Journal of the American Academy of Child and Adolescent Psychiatry · 1997
Systematic assessment of 50 children with selective mutism.
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Dummit E S, Klein R G, Tancer N K, Asche B, Martin J, Fairbanks J A
Аннотация
OBJECTIVE: To clarify the diagnostic significance of selective mutism (elective mutism in DSM-III-R).
METHOD: Fifty children with selective mutism were evaluated systematically by means of semistructured clinical interviews and rating scales to obtain detailed diagnostic information.
RESULTS: All 50 children met DSM-III-R criteria for social phobia or avoidant disorder and 24 (48%) had additional anxiety disorders. Clinical measures of anxiety and behavioral symptoms supported the presence of anxiety disorders as a characteristic of selectivity mute children. Only one case each of oppositional defiant disorder and attention-deficit hyperactivity disorder was found.
CONCLUSIONS: Persistent selective mutism typically presents in the context of anxiety disorders.
METHOD: Fifty children with selective mutism were evaluated systematically by means of semistructured clinical interviews and rating scales to obtain detailed diagnostic information.
RESULTS: All 50 children met DSM-III-R criteria for social phobia or avoidant disorder and 24 (48%) had additional anxiety disorders. Clinical measures of anxiety and behavioral symptoms supported the presence of anxiety disorders as a characteristic of selectivity mute children. Only one case each of oppositional defiant disorder and attention-deficit hyperactivity disorder was found.
CONCLUSIONS: Persistent selective mutism typically presents in the context of anxiety disorders.