Effectiveness of a Mindfulness-Based Cognitive Behavioral Mobile Intervention for Misophonia

Misophonia is characterized by strong emotional and physiological reactions to specific trigger sounds and may interfere with daily functioning and emotional well-being. This randomized controlled trial will evaluate the effectiveness of a mobile application based on mindfulness-based cognitive behavioral interventions for adults with misophonia symptoms. A total of 60 participants will be randomly assigned to either an intervention group or a control group. Participants in the intervention group will use a three-week mobile intervention that includes psychoeducation, cognitive behavioral techniques, gradual exposure to trigger sounds, mindfulness, breathing and relaxation exercises, and self-monitoring tools. The control group will not receive the mobile intervention during the study period. Outcomes will be assessed before the intervention, immediately after the three-week intervention, and four weeks after the intervention. The main outcome will be change in misophonia symptoms. Secondary outcomes will include depression, anxiety, stress, and difficulties in emotion regulation.

Inclusion Criteria: * Age 18 years or older. * Meeting the misophonia criteria proposed by Jager et al. (2020). * Reporting at least one trigger sound. * Having a Misophonia Scale total score greater than 60.5. * Owning a smartphone or tablet. * Having sufficient technological literacy to use the mobile application. Exclusion Criteria: * Misophonia symptoms being better explained by another condition or disorder based on the eligibility screening. * A Misophonia Scale total score of 60.5 or lower. * Development of marked distress or functional impairment during the study that requires discontinuation and referral for professional mental health support.