Diagnóstico diferencial del mutismo selectivo a través de un caso clínico

Q4 Medicine Psiquiatria Biologica Pub Date : 2025-04-01 Epub Date: 2024-11-19 DOI:10.1016/j.psiq.2024.100543
Sandra Puyal González , Carlos-Luis Ortiz Sánchez-Expósito , Almudena Escudero González
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Abstract

Selective mutism consists of a consistent failure to speak in specific social conditions in which there is an expectation to communicate. It produces a decrease in functionality in several areas of life.
The case of a 26-year-old woman with mutist symptoms since childhood is presented. The main objective of this article is to carry out a review of selective mutism and the different disorders that can encompass these symptoms, presenting the different diagnosis between anxiety disorder including social anxiety or social phobia, avoidant personality disorder or autism spectrum disorder.
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通过临床病例对选择性沉默进行鉴别诊断
选择性缄默症是指在期望交流的特定社会条件下始终不能说话。它会导致生活中几个方面的功能下降。本文报告一26岁妇女,自孩童时期便出现鼻炎症状。本文的主要目的是对选择性缄默症和可能包含这些症状的不同障碍进行回顾,提出焦虑障碍(包括社交焦虑或社交恐惧症)、回避型人格障碍或自闭症谱系障碍之间的不同诊断。
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来源期刊
Psiquiatria Biologica
Psiquiatria Biologica Medicine-Psychiatry and Mental Health
CiteScore
0.40
自引率
0.00%
发文量
13
期刊介绍: Es la Publicación Oficial de la Sociedad Española de Psiquiatría Biológica. Los recientes avances en el conocimiento de la bioquímica y de la fisiología cerebrales y el progreso en general en el campo de las neurociencias han abierto el camino al desarrollo de la psiquiatría biológica, fundada sobre bases anatomofisiológicas, más sólidas y científicas que la psiquiatría tradicional.
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