Hatred of sounds: Misophonic disorder or just an underreported psychiatric symptom?
Programa de Ansiedade e Depressão, Instituto de Psiquiatria, Universidade Federal do Rio de Janeiro, Rio de Janiero, Brazil
Melbourne Neuropsychiatry Centre, Department of Psychiatry, The University of Melbourne, Melbourne, AustraliaLeonardo F. Fontenelle, MD, PhD
Programa de Ansiedade e Depressão, Instituto de Psiquiatria, Universidade Federal do Rio de Janeiro, Instituto D’Or de Pesquisa e Ensino, Instituto de Saúde da Comunidade, Universidade Federal Fluminense, Rio de Janiero, Brazil
BACKGROUND: Misophonia, or selective sound sensitivity syndrome, is a preoccupation with or aversion to certain types of sounds that evokes feelings of irritability, disgust, or anger. Recently, it has been suggested that misophonia is a discrete clinical entity deserving of its own place in psychiatric diagnostic manuals. In this paper, we describe 3 patients whose misophonia could be attributed to different underlying primary psychiatric disorders.
METHODS: Case series report.
RESULTS: In these patients, we argue that misophonia is better described as a symptom of a) obsessive-compulsive disorder, b) generalized anxiety disorder, and c) schizotypal personality disorder.
CONCLUSIONS: The nosological status of misophonia remains a matter of debate. Patients who exhibit misophonia as a major complaint should be assessed for other conditions. Further studies on the prevalence, natural history, and additional features of misophonia are needed.
KEYWORDS: obsessive-compulsive disorder, psychopathology, otorhinolaryngologic diseases, hyperacusia, tinnitus
ANNALS OF CLINICAL PSYCHIATRY 2013;25(4):271-274CORRESPONDENCE: Leonardo F. Fontenelle, MD, PhD Anxiety and Depression Research Program Institute of Psychiatry of the Federal University of Rio de Janeiro Rua Visconde de Pirajá, 547, 719 Ipanema, Rio de Janeiro-RJ, Brazil 22410-003 E-MAIL: firstname.lastname@example.orgAnnals of Clinical Psychiatry ©2013 Quadrant HealthCom Inc.