Systematic assessment of 50 children with selective mutism

被引：109

作者：

Dummit, ES ^{[1
]}

Klein, RG ^{[1
]}

Tancer, NK ^{[1
]}

Asche, B ^{[1
]}

Martin, J ^{[1
]}

Fairbanks, JA ^{[1
]}

机构：

[1] COLUMBIA UNIV COLL PHYS & SURG, NEW YORK STATE PSYCHIAT INST, NEW YORK, NY 10032 USA

来源：

JOURNAL OF THE AMERICAN ACADEMY OF CHILD AND ADOLESCENT PSYCHIATRY | 1997年 / 36卷 / 05期

关键词：

elective mutism; selective mutism; anxiety; social phobia; avoidant disorder; child; adolescent;

D O I：

10.1097/00004583-199705000-00016

中图分类号：

B844 [发展心理学（人类心理学）];

学科分类号：

040202 ;

摘要：

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 selectively 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.

引用

页码：653 / 660

页数：8

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