Cognitive reappraisal as a component of process-based misophonia treatment: a mixed-methods pilot study of feasibility, acceptability and initial outcomes - Takeaways - MDSpire

Cognitive reappraisal as a component of process-based misophonia treatment: a mixed-methods pilot study of feasibility, acceptability and initial outcomes

  • By

  • Marta Siepsiak

  • Andrzej Śliwerski

  • Anna Turek-Wojnarowicz

  • Weronika Araszkiewicz

  • Małgorzata Gambin

  • Mark Zachary Rosenthal

  • June 24, 2026

  • 0 min

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  • 1

    Misophonia is characterized by significant distress and reduced quality of life due to decreased sound tolerance.

  • 2

    Cognitive reappraisal (CR) is a core CBT intervention that has not been previously tested for misophonia in ecologically valid conditions.

  • 3

    The study involved 23 adults and assessed misophonia symptoms before and after a tailored CR intervention over four weeks.

  • 4

    Post-treatment results indicated a significant reduction in externalizing responses to misophonia triggers, with qualitative feedback highlighting the need for individualized support.

  • 5

    The findings suggest that CR may be a promising component of misophonia treatment, warranting further controlled evaluation.

Original Source(s)

Cognitive reappraisal as a component of process-based misophonia treatment: a mixed-methods pilot study of feasibility, acceptability and initial outcomes

  • by Marta Siepsiak, Andrzej Śliwerski, Anna Turek-Wojnarowicz, Weronika Araszkiewicz, Małgorzata Gambin, Mark Zachary Rosenthal

  • June 24, 2026

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