The Relationship Between Social Communication and Social Functioning in Pediatric TBI: A Pilot Study

Objective: Social communication presents a significant difficulty for children with traumatic brain injury (TBI). Although several measures are used to examine social communication, there is no gold-standard assessment tool. The present pilot study examined the ability of the Social Communication Di...

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Main Authors: Helen M. Genova, Alison Haight, Joman Y. Natsheh, John DeLuca, Jean Lengenfelder
Format: Article
Language:English
Published: Frontiers Media S.A. 2019-08-01
Series:Frontiers in Neurology
Subjects:
Online Access:https://www.frontiersin.org/article/10.3389/fneur.2019.00850/full
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author Helen M. Genova
Helen M. Genova
Alison Haight
Joman Y. Natsheh
Joman Y. Natsheh
Joman Y. Natsheh
John DeLuca
John DeLuca
Jean Lengenfelder
Jean Lengenfelder
author_facet Helen M. Genova
Helen M. Genova
Alison Haight
Joman Y. Natsheh
Joman Y. Natsheh
Joman Y. Natsheh
John DeLuca
John DeLuca
Jean Lengenfelder
Jean Lengenfelder
author_sort Helen M. Genova
collection DOAJ
description Objective: Social communication presents a significant difficulty for children with traumatic brain injury (TBI). Although several measures are used to examine social communication, there is no gold-standard assessment tool. The present pilot study examined the ability of the Social Communication Disorders Checklist (SCDC) to detect social communication difficulties in pediatric TBI. Further, we examined the relationship between social communication and social functioning as assessed by parental ratings of behavior and objective measures of social cognition.Methods: Sixteen children with pediatric TBI and 20 age, education and sex matched healthy controls (HCs) participated. All participants participated in a neuropsychological evaluation and parents filled out questionnaires. Parents rated their children's social communication abilities using the SCDC, as well as the Behavior Assessment System for Children, Second Edition (BASC-2). The pediatric subjects completed a task of social cognition, specifically Theory of Mind (ToM).Results: The pediatric TBI group had significantly lower scores on the SCDC compared to the HCs (p = 0.001). In the pediatric group, SCDC scores correlated significantly with scores on the BASC-2, as well as performance on the ToM task, indicating that children with lower parent-rated social communication abilities also had lower scores on the objective measure of social cognition.Conclusions: These data provide preliminary evidence that children with TBI have difficulties with social communication, as evidenced by lower scores on the SCDC, and that SCDC scores correlate with subjective and objective measures of social cognition and behavior in pediatric TBI.
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spelling doaj.art-2de5c032182d4ab592f17f6e3fc7b2562022-12-22T03:41:27ZengFrontiers Media S.A.Frontiers in Neurology1664-22952019-08-011010.3389/fneur.2019.00850465108The Relationship Between Social Communication and Social Functioning in Pediatric TBI: A Pilot StudyHelen M. Genova0Helen M. Genova1Alison Haight2Joman Y. Natsheh3Joman Y. Natsheh4Joman Y. Natsheh5John DeLuca6John DeLuca7Jean Lengenfelder8Jean Lengenfelder9Kessler Foundation, East Hanover, NJ, United StatesDepartment of Physical Medicine and Rehabilitation, Rutgers-New Jersey Medical School, Newark, NJ, United StatesKessler Foundation, East Hanover, NJ, United StatesKessler Foundation, East Hanover, NJ, United StatesDepartment of Physical Medicine and Rehabilitation, Rutgers-New Jersey Medical School, Newark, NJ, United StatesChildren's Specialized Hospital Research Center, New Brunswick, NJ, United StatesKessler Foundation, East Hanover, NJ, United StatesDepartment of Physical Medicine and Rehabilitation, Rutgers-New Jersey Medical School, Newark, NJ, United StatesKessler Foundation, East Hanover, NJ, United StatesDepartment of Physical Medicine and Rehabilitation, Rutgers-New Jersey Medical School, Newark, NJ, United StatesObjective: Social communication presents a significant difficulty for children with traumatic brain injury (TBI). Although several measures are used to examine social communication, there is no gold-standard assessment tool. The present pilot study examined the ability of the Social Communication Disorders Checklist (SCDC) to detect social communication difficulties in pediatric TBI. Further, we examined the relationship between social communication and social functioning as assessed by parental ratings of behavior and objective measures of social cognition.Methods: Sixteen children with pediatric TBI and 20 age, education and sex matched healthy controls (HCs) participated. All participants participated in a neuropsychological evaluation and parents filled out questionnaires. Parents rated their children's social communication abilities using the SCDC, as well as the Behavior Assessment System for Children, Second Edition (BASC-2). The pediatric subjects completed a task of social cognition, specifically Theory of Mind (ToM).Results: The pediatric TBI group had significantly lower scores on the SCDC compared to the HCs (p = 0.001). In the pediatric group, SCDC scores correlated significantly with scores on the BASC-2, as well as performance on the ToM task, indicating that children with lower parent-rated social communication abilities also had lower scores on the objective measure of social cognition.Conclusions: These data provide preliminary evidence that children with TBI have difficulties with social communication, as evidenced by lower scores on the SCDC, and that SCDC scores correlate with subjective and objective measures of social cognition and behavior in pediatric TBI.https://www.frontiersin.org/article/10.3389/fneur.2019.00850/fullpediatrictraumatic brain injurysocial communicationsocial cognitiontheory of mind
spellingShingle Helen M. Genova
Helen M. Genova
Alison Haight
Joman Y. Natsheh
Joman Y. Natsheh
Joman Y. Natsheh
John DeLuca
John DeLuca
Jean Lengenfelder
Jean Lengenfelder
The Relationship Between Social Communication and Social Functioning in Pediatric TBI: A Pilot Study
Frontiers in Neurology
pediatric
traumatic brain injury
social communication
social cognition
theory of mind
title The Relationship Between Social Communication and Social Functioning in Pediatric TBI: A Pilot Study
title_full The Relationship Between Social Communication and Social Functioning in Pediatric TBI: A Pilot Study
title_fullStr The Relationship Between Social Communication and Social Functioning in Pediatric TBI: A Pilot Study
title_full_unstemmed The Relationship Between Social Communication and Social Functioning in Pediatric TBI: A Pilot Study
title_short The Relationship Between Social Communication and Social Functioning in Pediatric TBI: A Pilot Study
title_sort relationship between social communication and social functioning in pediatric tbi a pilot study
topic pediatric
traumatic brain injury
social communication
social cognition
theory of mind
url https://www.frontiersin.org/article/10.3389/fneur.2019.00850/full
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