Anxiety in Children with Selective Mutism: A Meta-analysis.

This study evaluates the current conceptualization of selective mutism (SM) as an anxiety disorder in the DSM-5 using a meta-analytic approach. In the absence of any systematic assessment of anxiety in the field of SM, we pooled prevalence data of comorbid anxiety disorders in a random-effects meta-...

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Publicado en:Child Psychiatry & Human Development Vol. 51; no. 2; pp. 330 - 342
Autores principales: Driessen, Jim, Blom, Jan Dirk, Muris, Peter, Blashfield, Roger K., Molendijk, Marc L.
Formato: journal article
Publicado: Springer Nature Apr2020
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Acceso en línea:Ver este registro en EBSCOhost
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      dt: Apr2020
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        atl: Anxiety in Children with Selective Mutism: A Meta-analysis.
      aug:
        au:
          Driessen, Jim
          Blom, Jan Dirk
          Muris, Peter
          Blashfield, Roger K.
          Molendijk, Marc L.
        affil:
          Faculty of Social and Behavioural Sciences, Leiden University, Wassenaarseweg 52, 2333 AK, Leiden, The Netherlands
          Parnassia Psychiatric Institute, Kiwistraat 43, 2552 DH, The Hague, The Netherlands
          Department of Psychiatry, University Medical Centre Groningen, University of Groningen, Hanzeplein 1, 9700 RB, Groningen, The Netherlands
          Faculty of Psychology and Neuroscience, Maastricht University, Maastricht, The Netherlands
          Stellenbosch University, Stellenbosch, South Africa
          Auburn University, 226 Tach Hall, 36849, Auburn, AL, USA
          Leiden University Medical Center, Albinusdreef 2, 2333 ZA, Leiden, The Netherlands
      su:
        Anxiety disorders
        Social phobia
        Anxiety
        Classification of mental disorders
        Separation anxiety
        Meta-analysis
        Online information services
        Psychology information storage & retrieval systems
        Medical information storage & retrieval systems
        Systematic reviews
        Mutism
        MEDLINE
        Disease complications
      sug:
        subj:
          Anxiety disorders
          Social phobia
          Anxiety
          Classification of mental disorders
          Separation anxiety
          Meta-analysis
          Online information services
          Psychology information storage & retrieval systems
          Medical information storage & retrieval systems
          Systematic reviews
          Mutism
          MEDLINE
          Disease complications
      keyword:
        Anxiety disorder
        DSM-5
        Elective mutism
        Selective mutism
        Anxiety disorder
        DSM-5
        Elective mutism
        Selective mutism
      ab: This study evaluates the current conceptualization of selective mutism (SM) as an anxiety disorder in the DSM-5 using a meta-analytic approach. In the absence of any systematic assessment of anxiety in the field of SM, we pooled prevalence data of comorbid anxiety disorders in a random-effects meta-analysis. On the basis of 22 eligible studies (N = 837), we found that 80% of the children with SM were diagnosed with an additional anxiety disorder, notably social phobia (69%). However, considerable heterogeneity was present, which remained unexplained by a priori specified moderators. The finding that SM is often diagnosed in combination with anxiety disorders, indicates that these disorders are not discrete, separable categories. Moreover, this finding does not help to elucidate the relation between SM and anxiety as an etiological mechanism or symptomatic feature. Broadening our research strategies regarding the assessment of anxiety is paramount to clarify the role of anxiety in SM, and allow for proper classification.
      pubtype: Academic Journal
      doctype: journal article
      src: R
    language: English
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