caa a22 4500 60547673X CHVBK 20210128100357.0 cr unu---uuuuu 210128e20150701xx s 000 0 eng 10.1007/s00787-014-0620-1 doi (NATIONALLICENCE)springer-10.1007/s00787-014-0620-1 Selective mutism: follow-up study 1year after end of treatment [Elektronische Daten] [Beate Oerbeck, Murray Stein, Are Pripp, Hanne Kristensen] Cognitive behavioral therapy (CBT) is generally considered the recommended approach for selective mutism (SM). Prospective follow-up studies of treated SM and predictors of outcome are scarce. We have developed a CBT home and school-based intervention for children with SM previously found to increase speech in a pilot efficacy study and in a randomized controlled treatment study. In the present report we provide outcome data 1year after having completed the 6-month course of CBT for 24 children with SM, aged 3-9years (mean age 6.5years, 16 girls). Primary outcome measures were the teacher rated School Speech Questionnaire (SSQ) and diagnostic status. At follow-up, no significant decline was found on the SSQ scores. Age and severity of SM had a significant effect upon outcome, as measured by the SSQ. Eight children still fulfilled diagnostic criteria for SM, four were in remission, and 12 children were without diagnosis. Younger children improved more, as 78% of the children aged 3-5years did not have SM, compared with 33% of children aged 6-9years. Treatment gain was upheld at follow-up. Greater improvement in the younger children highlights the importance of an early intervention. The Author(s), 2014 Selective mutism nationallicence Follow-up nationallicence Behavioural intervention nationallicence Social phobia nationallicence Childhood anxiety nationallicence Oerbeck Beate Department of Mental Health and Addiction, Oslo University Hospital, Nydalen, Po box 4959, 0424, Oslo, Norway aut Stein Murray University of California, La Jolla, San Diego, CA, USA aut Pripp Are Department of Biostatistics, Epidemiology and Health Economics, Oslo University Hospital, Oslo, Norway aut Kristensen Hanne Centre for Child and Adolescent Mental Health, Eastern and Southern Norway, Oslo, Norway aut European Child & Adolescent Psychiatry Springer Berlin Heidelberg 24/7(2015-07-01), 757-766 1018-8827 24:7<757 2015 24 787 https://doi.org/10.1007/s00787-014-0620-1 text/html Onlinezugriff via DOI BK010053 XK010053 XK010000 Metadata rights reserved Springer special CC-BY-NC licence nationallicence 1 research-article jats NATIONALLICENCE NATIONALLICENCE NL-springer NATIONALLICENCE 856 40 https://doi.org/10.1007/s00787-014-0620-1 text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- Oerbeck Beate Department of Mental Health and Addiction, Oslo University Hospital, Nydalen, Po box 4959, 0424, Oslo, Norway aut NATIONALLICENCE 700 1- Stein Murray University of California, La Jolla, San Diego, CA, USA aut NATIONALLICENCE 700 1- Pripp Are Department of Biostatistics, Epidemiology and Health Economics, Oslo University Hospital, Oslo, Norway aut NATIONALLICENCE 700 1- Kristensen Hanne Centre for Child and Adolescent Mental Health, Eastern and Southern Norway, Oslo, Norway aut NATIONALLICENCE 773 0- European Child & Adolescent Psychiatry Springer Berlin Heidelberg 24/7(2015-07-01), 757-766 1018-8827 24:7<757 2015 24 787