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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
Summary
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.
- 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.
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