The Duke Misophonia Questionnaire (DMQ) is the first psychometrically validated self-report measure of Misophonia using factor analytic procedures combined with IRT in an English-speaking sample. The DMQ can be used in its totality, as individual subscales or with composite scores of symptom severity or difficulties coping. 

The final DMQ has 86 items and includes subscales:

1. Trigger frequency (16 items)
2. Affective responses (8 items)
3. Physiological responses (5 items)
4. Cognitive responses (10 items)
5. Coping before (6 items)
6. Coping During (10 items)
7. Coping After (5 items)
8. Impairment (12 items)
9. Beliefs (14 items) 

Composite scales are derived from overall Symptom Severity (combined Affective, Physiological, and Cognitive Subscales) and Coping (which combined the three coping subscales - before, during, and after). 

Subscales include:

• Affect Subscale Score (sum of Affect #1-8) 
• Physical Symptom Score (sum of phys1-phys5) 
• Cognitive Score (sum of Cog1-Cog10)
• Coping Before Score (sum of Bef1-Bef6)
• Coping During Score (sum of Dur1-Dur10)
• Coping After Score (sum of Af1-Af5) 
• Impairment Score (sum of Imp1-Imp12) 
• Beliefs Score (sum of Belief1-Belief14) 

Symptom Severity Composite Score is the sum of the 23 items (Affect + Physical Symptom + Cognitive).

Coping Composite Score is the sum of all 3 coping subscales combined (a sum of the 21 items, from Coping Before, Coping During, and Coping After). 
 

In regards to the DMQ Impairment and Clinical Ranges, Clinical Impairment Ranges (derived from the Impairment Subscale):

• 0-13 is considered "minimal-mild impairment"
• 14-38 is considered "moderate impairment" 
• 39-48 is considered "severe to very severe impairment"

Note: The frequency item is an estimate across the most bothersome trigger. It is not be asked 16 times for each possible trigger type in the checklist. 

Download the Duke Misophonia Questionnaire