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Social functioning of children surviving bone marrow transplantation
K Vannatta1, M Zeller, R B Noll
1Children's Hospital Medical Center, University of Cincinnati, Ohio 45229, USA. vannattak@chmcc.org
Journal of Pediatric Psychology
|June 26, 1998
Summary
Pediatric bone marrow transplant (BMT) survivors experience ongoing peer difficulties, impacting social development. Their social isolation and lower perceived attractiveness and athletic skills, noted by peers, require further investigation.
Area of Science:
- Pediatric Oncology
- Child Psychology
- Social Sciences
Background:
- Bone marrow transplantation (BMT) is a life-saving procedure for children with various cancers and hematologic disorders.
- Long-term survivors may face unique psychosocial challenges impacting their development and integration into peer groups.
Purpose of the Study:
- To assess the behavioral reputation and peer acceptance of pediatric BMT survivors.
- To identify factors contributing to social difficulties in this population.
Main Methods:
- A cohort of 48 pediatric BMT survivors (aged 8-16) was compared to 48 matched peers without chronic illnesses.
- Data were collected through peer, teacher, and self-report measures.
Main Results:
- BMT survivors had fewer friends and were perceived by peers as more socially isolated compared to controls.
- Peers also described survivors as less physically attractive and athletically skilled.
- Nonsocial attributes (physical appearance, athletic ability) and treatment factors (cranial irradiation) appeared to mediate social challenges.
Conclusions:
- Pediatric BMT survivors may exhibit persistent peer relationship difficulties, potentially hindering social and emotional development.
- Discrepancies across peer, teacher, and self-reports underscore the importance of using multiple informants in future research.