The impact of connectedness on social functioning in youth with brain tumors
Victoria W Willard1, Kathryn M Russell1, Alanna Long1
1Department of Psychology, St. Jude Children's Research Hospital, Memphis, Tennessee.
Insights
Children with brain tumors (BT) may experience challenges in social functioning. However, strong connections with friends can act as a protective factor, improving social skills and resilience in these young individuals.
Area of Science:
- Pediatric Oncology
- Child Psychology
- Social Neuroscience
Background:
- Children with brain tumors (BT) face significant risks for social functioning difficulties.
- Existing research has primarily focused on deficits, neglecting potential strengths or resilience factors.
- Understanding protective factors is crucial for developing targeted interventions.
Purpose of the Study:
- To investigate the influence of connectedness on social functioning in youth with BT.
- To compare social functioning and connectedness in youth with BT versus those with other cancers.
- To identify potential resilience factors in pediatric cancer patients.
Main Methods:
- A longitudinal study followed children with cancer, including those with BT and other diagnoses.
- Connectedness was measured using the Hemingway Measure of Adolescent Connectedness (HMAC).
- Social functioning was assessed via self- and proxy-report using the Social-Emotional Assets and Resilience Scale (SEARS) over time.
Main Results:
- Youth with BT reported lower connectedness to friends compared to children with other cancers.
- Individuals with BT exhibited lower self- and parent-reported social functioning.
- Friend connectedness significantly mediated the link between BT diagnosis and improved self-reported social functioning.
Conclusions:
- A strong connection to friends may serve as a protective factor, potentially mitigating social functioning deficits in youth with BT.
- Further research is warranted to explore the benefits of social connectedness as a resilience factor.
- Interventions aimed at fostering peer connections could enhance social outcomes for pediatric brain tumor patients.
Purpose:
Children with brain tumors (BT) are at risk for difficulties with social functioning. Research to date has focused on deficits, with no studies identifying areas of strength or resilience. Our objective was to assess the potential influence of connectedness on social functioning in youth with BT as compared with children with other cancers.
Methods:
Children with cancer (20 with BT, 33 with other diagnoses) were enrolled on a longitudinal study of psychosocial functioning. The current study included measures from time 2 (+1 year after enrollment; Mage = 13.11 ± 2.31, Mtimesincediagnosis = 4.95 ± 3.74 years) and time 3 (+3 years after enrollment; Mage = 14.98 ± 2.36, Mtimesincediagnosis = 6.82 ± 3.81 years). Youth completed the Hemingway Measure of Adolescent Connectedness (HMAC) at time 2. Two years later, social functioning was assessed by the self- and proxy-report versions of the Social-Emotional Assets and Resilience Scale (SEARS).
Results:
Youth with BT perceived that they were less connected to friends (t(50) = -2.13, P = 0.04), but similarly connected to peers as youth with other cancers. Youth with BT also demonstrated lower social functioning by self- and parent report. Connectedness to friends significantly mediated the relationship between diagnostic category and self-reported social functioning, such that youth with BT who reported being more connected to friends also indicated greater social functioning. Analyses using connectedness to peers and/or parent-reported social functioning were nonsignificant.
Conclusions:
Perceiving a connection to a friend may be a protective factor that could mitigate deficits in social functioning in youth with BT. Additional research is needed to further assess the potential benefits of this construct.
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