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A prospective study of social competence in survivors of pediatric brain and solid tumors
May Albee1, Santiago Allende2, Victoria Cosgrove2
1The Children's Hospital of Philadelphia, Philadelphia, Pennsylvania.
Insights
Pediatric brain tumor survivors and other childhood cancer survivors show similar social information processing (SIP) and social skills. However, their peer relationships differ over time, indicating unique challenges for brain tumor survivors.
Area of Science:
- Neuroscience
- Developmental Psychology
- Pediatric Oncology
Background:
- Survivors of pediatric brain tumors often experience social competence deficits, including impaired social information processing (SIP) and peer relationship difficulties.
- Understanding these challenges is crucial, especially comparing pediatric brain tumor survivors to survivors of other childhood cancers due to improved survival rates.
Purpose of the Study:
- To investigate differences in social information processing (SIP) and peer relationship quality between pediatric brain tumor survivors and pediatric solid tumor survivors.
- To examine how SIP and social skills influence peer relationships over time in these survivor groups.
Main Methods:
- Fifty-one pediatric brain tumor survivors and 34 pediatric solid tumor survivors underwent evaluations of SIP and peer relationships.
- Assessments were conducted within six months post-treatment and one year later, with caregiver reports on social skills.
- Linear mixed models were employed to analyze group differences and temporal associations.
Main Results:
- No significant differences were found between the two groups in social information processing (SIP) or social skills over time.
- A significant interaction indicated that the relationship between SIP, group, and time predicted peer relationships.
- Pediatric solid tumor survivors showed a positive association between baseline social skills, theory of mind, and peer relationships, while pediatric brain tumor survivors exhibited an inverse association.
Conclusions:
- Unanticipated inverse associations between baseline social information processing (SIP), social skills, and peer relationships were observed in pediatric brain tumor survivors.
- Further research is necessary to identify key factors influencing peer relationships in this population to develop targeted interventions.
Background/Objectives:
Survivors of pediatric brain tumors are at increased risk for difficulties with social competence, including poor social information processing (SIP) and peer relationships. Improved survival rates heighten the need to better understand these challenges and if they are specific to survivors of pediatric brain tumors versus survivors of other childhood cancers.
Methods:
Fifty-one survivors of pediatric brain tumors and 34 survivors of pediatric solid tumors completed evaluations of SIP and peer relationship quality within six months of completing treatment and one year later. Caregivers completed a measure of social skills. Linear mixed models evaluated differences between survivors of pediatric brain and solid tumors on SIP and social skills and how indices of SIP were associated with peer relationships over time.
Results:
The two groups did not differ on indices of SIP or social skills over time. A three-way interaction between measures of SIP, group, and time predicted peer relationships. Survivors of pediatric solid tumors showed a positive association between baseline social skills and theory of mind and peer relationships over time, whereas survivors of pediatric brain tumors showed an inverse association between baseline social skills and theory of mind and peer relationships over time.
Conclusion:
Findings revealed unanticipated associations between baseline SIP and social skills and peer relationships over time among survivors of pediatric brain tumors. Additional research is needed to elucidate the factors most influential on peer relationships in this group to inform interventions.
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