Document Type

Article

Journal/Book Title/Conference

Journal of Contextual Behavioral Science

Author ORCID Identifier

Leila K. Capel https://orcid.org/0000-0001-9113-3826

Julie M. Petersen https://orcid.org/0000-0003-4146-5624

Volume

36

Publisher

Elsevier BV

Publication Date

4-22-2025

Journal Article Version

Accepted Manuscript

First Page

1

Last Page

40

Creative Commons License

Creative Commons Attribution-Noncommercial-No Derivative Works 4.0 License
This work is licensed under a Creative Commons Attribution-Noncommercial-No Derivative Works 4.0 License.

Abstract

Misophonia is a psychological disorder that has been under researched despite the impact it can have on functioning and quality of life. Acceptance and commitment therapy (ACT) has been explored as a potential treatment option for misophonia. The process of change targeted by ACT is psychological flexibility. However, research on the association of psychological inflexibility and misophonia is nascent, as there are not misophonia-specific measures available. In this study we validated a measure of misophonia-specific psychological inflexibility, the misophonia acceptance and action questionnaire (miso-AAQ). Participants (N = 120) were from a randomized controlled trial of CAT for misophonia and matched control participants. All completed the miso-AAQ at pre-treatment. Preliminary results indicate the miso-AAQ has satisfactory internal reliability (α = .84). and validity (rs = .33-.55, ps < .05). Results also provide preliminary support of misophonia-related psychological inflexibility as a potential mediator in the relationship between misophonia symptom severity and anger and stress. Future directions and implications are discussed.

Available for download on Thursday, April 22, 2027

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