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When Injury Clouds Understanding of Others: Theory of Mind after Mild TBI in Preschool Children

Published online by Cambridge University Press:  05 August 2015

Jenny Bellerose Open the ORCID record for Jenny Bellerose [Opens in a new window] ,
Annie Bernier ,
Cindy Beaudoin ,
Jocelyn Gravel  and
Miriam H. Beauchamp
Jenny Bellerose
Affiliation:
Department of Psychology, University of Montreal, Quebec, Canada Ste-Justine Hospital Research Center, Montreal, Quebec, Canada
Annie Bernier
Affiliation:
Department of Psychology, University of Montreal, Quebec, Canada
Cindy Beaudoin
Affiliation:
Ste-Justine Hospital Research Center, Montreal, Quebec, Canada
Jocelyn Gravel
Affiliation:
Ste-Justine Hospital Research Center, Montreal, Quebec, Canada
Miriam H. Beauchamp*
Affiliation:
Department of Psychology, University of Montreal, Quebec, Canada Ste-Justine Hospital Research Center, Montreal, Quebec, Canada
*
Correspondence and reprint requests to: Miriam H. Beauchamp, Department of Psychology, University of Montreal, C.P. 6128, Succursale Centre-Ville, Montreal, Quebec, Canada, H3C 3J7. E-mail: miriam.beauchamp@umontreal.ca
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Abstract

There is evidence to suggest that social skills, such as the ability to understand the perspective of others (theory of mind), may be affected by childhood traumatic brain injuries; however, studies to date have only considered moderate and severe traumatic brain injury (TBI). This study aimed to assess theory of mind after early, mild TBI (mTBI). Fifty-one children who sustained mTBI between 18 and 60 months were evaluated 6 months post-injury on emotion and desires reasoning and false-belief understanding tasks. Their results were compared to that of 50 typically developing children. The two groups did not differ on baseline characteristics, except for pre- and post-injury externalizing behavior. The mTBI group obtained poorer scores relative to controls on both the emotion and desires task and the false-belief understanding task, even after controlling for pre-injury externalizing behavior. No correlations were found between TBI injury characteristics and theory of mind. This is the first evidence that mTBI in preschool children is associated with theory of mind difficulties. Reduced perspective taking abilities could be linked with the social impairments that have been shown to arise following TBI. (JINS, 2015, 21, 483–493)

Keywords

PediatricHead injuryConcussionSocial cognitionPerspective takingOutcomeSocial skills
Type
Research Articles
Information
Journal of the International Neuropsychological Society , Volume 21 , Issue 7 , August 2015 , pp. 483 - 493
Copyright
Copyright © The International Neuropsychological Society 2015 

