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本文引用的文献

1
Symptoms of selective mutism beyond failure to speak in children and adolescents.选择性缄默症在儿童和青少年中除了不说话之外的症状。
Eur Child Adolesc Psychiatry. 2024 Oct;33(10):3603-3611. doi: 10.1007/s00787-024-02415-9. Epub 2024 Mar 27.
2
Remote Intensive Group Behavioral Treatment for Families of Children with Selective Mutism.针对选择性缄默症儿童家庭的远程强化团体行为治疗。
Evid Based Pract Child Adolesc Ment Health. 2023;8(4):439-458. doi: 10.1080/23794925.2022.2062688. Epub 2022 May 17.
3
A systematic review and meta-analysis of nonpharmacological interventions for children and adolescents with selective mutism.对患有选择性缄默症的儿童和青少年进行非药物干预的系统评价和荟萃分析。
JCPP Adv. 2023 May 3;3(3):e12166. doi: 10.1002/jcv2.12166. eCollection 2023 Sep.
4
Unified Protocol vs Trauma-Focused Cognitive Behavioral Therapy Among Adolescents With PTSD.统一治疗方案与创伤聚焦认知行为疗法在 PTSD 青少年中的比较。
Behav Ther. 2023 Sep;54(5):823-838. doi: 10.1016/j.beth.2023.03.003. Epub 2023 Mar 30.
5
Interventions for Young Children's Mental Health: A Review of Reviews.干预儿童心理健康:综述研究。
Clin Child Fam Psychol Rev. 2023 Sep;26(3):593-641. doi: 10.1007/s10567-023-00443-6. Epub 2023 Jul 24.
6
Emotion regulation in selective mutism: A comparison group study in children and adolescents with selective mutism.选择性缄默症中的情绪调节:选择性缄默症儿童和青少年的对照组研究。
J Psychiatr Res. 2022 Jul;151:710-715. doi: 10.1016/j.jpsychires.2022.05.040. Epub 2022 May 24.
7
Efficacy of psychological interventions for selective mutism in children: A meta-analysis of randomized controlled trials.心理干预对儿童选择性缄默症疗效的荟萃分析:随机对照试验研究。
Child Care Health Dev. 2021 Nov;47(6):771-781. doi: 10.1111/cch.12895. Epub 2021 Jul 29.
8
A randomized controlled trial of a home and school-based intervention for selective mutism - defocused communication and behavioural techniques.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。
Child Adolesc Ment Health. 2014 Sep;19(3):192-198. doi: 10.1111/camh.12045. Epub 2013 Oct 26.
9
Mental disorders in referred 0-3-year-old children: a population-based study of incidence, comorbidity and perinatal risk factors.转诊的 0-3 岁儿童精神障碍:基于人群的发生率、共病和围产期危险因素研究。
Eur Child Adolesc Psychiatry. 2021 Aug;30(8):1251-1262. doi: 10.1007/s00787-020-01616-2. Epub 2020 Aug 20.
10
Selective mutism - an overview of the condition and etiology: is the absence of speech just the tip of the iceberg?选择性缄默症概述:病情与病因面面观:缄默不语是否只是冰山一角?
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了解幼儿期的选择性缄默症。

Understanding Selective Mutism in Very Young Children.

作者信息

Renk Kimberly, Daleandro Kaitlyn, Verdone Madison, Al-Bassam Haifa, Murphy Quiyara

机构信息

Department of Psychology, University of Central Florida, 4000 Central Florida Blvd., Orlando, FL 32816, USA.

出版信息

Behav Sci (Basel). 2025 Jul 9;15(7):923. doi: 10.3390/bs15070923.

DOI:10.3390/bs15070923
PMID:40723707
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC12292437/
Abstract

Although professionals who work with children and adolescents are well aware of psychological symptom presentations once children and adolescents are in school, such symptom presentations in very young children are less understood. Diagnoses like selective mutism may promote further complications for professionals, as the symptom presentation of anxiety and failure to speak in this diagnosis may overlap with the acquisition of speech and language milestones and problems in very young children. Thus, providing professionals who work with very young children a way to adapt their thinking about selective mutism symptom presentations and interventions is of utmost importance. As a result, this clinically oriented paper will compare criteria to criteria, consider the occurrence of selective mutism symptoms in the context of young children's speech and language milestones and problems, and reflect upon how intervention adaptations meant to incorporate parents into treatment and account for the capacities of very young children can be helpful in facilitating successful outcomes. It is hoped that having this constellation of clinical information in one place will help providers gain clarity regarding selective mutism symptom presentation and relevant intervention considerations for very young children.

摘要

尽管从事儿童和青少年工作的专业人员清楚地了解儿童和青少年入学后的心理症状表现,但对于幼儿的此类症状表现却知之甚少。像选择性缄默症这样的诊断可能会给专业人员带来更多复杂情况,因为在这种诊断中焦虑和不说话的症状表现可能与幼儿语言和言语发展里程碑的获得以及相关问题相重叠。因此,为从事幼儿工作的专业人员提供一种方法,使其调整对选择性缄默症症状表现和干预措施的思考,至关重要。为此,这篇以临床为导向的论文将对比不同标准,考虑在幼儿语言和言语发展里程碑及问题的背景下选择性缄默症症状的出现情况,并思考旨在让家长参与治疗且考虑到幼儿能力的干预调整如何有助于取得成功结果。希望将这一系列临床信息整合在一起能帮助提供者更清楚地了解幼儿选择性缄默症的症状表现及相关干预考量。