A Preschooler With Severe Social Anxiety and Selective Mutism Versus Autism Spectrum Disorder.

IF 0.6 Q3 MEDICINE, GENERAL & INTERNAL

Clinical Case Reports Pub Date : 2026-10-14 eCollection Date: 2026-10-01 DOI:10.1002/ccr3.73706

Anna Dowling, Erin Moxey, Meghan Keenan, Ji Su Hong

引用次数: 0

Abstract

Selective mutism (SM) and severe social anxiety can mimic autism spectrum disorder (ASD) when assessment relies heavily on observations in unfamiliar contexts. Multidisciplinary assessments comparing social interaction and communication across familiar and unfamiliar contexts may help prevent misdiagnosis. While autism-like behaviors are restricted to anxiety-provoking contexts in SM and severe social anxiety, ASD is characterized by pervasive social deficits across relationships and settings.

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有严重社交焦虑和选择性缄默症的学龄前儿童与自闭症谱系障碍。

选择性缄默症（SM）和严重社交焦虑可以模仿自闭症谱系障碍（ASD），当评估严重依赖于在不熟悉的环境中观察时。多学科评估比较熟悉和不熟悉环境下的社会互动和沟通可能有助于防止误诊。虽然自闭症样行为仅限于SM和严重的社交焦虑中引发焦虑的情境，但ASD的特征是在人际关系和环境中普遍存在社交缺陷。

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

Clinical Case Reports MEDICINE, GENERAL & INTERNAL-

自引率

14.30%

发文量

1268

审稿时长

13 weeks

期刊介绍： Clinical Case Reports is different from other case report journals. Our aim is to directly improve global health and increase clinical understanding using case reports to convey important best practice information. We welcome case reports from all areas of Medicine, Nursing, Dentistry, and Veterinary Science and may include: -Any clinical case or procedure which illustrates an important best practice teaching message -Any clinical case or procedure which illustrates the appropriate use of an important clinical guideline or systematic review. As well as: -The management of novel or very uncommon diseases -A common disease presenting in an uncommon way -An uncommon disease masquerading as something more common -Cases which expand understanding of disease pathogenesis -Cases where the teaching point is based on an error -Cases which allow us to re-think established medical lore -Unreported adverse effects of interventions (drug, procedural, or other).