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References

Abidin, R.A. (1995). Parenting stress index (3rd ed.). Odessa, FL: Psychological Assessment Resources, Inc.Google Scholar
Achenbach, T.M., & Rescorla, L.A. (2000). Manual for the ASEBA preschool forms & profiles. Burlington, VT: University of Vermont, Research Center for Children, Youth, & Families.Google Scholar
Anderson, V., Beauchamp, M.H., Yeates, K.O., Crossley, L., Hearps, S.J., & Catroppa, C. (2013). Social competence at 6 months following childhood traumatic brain injury. Journal of the International Neuropsychological Society, 19(5), 539–550. doi:10.1017/S1355617712001543 Google Scholar
Anderson, V., Catroppa, C., Godfrey, C., & Rosenfeld, J.V. (2012). Intellectual ability 10 years after traumatic brain injury in infancy and childhood: What predicts outcome? Journal of Neurotrauma, 29(1), 143–153. doi:10.1089/neu.2011.2012 CrossRefGoogle ScholarPubMed
Anderson, V., Catroppa, C., Morse, S., Haritou, F., & Rosenfeld, J. (2001). Outcome from mild head injury in young children: A prospective study. Journal of Clinical & Experimental Neuropsychology, 23(6), 705–717.CrossRefGoogle ScholarPubMed
Anderson, V., Catroppa, C., Morse, S., Haritou, F., & Rosenfeld, J. (2005). Functional plasticity or vulnerability after early brain injury? Pediatrics, 116(6), 1374–1382.Google Scholar
Anderson, V., Godfrey, C., Rosenfeld, J.V., & Catroppa, C. (2012). Predictors of cognitive function and recovery 10 years after traumatic brain injury in young children. Pediatrics, 129(2), e254–e261. doi:10.1542/peds.2011-0311 Google Scholar
Anderson, V., Spencer-Smith, M., Leventer, R., Coleman, L., Anderson, P., Williams, J., & Jacobs, R. (2009). Childhood brain insult: Can age at insult help us predict outcome? Brain, 132(1), 45–56.Google Scholar
Andrews, T.K., Rose, F.D., & Johnson, D.A. (1998). Social and behavioural effects of traumatic brain injury in children. Brain Injury, 12(2), 133–138.Google Scholar
Astington, J.W. (2003). Sometimes necessary, never sufficient: False-belief understanding and social competence. In V. Slaughter and B. Repacholi (Eds.), Individual differences in theory of mind: Implications for typical and atypical development (pp. 13–38). New York, NY: Psychology Press.Google Scholar
Babikian, T., & Asarnow, R. (2009). Neurocognitive outcomes and recovery after pediatric TBI: Meta-analytic review of the literature. Neuropsychology, 23(3), 283–296. doi:10.1037/a0015268 Google Scholar
Babikian, T., Satz, P., Zaucha, K., Light, R., Lewis, R.S., & Asarnow, R.F. (2011). The UCLA longitudinal study of neurocognitive outcomes following mild pediatric traumatic brain injury. Journal of the International Neuropsychological Society, 17(5), 886–895. doi:10.1017/S1355617711000907 Google Scholar
Baguley, I.J., Cooper, J., & Felmingham, K. (2006). Aggressive behavior following traumatic brain injury: How common is common? Journal of Head Trauma Rehabilitation, 21(1), 45–56.Google Scholar
Bayley, N. (2005). Bayley scales of infant and toddler development (3rd ed.). San Antonio, TX: The Psychological Corporation.Google Scholar
Beauchamp, M.H., & Anderson, V. (2013). Cognitive and psychopathological sequelae of pediatric traumatic brain injury. In O. Dulac, S. Di Mauro & M. Lassonde (Eds.), Handbook of clinical pediatric neurology (pp. 913–920). Amsterdam: Elsevier.Google Scholar
Beauchamp, M.H., Catroppa, C., Godfrey, C., Morse, S., Rosenfeld, J.V., & Anderson, V. (2011). Selective changes in executive functioning ten years after severe childhood traumatic brain injury. Developmental Neuropsychology, 36(5), 578–595. doi:10.1080/87565641.2011.555572 Google Scholar
Blair, C. (2002). School readiness. Integrating cognition and emotion in a neurobiological conceptualization of children’s functioning at school entry. American Psychologist, 57(2), 111–127.Google Scholar
Blishen, B.R., Carroll, W.K., & Moore, C. (1987). The 1981 socioeconomic index for occupations in Canada. The Canadian Review of Sociology and Anthropology, 24(4), 365–388.CrossRefGoogle Scholar
Cohen, J. (1988). Statistical power analysis for the behavioural sciences. San Diego: Academic Press.Google Scholar
