Application of a web-based cognitive-behavioural therapy programme for the treatment of selective mutism in Singapore : a case series study
Ooi, Yoon Phaik
Sung, Sharon Cohan
Fung, Daniel SS
Koh, Jessie BK
Date of Issue2012
School of Humanities and Social Sciences
INTRODUCTION: Selective mutism (SM) is characterised by limited or a lack of speech in selected social settings. Recent reviews suggest that cognitive-behavioural therapy (CBT) is an effective and promising treatment approach for SM. However, there is still a lack of studies documenting the applicability of CBT for SM in diverse populations. The goal of the present study was to examine the use of a web-based CBT programme ('Meeky Mouse') among Singaporean children diagnosed with SM. METHODS: Five children with SM (one boy and four girls aged 6-11 years) participated in the 14-week 'Meeky Mouse' programme, in addition to being prescribed with an unchanged dosage of fluoxetine 10-20 mg daily. The progress made by the children throughout the course of the programme was documented by the therapist. RESULTS: Post treatment, four out of the five children demonstrated improvements in the frequency of speech during therapy sessions at home, in school and at other social situations. CONCLUSION: Findings from the present study provide support for the use of a web-based CBT programme in improving speech and decreasing the severity of SM among affected children.
Singapore medical journal
© 2012 Singapore Medical Association. This paper was published in Singapore Medical Journal and is made available as an electronic reprint (preprint) with permission of Singapore Medical Association. The paper can be found at the following official URL: http://www.ncbi.nlm.nih.gov/pubmed/22815012. One print or electronic copy may be made for personal use only. Systematic or multiple reproduction, distribution to multiple locations via electronic or other means, duplication of any material in this paper for a fee or for commercial purposes, or modification of the content of the paper is prohibited and is subject to penalties under law.