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Updated: Jun 6, 2025

Assessing the Coherence of Parents' Short Narratives Regarding their Child Using the Five-Minute Speech Sample Procedure
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Parental Issues and Support Needs in Selective Mutism in Japan: A Quantitative Content Analysis.

Tomohisa Yamanaka1,2, Honami Koyama1,3, Masahiko Inoue4

  • 1Department of Doctoral Course, Graduate School of Medical Sciences, Tottori University, Yonago 683-8503, Japan.

Yonago Acta Medica
|November 25, 2024
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Summary

Parents of children with selective mutism (SM) face challenges like delayed diagnosis and lack of support. They need more information, understanding, and specific strategies to help their children overcome SM.

Keywords:
needs assessmentparentselective mutism

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Area of Science:

  • Child Psychology
  • Anxiety Disorders
  • Parental Support Systems

Background:

  • Selective mutism (SM) is an anxiety disorder impacting children's speech in social settings.
  • Parents of children with SM often experience significant coping difficulties.
  • Understanding parental challenges is crucial for developing effective support.

Purpose of the Study:

  • To analyze the specific issues faced by parents of children with selective mutism.
  • To identify the support needs of parents caring for children with SM.
  • To examine how parental issues and needs vary with diagnosis and comorbid conditions.

Main Methods:

  • Quantitative content analysis of responses from 70 parents of children with SM.
  • Utilized open-ended questions to gather data on parental challenges and support requirements.
  • Participants recruited via SM information exchange groups and social networking services.

Main Results:

  • Parental issues included delayed diagnosis, school non-attendance, inadequate teacher support, lack of empathy from others, and communication barriers leading to isolation.
  • Parental support needs encompassed accessible consultation, increased understanding from supporters, enhanced knowledge about SM, and specific improvement methods.
  • Comorbid conditions showed minor impact, but diagnosis presence influenced parental issues and support needs.

Conclusions:

  • Parents of children with SM are significantly affected by professional knowledge gaps and symptom severity.
  • There is a strong need for increased understanding and resources for parents managing SM.
  • Support systems for parents need global identification of needs and establishment of comprehensive frameworks.