Selective mutism: A home-and kindergarten-based intervention for children 3-5 years: A pilot study

Beate Oerbeck, Jorunn Johansen, Kathe Lundahl, Hanne Kristensen

Research output: Contribution to journalArticle

19 Citations (Scopus)

Abstract

The aim was to examine the outcome of a multimodal treatment for selective mutism (SM). Seven children, aged three-five years, who were referred for SM were included. The treatment started at home and was continued at kindergarten for a maximum of six months, with predefined treatment goals in terms of speaking levels, from I ("Speaks to the therapist in a separate room with a parent present") through to VI ("Speaks in all kindergarten settings without the therapist present"). The outcome measures were the teacher-reported School Speech Questionnaire (SSQ) and the treatment goal obtained (I-VI) six months after the onset of treatment, and the SSQ and Clinical Global Impression Scale (CGI) at one-year follow-up. Six children spoke in all kindergarten settings (VI) after a mean of 14 weeks treatment. One child, with more extensive neuro-developmental delay, spoke in some settings only (V). The mean SSQ score was 0.59 (SD = 0.51) at baseline compared with 2.68 (SD = 0.35) at the six-month evaluation and 2.26 (SD = 0.93) at one-year follow-up. The mean CGI score at baseline was 4.43 (SD = 0.79) compared with 1.14 (SD = 0.38) at follow-up. Home- and kindergarten-based treatment appears to be promising.

Original languageEnglish (US)
Pages (from-to)370-383
Number of pages14
JournalClinical Child Psychology and Psychiatry
Volume17
Issue number3
DOIs
StatePublished - Jul 1 2012

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Mutism
Therapeutics
Combined Modality Therapy
Outcome Assessment (Health Care)

Keywords

  • anxiety disorders
  • child
  • communication disorders
  • developmental psychology

ASJC Scopus subject areas

  • Pediatrics, Perinatology, and Child Health
  • Clinical Psychology
  • Psychiatry and Mental health

Cite this

Selective mutism : A home-and kindergarten-based intervention for children 3-5 years: A pilot study. / Oerbeck, Beate; Johansen, Jorunn; Lundahl, Kathe; Kristensen, Hanne.

In: Clinical Child Psychology and Psychiatry, Vol. 17, No. 3, 01.07.2012, p. 370-383.

Research output: Contribution to journalArticle

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