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Pediatric selective mutism therapy: a randomized controlled trial.

Maria Esposito1, Francesca Gimigliano2, Maria R Barillari3

  • 1Clinic of Child and Adolescent Neuropsychiatry, Department of Mental Health, Physical and Preventive Medicine, Second University of Naples, Naples, Italy.

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Summary

Psychomotor treatment significantly reduced anxiety and improved social interactions in children with selective mutism (SM). This therapy offers a safe and effective approach for pediatric SM rehabilitation.

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Area of Science:

  • Pediatric Psychiatry
  • Child Psychology
  • Developmental Neuroscience

Background:

  • Selective mutism (SM) is a rare childhood anxiety disorder with significant functional impairment.
  • Current treatment options for SM are limited, highlighting the need for effective interventions.

Purpose of the Study:

  • To evaluate the efficacy of a six-month standard psychomotor treatment for children with SM.
  • To assess associated lifestyle changes and their impact on SM symptoms.

Main Methods:

  • A randomized controlled trial involving 138 children with SM was conducted.
  • Participants received either psychomotor treatment or behavioral/educational counseling for six months.
  • Child Behavior Checklist (CBCL) and Selective Mutism Questionnaire (SMQ) were used for assessments.

Main Results:

  • Psychomotor treatment led to significant reductions in CBCL scores for social relations, anxiety/depression, and overall problems.
  • SMQ assessments showed a significant decrease in SM symptoms across school, family, and social settings.
  • Improvements were observed in withdrawn behavior and internalizing problems.

Conclusions:

  • Psychomotor treatment demonstrates a positive effect as part of a rehabilitative program for children with selective mutism.
  • This study identifies psychomotricity as a safe and effective therapy for pediatric SM.
  • Further research is warranted to confirm these preliminary findings.