Assessing Spoken Language Competence in Children With Selective Mutism

Klein, Evelyn R.; Armstrong, Sharon Lee; Shipon-Blum, Elisa

doi:10.1177/1525740112455053

Cited by 30 publications

(27 citation statements)

References 29 publications

(45 reference statements)

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“…In a study by Klein et al, children with SM scored higher on parents-administered test than on professional-administered test measuring receptive and expressive language, albeit not on narrative comprehension test. 33 …”

Section: Discussionmentioning

confidence: 99%

Children with autism spectrum disorders and selective mutism

Steffenburg

Gillberg

et al. 2018

NDT

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BackgroundIt has been suggested that autism spectrum disorder (ASD) might be a “comorbid” condition in selective mutism (SM).MethodsIn this retrospective study, we examined medical records of children with SM diagnosis (n=97) at a medical center specializing in assessment of ASD.ResultsMean age for onset of SM symptoms was 4.5 years and mean age at SM diagnosis was 8.8 years. SM was more common among girls (boy:girl ratio=2.7:1). We found that 63% of the study group had an ASD (no gender difference). The SM group with combined ASD had later onset of symptoms, higher age at diagnosis, more often a history of speech delay, and a higher proportion of borderline IQ or intellectual disability.ConclusionThe results highlight the risk of overlap between ASD and SM.

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Section: Discussionmentioning

confidence: 99%

Children with autism spectrum disorders and selective mutism

Steffenburg

Gillberg

et al. 2018

NDT

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“…Their utterances were noticeably less complex and included fewer clauses [19]. Children with SM demonstrated expressive language deficits during standardized language assessment [20].…”

Section: Introductionmentioning

confidence: 99%

Variations in Parent and Teacher Ratings of Internalizing, Externalizing, Adaptive Skills, and Behavioral Symptoms in Children with Selective Mutism

Klein¹,

Ruiz²,

Morales³

et al. 2019

IJERPH

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Selective mutism (SM) is an anxiety disorder that impacts communication. Children with SM present concerns to parents and teachers as they consistently do not speak in situations where there is an expectation to speak, such as at school, but speak in other settings where they feel more comfortable, such as at home. The purpose of this study was to investigate the relationship between parents’ and teachers’ perceptions of children with SM on behavioral rating scales and language measures. Forty-two children (22 boys and 20 girls, ranging from 2.4 to 13.8 years, with a mean age of 7.1 years) took part in this study. Parents and teachers completed the Behavior Assessment System for Children (BASC-3) measuring internalizing behaviors, externalizing behaviors, adaptive skills, and behavioral symptoms. Frequency of speaking and language abilities were also measured. Parents and teachers both identified withdrawal as the most prominent feature of SM but parents saw children as significantly more withdrawn than did their teachers. Both rated children similarly at-risk on scales of functional communication and social skills. Higher adaptive skills (including functional communication and social skills) were positively correlated with vocabulary, narrative language, and auditory serial memory according to teachers. Parent and teacher rating scales provide valuable information for diagnosis and progress monitoring. Children with SM can benefit from mental health practitioners who can identify and enhance their emotional well-being.

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“…Children with selective mutism had higher rates of elimination disorders, motor delays, and exhibited a lower mean performance intelligence quotient on cognitive testing. Half of the children with selective mutism met the criteria for one or more communication disorders, and many additional studies have provided evidence of underlying speech and language deficits in children with selective mutism [16,38]. In an assessment of 44 children with selective mutism, they were found to score significantly lower across three measures of receptive language when compared with children with anxiety disorders and normal controls [39].…”

Section: Developmentalmentioning

confidence: 96%

Selective mutism

Hua

Major

2016

Current Opinion in Pediatrics

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Selective mutism is a disorder that typically emerges in early childhood and is currently conceptualized as an anxiety disorder. The development of selective mutism appears to result from the interplay of a variety of genetic, temperamental, environmental, and developmental factors. Although little has been published about selective mutism in the general pediatric literature, pediatric clinicians are in a position to play an important role in the early diagnosis and treatment of this debilitating condition.

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Assessing Spoken Language Competence in Children With Selective Mutism

Cited by 30 publications

References 29 publications

Children with autism spectrum disorders and selective mutism

Children with autism spectrum disorders and selective mutism

Variations in Parent and Teacher Ratings of Internalizing, Externalizing, Adaptive Skills, and Behavioral Symptoms in Children with Selective Mutism

Selective mutism

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