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选择性缄默症:不仅仅是社交焦虑?

Selective mutism: more than social anxiety?

作者信息

Yeganeh Robin, Beidel Deborah C, Turner Samuel M

机构信息

Maryland Center for Anxiety Disorders, University of Maryland-College Park, USA.

出版信息

Depress Anxiety. 2006;23(3):117-23. doi: 10.1002/da.20139.

Abstract

This study investigated the relationship between selective mutism (SM), social phobia (SP), oppositionality, and parenting styles. Twenty-one children with SP, 21 children with SM and SP, and 21 normal children ages 7-15, and the mother of each child, participated in an assessment of psychopathological factors potentially related to SM. Children with SM did not endorse higher levels of social anxiety than did children with SP, although clinicians gave higher severity ratings to those who had both disorders. In addition, although a dimensional measure of oppositionality (Eyberg Child Behavior Inventory) did not reveal group differences, there were significantly more diagnoses of oppositional defiant disorder among children with SM (29%) in comparison to children with SP alone (5%). With respect to parenting styles, there were no significant differences among parents of children with SM and the other groups, except that children with SP reported significantly less warmth/acceptance from parents than normal children. These data replicate previous findings that children with SM do not report greater social anxiety than other children with a SP diagnosis. Furthermore, they suggest that oppositional behaviors may be part of the clinical presentation of a subset of children with SM.

摘要

本研究调查了选择性缄默症(SM)、社交恐惧症(SP)、对立性以及养育方式之间的关系。21名患有SP的儿童、21名患有SM和SP的儿童以及21名7至15岁的正常儿童及其母亲参与了一项对可能与SM相关的心理病理因素的评估。患有SM的儿童并未比患有SP的儿童表现出更高水平的社交焦虑,尽管临床医生对同时患有这两种障碍的儿童给出了更高的严重程度评级。此外,尽管对立性的维度测量(艾伯格儿童行为量表)未显示出组间差异,但与仅患有SP的儿童(5%)相比,患有SM的儿童中对立违抗障碍的诊断显著更多(29%)。关于养育方式,患有SM的儿童的父母与其他组的父母之间没有显著差异,只是患有SP的儿童报告从父母那里得到的温暖/接纳明显少于正常儿童。这些数据重复了之前的研究结果,即患有SM的儿童并不比其他被诊断为SP的儿童报告更多的社交焦虑。此外,它们表明对立行为可能是一部分患有SM的儿童临床表现的一部分。

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