Crowe, L., Babl, F., Anderson, V., & Catroppa, C. (2009). The epidemiology of paediatric head injuries: Data from a referral centre in Victoria, Australia. Journal of Paediatrics and Child Health, 45, 346–350. doi:10.1111/j.1440-1754.2009.01499.x CrossRefGoogle ScholarPubMed
Crowe, L., Catroppa, C., Babl, F.E., & Anderson, V. (2012). Intellectual, behavioral, and social outcomes of accidental traumatic brain injury in early childhood. Pediatrics, 129(2), 262–268. doi:10.1542/peds.2011-0438 CrossRefGoogle ScholarPubMed
Dennis, M., Agostino, A., Roncadin, C., & Levin, H. (2009). Theory of mind depends on domain-general executive functions of working memory and cognitive inhibition in children with traumatic brain injury. Journal of Clinical & Experimental Neuropsychology, 31(7), 835–847.Google Scholar
Dennis, M., Simic, N., Bigler, E.D., Abildskov, T., Agostino, A., Taylor, H.G., & Yeates, K.O. (2013). Cognitive, affective, and conative theory of mind (ToM) in children with traumatic brain injury. Developmental Cognitive Neuroscience, 5, 25–39. doi:10.1016/j.dcn.2012.11.006 Google Scholar
Dennis, M., Simic, N., Taylor, H.G., Bigler, E.D., Rubin, K., Vannatta, K., & Yeates, K.O. (2012). Theory of mind in children with traumatic brain injury. Journal of the International Neuropsychological Society, 18(5), 908–916. doi:10.1017/S1355617712000756 Google Scholar
Epstein, N.B., Baldwin, L.M., & Bishop, D.S. (1983). The McMaster family assessment device. Journal of Marital and Family Therapy, 9(2), 171–180.Google Scholar
Ewing-Cobbs, L., Prasad, M., Kramer, L., Louis, P.T., Baumgartner, J., Fletcher, J.M., & Alpert, B. (2000). Acute neuroradiologic findings in young children with inflicted or noninflicted traumatic brain injury. Childs Nervous System, 16(1), 25–33; discussion 34.Google Scholar
Faul, M., Xu, L., Wald, M.M., & Coronado, V.G. (2010). Traumatic brain injury in the United States: Emergency department visits, hospitalizations and deaths 2002-2006. Atlanta, GA: CDC.CrossRefGoogle Scholar
Feinman, S. (1992). Social referencing and the social construction of reality in infancy. New York, NY: Plenum.Google Scholar
Garcia, D., Hungerford, G.M., & Bagner, D.M. (2015). Topical review: A review of negative behavioral and cognitive outcomes following traumatic brain injury in early childhood. Journal of Pediatric Psychology, 40(4), 391–397. doi:10.1093/jpepsy/jsu093 Google Scholar
Harrison, P.L., & Oakland, T. (2003). Adaptive behaviour assessment system – ABAS ® (2nd ed.). San Antonio, TX: The Psychological Corporation.Google Scholar
Hessen, E., Nestvold, K., & Anderson, V. (2007). Neuropsychological function 23 years after mild traumatic brain injury: A comparison of outcome after paediatric and adult head injuries. Brain Injury, 21(9), 963–979. doi:10.1080/02699050701528454 Google Scholar
Hessen, E., Nestvold, K., & Sundet, K. (2006). Neuropsychological function in a group of patients 25 years after sustaining minor head injuries as children and adolescents. Scandinavian Journal of Psychology, 47(4), 245–251. doi:10.1111/j.1467-9450.2006.00514.x CrossRefGoogle Scholar
Hughes, C., Ensor, R., & Marks, A. (2011). Individual differences in false belief understanding are stable from 3 to 6 years of age and predict children’s mental state talk with school friends. Journal of Experimental Child Psychology, 108(1), 96–112. doi:10.1016/j.jecp.2010.07.012 Google Scholar
Johnson, C., Ironsmith, M., Snow, C.W., & Poteat, G.M. (2000). Peer acceptance and social adjustment in preschool and kindergarten. Early Childhood Education Journal, 27(4), 207–212.Google Scholar
Kaldoja, M.L., & Kolk, A. (2012). Social-emotional behaviour in infants and toddlers with mild traumatic brain injury. Brain Injury, 26(7-8), 1005–1013. doi:10.3109/02699052.2012.660516 Google Scholar
Kirkwood, M.W., Yeates, K.O., Taylor, H.G., Randolph, C., McCrea, M., & Anderson, V.A. (2008). Management of pediatric mild traumatic brain injury: A neuropsychological review from injury through recovery. Clinical Neuropsychology, 22(5), 769–800. doi:10.1080/13854040701543700 Google Scholar
Ladd, G.W. (1999). Peer relationships and social competence during early and middle childhood. Annual Review of Psychology, 50, 333–359. doi:10.1146/annurev.psych.50.1.333 Google Scholar
