Department of Psychology, The Hospital for Sick Children, 555 University Avenue, Toronto, Ontario, M5G 1X8, Canada.
BC Children's Hospital, Vancouver, Canada.
Support Care Cancer. 2019 Nov;27(11):4237-4244. doi: 10.1007/s00520-019-04706-3. Epub 2019 Mar 8.
Pediatric brain tumor survivors (PBTSs) are at risk of impairments in social competence. Limited information is available regarding nominations and reciprocated nominations of PBTSs as best friends and factors which may predict these.
Caregivers of children (n = 32) aged 8-16 (38% low-grade glioma, 34% medulloblastoma, 28% other) completed ratings of child adjustment at baseline (T1) and PBTSs and classmates completed the Three Best Friends measure approximately 12 months later (T2). Sociometric data yielded ratings of best friend nominations and reciprocated best friend nominations.
Nominations of PBTSs as best friends were not significantly different than controls, but PBTSs had fewer reciprocated best friend nominations than controls. Approximately half of PBTSs in this study did not have any reciprocated best friend nominations and 25% were not nominated by any peer as a best friend. Greater symptoms of depression and lower social skills in PBTSs were associated with fewer nominations as a best friend by peers and a greater likelihood of no reciprocal best friend nominations. Greater difficulties in emotional control were associated with fewer nominations as a best friend by peers.
The discrepancy between reciprocated best friend nominations and best friend nominations highlights a need to attend to reciprocal friendships in PBTSs and further understand social information processes in this population. Longitudinal analyses illustrate the impact of emotional adjustment on PBTS friendships.
儿科脑瘤幸存者（PBTS）存在社交能力受损的风险。关于 PBTS 被提名和相互提名最好的朋友的信息有限，以及可能预测这些的因素也有限。
儿童（n=32）年龄在 8-16 岁（38%低级别胶质瘤，34%髓母细胞瘤，28%其他）的照顾者在基线（T1）时完成了儿童适应度的评定，大约 12 个月后（T2）PBTS 和同班同学完成了“三个最好朋友”的测量。社会计量数据得出了最好朋友提名和相互提名的评级。
PBTS 作为最好的朋友的提名与对照组没有显著差异，但 PBTS 得到的相互提名最好的朋友的次数比对照组少。在这项研究中，大约一半的 PBTS 没有任何相互提名的最好的朋友，25%的 PBTS 没有被任何同龄人提名最好的朋友。PBTS 中更多的抑郁症状和较低的社交技能与同龄人提名他们为最好的朋友的次数较少，以及更有可能没有相互提名的最好的朋友有关。情绪控制方面的困难越大，被同龄人提名最好的朋友的次数就越少。
相互提名的最好的朋友的提名和最好的朋友的提名之间的差异突出表明需要关注 PBTS 的互惠友谊，并进一步了解这一人群的社交信息处理过程。纵向分析说明了情绪调整对 PBTS 友谊的影响。
