Selective mutism: more than social anxiety?

@article{Yeganeh2006SelectiveMM,
  title={Selective mutism: more than social anxiety?},
  author={Robin Yeganeh and Deborah C. Beidel and Samuel M. Turner},
  journal={Depression and Anxiety},
  year={2006},
  volume={23}
}
This study investigated the relationship between selective mutism (SM), social phobia (SP), oppositionality, and parenting styles. Twenty‐one children with SP, 21 children with SM and SP, and 21 normal children ages 7–15, and the mother of each child, participated in an assessment of psychopathological factors potentially related to SM. Children with SM did not endorse higher levels of social anxiety than did children with SP, although clinicians gave higher severity ratings to those who had… 
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.
Comorbidity and Family Factors Associated with Selective Mutism
Recent findings suggest that Selective Mutism (SM) is best conceptualized as a childhood anxiety disorder and that oppositional behavior may or may not be a significant part of the clinical picture.
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: 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.
Comparison of Psychological and Psychophysiological Arousal Evaluation of Children With Selective Mutism and Social Phobia : A
Abstract Although children with social phobia (SP) and selective mutism (SM) present similarly in a clinical setting, it remains unclear whether children with SM are unable to speak due to
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.
Treatment ( SCAT ) for children and families with selective mutism : A pilot study
TLDR
Key features of this approach are the SM-Social Communication Comfort Scale, transfer of control (ToC), a nonchalant therapeutic style, and cognitive-behavioral strategies over a brief time frame.
The Teachers’ Role in the Assessment of Selective Mutism and Anxiety Disorders
Selective mutism (SM) is a childhood disorder characterized by failure to speak in social situations, despite there being an expectation to speak and the capacity to do so. There has been a focus on
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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.
Characterizing selective mutism: Is it more than social anxiety?
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Though requiring replication with a larger sample and nonclinical comparison group, the results suggest that SM children can be assessed by non‐verbal means and that their disorder is characterized by anxiety and subtle language impairments.
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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.
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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.
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