A randomized controlled trial of a home and school‐based intervention for selective mutism – defocused communication and behavioural techniques

Child and Adolescent Mental Health - Tập 19 Số 3 - Trang 192-198 - 2014
Beate Oerbeck1, Murray B. Stein2, Tore Wentzel‐Larsen1,3, Øyvind Langsrud4, Hanne Kaae Kristensen1
1Centre for Child and Adolescent Mental Health Eastern and Southern Norway PO box 4623 Nydalen Oslo N‐0405 Norway
2University of California San Diego La Jolla CA USA
3Norwegian Centre for Violence and Traumatic Stress Studies, Oslo, Norway
4Norwegian Statistics Oslo Norway

Tóm tắt

BackgroundRandomized controlled psychosocial treatment studies on selective mutism (SM) are lacking.MethodOverall, 24 children with SM, aged 3–9 years, were randomized to 3 months treatment (n = 12) or wait list (n = 12). Primary outcome measure was the School Speech Questionnaire.ResultsA significant time by group interaction was found (p = .029) with significantly increased speech in the treatment group (p = .004) and no change in wait list controls (p = .936). A time by age interaction favoured younger children (p = .029). Clinical trail registration: Norwegian Research CouncilNCT01002196.ConclusionsThe treatment significantly improved speech. Greater improvement in the younger age group highlights the importance of an early intervention.

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