Social functioning and facial expression recognition in survivors of pediatric brain tumors

Melanie J Bonner1, Kristina K Hardy, Victoria W Willard

  • 1Department of Psychiatry, Duke University Medical Center, DUMC Box 3527, Durham, NC 27710, USA. bonne002@mc.duke.edu

Insights

Survivors of pediatric brain tumors (BT) show impaired social functioning and difficulty recognizing facial expressions compared to children with juvenile rheumatoid arthritis (JRA). These social deficits are significant and measurable.

Area of Science:

  • Neuroscience
  • Pediatric Oncology
  • Developmental Psychology

Background:

  • Pediatric brain tumors (BT) can impact cognitive and social development.
  • Social functioning and facial expression recognition are crucial for peer interactions and overall well-being.
  • Understanding these deficits in BT survivors is essential for targeted interventions.

Purpose of the Study:

  • To compare social functioning and facial expression recognition skills in pediatric brain tumor survivors versus children with juvenile rheumatoid arthritis (JRA).
  • To identify factors influencing facial expression recognition in pediatric brain tumor survivors.

Main Methods:

  • Assessed 51 BT survivors and 31 JRA patients using a facial expression recognition task, social functioning questionnaires, and an IQ screener.
  • Controlled for estimated IQ in the analysis of facial expression interpretation.
  • Examined the predictive role of therapy history and diagnosis age on facial recognition performance.

Main Results:

  • BT survivors made significantly more errors in interpreting adult facial expressions than JRA patients, even after controlling for IQ.
  • Therapy history and age at diagnosis predicted performance on the child-specific facial recognition task.
  • BT survivors exhibited significantly impaired social functioning across multiple measures compared to JRA patients.

Conclusions:

  • Pediatric BT survivors demonstrate significant social functioning deficits relative to an illness comparison group (JRA).
  • Facial expression recognition errors are a quantifiable indicator of social deficits in pediatric BT survivors.
  • These findings highlight the need for interventions addressing social and emotional processing in pediatric brain tumor survivors.
Abstract

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