ArticleEuropean child & adolescent psychiatry2022
Characteristics of person, place, and activity that trigger failure to speak in children with selective mutism.
Article in European child & adolescent psychiatry, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers, 1 of them a synthesis that pooled it.
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Who cites it
9 citing papers in PubMed, 1 synthesis or guideline pooled it, 23 citations in OpenAlex.
- Understanding silence in adolescence and young adulthood: a mixed methods systematic review on selective mutism.European child & adolescent psychiatry · 2026Pooled it
- Effectiveness of selective serotonin reuptake inhibitors in inpatients with selective mutism compared to social anxiety disorder: an observational study.European child & adolescent psychiatry · 2026Observational
- Physical Freezing in Children and Adolescents with Selective Mutism.Behavioral sciences (Basel, Switzerland) · 2026Article
- Fostering trust and understanding in social and healthcare services with migrant-origin parents: qualitative focus-group interviews of foreign-born mothers living in Finland.European child & adolescent psychiatry · 2024Article
- Long-term outcome of selective mutism: factors influencing the feeling of being cured.European child & adolescent psychiatry · 2023Article
- Integrated Behavior Therapy for Exclusively Anxious Selective Mutism: A Nonconcurrent Multiple-Baseline Design across Five Participants.Pediatric reports · 2023Article
- Silence and related symptoms in children and adolescents: a network approach to selective mutism.BMC psychology · 2022Article
- Qualitative methods in child and adolescent psychiatry: the time has come.European child & adolescent psychiatry · 2022Article
- Betrayed by the nervous system: a comparison group study to investigate the 'unsafe world' model of selective mutism.Journal of neural transmission (Vienna, Austria : 1996) · 2021Article
Corrections and comments
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Authors and funding
6 authors at 3 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Selective Mutism (SM) is an anxiety disorder with predictable and circumscribed situations in which children remain silent while they speak unaffectedly in others. However, core features of anxiety inducing stimuli have rarely been studied so far. Parents of children with elevated SM symptomatology participated in an online-based study and answered open ended questions about specific characteristics of a person, place, and activity that elicit failure to speak in their child. The final sample consisted of n = 91 parents with children aged between 3 and 17 years (M = 8.02 years, SD = 3.94). Answers were analyzed by qualitative content analysis. Characteristics of a person were assigned to five categories with lack of distance as the most frequently reported feature. With respect to a place, the majority of parents mentioned unknown places as a silence trigger. The most frequently mentioned feature of an activity that was designated to be associated to silence was new activity. There were only few associations between the designation of these features, age, and gender. For the first time, anxiety inducing triggers related to person, place, and activity were comprehensively assessed in children with SM. This allows a differentiated and deeper understanding of an understudied disorder. The majority of characteristics can be associated with proposed etiological factors such as increased behavioral inhibition, conditioning processes, social anxiety, and a strong need for control. Implications for effective treatments are discussed.
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