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Silent at school--elective mutism and abuse

R MacGregor1, A Pullar, D Cundall

  • 1Community Child Health Services, St Mary's Hospital, Leeds.

Archives of Disease in Childhood
|June 1, 1994
PubMed
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Selective mutism in children may be linked to abuse. This study found a higher incidence of abuse in children with selective mutism compared to controls, suggesting a crucial factor for intervention.

Area of Science:

  • Child Psychology
  • Pediatric Psychiatry
  • Clinical Psychology

Background:

  • Selective mutism is an anxiety disorder characterized by a child's inability to speak in specific social situations.
  • Understanding the etiology of selective mutism is crucial for effective intervention strategies.
  • This study investigates potential contributing factors in a cohort of children with selective mutism.

Observation:

  • A retrospective case-control study was conducted on children diagnosed with selective mutism.
  • The study compared a group of 18 children with selective mutism to control groups.
  • Data on child abuse and speech/language problems were collected for all participants.

Findings:

  • Eight out of 18 children with selective mutism reported definite or probable abuse.

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  • In contrast, only one child in the speech or language problem control group reported abuse.
  • No abuse was reported in the classroom control group, highlighting a significant difference.

    • Implications:

    • The findings suggest a potential association between child abuse and the development of selective mutism.
    • This highlights the importance of screening for abuse in children presenting with selective mutism.
    • Clinical management strategies should consider addressing potential trauma and abuse in affected children.