{"title":"Family Accommodation in Selective Mutism: Prevalence, Relationship to Symptom Severity, and Issues in Measurement/Assessment.","authors":"Julia Fisher, Melanie J Wadkins, Steven Kurtz","doi":"10.1007/s10578-025-01876-6","DOIUrl":null,"url":null,"abstract":"<p><p>The purpose of this study was to assess the prevalence of parental accommodation in a clinical sample of children diagnosed with selective mutism (SM) (n = 38), SM and comorbid anxiety disorder(s) (n = 28), other anxiety disorders (n = 34), and non-anxiety disorders (n = 30) and to compare accommodation across these diagnostic groups. The study also sought to measure the relationship between accommodation and SM symptom severity. Parents who sought intakes at a private practice completed the Family Accommodation Scale-Anxiety questionnaire measuring accommodation behavior and other measures of anxiety and SM symptoms. The results highlighted that accommodation in the SM sample was prevalent, however reported at a lower frequency and with lower levels of parental distress than expected. Additionally, no correlation was found between accommodation and SM symptom severity. This study suggests a clinical need for a specific measure to assess unique parental accommodation behaviors in SM.</p>","PeriodicalId":10024,"journal":{"name":"Child Psychiatry & Human Development","volume":" ","pages":""},"PeriodicalIF":2.3000,"publicationDate":"2025-06-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Child Psychiatry & Human Development","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.1007/s10578-025-01876-6","RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q2","JCRName":"PSYCHIATRY","Score":null,"Total":0}
引用次数: 0
Abstract
The purpose of this study was to assess the prevalence of parental accommodation in a clinical sample of children diagnosed with selective mutism (SM) (n = 38), SM and comorbid anxiety disorder(s) (n = 28), other anxiety disorders (n = 34), and non-anxiety disorders (n = 30) and to compare accommodation across these diagnostic groups. The study also sought to measure the relationship between accommodation and SM symptom severity. Parents who sought intakes at a private practice completed the Family Accommodation Scale-Anxiety questionnaire measuring accommodation behavior and other measures of anxiety and SM symptoms. The results highlighted that accommodation in the SM sample was prevalent, however reported at a lower frequency and with lower levels of parental distress than expected. Additionally, no correlation was found between accommodation and SM symptom severity. This study suggests a clinical need for a specific measure to assess unique parental accommodation behaviors in SM.
期刊介绍:
Child Psychiatry & Human Development is an interdisciplinary international journal serving the groups represented by child and adolescent psychiatry, clinical child/pediatric/family psychology, pediatrics, social science, and human development. The journal publishes research on diagnosis, assessment, treatment, epidemiology, development, advocacy, training, cultural factors, ethics, policy, and professional issues as related to clinical disorders in children, adolescents, and families. The journal publishes peer-reviewed original empirical research in addition to substantive and theoretical reviews.