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Narrative skills in children with selective mutism: an exploratory study.

Alison McInnes1, Daniel Fung, Katharina Manassis

  • 1The Hospital for Sick Children, Toronto, Ontario, Canada.

American Journal of Speech-Language Pathology
|February 22, 2005
PubMed
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Selective mutism (SM) involves anxiety and speech-language issues. Children with SM showed shorter narratives than those with social phobia, indicating subtle expressive language deficits.

Area of Science:

  • Child Psychology
  • Speech-Language Pathology
  • Psychiatric Disorders

Background:

  • Selective mutism (SM) is a complex anxiety disorder.
  • SM is associated with speech-language deficits, but these are not well-understood.
  • Systematic study of language deficits in SM is lacking.

Purpose of the Study:

  • To systematically investigate language deficits in children with SM.
  • To compare expressive narrative abilities in children with SM and social phobia (SP).
  • To assess nonverbal cognitive and receptive language skills in both groups.

Main Methods:

  • A novel cross-disciplinary assessment protocol was employed.
  • Evaluated anxiety, nonverbal cognition, receptive language, and expressive narrative skills.

Related Experiment Videos

  • Compared 7 children with SM to 7 children with SP.
  • Main Results:

    • Children with SM produced significantly shorter narratives than children with SP.
    • Children with SM demonstrated normal nonverbal cognitive abilities.
    • Children with SM exhibited normal receptive language abilities.

    Conclusions:

    • Selective mutism may involve subtle expressive language deficits.
    • These deficits could potentially impact academic performance.
    • The developed assessment protocol may be valuable for language clinicians.