Please use this identifier to cite or link to this item: https://hdl.handle.net/10356/168509
Title: The efficacy of cognitive behavioural therapy in treating selective mutism in young children aged 4 to 10 years old: a qualitative systematic review
Authors: Ng, Benjamin Zeming
Atikah Binte Hassan
Dun, Yawen
Keywords: Social sciences::Psychology::Applied psychology
Issue Date: 2023
Publisher: Nanyang Technological University
Source: Ng, B. Z., Atikah Binte Hassan & Dun, Y. (2023). The efficacy of cognitive behavioural therapy in treating selective mutism in young children aged 4 to 10 years old: a qualitative systematic review. Final Year Project (FYP), Nanyang Technological University, Singapore. https://hdl.handle.net/10356/168509
Abstract: The present systematic review evaluates the quality of evidence of empirical studies about the efficacy of cognitive behavioural therapy (CBT) and combination therapy (psychopharmacotherapy) in the treatment of selective mutism in young children aged 4–10 years old. Of the 223 studies returned in a systematic review of the literature from a ten-year period from 2012 to 2022, only fifteen studies matched the selection criteria for the qualitative synthesis. After evaluating these studies against preregistered quality indicators, two of fifteen studies provided “sufficient evidence” to evaluate the efficacy of the treatment, while the other thirteen showed “partial evidence”. From our qualitative analysis, we found that (a) diverse implementations of CBT were effective in treating selective mutism, (b) combination therapy is limited to fluoxetine and CBT, and (c) there are insufficient randomised controlled trials (five of fifteen studies) to firmly conclude that CBT and combination therapy are effective interventions for selective mutism. We highlight the limitations of existing studies and made recommendations to improve the quality of future evidence: future research can benefit from more randomised controlled trials with larger samples that raise the statistical validity of CBT/combination therapy effects. Additionally, researchers should focus on the blinding of all key persons in their studies as a safeguard against biases.
URI: https://hdl.handle.net/10356/168509
DOI (Related Dataset): 10.21979/N9/11BTB5
10.21979/N9/MH6I2M
Schools: School of Social Sciences 
Fulltext Permission: restricted
Fulltext Availability: With Fulltext
Appears in Collections:SSS Student Reports (FYP/IA/PA/PI)

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