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Does Misophonia Affect Spatial Hearing? A Study Using Closed-Field Assessment Tools.

Urmi Roy¹, Prashanth Prabhu¹, Kavassery Venkateswaran Nisha²

¹Department of Audiology, All India Institute of Speech and Hearing, Mysuru.

American Journal of Audiology

|March 11, 2026

Summary

This summary is machine-generated.

Individuals with misophonia exhibit impaired spatial hearing, showing poorer performance on binaural hearing tasks involving temporal cues (interaurural time difference) and spatial identification. This suggests altered auditory processing in misophonia.

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Area of Science:

Auditory Neuroscience
Psychoacoustics
Clinical Psychology

Background:

Misophonia is a disorder characterized by strong emotional reactions to specific sounds.
Spatial hearing, the ability to perceive the location of sounds, relies on binaural cues like interaural time difference (ITD) and interaural level difference (ILD).
The relationship between misophonia and objective measures of spatial hearing remains underexplored.

Purpose of the Study:

To investigate spatial hearing abilities in individuals with misophonia.
To compare interaural time difference (ITD) and interaural level difference (ILD) thresholds, and Virtual Acoustic Spatial Identification (VASI) scores between individuals with and without misophonia.
To explore correlations between spatial hearing performance and misophonia severity.

Main Methods:

A group comparison study involving 40 participants with normal hearing, divided into 20 with misophonia and 20 controls.
Misophonia diagnosis based on the Amsterdam Misophonia Questionnaire (A-MISO-S).
Behavioral assessments included ITD, ILD, and VASI tests in a closed-field environment.

Main Results:

The misophonic group showed significantly higher ITD thresholds and lower VASI accuracy compared to controls.
Poorer performance in the misophonic group was noted at specific spatial locations (R45, L45) in the VASI test.
A negative correlation was found between A-MISO-S scores and VASI accuracy in the misophonic group.
Fisher discriminant analysis indicated ITD and VASI effectively predict group segregation with 95% accuracy.

Conclusions:

Misophonia is associated with deficits in binaural hearing tasks, particularly those relying on temporal ITD cues and spatial identification.
These auditory processing differences may stem from limited cognitive resources or altered binaural temporal processing in individuals with misophonia.