Sertraline Treatment of 5 Children Diagnosed with Selective Mutism: A Single-Case Research Trial

Carlson, John S.; Kratochwill, Thomas R.; Johnston, Hugh F.

doi:10.1089/cap.1999.9.293

Cited by 60 publications

(45 citation statements)

References 13 publications

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“…However, only a very small number of patients were on medication treatments in both samples, so it was deemed unnecessary. On the other hand, some of the studies concerning compliance to medication treatment maintain that the therapeutic relationship with the clinician is a very important factor, which influences compliance to medication treatment [14, 15]. …”

Section: Discussionmentioning

confidence: 99%

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Treatment Compliance and Early Termination of Therapy: A Comparative Study

Lazaratou

Anagnostopoulos²,

Vlassopoulos³

et al. 2006

Psychother Psychosom

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Background: Compliance in therapy appears to be linked to the process of therapeutic alliance. A positive patient–therapist relationship usually leads to successful completion of therapy. The aim of this study was to compare evidence, collected at two time periods in a Community Mental Health Center in Athens, on factors affecting treatment compliance. The hypothesis was that by modifying the therapeutic team’s functioning, noncompliance could be reduced. Methods: Epidemiological data were collected from child and adolescent out-patient files at two time periods: time period A, 1990–1994, n = 455 (sample A) and time period B, 2000–2002, n = 476 (sample B). Variables pertaining to the patient, his family and recommended treatment were examined. Student’s t test and the Pearson χ² test were used in order to explore the correlation of the variables with treatment completion in each sample. Logistic regression analyses were used to determine whether the effect of each variable on treatment completion differed between the two samples. Results: In sample A, most patients (58.6%) did not comply with therapy. The type of recommended treatment, the number of sessions, season of admission and the type of presented problem were found to correlate with treatment completion. Between the two time periods, certain modifications were implemented in the team’s functioning (less diagnostic sessions, focused psychotherapy techniques, less time interval between referral and first diagnostic appointment). A significant reduction in the early termination rate (45.7%) was noted in sample B. The type of recommended treatment, the number of sessions, the family’s situation, the mother’s educational level and the patient’s gender were related to treatment completion in sample B. The effect of the type of proposed treatment and the mean number of sessions of the completed treatments differed significantly between the two samples. Conclusions:Early termination rates in therapy decreased between two time periods. This decrease may be attributed to modifications in the team’s functioning, aimed at improving the therapeutic relationship. The limitation of this study is that only those factors pertaining to the service’s organization and functioning were investigated.

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Section: Discussionmentioning

confidence: 99%

“…In child and adolescent psychiatric clinical practice, therapeutic intervention requires an additional factor: the active collaboration of the patient’s family. Consequently, noncompliance in treatment may be higher, but this issue has not been studied equally [9,10,11,12,13,14,15,16]. …”

Section: Introductionmentioning

confidence: 99%

Treatment Compliance and Early Termination of Therapy: A Comparative Study

Lazaratou

Anagnostopoulos²,

Vlassopoulos³

et al. 2006

Psychother Psychosom

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“…They have noted in particular the resemblance between SM in children and social phobia in adults [Black and Uhde, 1992;Crumley, 1990], and some have suggested that SM should be considered an extreme form of childhood social phobia [Anstendig, 1999]. The relevance of anxiety to SM is further supported by treatment trials that show that anti-anxiety medications can be ef fective in SM [Carlson et al, 1999;Goldwyn and Sevlie, 1999;Laf ferty and Constantino, 1998]. …”

Section: Etiological Theoriesmentioning

confidence: 99%

Characterizing selective mutism: Is it more than social anxiety?

et al. 2003

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Selective mutism (SM) occurs when a child persistently lacks speech in some social situations but not in others, despite the ability to use and comprehend language. While considered to be related to anxiety, SM is poorly understood and studies of SM children are often based on parent reports. This study developed a unique, non-verbally based assessment protocol for SM children in order to better characterize their clinical profile, language abilities, and learning abilities. A comparison was done with a group of children of similar age, with social phobia (SP) but no SM, to search for characteristics that might distinguish SM from other anxiety disorders. Twenty-three children participated in the study (14 SM and 9 SP). The assessment protocol included standardized anxiety rating scales, cognitive and academic tests, and a speech and language assessment. SM and SP groups showed similar levels of anxiety and academic ability, but the SM group showed some language impairments relative to the SP group. Though requiring replication with a larger sample and nonclinical comparison group, the results suggest that SM children can be assessed by non-verbal means and that their disorder is characterized by anxiety and subtle language impairments.

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“…More recent reports have been advocated the benefits of psychopharmacological treatments in children with SM [28][29][30].…”

Section: Introductionmentioning

confidence: 99%

Efficacy and Safety of Psychomotor Approach in Children Affected by Selective Mutism: A Multicenter Study in Italian Pediatric Population

Esposito¹,

Precenzano²,

Ruberto³

et al. 2015

Int J Psychol Behav Anal

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Introduction: Selective mutism is a relative rare disease in children coded by DSM-V in anxiety disorders. No specific treatment were yet coded, although the disabling nature of the disease. Aims of the present study were to verify the effect of the six months standard psychomotor approach on a population of children affected by selective mutism and the effects on life aspects. Materials and Methods: The study population was composed of 67 children (39 males, mean age of 7.93 ± 1.05 years) recruited in the Child and Adolescent Neuropsychiatric Center of Second University of Naples. The psychomotor approach was administered by trained child therapists in residential settings three per week, with the same therapist for each child; all therapists shared the same protocol. The standard psychomotor session length was 45 minutes. At T0 and after 6 months (T1) of treatments, the patients underwent a behavioural and SM severity assessment. In order to verify the effects of the psychomotor approach, the CBCL and SMQ were administered to parents of all children. Results: After 6 months of psychomotor treatment SM children showed a significant reduction in Social Relations, Anxious/Depressed, Social problems and Total problems (p<0.001), Withdrawn (p=0.007) and Internalizing problems (p=0.020) among CBCL scores. (Table 1) Regarding SM severity according SMQ assessment, our sample showed a reduction of SM symptoms in all situations (School, p=0.003; Family, p=0.018; and Social, p=0.030 situations) and in SMQ total score (p<0.001). Conclusion: Our preliminary results may suggest the posi¬tive effect of the psychomotor approach in rehabilitative program for children affected by selective mutism, even if further researches are needed.

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Sertraline Treatment of 5 Children Diagnosed with Selective Mutism: A Single-Case Research Trial

Cited by 60 publications

References 13 publications

Treatment Compliance and Early Termination of Therapy: A Comparative Study

Treatment Compliance and Early Termination of Therapy: A Comparative Study

Characterizing selective mutism: Is it more than social anxiety?

Efficacy and Safety of Psychomotor Approach in Children Affected by Selective Mutism: A Multicenter Study in Italian Pediatric Population

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