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Friendship quality and psychosocial outcomes among children with traumatic brain injury

Sara Heverly-Fitt1, Maureen A Wimsatt1, Melissa M Menzer1

  • 11Department of Human Development and Quantitative Methodology,University of Maryland,College Park,Maryland.

Journal of the International Neuropsychological Society : JINS
|May 21, 2014
PubMed

Insights

Children with traumatic brain injury (TBI) report better friendship quality than those with orthopedic injury (OI). Supportive friendships buffer negative outcomes for TBI patients, especially those rejected by peers.

Area of Science:

  • Neuroscience
  • Psychology
  • Pediatrics

Background:

  • Traumatic brain injury (TBI) and orthopedic injury (OI) can impact children's social development.
  • Understanding friendship quality is crucial for assessing psychosocial outcomes post-injury.

Purpose of the Study:

  • To compare friendship quality between children with TBI and OI.
  • To examine the relationship between friendship quality and behavioral outcomes in these pediatric groups.

Main Methods:

  • 41 children with TBI and 43 with OI (mean age 10.4) participated.
  • Data collected via peer, teacher, and parent reports on social adjustment and behaviors.
  • Friendship quality assessed using self- and best-friend reports.

Main Results:

  • Children with TBI reported higher friendship support and satisfaction than children with OI.
  • Friendship quality reports were more consistent between TBI patients and their best friends.
  • Friendship support buffered maladaptive psychosocial outcomes and predicted social competence in TBI patients rejected by peers.

Conclusions:

  • Supportive friendships are vital for children with TBI, particularly those facing peer rejection.
  • Positive friendships may protect against negative psychosocial outcomes and enhance social skills in pediatric TBI.
  • Friendship satisfaction uniquely related to social skills in the TBI group.

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