Clinical characteristics according to sex and symptom severity in children with selective mutism: a four-center study

Doğru, Hicran; Ucuz, İ̇̇lknur; Çiçek, Ayla Uzun; Arslan, Semiha Comertoglu

doi:10.1080/08039488.2022.2146748

Cited by 1 publication

(4 citation statements)

References 26 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…The majority (190/243, 78%) of the subjects in these studies had shown moderate or total improvements in SM symptoms by the end of the follow-up periods. The study by Dogru did not report how many patients recovered from SM at a certain time point, but the authors did report that the duration of SM symptoms was 2.22 ± 1.35 years [ 30 ]. There were variations in how the results were reported.…”

Section: Resultsmentioning

confidence: 99%

“…At follow up, two subjects (6.5%) still had still SM, 11 (35.5%) only had SAD and nine (29.0%) had comorbid SM and SAD. [ 16 ] Study by Dogru reported, that 28 of their 39 subjects (57.1%) had psychiatric comorbidities, but did not state if the diagnoses were delivered, before, at the same time as or after the SM diagnoses [ 30 ]. No studies were found that reported suicidality among subjects with SM.…”

Section: Resultsmentioning

confidence: 99%

“…When this study examined the symptomatic outcomes of SM, only the context in which the mutism occurred was significant. [ 18 ] Dogru et al reported that children with severe SM symptoms were ill for a longer period of time and had higher rates of psychiatric comorbidity than children with moderate or mild symptoms [ 30 ].…”

Section: Resultsmentioning

confidence: 99%

“…Many of the studies were descriptive case series, as nine out of the 18 studies did not contain any statistical analyses. This was reflected in the fact that only six of the 11 studies that were finally included scored more than 50% of the maximum quality score [ 16 – 18 , 30 , 31 , 33 , 34 ]. The diagnostic methods were poorly described in many studies and the methods for measuring outcomes differed, which made drawing conclusions complicated.…”

Section: Discussionmentioning

confidence: 99%

See 3 more Smart Citations

Long-term outcomes of selective mutism: a systematic literature review

Koskela,

Ståhlberg,

Yunus

et al. 2023

BMC Psychiatry

View full text Add to dashboard Cite

Background Selective mutism (SM) is a childhood onset anxiety disorder, and the main symptom is not speaking in certain social situations. Knowledge about the duration and long-term outcomes of SM have been lacking and the aim of this systematic literature review was to address this gap in the literature. We investigated how long SM symptoms persisted as well as other psychiatric outcomes associated with SM in later life. Methods The PubMed, PsycInfo, Web of Science, Cochrane Library and Embase databases were initially searched from inception to 11 September 2023. Studies were included if they were published in English and had followed up subjects with clinically diagnosed SM for at least two years. The review followed the Preferred Reporting Items of Systematic Reviews and Meta-analyses guidelines and the protocol was registered with the Open Science Framework. The papers were assessed using the Quality Assessment with Diverse Studies tool. Results This review screened 2,432 papers and assessed 18 studies. Seven case series studies were excluded from discussion because of the low number of subjects and the fact that their findings could not be generalized to wider populations. In the end, nine clinical cohorts and two case control studies were reviewed. These provided a total of 292 subjects and the sample sizes ranged from 11–49. The overall quality of the studies was moderate. The review found that 190 of the 243 subjects in the studies that reported recovery rates showed moderate or total improvement from SM during follow up. Other anxiety disorders were the most common psychiatric disorders later in life, although these results should be interpreted with caution. Older age at baseline and parental psychopathology might predict greater impairment, but further studies are needed to confirm these results. Conclusions Most subjects with SM recovered from this disorder during adolescence, but anxiety disorders were common in later life. Early detection and treatment are needed to prevent symptoms from persisting and other psychiatric disorders from developing.

show abstract

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%