Integrated Behavior Therapy for Exclusively Anxious Selective Mutism: A Nonconcurrent Multiple-Baseline Design across Five Participants
Selective mutism (SM) is a rare childhood anxiety disorder which may be markedly detrimental to a child’s academic and social functioning if left untreated. Cognitive–behavioral treatments for social anxiety disorders have been found to be effective for SM, yet a paucity of published studies have ex...
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| Format: | Article |
| Language: | English |
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MDPI AG
2023-10-01
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| Series: | Pediatric Reports |
| Subjects: | |
| Online Access: | https://www.mdpi.com/2036-7503/15/4/57 |
| _version_ | 1797379750308610048 |
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| author | Allison K. Siroky John S. Carlson Aimee Kotrba |
| author_facet | Allison K. Siroky John S. Carlson Aimee Kotrba |
| author_sort | Allison K. Siroky |
| collection | DOAJ |
| description | Selective mutism (SM) is a rare childhood anxiety disorder which may be markedly detrimental to a child’s academic and social functioning if left untreated. Cognitive–behavioral treatments for social anxiety disorders have been found to be effective for SM, yet a paucity of published studies have explored manualized treatment approaches carried out by novice clinicians. The purpose of the present study was to examine the adherence, effectiveness, and acceptability of a condensed, 16-session version of Integrated Behavior Therapy for Selective Mutism (IBTSM; Bergman, 2013), the first manualized treatment for SM. A nonconcurrent multiple-baseline single-case design was used across five children diagnosed with SM, exclusively anxious subtype. IBTSM was implemented with excellent adherence (M = 98%) over an average of 19 weeks (range = 16–22 weeks). Visual analyses of weekly caregiver ratings of social anxiety and speaking behaviors did not demonstrate a replicated intervention effect; however, Tau-U effect sizes and Reliable Change Index (RCI) calculations demonstrated significant individual improvements in social anxiety and speaking behaviors over time on several measures. Three children (60%) no longer met diagnostic criteria for SM following treatment. All caregivers rated IBTSM as acceptable, with specific endorsements of acceptability in the areas of time required and treatment quality. |
| first_indexed | 2024-03-08T20:27:34Z |
| format | Article |
| id | doaj.art-ef17fc722c214da487219bd3f0c85d10 |
| institution | Directory Open Access Journal |
| issn | 2036-7503 |
| language | English |
| last_indexed | 2024-03-08T20:27:34Z |
| publishDate | 2023-10-01 |
| publisher | MDPI AG |
| record_format | Article |
| series | Pediatric Reports |
| spelling | doaj.art-ef17fc722c214da487219bd3f0c85d102023-12-22T14:31:11ZengMDPI AGPediatric Reports2036-75032023-10-0115461763510.3390/pediatric15040057Integrated Behavior Therapy for Exclusively Anxious Selective Mutism: A Nonconcurrent Multiple-Baseline Design across Five ParticipantsAllison K. Siroky0John S. Carlson1Aimee Kotrba2Nationwide Children’s Hospital Big Lots Behavioral Health Services, Columbus, OH 43215, USADepartment of Counseling, Educational Psychology & Special Education, College of Education, Michigan State University, East Lansing, MI 48224, USAThriving Minds Behavioral Health Center, Brighton, MI 48116, USASelective mutism (SM) is a rare childhood anxiety disorder which may be markedly detrimental to a child’s academic and social functioning if left untreated. Cognitive–behavioral treatments for social anxiety disorders have been found to be effective for SM, yet a paucity of published studies have explored manualized treatment approaches carried out by novice clinicians. The purpose of the present study was to examine the adherence, effectiveness, and acceptability of a condensed, 16-session version of Integrated Behavior Therapy for Selective Mutism (IBTSM; Bergman, 2013), the first manualized treatment for SM. A nonconcurrent multiple-baseline single-case design was used across five children diagnosed with SM, exclusively anxious subtype. IBTSM was implemented with excellent adherence (M = 98%) over an average of 19 weeks (range = 16–22 weeks). Visual analyses of weekly caregiver ratings of social anxiety and speaking behaviors did not demonstrate a replicated intervention effect; however, Tau-U effect sizes and Reliable Change Index (RCI) calculations demonstrated significant individual improvements in social anxiety and speaking behaviors over time on several measures. Three children (60%) no longer met diagnostic criteria for SM following treatment. All caregivers rated IBTSM as acceptable, with specific endorsements of acceptability in the areas of time required and treatment quality.https://www.mdpi.com/2036-7503/15/4/57selective mutismbehavioral therapymanualized treatmentsocial anxietychildrensocial phobia |
| spellingShingle | Allison K. Siroky John S. Carlson Aimee Kotrba Integrated Behavior Therapy for Exclusively Anxious Selective Mutism: A Nonconcurrent Multiple-Baseline Design across Five Participants Pediatric Reports selective mutism behavioral therapy manualized treatment social anxiety children social phobia |
| title | Integrated Behavior Therapy for Exclusively Anxious Selective Mutism: A Nonconcurrent Multiple-Baseline Design across Five Participants |
| title_full | Integrated Behavior Therapy for Exclusively Anxious Selective Mutism: A Nonconcurrent Multiple-Baseline Design across Five Participants |
| title_fullStr | Integrated Behavior Therapy for Exclusively Anxious Selective Mutism: A Nonconcurrent Multiple-Baseline Design across Five Participants |
| title_full_unstemmed | Integrated Behavior Therapy for Exclusively Anxious Selective Mutism: A Nonconcurrent Multiple-Baseline Design across Five Participants |
| title_short | Integrated Behavior Therapy for Exclusively Anxious Selective Mutism: A Nonconcurrent Multiple-Baseline Design across Five Participants |
| title_sort | integrated behavior therapy for exclusively anxious selective mutism a nonconcurrent multiple baseline design across five participants |
| topic | selective mutism behavioral therapy manualized treatment social anxiety children social phobia |
| url | https://www.mdpi.com/2036-7503/15/4/57 |
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