COMPARATIVE STUDY OF KNOWLEDGE AND ATTITUDE TOWARDS SELECTIVE MUTISM AMONG MEDICOS AND NON-MEDICOS STUDENTS

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Kaviya Ganesan
Kirubakaran Shanmugam
Rajeshkumar Murugan
Sathish Rajagopal Palaniyappa
Seshadhri Sundareswaran
Arun Shanmugam

Keywords

Selective Mutism, Anxiety Disorder, Behavioral Interventions, Awareness, Medical Professionals, General Population

Abstract

Background: Selective Mutism (SM) is a debilitating childhood anxiety disorder, manifested by an unvarying inability of children to communicate verbally in certain social environments, despite possessing the capability to speak in others. Identifying and intervening early in Selective Mutism cases is crucial to enhance the prognosis for affected children. The significance of this study lies in its endeavor to understand the knowledge and perceptions surrounding this condition among different groups of people, primarily focusing on medical professionals and individuals without medical backgrounds.


Objective: This research aims to conduct an in-depth comparative analysis to gauge the levels of awareness and understanding of Selective Mutism among individuals with medical training (medicos) and those without (non-medicos), exploring the perceptions and knowledge gaps existing in these distinct groups.


Methods: A meticulous cross-sectional research study was executed employing an online survey method, spanning over a period of six months to gather diverse responses and insights related to Selective Mutism.


Results: The outcomes of the study uncovered that awareness of Selective Mutism was markedly higher in medicos, with 29.5% being aware, as opposed to only 8.21% of non-medicos having knowledge of the condition. Additionally, an evident gender imbalance was noted in both groups, with a higher percentage of females demonstrating awareness of the disorder compared to their male counterparts.


Conclusion: The results of this investigation underscore the prevalent dearth of knowledge and awareness regarding Selective Mutism among the broader population. This lack of understanding can propagate social stigma and act as a barrier to the early detection and treatment of this disorder. The research underscores the imperative need for extensive educational initiatives and awareness drives to foster early identification and intervention strategies for individuals grappling with Selective Mutism, thereby facilitating improved mental health outcomes.

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References

1. Cunningham CE, McHolm AE, Boyle MH. Social phobia, anxiety, oppositional behaviour, social skills, and self-concept in children with specific selective mutism, generalised selective mutism, and community controls. European Child and Adolescent Psychiatry. 2006;15(5):245-255. doi:10.1007/s00787-006-0529-4.
2. Steinhausen HC, Wachter M, Laimböck K. Selective mutism: a review of the current literature. European Child and Adolescent Psychiatry. 2006;15(4):209-215.
3. Bergman RL, Piacentini J, McCracken JT. Prevalence and description of Selective Mutism in a school based sample. Journal of the American Academy of Child and Adolescent Psychiatry. 2002;41(8):938-946doi:10.1097/00004583-200208000-012.
4. Black B, O'Leary K, Uhde TW. An fMRI study of the influence of matching symptoms to scenarios reveals unique neural pathways in selective mutism. Journal of Anxiety Disorders .2009 ;23 (4) :458 -466.
5. Cohan SL, Chavira DA, Shipon-Blum E, Hitchcock C, Roesch SC, Stein MB. Refining the classification of children with selective mutism: a latent profile analysis. Journal of Clinical Child and Adolescent Psychology. 2008;37(4):770-784. doi:10.1080/15374410802359759.
6. Michael D. Jibson and Lisa S. Seyfried. Diagnostic and statistical manual of mental disorders. American Psychiatric Association. 2013.5th ed.
7. Østergaard KR. Treatment of selective mutism based on cognitive behavioural therapy, psychopharmacology and combination therapy-a systematic review. Nordic Journal of Psychiatry. 2018;72(4):240-250. doi:10.1080/08039488.2018.1439530.
8. Manassis K, Fung D, Tannock R, Sloman L, Fiksenbaum L. Characteristics of selective mutism in children: A pilot study. Journal of the American Academy of Child and Adolescent Psychiatry. 2007 oct;46(10):1333-1341.doi:10.1097/chi.0b0 13e31814a6b3a.
9. Kedgell KK, Fornander M, Kearney CA. Personalised individual and group therapy for multifaceted selective mutism. Clinical Case Study. 2017;16:166-181. doi: 10.1177/1534650116685619.
10. Mulligan CA, Hale JB, Shipon-Blum E. Selective mutism: identification of subtypes and implications for treatment. Journal of Education and Human Development. 2015;4:79-96. doi: 10.15640/jehd.v4n1a9.