Rosenthal1,2, Deepika Anand1, Clair Cassiello-Robbins1
1Department of Psychiatry & Behavioral Sciences, Duke University Medical Center, Durham, NC, United States.
Frontiers in Psychology
|October 18, 2021
Summary
Researchers developed the Duke Misophonia Questionnaire (DMQ) to address the need for a validated measure of misophonia (sound-triggered emotional distress). The DMQ assesses triggers, emotional and physiological responses, coping strategies, and impairment in functioning.
Area of Science:
- Psychology
- Neuroscience
- Clinical Assessment
Background:
- Misophonia involves a strong negative reaction to specific sounds, causing significant distress and functional impairment.
- Current research and treatment are hindered by a lack of validated assessment tools for misophonia.
Purpose of the Study:
- To develop and psychometrically validate a self-report measure for misophonia, the Duke Misophonia Questionnaire (DMQ).
Main Methods:
- Iterative item generation using literature and expert/sufferer feedback (Phase 1).
- Psychometric validation in a large adult sample (n=424) using factor analysis and Item Response Theory (IRT) (Phase 2).
Main Results:
- The final Duke Misophonia Questionnaire (DMQ) comprises 86 items across 9 subscales: Trigger Frequency, Affective, Physiological, Cognitive Responses, Coping (Before, During, After), Impairment, and Beliefs.
- Composite scales for overall Symptom Severity and Coping were derived.
- The DMQ can be utilized in full, by subscale, or by composite scales for research and clinical applications.
Conclusions:
- The Duke Misophonia Questionnaire (DMQ) is a rigorously validated self-report measure for misophonia.
- The DMQ provides a comprehensive assessment of misophonia symptoms, responses, and impact.
- This validated measure will facilitate further research and clinical intervention for misophonia.

