Prevalence and description of selective mutism in immigrant and native families: a controlled study.

Abstract:

OBJECTIVE:To assess the incidence of selective mutism (SM) in West Jerusalem's state preschools and evaluate social anxiety/phobia disposition (SAP), social competence (SC), markers of neurodevelopmental delay/disorder (NDD), mothers' psychological adjustment, and marital conflict in immigrant and native children with SM and their matched controls. METHOD:Mothers of 9 immigrant and 10 native children with SM and their matched controls completed questionnaires evaluating themselves, their marriages, and their children. RESULTS:A response rate of 30% (19/64) was obtained. The general prevalence of SM was 0.76%, while the rate among immigrants was 2.2%. Except for mothers' adjustment, all immigrant/native group effects were significant. There were significant interactions between the SM/control and immigrant/native groups for SAP, NDD, and SC. Immigrant children with SM had higher SAP and SC scores and lower NDD scores than native children with SM. CONCLUSIONS:This study distinguished between homogenous (socially anxious) and comorbid children with SM. In this sample, the disorder appeared to be associated with a combination of a specific diathesis (SAP) with intrinsic (NDD) and/or environmental (family immigration) vulnerabilities. Marital discord appeared to be a general risk factor for SM.

authors

Elizur Y,Perednik R

doi

10.1097/00004583-200312000-00012

subject

Has Abstract

pub_date

2003-12-01 00:00:00

pages

1451-9

issue

12

eissn

0890-8567

issn

1527-5418

pii

S0890-8567(09)62128-6

journal_volume

42

pub_type

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