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Peer Relationships of Children with Traumatic Brain Injury

Published online by Cambridge University Press:  23 January 2013

Keith Owen Yeates ,
Cynthia A. Gerhardt ,
Erin D. Bigler ,
Tracy Abildskov ,
Maureen Dennis ,
Kenneth H. Rubin ,
Terry Stancin ,
H. Gerry Taylor  and
Kathryn Vannatta
Keith Owen Yeates*
Affiliation:
Department of Pediatrics, The Ohio State University, and The Research Institute at Nationwide Children's Hospital, Columbus, Ohio
Cynthia A. Gerhardt
Affiliation:
Department of Pediatrics, The Ohio State University, and The Research Institute at Nationwide Children's Hospital, Columbus, Ohio
Erin D. Bigler
Affiliation:
Department of Psychological Science and Neuroscience Center, Brigham Young University, Provo, Utah
Tracy Abildskov
Affiliation:
Department of Psychological Science and Neuroscience Center, Brigham Young University, Provo, Utah
Maureen Dennis
Affiliation:
Program in Neuroscience and Mental Health, The Hospital for Sick Children, Toronto, Ontario Department of Psychology, University of Toronto, Toronto, Ontario Department of Surgery, University of Toronto, Toronto, Ontario
Kenneth H. Rubin
Affiliation:
Department of Human Development, University of Maryland, College Park, Maryland
Terry Stancin
Affiliation:
Department of Pediatrics, Case Western Reserve University, and MetroHealth Medical Center, Cleveland, Ohio
H. Gerry Taylor
Affiliation:
Department of Pediatrics, Case Western Reserve University, and Rainbow Babies & Children's Hospital, Cleveland, Ohio
Kathryn Vannatta
Affiliation:
Department of Pediatrics, The Ohio State University, and The Research Institute at Nationwide Children's Hospital, Columbus, Ohio
*
Correspondence and reprint requests to: Keith Owen Yeates, Department of Psychology, Nationwide Children's Hospital, 700 Children's Drive, Columbus, OH 432205. E-mail: [email protected]
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Abstract

This study examined peer relationships in children with traumatic brain injury (TBI) relative to children with orthopedic injuries (OI), and explored whether differences in peer relationships correlated with white matter volumes. Classroom procedures were used to elicit peer perceptions of social behavior, acceptance, and friendships for eighty-seven 8- to 13-year-old children, 15 with severe TBI, 40 with complicated mild/moderate TBI, and 32 with OI. Magnetic resonance imaging (MRI) and voxel-based morphometry (VBM) were used to investigate volumetric correlates of peer relationship measures. Children with severe TBI were rated higher in rejection-victimization than children with OI, and were less likely than children with OI to have a mutual friendship in their classroom (47% vs. 88%). Children with TBI without a mutual friend were rated lower than those with a mutual friend on sociability-popularity and prosocial behavior and higher on rejection-victimization, and had lower peer acceptance ratings. Mutual friendship ratings were related to white matter volumes in several posterior brain regions, but not to overall brain atrophy. Severe TBI in children is associated with detrimental peer relationships that are related to focal volumetric reductions in white matter within regions of the brain involved in social information-processing. (JINS, 2013, 19, 1–10)

Keywords

PediatricFriendshipVictimizationHeadTraumaSocial competenceSociometrics
Type
Special Series
Information
Journal of the International Neuropsychological Society , Volume 19 , Issue 5 , May 2013 , pp. 518 - 527
Copyright
Copyright © The International Neuropsychological Society 2013

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