Fluoxetine treatment of children with selective mutism: An open trial

被引:99
|
作者
Dummit, SE [1 ]
Klein, RG [1 ]
Tancer, NK [1 ]
Asche, B [1 ]
Martin, J [1 ]
机构
[1] COLUMBIA UNIV, COLL PHYS & SURG, NEW YORK STATE PSYCHIAT INST, NEW YORK, NY USA
关键词
elective mutism; selective mutism; anxiety; social phobia; avoidant disorder; child; adolescent; fluoxetine;
D O I
10.1097/00004583-199605000-00016
中图分类号
B844 [发展心理学(人类心理学)];
学科分类号
040202 ;
摘要
Objective: A pilot study was designed to evaluate the safety and efficacy of fluoxetine treatment for children with selective mutism (elective mutism in DSM-III-R). Method: Twenty-one children (mean age 8.2 years, range 5 through 14) participated in a 9-week open trial of fluoxetine in graduated doses (mean end dose 28.1 mg, range 10 to 60 mg) with systematic baseline and outcome evaluations and weekly clinical assessment. Results: All 21 children met DSM-III-R and DSM-IV criteria for anxiety disorders. After fluoxetine treatment, 76% were improved, with diminished anxiety and increased speech in public settings, including school. Improvement at week 9 was inversely correlated with age. Conclusions: Persistent selective mutism presenting with comorbid anxiety disorders may respond to fluoxetine treatment.
引用
收藏
页码:615 / 621
页数:7
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