Black and Uhde evaluated children diagnosed with selective mutism using parent and teacher rating scales, family-history information, and structured diagnostic interviews.

New York University

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Summarized Conclusion of Black & Uhde's Study: 

Selective Mutism may be a manifested symptom of social anxiety, rather than a distinct disorder. 







Image description: Black & Uhde's model for factors which may lead to characteristics of Selective Mutism. 

Image Citation: Stanford University, Cohen et al. ”Suffering in silence: why a developmental psychopathology perspective on selective mutism is needed.” J Dev Behav Pediatr. 2006 Aug;27(4):341-55. Accessed June 10, 2023. 

Black & Uhde's Evidence Supporting Social Theory & Social Anxiety Theory of Selective Mutism 

Objective: To ascertain characteristics of children diagnosed with Selective Mutism

Black & Uhde Study - Objective

Results: 

A) 30 individuals were assessed in the structured diagnostic interview. Each individual's intensity of Selective Mutism would vary depending on one's environmental setting and context.

B) 97% of subjects were diagnosed with 1) Social Anxiety Disorder, 2) Avoidant Disorder of Childhood or Adolescence, or both. 30% were diagnosed with simple phobia. No other psychiatric disorders were common, and there was no evidence of a casual relationship between psychological or physical trauma with the development of Selective Mutism.

C) According to the results from the parent and teacher rating-scales, on average subjects tended to show high rated-levels of anxiety symptoms, particularly symptoms of social anxiety, and low symptoms of other psychiatric symptoms.

D) From analyzing the subjects' family history, it seemed that Anxiety and social anxiety severity correlated with mutism severity. 

First-degree family history of 

1. Social Phobia and 
2. Selective Mutism, obtained by family history method, 

was present in 70% and 37% of families, respectively.

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