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<p>The purpose of this study was to assess the prevalence of parental accommodation in a clinical sample of children diagnosed with selective mutism (SM) (<i>n</i> = 38), SM and comorbid anxiety disorder(s) (<i>n</i> = 28), other anxiety disorders (<i>n</i> = 34), and non-anxiety disorders (<i>n</i> = 30) and to compare accommodation across these diagnostic groups. The study also sought to measure the relationship between accommodation and SM symptom severity. Parents who sought intakes at a private practice completed the Family Accommodation Scale–Anxiety questionnaire measuring accommodation behavior and other measures of anxiety and SM symptoms. The results highlighted that accommodation in the SM sample was prevalent, however reported at a lower frequency and with lower levels of parental distress than expected. Additionally, no correlation was found between accommodation and SM symptom severity. This study suggests a clinical need for a specific measure to assess unique parental accommodation behaviors in SM.</p>

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Family Accommodation in Selective Mutism: Prevalence, Relationship to Symptom Severity, and Issues in Measurement/Assessment

  • 期刊论文

  • 发表日期：

    2025年6月30日

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  • Julia Fisher,
  • Melanie J. Wadkins,
  • Steven Kurtz

摘要

The purpose of this study was to assess the prevalence of parental accommodation in a clinical sample of children diagnosed with selective mutism (SM) (n = 38), SM and comorbid anxiety disorder(s) (n = 28), other anxiety disorders (n = 34), and non-anxiety disorders (n = 30) and to compare accommodation across these diagnostic groups. The study also sought to measure the relationship between accommodation and SM symptom severity. Parents who sought intakes at a private practice completed the Family Accommodation Scale–Anxiety questionnaire measuring accommodation behavior and other measures of anxiety and SM symptoms. The results highlighted that accommodation in the SM sample was prevalent, however reported at a lower frequency and with lower levels of parental distress than expected. Additionally, no correlation was found between accommodation and SM symptom severity. This study suggests a clinical need for a specific measure to assess unique parental accommodation behaviors in SM.