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Misophonia Symptoms in Autistic Adults.
Dirk J A Smit1,2, Zeynep Koyuncu3, Nienke Vulink4
1Department of Psychiatry, Amsterdam UMC, Amsterdam, The Netherlands. d.j.smit@amsterdamumc.nl.
Journal of Autism and Developmental Disorders
|January 24, 2026
Summary
Autistic individuals experience misophonia (adverse reactions to sounds) more frequently than the general population. Sensory sensitivity, particularly to hearing and vision, contributes to these misophonia symptoms in autism.
Area of Science:
- Neuroscience
- Psychology
- Autism Research
Background:
- Misophonia involves adverse emotional responses to specific sounds.
- Autism Spectrum Disorder (ASD) is characterized by atypical sensory experiences.
Purpose of the Study:
- To investigate the prevalence of misophonia in autistic adults.
- To explore the role of sensory sensitivity in misophonia within the autistic population.
Main Methods:
- 1050 autistic adults completed the Amsterdam Misophonia Scale-Revised (AMISOS-R), Autism Spectrum Quotient (AQ-28), and Sensory Processing Questionnaire (SPQ).
- Statistical analyses included chi-square tests, quantitative modeling of misophonia scores against autistic traits, and mediation analysis with sensory processing data.
Main Results:
- Autistic individuals reported significantly higher rates of misophonia compared to the general population.
- Autistic traits strongly predicted misophonia symptoms, even after adjusting for covariates.
- Sensory sensitivity, specifically in hearing and vision, mediated the relationship between autistic traits and misophonia.
Conclusions:
- Autistic traits and sensory sensitivity are significant factors in misophonia for a subset of individuals.
- Findings suggest potential implications for clinical interventions targeting misophonia in autistic populations.
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