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Selective mutism: a population-based study: a research note

S Kopp1, C Gillberg

  • 1Department of Child and Adolescent Psychiatry, University of Göteborg, Sweden.

Journal of Child Psychology and Psychiatry, and Allied Disciplines
|February 1, 1997
PubMed
Summary
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Selective mutism, a condition affecting speech in children, is more common than previously thought. Early identification by teachers is crucial for supporting affected students.

Area of Science:

  • Child Psychology
  • Developmental Psychiatry
  • Pediatric Mental Health

Background:

  • Selective mutism (SM) is an anxiety disorder characterized by a child's inability to speak in specific social situations.
  • Previous prevalence estimates for SM in school-aged children are limited.

Observation:

  • A school-based screening was conducted for children aged 7–15 years in two districts in Göteborg, Sweden.
  • Teachers identified children exhibiting symptoms of selective mutism and/or significant shyness and reticence.

Findings:

  • Three girls and two boys met the Diagnostic and Statistical Manual of Mental Disorders, 4th Edition (DSM-IV) criteria for selective mutism.
  • The prevalence rate of typical selective mutism was found to be 18 per 10,000 children.
  • An additional 25 children presented with significant shyness and reticence, falling short of a clinical diagnosis.

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Implications:

  • The study suggests that selective mutism is more prevalent in school-aged populations than previously reported.
  • Increased awareness and informed recognition of selective mutism among teachers are essential for timely intervention.
  • Further research is warranted to understand the long-term impact and effective support strategies for children with selective mutism.