一项针对选择性缄默症的家庭和学校干预措施——分散注意力的沟通与行为技巧的随机对照试验。
A randomized controlled trial of a home and school-based intervention for selective mutism - defocused communication and behavioural techniques.
作者信息
Oerbeck Beate, Stein Murray B, Wentzel-Larsen Tore, Langsrud Øyvind, Kristensen Hanne
机构信息
Centre for Child and Adolescent Mental Health, Eastern and Southern Norway, PO box 4623 Nydalen, Oslo, N-0405, Norway.
University of California San Diego, La Jolla, CA, USA.
出版信息
Child Adolesc Ment Health. 2014 Sep;19(3):192-198. doi: 10.1111/camh.12045. Epub 2013 Oct 26.
BACKGROUND
Randomized controlled psychosocial treatment studies on selective mutism (SM) are lacking.
METHOD
Overall, 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.
RESULTS
A 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.
CONCLUSIONS
The treatment significantly improved speech. Greater improvement in the younger age group highlights the importance of an early intervention.
背景
缺乏关于选择性缄默症（SM）的随机对照心理社会治疗研究。
方法
总体而言，24名年龄在3至9岁的SM儿童被随机分为接受3个月治疗组（n = 12）或等待名单组（n = 12）。主要结局指标是学校言语问卷。
结果
发现了显著的组间时间交互作用（p = .029），治疗组的言语能力显著提高（p = .004），而等待名单对照组无变化（p = .936）。年龄与时间的交互作用有利于年幼儿童（p = .029）。临床试验注册：挪威研究理事会NCT01002196。
结论
该治疗显著改善了言语能力。较年轻年龄组有更大改善突出了早期干预的重要性。
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