Abstract
To clarify the diagnostic significance of selective mutism (elective mutism in DSM-III-R). Fifty children with selective mutism were evaluated systematically by means of semistructured clinical interviews and rating scales to obtain detailed diagnostic information. All 50 children met DSM-III-R criteria for social phobia or avoidant disorder and 24 (48%) had additional anxiety disorders. Clinical measures of anxiety and behavioral symptoms supported the presence of anxiety disorders as a characteristic of selectivity mute children. Only one case each of oppositional defiant disorder and attention-deficit hyperactivity disorder was found. Persistent selective mutism typically presents in the context of anxiety disorders.
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More From: Journal of the American Academy of Child & Adolescent Psychiatry
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