Objective:

To develop and evaluate a cognitive reappraisal (CR) protocol tailored for misophonia, assessing feasibility, acceptability, satisfaction, and preliminary outcomes.

Approach:

• Intervention Design: The intervention included a 90-minute group session and three 30-minute individual online sessions over four weeks.
• Participant Recruitment: Adults (N = 23) were recruited using structured interviews.
• Assessment Methods: Misophonia symptoms were assessed at two pre-treatment time points and post-treatment, with qualitative data gathered from semi-structured group interviews.

Key Findings:

• No significant changes were observed between the two pre-treatment assessments in three of the five symptom subscales, partially confirming baseline symptom stability.
• A significant post-treatment reduction in externalizing responses to misophonia triggers was observed (Estimate = -8.47, SE = 2.32, t(42.45) = -3.65, p < 0.001).
• Qualitative data highlighted feelings of isolation, appreciation for the group format, and a need for more individualized support.

Interpretation:

Cognitive reappraisal as a component of misophonia treatment warrants further controlled evaluation.

Limitations:

• The study utilized an uncontrolled design, limiting the generalizability of the findings.
• The small sample size may affect the robustness of the results.

Conclusion:

Participant feedback highlights the importance of tailoring interventions to individual needs and patient perspectives.