Anxiety in Children with Selective Mutism: A Meta-analysis

Jim Driessen*, Jan Dirk Blom, Peter Muris, Roger K. Blashfield, Marc L. Molendijk

*Corresponding author for this work

Research output: Contribution to journalArticleAcademicpeer-review

Abstract

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.
Original languageEnglish
Number of pages12
JournalChild Psychiatry & Human Development
DOIs
Publication statusE-pub ahead of print - 24 Oct 2019

Keywords

  • Selective mutism
  • Elective mutism
  • Anxiety disorder
  • Meta-analysis
  • DSM-5
  • EFFECTS META-REGRESSION
  • ELECTIVE MUTISM
  • SOCIAL ANXIETY
  • MUTE CHILDREN
  • DISORDER
  • PREVALENCE
  • SILENCE
  • PHOBIA
  • GUIDELINES
  • DIAGNOSIS

Cite this

Driessen, Jim ; Blom, Jan Dirk ; Muris, Peter ; Blashfield, Roger K. ; Molendijk, Marc L. / Anxiety in Children with Selective Mutism : A Meta-analysis. In: Child Psychiatry & Human Development. 2019.
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abstract = "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.",
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Anxiety in Children with Selective Mutism : A Meta-analysis. / Driessen, Jim; Blom, Jan Dirk; Muris, Peter; Blashfield, Roger K.; Molendijk, Marc L.

In: Child Psychiatry & Human Development, 24.10.2019.

Research output: Contribution to journalArticleAcademicpeer-review

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