Clinical characteristics according to sex and symptom severity in children with selective mutism: a four-center study

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dc.authoridUzun Cicek, Ayla/0000-0003-2274-3457
dc.authoridDogru, Hicran/0000-0001-7022-0461
dc.authoridUcuz, Ilknur/0000-0003-1986-4688
dc.authorwosidDoğru, Hicran/HIZ-9656-2022
dc.contributor.authorDogru, Hicran
dc.contributor.authorUcuz, Ilknur
dc.contributor.authorUzun Cicek, Ayla
dc.contributor.authorComertoglu Arslan, Semiha
dc.date.accessioned2024-08-04T20:53:11Z
dc.date.available2024-08-04T20:53:11Z
dc.date.issued2023
dc.departmentİnönü Üniversitesien_US
dc.description.abstractIntroductionClinical information regarding selective mutism (SM), a persistent and debilitating psychiatric disorder, in children is extremely limited. We aimed to examine sociodemographic characteristics and comorbid psychiatric conditions and identify clinical variables associated with sex and SM severity among children with SM.MethodsWe analyzed the medical records of 49 children who received treatment for SM in four different tertiary hospitals in Turkey between 2016 and 2021. Children's charts were reviewed to examine clinical characteristics, comorbidities, and response to treatment.ResultsThirty-one children were female, and 18 were male (female:male ratio is 1.7:1). Most children (73.5%) with SM displayed onset of SM in 3-6 years. However, most children (57.1%) were diagnosed between the ages of 7-11. The mean time from onset to diagnosis was 1.69 +/- 1.37 years. Females displayed a later onset of SM (6.42 +/- 2.40 vs. 4.89 +/- 0.96; p= 0.013) and higher comorbidity rates (71% vs. 38.9%, p= 0.039) than males. The vast majority of children received two or more psychiatric diagnoses. Children in the severe group had a longer duration of illness, higher rates of psychiatric comorbidity, speech delay, and treatment resistance.ConclusionOur study suggests that SM may have different clinical features according to sex and symptom severity of SM. More information about children with SM is needed to understand the development and maintenance of SM.en_US
dc.identifier.doi10.1080/08039488.2022.2146748
dc.identifier.endpage164en_US
dc.identifier.issn0803-9488
dc.identifier.issn1502-4725
dc.identifier.issue2en_US
dc.identifier.pmid36384394en_US
dc.identifier.scopus2-s2.0-85142386072en_US
dc.identifier.scopusqualityQ2en_US
dc.identifier.startpage158en_US
dc.identifier.urihttps://doi.org/10.1080/08039488.2022.2146748
dc.identifier.urihttps://hdl.handle.net/11616/101008
dc.identifier.volume77en_US
dc.identifier.wosWOS:000889142000001en_US
dc.identifier.wosqualityQ4en_US
dc.indekslendigikaynakWeb of Scienceen_US
dc.indekslendigikaynakScopusen_US
dc.indekslendigikaynakPubMeden_US
dc.language.isoenen_US
dc.publisherTaylor & Francis Ltden_US
dc.relation.ispartofNordic Journal of Psychiatryen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/closedAccessen_US
dc.subjectComorbidityen_US
dc.subjectselective mutismen_US
dc.subjectsex differencesen_US
dc.subjectseverityen_US
dc.titleClinical characteristics according to sex and symptom severity in children with selective mutism: a four-center studyen_US
dc.typeArticleen_US

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