Please select the arm or intervention descriptions that belong to the clinical trial below.
Title: How to Help When Silence is Not Golden A RCT Study of Selective Mutism
Brief Summary: Selective mutism (SM) describes inhibited and withdrawn children who are persistently mute in central situations despite ability to talk. SM may cause great suffering and create problems, both socially and related to learning. SM is associated with social anxiety, neurodevelopmental delay and bilingualism. The prevalence is about .7-8 ‰. Adequate assessment and treatment of SM is seldom provided in the mental health services. SM is considered hard to treat, and randomised treatment studies are lacking. This study will examine the effect of a manual based treatment for SM. The treatment consists of home- and kindergarten /school based interventions including behaviour techniques and psychoeducation. Defocused communication is a general treatment principle. Comorbidity, including neurodevelopmental delay /disorder, and predictors of outcome, will be examined. A pilot study was conducted to ensure the feasibility of the planned effectiveness study. Seven children, aged 3-5 years were included. Six has started treatment, and all talked in the kinder garden within the first 3 months. The present study will have a randomised controlled design with 1. Manual based intervention for 6 months compared to 2. Waiting list controls (3 months), and then manual based intervention. The sample: Children aged 3-9 years consecutively referred to the school psychology- or the mental health services in Oslo and Eastern Norway. Expected N = 24 based on the pilot study, is a sufficient sample size to answer our primary research question. The treatment will be given by a therapist from the research group or by a local clinician under supervision. The study can add essential knowledge on treatment of SM and make effective treatment available to clinicians in the community.


Options:
A: Arm Label: Expert-led CBT; Type: ACTIVE_COMPARATOR; Interventions: Behavioral: Skills for Academic and Social Success | Arm Label: School Counselor-led CBT; Type: EXPERIMENTAL; Interventions: Behavioral: Skills for Academic and Social Success | Arm Label: Skills for Life; Type: ACTIVE_COMPARATOR; Interventions: Behavioral: Skills for Life | Intervention Type: BEHAVIORAL; Name: Skills for Academic and Social Success; Assigned to Arm(s): Expert-led CBT, School Counselor-led CBT | Intervention Type: BEHAVIORAL; Name: Skills for Life; Assigned to Arm(s): Skills for Life
B: Arm Label: stimulus fading procedures; Type: EXPERIMENTAL; Interventions: Behavioral: Stimulus fading procedures, Behavioral: Guidance on defocused communication | Arm Label: guidance of defocused communication; Type: ACTIVE_COMPARATOR; Interventions: Behavioral: Guidance on defocused communication | Intervention Type: BEHAVIORAL; Name: Stimulus fading procedures; Assigned to Arm(s): stimulus fading procedures | Intervention Type: BEHAVIORAL; Name: Guidance on defocused communication; Assigned to Arm(s): guidance of defocused communication, stimulus fading procedures
C: Arm Label: Active Treatment: CBT; Type: ACTIVE_COMPARATOR; Interventions: Behavioral: CBT | Arm Label: Experimental Treatment: SPACE; Type: EXPERIMENTAL; Interventions: Behavioral: Parent-Based Treatment of Child and Adolescent Anxiety Disorders | Intervention Type: BEHAVIORAL; Name: Parent-Based Treatment of Child and Adolescent Anxiety Disorders; Assigned to Arm(s): Experimental Treatment: SPACE | Intervention Type: BEHAVIORAL; Name: CBT; Assigned to Arm(s): Active Treatment: CBT
D: Arm Label: Sertraline; Type: ACTIVE_COMPARATOR; Interventions: Drug: Sertraline (SRT) | Arm Label: CBT; Type: ACTIVE_COMPARATOR; Interventions: Behavioral: Cognitive Behavioral Therapy (CBT) | Arm Label: SRT + CBT; Type: ACTIVE_COMPARATOR; Interventions: Drug: Sertraline (SRT), Behavioral: Cognitive Behavioral Therapy (CBT) | Arm Label: Placebo; Type: PLACEBO_COMPARATOR; Interventions: Drug: Placebo | Intervention Type: DRUG; Name: Sertraline (SRT); Assigned to Arm(s): SRT + CBT, Sertraline | Intervention Type: BEHAVIORAL; Name: Cognitive Behavioral Therapy (CBT); Assigned to Arm(s): CBT, SRT + CBT | Intervention Type: DRUG; Name: Placebo; Assigned to Arm(s): Placebo

Answer: B