Lisa M Moran1, Erin Bigler2,3, Maureen Dennis4,5, Cynthia A Gerhardt6,7, Kenneth H Rubin8,9, Terry Stancin10,11, H Gerry Taylor10,12, Kathryn A Vannatta6,7, Keith Owen Yeates13. 1. a Department of Psychiatry and Biobehavioral Health , University of California , Los Angeles , CA , USA . 2. b Department of Psychology , Brigham Young University , Provo, UT, USA . 3. c Department of Psychiatry , University of Utah , Salt Lake City , UT , USA . 4. d Departments of Psychology and Surgery , University of Toronto , Toronto , ON , Canada . 5. e Program in Neurosciences and Mental Health, Hospital for Sick Children , Columbus, OH, USA . 6. f The Research Institute at Nationwide Children's Hospital . 7. g Department of Pediatrics , The Ohio State University College of Medicine, Columbus, OH , USA . 8. h Department of Human Development & Quantitative Methodology , University of Maryland , College Park , MD , USA . 9. i Center for Children, Relationships, & Culture, University of Maryland , College Park , MD , USA . 10. j Department of Pediatrics , Case Western Reserve University , Cleveland, OH, USA . 11. k Department of Pediatrics , MetroHealth Medical Center , Cleveland, OH, USA . 12. l Rainbow Babies & Children's Hospital, University Hospitals Case Medical Center , Cleveland, OH, USA , and. 13. m Department of Psychology , University of Calgary , Calgary , AB , Canada.
Abstract
OBJECTIVE: Little is known regarding the predictors of social deficits that occur following childhood traumatic brain injury (TBI). The current study sought to investigate social problem solving (SPS) and its relationship to social adjustment after TBI. METHODS: Participants included 8-13 year old children, 25 with severe TBI, 57 with complicated mild-to-moderate TBI and 61 with orthopaedic injuries (OI). Children responded to scenarios involving negative social situations by selecting from a fixed set of choices their causal attribution for the event, their emotional reaction to the event and how they would behave in response. Parent ratings of social behaviours and classmate friendship nominations and sociometric ratings were obtained for a sub-set of all participants. RESULTS: Children with severe TBI were less likely than children with OI to indicate they would attribute external blame or respond by avoiding the antagonist; they were more likely to indicate they would feel sad and request adult intervention. Although several SPS variables had indirect effects on the relationship between TBI and social adjustment, clinical significance was limited. CONCLUSIONS: The findings suggest that, while children with TBI display atypical SPS skills, SPS cannot be used in isolation to accurately predict social adjustment.
OBJECTIVE: Little is known regarding the predictors of social deficits that occur following childhood traumatic brain injury (TBI). The current study sought to investigate social problem solving (SPS) and its relationship to social adjustment after TBI. METHODS:Participants included 8-13 year old children, 25 with severe TBI, 57 with complicated mild-to-moderate TBI and 61 with orthopaedic injuries (OI). Children responded to scenarios involving negative social situations by selecting from a fixed set of choices their causal attribution for the event, their emotional reaction to the event and how they would behave in response. Parent ratings of social behaviours and classmate friendship nominations and sociometric ratings were obtained for a sub-set of all participants. RESULTS:Children with severe TBI were less likely than children with OI to indicate they would attribute external blame or respond by avoiding the antagonist; they were more likely to indicate they would feel sad and request adult intervention. Although several SPS variables had indirect effects on the relationship between TBI and social adjustment, clinical significance was limited. CONCLUSIONS: The findings suggest that, while children with TBI display atypical SPS skills, SPS cannot be used in isolation to accurately predict social adjustment.
Entities:
Keywords:
Friendship; head trauma; social competence; sociometrics
Authors: Elisabeth A Wilde; Jill V Hunter; Mary R Newsome; Randall S Scheibel; Erin D Bigler; Jamie L Johnson; Michael A Fearing; Howard B Cleavinger; Xiaoqi Li; Paul R Swank; Claudia Pedroza; Garland Stallings Roberson; Jocelyne Bachevalier; Harvey S Levin Journal: J Neurotrauma Date: 2005-03 Impact factor: 5.269
Authors: Shanley Mangeot; Kira Armstrong; Andrew N Colvin; Keith Owen Yeates; H Gerry Taylor Journal: Child Neuropsychol Date: 2002-12 Impact factor: 2.500