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What Treatment Works for Children With Selective Mutism?

NCT ID: NCT00554749

Last Updated: 2010-11-25

Study Results

Results available

Outcome measurements, participant flow, baseline characteristics, and adverse events have been published for this study.

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Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

NA

Total Enrollment

7 participants

Study Classification

INTERVENTIONAL

Study Start Date

2007-11-30

Study Completion Date

2008-12-31

Brief Summary

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The purpose of this pilot study is to explore the outcome of a manual based treatment for children with Selective Mutism

Detailed Description

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Objectives:

The main aim of this pilot study is to increase our knowledge on interventions for Selective Mutism (SM), a childhood condition characterized by a persistent lack of speech in specific situations despite the ability to comprehend and use language. A survey on the treatment offered this group in Norway 1997-2000 showed great variations in therapeutic approach and the overall outcome was poor. Correspondent with the notion of SM as a variant of social anxiety, several case studies have described successful treatments using behaviour techniques (BT's) such as stimulus fading and shaping. In addition, the author's clinical experience is that "defocusing in communication" (e.g. regulation of gaze contact; sitting beside instead of in front of the child, avoiding direct questioning, talking about interesting but impersonal topics) represents another important toil in getting the mute child to start talking. However, to date there are no randomized controlled SM treatment studies, and in fact we know little of what works best to help these children. Our research group has developed an assessment- and treatment manual for children with SM.

In this exploring pilot study referred children with SM aged 3-5 years (n=7) will be given an intervention according to the treatment manual. The intervention is conducted at home and in the kindergarten or at school and includes stimulus fading techniques with weekly sessions. Therapists will be members of the research group or local therapist under supervision.

Conditions

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Selective Mutism

Keywords

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Selective mutism Children Treatment

Study Design

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Allocation Method

NON_RANDOMIZED

Intervention Model

SINGLE_GROUP

Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

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1 Behavioral intervention

Behavioral intervention in all seven subjects Weekly sessions in the home and the kindergarten using defocused communication and stimulus fading interventions

Group Type OTHER

Interventions at home, in the kindergarten/school

Intervention Type BEHAVIORAL

Weekly interventions including behavior techniques (stimulus fading)

Interventions

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Interventions at home, in the kindergarten/school

Weekly interventions including behavior techniques (stimulus fading)

Intervention Type BEHAVIORAL

Other Intervention Names

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Stimulus fading interventions

Eligibility Criteria

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Inclusion Criteria

* Children with a clinical diagnosis of Selective Mutism (SM)

Exclusion Criteria

* Children with Mental Retardation (IQ\<50)
* Children with Pervasive Developmental Disorder (PDD)
* Children with SM in active treatment
* Children with SM on medication
* Children whose parents are non-Norwegian speaking
Minimum Eligible Age

3 Years

Maximum Eligible Age

9 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Ullevaal University Hospital

OTHER

Sponsor Role collaborator

Regionsenter for barn og unges psykiske helse

OTHER

Sponsor Role lead

Responsible Party

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Centre for Child and Adolescent Mental Health, Eastern and Southern Norway

Principal Investigators

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Hanne Kristensen, Ph.D.

Role: PRINCIPAL_INVESTIGATOR

Centre of child and adolescent mental health, Eastern and Southern Norway

Locations

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Centre for child and adolescent mental health, Eastern and Southern Norway

Oslo, , Norway

Site Status

Countries

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Norway

Other Identifiers

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15968

Identifier Type: OTHER

Identifier Source: secondary_id

1.2006.2116

Identifier Type: -

Identifier Source: org_study_id