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A Treatment Package without Escape Extinction to Address Food Selectivity

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Selective mutism in immigrant families: An ecocultural perspective.

Ortal Slobodin¹, Maayan Shorer^2,3, Gilor Friedman-Zeltzer⁴

¹School of Education, Ben-Gurion University, Beer-Sheva, Israel.

Transcultural Psychiatry

|October 10, 2023

Summary

Selective mutism (SM) is more common in immigrant children. Anxiety is a key predictor, but immigration factors like bilingualism and low income also increase SM symptoms, aiding early identification.

Keywords:

bilingualism ecocultural perspective immigrant children selective mutism

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Area of Science:

Child Psychology
Developmental Psychology
Clinical Psychology

Background:

Selective mutism (SM) is diagnosed more frequently in immigrant children, yet the specific links remain unclear.
Ecocultural models emphasize the interplay of individual, family, and environmental factors in child development.
Understanding these factors is crucial for addressing disparities in SM diagnosis and treatment.

Purpose of the Study:

To develop a theory-based description of selective mutism (SM).
To investigate individual, family, and contextual risk factors associated with SM.
To examine the role of immigration background in the manifestation of SM symptoms.

Main Methods:

Cross-sectional study comparing children with SM and typically developing children.
Inclusion of participants with and without an immigration background.
Analysis of predictors including anxiety, immigration status, bilingualism, and family income.

Main Results:

Anxiety was identified as the primary predictor of SM symptoms, independent of immigration status.
Immigration background, particularly when combined with bilingualism and low family income, significantly predicted higher SM symptom levels.
These multi-level factors contribute to understanding SM in diverse populations.

Conclusions:

Anxiety is a core factor in selective mutism, but immigration-related stressors also play a significant role.
Immigration, bilingualism, and socioeconomic status are critical considerations for SM in diverse children.
Identifying multi-level predictors can enhance early detection and intervention strategies for SM in culturally and linguistically diverse populations.