Betrayed by the nervous system: a comparison group study to investigate the 'unsafe world' model of selective mutism.

Aetiology Anxiety Dissociation High sensory-processing sensitivity Schoolchildren Selective mutism

Journal

Journal of neural transmission (Vienna, Austria : 1996)
ISSN: 1435-1463
Titre abrégé: J Neural Transm (Vienna)
Pays: Austria
ID NLM: 9702341

Informations de publication

Date de publication:
09 2021
Historique:
received: 10 06 2021
accepted: 06 08 2021
pubmed: 15 8 2021
medline: 30 10 2021
entrez: 14 8 2021
Statut: ppublish

Résumé

The study presented in the following verifies some assumptions of the novel 'unsafe world' model of selective mutism (SM). According to this model, SM is a stress reaction to situations erroneously experienced via cognition without awareness as 'unsafe'. It assumes a high sensitivity to unsafety, whereby the nervous system triggers dissociation or freeze mode at relatively low thresholds. We examine whether there is a correlation between SM, sensory-processing sensitivity and dissociation. We compared a sample of 28 children and adolescents with SM (mean age 12.66 years; 18 females) to 33 controls without SM (mean age 12.45 years; 21 females). Both groups were compared using a medical history sheet, the 'Selective Mutism Questionnaire' (SMQ), a 'Checklist for Speaking Behaviour' (CheckS), the 'Highly Sensitive Person Scale' (HSPS), the 'Child Dissociative Checklist' (CDC), the 'Adolescent Dissociative Experience Scale' (A-DES) and the 'Social Phobia and Anxiety Inventory for Children' (SPAIK). Appropriate parametric and non-parametric tests were conducted to examine differences between groups. The results indicate that sensory-processing sensitivity was significantly higher in the group of children and adolescents with SM [X

Identifiants

pubmed: 34390394
doi: 10.1007/s00702-021-02404-1
pii: 10.1007/s00702-021-02404-1
pmc: PMC8423629
doi:

Banques de données

ClinicalTrials.gov
['NCT04233905']

Types de publication

Journal Article Research Support, Non-U.S. Gov't

Langues

eng

Sous-ensembles de citation

IM

Pagination

1433-1443

Informations de copyright

© 2021. The Author(s).

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Auteurs

Siebke Melfsen (S)

Department of Child and Adolescent Psychiatry and Psychotherapy, Psychiatric University Hospital Zurich, University Zurich, Neumunsterallee 3, P.O. Box 233, 8032, Zurich, Switzerland. siebke.melfsen@uzh.ch.
Center of Mental Health, Department of Child and Adolescent Psychiatry, Psychosomatics and Psychotherapy, University Hospital of Wurzburg, Würzburg, Germany. siebke.melfsen@uzh.ch.

Marcel Romanos (M)

Center of Mental Health, Department of Child and Adolescent Psychiatry, Psychosomatics and Psychotherapy, University Hospital of Wurzburg, Würzburg, Germany.

Thomas Jans (T)

Center of Mental Health, Department of Child and Adolescent Psychiatry, Psychosomatics and Psychotherapy, University Hospital of Wurzburg, Würzburg, Germany.

Susanne Walitza (S)

Department of Child and Adolescent Psychiatry and Psychotherapy, Psychiatric University Hospital Zurich, University Zurich, Neumunsterallee 3, P.O. Box 233, 8032, Zurich, Switzerland.

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