Social problem-solving and social adjustment in paediatric traumatic brain injury.
Social problem-solving and social adjustment in paediatric traumatic brain injury.
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DOI：
10.3109/02699052.2015.1075140
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发表时间：
2015
期刊：
影响因子：
1.9
通讯作者：
Yeates KO
中科院分区：
文献类型：
--
作者：
Moran LM;Bigler E;Dennis M;Gerhardt CA;Rubin KH;Stancin T;Taylor HG;Vannatta KA;Yeates KO
关于儿童创伤性脑损伤（TBI）后发生的社会缺陷的预测因素知之甚少。本研究旨在探讨创伤性脑损伤后的社会问题解决及其与社会适应的关系。参与者包括8至13岁的儿童，25例严重TBI，57例复杂的轻度至中度TBI，61例骨科损伤（OI）。儿童对涉及负面社会情境的情景的反应是从一组固定的选择中选择他们对事件的因果归因、他们对事件的情绪反应以及他们将如何做出反应。所有参与者的一个子集的社会行为和同学友谊提名和社会计量评级的父母评级。严重创伤性脑损伤的儿童不太可能比OI的儿童表示，他们会归因于外部责任或通过避免拮抗剂的反应，他们更有可能表示，他们会感到悲伤，并要求成人干预。虽然有几个SPS变量对TBI和社会适应之间的关系有间接影响，但临床意义有限。研究结果表明，虽然TBI儿童表现出非典型的SPS技能，SPS不能孤立地用于准确预测社会适应。
Little is known regarding the predictors of social deficits that occur following childhood traumatic brain injury (TBI). The current study sought to investigate social problem solving (SPS) and its relationship to social adjustment after TBI. Participants included 8 to 13 year old children, 25 with severe TBI, 57 with complicated mild-to-moderate TBI, and 61 with orthopedic injuries (OI). Children responded to scenarios involving negative social situations by selecting from a fixed set of choices their causal attribution for the event, their emotional reaction to the event, and how they would behave in response. Parent ratings of social behaviours and classmate friendship nominations and sociometric ratings were obtained for a subset of all participants. Children with severe TBI were less likely than children with OI to indicate they would attribute external blame or respond by avoiding the antagonist; they were more likely to indicate they would feel sad and request adult intervention. Although several SPS variables had indirect effects on the relationship between TBI and social adjustment, clinical significance was limited. The findings suggest that while children with TBI display atypical SPS skills, SPS cannot be used in isolation to accurately predict social adjustment.