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Beyond the Auditory System: Sensory Processing in Decreased Sound Tolerance Disorders.
Merve Meral Çetinkaya1, Azize Arzu Koçyiğit Köroğlu2, Ümit Can Çetinkaya1
1Department of Audiology, Faculty of Health Sciences, 187981Istanbul Aydin University, Istanbul, Turkey.
Multisensory Research
|February 2, 2026
Summary
Decreased sound tolerance disorders are linked to sensory processing issues beyond just hearing. Individuals with these conditions may struggle with visual, vestibular, proprioceptive, and tactile sensory input.
Area of Science:
- Neuroscience
- Audiology
- Sensory Integration
Background:
- Decreased sound tolerance (DST) encompasses conditions like hyperacusis, phonophobia, and misophonia.
- Sensory Processing Disorder (SPD) affects how the brain interprets sensory information.
- The relationship between DST and broader sensory processing challenges requires further investigation.
Purpose of the Study:
- To examine the correlation between decreased sound tolerance disorders and sensory processing disorder.
- To identify which sensory systems are impacted in individuals with DST.
Main Methods:
- 315 adults (18-35) with normal hearing completed the Decreased Sound Tolerance Disorder Scale (DSTS) and Adult Sensory Processing Scale (ASPS).
- Participants were categorized into study (DST present, n=278) and control (no DST, n=37) groups.
- Statistical analysis explored correlations between DSTS and ASPS scores.
Main Results:
- A moderate positive correlation was observed between ASPS total scores and hyperacusis (r=0.260) and misophonia (r=0.348).
- Individuals with misophonia scored higher on the ASPS than those without.
- DST was prevalent, with 35.9% experiencing all three types (triple DST).
Conclusions:
- Individuals with decreased sound tolerance may exhibit broader sensory processing difficulties.
- These difficulties extend beyond auditory processing to include visual, vestibular, proprioceptive, and tactile systems.
- Findings suggest a potential link between DST and multi-sensory integration challenges.
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