Measurement of speech in individuals with selective mutism: A systematic review [version 4; peer review: 3 approved]

Background: The main characteristic of selective mutism (SM) is the failure to speak in specific social situations. Thus, assessing speech across social contexts is important for confirming a diagnosis of SM and for differentiating it from other disorders. The purpose of this review was to organize...

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Main Authors: Soichiro Matsuda, Yuria Toma
Format: Article
Language:English
Published: F1000 Research Ltd 2023-06-01
Series:F1000Research
Subjects:
Online Access:https://f1000research.com/articles/11-847/v4
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author Soichiro Matsuda
Yuria Toma
author_facet Soichiro Matsuda
Yuria Toma
author_sort Soichiro Matsuda
collection DOAJ
description Background: The main characteristic of selective mutism (SM) is the failure to speak in specific social situations. Thus, assessing speech across social contexts is important for confirming a diagnosis of SM and for differentiating it from other disorders. The purpose of this review was to organize how the core symptom of SM, a lack of speech in specific social situations, has been assessed in previous studies. Methods: A systematic search of articles was conducted in three databases, Web of Science, PsycINFO, and PubMed and reviews of surveys or experimental studies that reported empirical data on individuals with SM were performed. We excluded review, qualitative, epidemiological, and intervention studies. The study summarized the diagnostic criteria, methods of confirming SM diagnosis, distinction of SM from other disorders, and methods of speech assessment. Results: A total of 447 articles were screened, where 60 articles were considered eligible. The results demonstrate that different interviews and questionnaires were used to establish the diagnosis of SM. However, the majority of interviews and questionnaires lacked validation. Only two (2/60) articles used validated methods of speech assessment to confirm SM diagnosis. Moreover, a consensus was lacking on the assessment method for differentiating SM from other disorders across studies. Specifically, 17 studies measured speech and are not intended for diagnosis. The majority of studies (16/17) used the questionnaire to assess the severity of the SM condition, and only one study conducted behavioral observation. Assessment methods based on the measurement of speech in real-life situations for individuals with SM were not established. Conclusion: We have the limitation that we did not review intervention studies. However, this systematic review revealed the problem that speech assessment methods for surveys or experimental studies of SM were not established. Future studies should establish methods of speech assessment across social situations to assess SM symptoms.
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spelling doaj.art-b9065aaf9bae4a05b1c58343307cd6af2023-06-10T00:00:00ZengF1000 Research LtdF1000Research2046-14022023-06-0111150463Measurement of speech in individuals with selective mutism: A systematic review [version 4; peer review: 3 approved]Soichiro Matsuda0https://orcid.org/0000-0002-9257-2502Yuria Toma1https://orcid.org/0000-0001-9476-958XFaculty of Human Sciences, University of Tsukuba, Tsukuba, JapanBehavioral Design Laboratory, University of Tsukuba, Tsukuba, JapanBackground: The main characteristic of selective mutism (SM) is the failure to speak in specific social situations. Thus, assessing speech across social contexts is important for confirming a diagnosis of SM and for differentiating it from other disorders. The purpose of this review was to organize how the core symptom of SM, a lack of speech in specific social situations, has been assessed in previous studies. Methods: A systematic search of articles was conducted in three databases, Web of Science, PsycINFO, and PubMed and reviews of surveys or experimental studies that reported empirical data on individuals with SM were performed. We excluded review, qualitative, epidemiological, and intervention studies. The study summarized the diagnostic criteria, methods of confirming SM diagnosis, distinction of SM from other disorders, and methods of speech assessment. Results: A total of 447 articles were screened, where 60 articles were considered eligible. The results demonstrate that different interviews and questionnaires were used to establish the diagnosis of SM. However, the majority of interviews and questionnaires lacked validation. Only two (2/60) articles used validated methods of speech assessment to confirm SM diagnosis. Moreover, a consensus was lacking on the assessment method for differentiating SM from other disorders across studies. Specifically, 17 studies measured speech and are not intended for diagnosis. The majority of studies (16/17) used the questionnaire to assess the severity of the SM condition, and only one study conducted behavioral observation. Assessment methods based on the measurement of speech in real-life situations for individuals with SM were not established. Conclusion: We have the limitation that we did not review intervention studies. However, this systematic review revealed the problem that speech assessment methods for surveys or experimental studies of SM were not established. Future studies should establish methods of speech assessment across social situations to assess SM symptoms.https://f1000research.com/articles/11-847/v4selective mutism anxiety disorder neurodevelopmental disorder systematic review assessment speecheng
spellingShingle Soichiro Matsuda
Yuria Toma
Measurement of speech in individuals with selective mutism: A systematic review [version 4; peer review: 3 approved]
F1000Research
selective mutism
anxiety disorder
neurodevelopmental disorder
systematic review
assessment
speech
eng
title Measurement of speech in individuals with selective mutism: A systematic review [version 4; peer review: 3 approved]
title_full Measurement of speech in individuals with selective mutism: A systematic review [version 4; peer review: 3 approved]
title_fullStr Measurement of speech in individuals with selective mutism: A systematic review [version 4; peer review: 3 approved]
title_full_unstemmed Measurement of speech in individuals with selective mutism: A systematic review [version 4; peer review: 3 approved]
title_short Measurement of speech in individuals with selective mutism: A systematic review [version 4; peer review: 3 approved]
title_sort measurement of speech in individuals with selective mutism a systematic review version 4 peer review 3 approved
topic selective mutism
anxiety disorder
neurodevelopmental disorder
systematic review
assessment
speech
eng
url https://f1000research.com/articles/11-847/v4
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