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Selective Mutism and Its Relations to Social Anxiety Disorder and Autism Spectrum Disorder
In current classification systems, selective mutism (SM) is included in the broad anxiety disorders category. Indeed, there is abundant evidence showing that anxiety, and social anxiety in particular, is a prominent feature of SM. In this article, we point out that autism spectrum problems in additi...
Autores principales: | , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Springer US
2021
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8131304/ https://www.ncbi.nlm.nih.gov/pubmed/33462750 http://dx.doi.org/10.1007/s10567-020-00342-0 |
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author | Muris, Peter Ollendick, Thomas H. |
author_facet | Muris, Peter Ollendick, Thomas H. |
author_sort | Muris, Peter |
collection | PubMed |
description | In current classification systems, selective mutism (SM) is included in the broad anxiety disorders category. Indeed, there is abundant evidence showing that anxiety, and social anxiety in particular, is a prominent feature of SM. In this article, we point out that autism spectrum problems in addition to anxiety problems are sometimes also implicated in SM. To build our case, we summarize evidence showing that SM, social anxiety disorder (SAD), and autism spectrum disorder (ASD) are allied clinical conditions and share communalities in the realm of social difficulties. Following this, we address the role of a prototypical class of ASD symptoms, restricted and repetitive behaviors and interests (RRBIs), which are hypothesized to play a special role in the preservation and exacerbation of social difficulties. We then substantiate our point that SM is sometimes more than an anxiety disorder by addressing its special link with ASD in more detail. Finally, we close by noting that the possible involvement of ASD in SM has a number of consequences for clinical practice with regard to its classification, assessment, and treatment of children with SM and highlight a number of directions for future research. |
format | Online Article Text |
id | pubmed-8131304 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2021 |
publisher | Springer US |
record_format | MEDLINE/PubMed |
spelling | pubmed-81313042021-05-24 Selective Mutism and Its Relations to Social Anxiety Disorder and Autism Spectrum Disorder Muris, Peter Ollendick, Thomas H. Clin Child Fam Psychol Rev Article In current classification systems, selective mutism (SM) is included in the broad anxiety disorders category. Indeed, there is abundant evidence showing that anxiety, and social anxiety in particular, is a prominent feature of SM. In this article, we point out that autism spectrum problems in addition to anxiety problems are sometimes also implicated in SM. To build our case, we summarize evidence showing that SM, social anxiety disorder (SAD), and autism spectrum disorder (ASD) are allied clinical conditions and share communalities in the realm of social difficulties. Following this, we address the role of a prototypical class of ASD symptoms, restricted and repetitive behaviors and interests (RRBIs), which are hypothesized to play a special role in the preservation and exacerbation of social difficulties. We then substantiate our point that SM is sometimes more than an anxiety disorder by addressing its special link with ASD in more detail. Finally, we close by noting that the possible involvement of ASD in SM has a number of consequences for clinical practice with regard to its classification, assessment, and treatment of children with SM and highlight a number of directions for future research. Springer US 2021-01-19 2021 /pmc/articles/PMC8131304/ /pubmed/33462750 http://dx.doi.org/10.1007/s10567-020-00342-0 Text en © The Author(s) 2021 https://creativecommons.org/licenses/by/4.0/Open AccessThis article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/ (https://creativecommons.org/licenses/by/4.0/) . |
spellingShingle | Article Muris, Peter Ollendick, Thomas H. Selective Mutism and Its Relations to Social Anxiety Disorder and Autism Spectrum Disorder |
title | Selective Mutism and Its Relations to Social Anxiety Disorder and Autism Spectrum Disorder |
title_full | Selective Mutism and Its Relations to Social Anxiety Disorder and Autism Spectrum Disorder |
title_fullStr | Selective Mutism and Its Relations to Social Anxiety Disorder and Autism Spectrum Disorder |
title_full_unstemmed | Selective Mutism and Its Relations to Social Anxiety Disorder and Autism Spectrum Disorder |
title_short | Selective Mutism and Its Relations to Social Anxiety Disorder and Autism Spectrum Disorder |
title_sort | selective mutism and its relations to social anxiety disorder and autism spectrum disorder |
topic | Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8131304/ https://www.ncbi.nlm.nih.gov/pubmed/33462750 http://dx.doi.org/10.1007/s10567-020-00342-0 |
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