Selective Mutism in Children: Comparison to Youths With and Without Anxiety Disorders

@article{Vecchio2005SelectiveMI,
  title={Selective Mutism in Children: Comparison to Youths With and Without Anxiety Disorders},
  author={Jennifer L Vecchio and Christopher A. Kearney},
  journal={Journal of Psychopathology and Behavioral Assessment},
  year={2005},
  volume={27},
  pages={31-37}
}
Fifteen children with selective mutism (SM), 15 children with anxiety disorders (AD) without selective mutism, and 15 children without anxiety disorders or selective mutism (CN) were compared to examine the relationship between selective mutism and anxiety. Data were collected from children (age 4–10 years), parents, teachers, and clinicians. Results indicated that children with SM closely resemble children with AD. All children with SM received a diagnosis of social anxiety disorder and 53… 
Children’s and parent’s psychological profiles in selective mutism and generalized anxiety disorder: a clinical study
TLDR
Investigation of the psychological features of children with SM and their parental psychological profiles, compared to generalized anxiety disorder children and their parents confirmed that SM and GAD share a common anxious core, though some differences in the children’s psychological profiles and the parents’ history and personality emerged.
Evaluation of Children With Selective Mutism and Social Phobia
TLDR
It is postulate that lack of speech may serve as an avoidance mechanism and thus account for this lack of arousal in children with selective mutism.
Distinguishing selective mutism and social anxiety in children: a multi-method study
TLDR
Although SM and SAD in children share many similarities, SM may be characterized by greater SA in certain social contexts and is distinguishable from SAD on behavioral measures of verbal SA.
Selective mutism and social anxiety disorders: are they two faces of the same coin?
TLDR
There were significant social anxiety symptoms in the entire sample; yet, some participants reached the diagnostic threshold for social anxiety disorder whereas others did not; and Combination therapy proved to result in a better response in both groups.
Behavioral and Socio-emotional Functioning in Children with Selective Mutism: A Comparison with Anxious and Typically Developing Children Across Multiple Informants
TLDR
It is suggested that SM may be conceptualized as an anxiety disorder, with primary deficits in social functioning and social anxiety, and that social skills training merits inclusion in intervention for children with anxiety disorders as well as children with SM.
Anxiety in Children with Selective Mutism: A Meta-analysis
TLDR
The finding that SM is often diagnosed in combination with anxiety disorders, indicates that these disorders are not discrete, separable categories and does not help to elucidate the relation between SM and anxiety as an etiological mechanism or symptomatic feature.
Children Who are Anxious in Silence: A Review on Selective Mutism, the New Anxiety Disorder in DSM-5
TLDR
Recommendations for dealing with this diagnostic conundrum are made for psychologists, psychiatrists, and other mental health workers who face children with SM in clinical practice, and directions for future research are highlighted.
Selective mutism and temperament: the silence and behavioral inhibition to the unfamiliar
TLDR
Children with lifetime selective mutism and social phobia were more inhibited as infants and toddlers than children of the internalizing and healthy control groups, who displayed similar low levels of behavioral inhibition.
Selective Mutism: The Fraternal Twin of Childhood Social Phobia
TLDR
SM and SP represent separate but closely related disorders, distinct from other INT and CG, with specific patterns of lifetime comorbidities.
...
1
2
3
4
5
...

References

SHOWING 1-10 OF 32 REFERENCES
Clinical distinctions between selective mutism and social phobia: an investigation of childhood psychopathology.
TLDR
Although there were no group differences on measures of trait anxiety, general fears, or scores on the Child Behavior Checklist Delinquency subscale, children with selective mutism scored higher than children with social phobiaalone on the Internalizing or Externalizing scales, suggesting the presence of a broader clinical syndrome.
Psychiatric characteristics of children with selective mutism: a pilot study.
  • B. Black, T. Uhde
  • Psychology, Medicine
    Journal of the American Academy of Child and Adolescent Psychiatry
  • 1995
TLDR
Selective mutism may be a symptom of social anxiety, rather than a distinct diagnostic syndrome, and further study of the characteristics of children with selective mutism and their families is warranted.
Selective mutism and comorbidity with developmental disorder/delay, anxiety disorder, and elimination disorder.
  • H. Kristensen
  • Psychology, Medicine
    Journal of the American Academy of Child and Adolescent Psychiatry
  • 2000
TLDR
SM is associated with developmental disorder/delay nearly as frequently as with anxiety disorders and the mutism may conceal developmental problems in children with SM.
Prevalence and description of selective mutism in a school-based sample.
TLDR
The functioning of children with SM is impaired, and although there is some improvement over time, notable impairment remains, suggesting that intervention is preferable to waiting for SM to remit spontaneously.
Systematic assessment of 50 children with selective mutism.
TLDR
Clinical measures of anxiety and behavioral symptoms supported the presence of anxiety disorders as a characteristic of selectivity mute children and Persistent selective mutism typically presents in the context of anxiety Disorders.
Practical guidelines for the assessment and treatment of selective mutism.
TLDR
Assessment and treatment options for selective mutism are presented, based on new hypotheses that focus on the anxiety component of this disorder, and a role for behavior modification and pharmacotherapy similar to the approaches used for adults with social phobia is suggested.
A Comparison of Elective Mutism and Emotional Disorders in Children
  • R. Wilkins
  • Psychology
    British Journal of Psychiatry
  • 1985
TLDR
It is proposed that elective mutism is associated with particular personal and family characteristics and represents a condition different from any recognised emotional disorder.
The family history of children with elective mutism: a research report
TLDR
Although mutism was reported almost exclusively in the group of relatives of children that manifested elective mutism, the differences between the two samples were not significant probably due to low frequencies.
Is selective mutism an anxiety disorder? Rethinking its DSM-IV classification.
Prevalence and description of selective mutism in immigrant and native families: a controlled study.
TLDR
In this sample, the disorder appeared to be associated with a combination of a specific diathesis (SAP) with intrinsic (NDD) and/or environmental (family immigration) vulnerabilities and Marital discord appeared toBe a general risk factor for SM.
...
1
2
3
4
...