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Misophonia (or selective sound sensitivity syndrome) is a disorder of decreased tolerance to specific sounds or their associated stimuli, or cues. These cues, known as "triggers", are experienced as unpleasant or distressing and tend to evoke strong negative emotional, physiological, and behavioral responses not seen in most other people. [ 8 ]
Hyperacusis is an increased sensitivity to sound and a low tolerance for environmental noise. Definitions of hyperacusis can vary significantly; it often revolves around damage to or dysfunction of the stapes bone , stapedius muscle or tensor tympani ( eardrum ).
Auditory sensitivity changes when the duration of a sound becomes less than 1 second. The threshold intensity decreases by about 10 dB when the duration of a tone burst is increased from 20 to 200 ms. For example, suppose that the quietest sound a subject can hear is 16 dB SPL if the sound is presented at a duration of 200 ms.
Annoyance effects of noise are minimally affected by demographics, but fear of the noise source and sensitivity to noise both strongly affect the 'annoyance' of a noise. [42] Sound levels as low as 40 dB(A) can generate noise complaints [43] and the lower threshold for noise producing sleep disturbance is 45 dB(A) or lower. [44]
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Cochlear hydrops preferentially affects the apex of the cochlea where low-frequency sounds are interpreted. Due to the fluid imbalance in this area, parts of the cochlea are stretched or under more tension than usual, which can lead to distortions of sound, changes in pitch perception, or hearing loss, all usually in the low frequencies.
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People with misophonia display hypersensitivity to certain pattern-based noises such as the sound of chewing, slurping, finger tapping, foot shuffling, throat clearing, pen clicking, and keyboard tapping; people with misophonia respond to triggering sounds with emotional distress and increased hormonal activity of the sympathetic system. [18]