Meta-analysis of behavioral treatments for selective mutism: findings from selective mutism questionnaire (SMQ) and school speech questionnaire (SSQ).

IF 3.4 3区医学 Q1 PEDIATRICS

Child and Adolescent Psychiatry and Mental Health Pub Date : 2025-04-03 DOI:10.1186/s13034-025-00891-8

Daichi Iimura, Natsuki Tsujita, Mizuki Aoki, Hiromichi Hagihara

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引用次数: 0

Abstract

Background: This meta-analysis aims to assess the efficacy of behavioral therapy for selective mutism (SM) using the Selective Mutism Questionnaire (SMQ) and School Speech Questionnaire (SSQ).

Methods: We analyzed 12 articles involving 472 participants and comprising three randomized controlled trials and nine before-after or multiple baseline study designs.

Results: Our findings indicate a significant improvement in symptoms of SM, as indicated by the SMQ total, the SMQ subsections scores (school, home, and public), and the SSQ. The mean SMQ total score improved by 0.51 [95% confidence interval of 0.32-0.70] with a large effect size (Hedges' adjusted g = 1.00 [0.62-1.39]). This effect did not differ significantly based on the study design. Based on the treatment strategy, web-based treatment demonstrated less improvement (0.12 [- 0.11-0.36]) compared with face-to-face treatment (0.59 [0.39-0.80]).

Conclusions: This meta-analysis revealed that SM treatment significantly improved their speaking behavior measured by the SMQ and SSQ, though potential subgroups that influence the treatment efficacy remain. SMQ has also shown validity and responsiveness as an outcome tool for behavioral therapy for SM. Further clinical practices with randomized controlled trials are recommended to clarify the potential differences of treatment or target populations.

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选择性缄默症行为治疗的meta分析：来自选择性缄默症问卷和学校言语问卷的结果。

背景：本荟萃分析旨在利用选择性缄默症问卷（SMQ）和学校言语问卷（SSQ）评估行为治疗对选择性缄默症（SM）的疗效。方法：我们分析了12篇文章，涉及472名受试者，包括3个随机对照试验和9个前后或多重基线研究设计。结果：我们的研究结果表明，从SMQ总分、SMQ分项分数（学校、家庭和公共）和SSQ中可以看出，SM症状有了显著改善。平均SMQ总分提高0.51分[95%置信区间为0.32-0.70]，且效应量较大（Hedges调整后的g = 1.00[0.62-1.39]）。根据研究设计，这种效果没有显著差异。基于治疗策略，与面对面治疗（0.59[0.39-0.80]）相比，网络治疗的改善程度较低（0.12[- 0.11-0.36]）。结论：本荟萃分析显示，SM治疗显著改善了由SMQ和SSQ测量的他们的说话行为，尽管影响治疗效果的潜在亚群仍然存在。SMQ也显示了作为SM行为治疗结果工具的有效性和反应性。建议进一步进行随机对照试验的临床实践，以澄清治疗或目标人群的潜在差异。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Child and Adolescent Psychiatry and Mental Health PEDIATRICSPSYCHIATRY-PSYCHIATRY

CiteScore

7.00

自引率

3.60%

发文量

审稿时长

16 weeks

期刊介绍： Child and Adolescent Psychiatry and Mental Health, the official journal of the International Association for Child and Adolescent Psychiatry and Allied Professions, is an open access, online journal that provides an international platform for rapid and comprehensive scientific communication on child and adolescent mental health across different cultural backgrounds. CAPMH serves as a scientifically rigorous and broadly open forum for both interdisciplinary and cross-cultural exchange of research information, involving psychiatrists, paediatricians, psychologists, neuroscientists, and allied disciplines. The journal focusses on improving the knowledge base for the diagnosis, prognosis and treatment of mental health conditions in children and adolescents, and aims to integrate basic science, clinical research and the practical implementation of research findings. In addition, aspects which are still underrepresented in the traditional journals such as neurobiology and neuropsychology of psychiatric disorders in childhood and adolescence are considered.