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Mutism, Selective - Europe PMC

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Last Updated: 02 January 2022

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Psychophysiological mechanisms underlying the failure to speak: a comparison between children with selective mutism and social anxiety disorder on autonomic arousal.

History Selective mutism has been conceptualized as a severe version of social stress and anxiety condition, in which the failure to speak functions as an avoidance mechanism causing a decrease of extreme anxiety stimulation. In contrast, kids with SAD are defined by a combination of a chronically raised physical arousal and a blunted physical concern response to social stress. Methods We examined in a total of N = 96 children [8-12 years, SM: n = 31, SAD: n = 32, common growth: n = 33] relaxing baseline stimulation in absence of social risk and the course of physical fear response in 2 social stress paradigms, differing in regards to whether the kids are expected to speak or otherwise. Results Children with SM were characterized by raised tonic arousal contrasted to the various other two groups, and by a much more inflexible stress response in the nonverbal yet not in the verbal job contrasted to TD-children. Further analyses disclosed that children with SM who did not talk during the verbal job currently demonstrated decreased arousal in anticipation of the spoken task. Furthermore, the differential physical stress response might show that silence serves as a maladaptive compensatory mechanism lowering stress in verbal social scenarios, which does not function in nonverbal circumstances. Treatment of SM need to think about that children with SM may struggle with persistantly elevated stress degrees and that various mechanisms may run in spoken and nonverbal social scenarios.

Source link: https://europepmc.org/article/MED/34963482


Feasibility trial of virtual reality exposure therapy for selective mutism.

Virtual fact exposure therapy has been commonly utilised as an expansion of cognitive behavioural therapy. Twenty children aged 6-12 with SM diagnosis were hired and completed six therapist-guided VRET sessions. Findings recommended the usefulness of VRET as all individuals finished the programme with no attrition. Moms and dads and youngster participants additionally reported VRET to be a effective and acceptable therapy for SM. These sustain the acceptability of VRET as an adjunct technique of CBT in SM treatment.

Source link: https://europepmc.org/article/MED/34866415


Diagnosing selective mutism: a critical review of measures for clinical practice and research.

Selective mutism is a stress and anxiety disorder, characterized by the regular absence of talking in certain circumstances, while effectively speaking in various other situations. SM can have a debilitating effect on the psychosocial and scholastic functioning in youth. Using psychometrically sound and cross-culturally valid instruments is urgently needed. The aim of this paper is to determine and assess the offered evaluation instruments for screening or diagnosing the core SM symptomatology. Researches were included if original information on the analysis or therapy of SM were reported. It was located that 38% of published research studies on SM coverage initial information did not report the usage of any type of unbiased or standard measure to check out the core symptomatology. The Selective Mutism Questionnaire, Anxiety Disorders Interview Schedule and School Speech Questionnaire were used most often.

Source link: https://europepmc.org/article/MED/34853909

* Please keep in mind that all text is summarized by machine, we do not bear any responsibility, and you should always check original source before taking any actions

* Please keep in mind that all text is summarized by machine, we do not bear any responsibility, and you should always check original source before taking any actions