Ladd, G.W. (2003). Probing the adaptive significance of children’s behavior and relationships in the school context: A child by environment perspective. Advances in Child Development and Behavior, 31, 43–104.Google Scholar
Ladd, G.W., Kochenderfer, B.J., & Coleman, C.C. (1996). Friendship quality as a predictor of young children’s early school adjustment. Child Development, 67(3), 1103–1118.Google Scholar
Ladd, G.W., & Troop-Gordon, W. (2003). The role of chronic peer difficulties in the development of children’s psychological adjustment problems. Child Development, 74(5), 1344–1367.Google Scholar
Li, L., & Liu, J. (2013). The effect of pediatric traumatic brain injury on behavioral outcomes: A systematic review. Developmental Medicine & Child Neurology, 55(1), 37–45. doi:10.1111/j.1469-8749.2012.04414.x Google Scholar
MacKenzie, J.D., Siddiqi, F., Babb, J.S., Bagley, L.J., Mannon, L.J., Sinson, G.P., & Grossman, R.I. (2002). Brain atrophy in mild or moderate traumatic brain injury: A longitudinal quantitative analysis. AJNR. American Journal of Neuroradiology, 23(9), 1509–1515.Google Scholar
Maillard-Wermelinger, A., Yeates, K.O., Taylor, H.G., Rusin, J., Bangert, B., Dietrich, A., & Wright, M. (2009). Mild traumatic brain injury and executive functions in school-aged children. Developmental Neurorehabilitation, 12(5), 330–341. doi:10.3109/17518420903087251 Google Scholar
Mathias, J.L., Dennington, V., Bowden, S.C., & Bigler, E.D. (2013). Community versus orthopaedic controls in traumatic brain injury research: How comparable are they? Brain Injury, 27(7-8), 887–895. doi:10.3109/02699052.2013.793398 Google Scholar
Max, J.E., Lindgren, S.D., Knutson, C., Pearson, C.S., Ihrig, D., & Welborn, A. (1998). Child and adolescent traumatic brain injury: Correlates of disruptive behaviour disorders. Brain Injury, 12(1), 41–52.Google Scholar
McKinlay, A., Grace, R.C., Horwood, L.J., Fergusson, D.M., Ridder, E.M., & MacFarlane, M.R. (2008). Prevalence of traumatic brain injury among children, adolescents and young adults: Prospective evidence from a birth cohort. Brain Injury, 22(2), 175–181. doi:10.1080/02699050801888824 Google Scholar
Miller, S.A. (2012). Theory of mind: Beyond the preschool years. New York, NY: Psychology Press.Google Scholar
Mittenberg, W., Wittner, M.S., & Miller, L.J. (1997). Postconcussion syndrome occurs in children. Neuropsychology, 11(3), 447–452.Google Scholar
Moore, C., & Dunham, P.J. (Eds.) 1995). Joint attention: Its origins and role in development. New York, NY: Lawrence Erlbaum Associates.Google Scholar
Muscara, F., Catroppa, C., Eren, S., & Anderson, V. (2009). The impact of injury severity on long-term social outcome following paediatric traumatic brain injury. Neuropsychological Rehabilitation, 19(4), 541–561.Google Scholar
Osmond, M.H., Klassen, T.P., Wells, G.A., Correll, R., Jarvis, A., Joubert, G., & Stiell, I.G. (2010). CATCH: A clinical decision rule for the use of computed tomography in children with minor head injury. CMAJ, 182(4), 341–348. doi:10.1503/cmaj.091421 Google Scholar
Papa, L., Lewis, L.M., Falk, J.L., Zhang, Z., Silvestri, S., Giordano, P., & Wang, K.K. (2012). Elevated levels of serum glial fibrillary acidic protein breakdown products in mild and moderate traumatic brain injury are associated with intracranial lesions and neurosurgical intervention. Annals of Emergency Medicine, 59(6), 471–483. doi:10.1016/j.annemergmed.2011.08.021 Google Scholar
Papa, L., Lewis, L.M., Silvestri, S., Falk, J.L., Giordano, P., Brophy, G.M., & Wang, K.K. (2012). Serum levels of ubiquitin C-terminal hydrolase distinguish mild traumatic brain injury from trauma controls and are elevated in mild and moderate traumatic brain injury patients with intracranial lesions and neurosurgical intervention. The Journal of Trauma and Acute Care Surgery, 72(5), 1335–1344. doi:10.1097/TA.0b013e3182491e3d Google Scholar
Parker, J.G., & Asher, S.R. (1987). Peer relations and later personal adjustment: Are low-accepted children at risk? Psychological Bulletin, 102(3), 357–389.Google Scholar
Pears, K.C., & Moses, L.J. (2003). Demographics, parenting, and theory of mind in preschool children. Social Development, 12(1), 1–20.Google Scholar
Petersen, C., Scherwath, A., Fink, J., & Koch, U. (2008). Health-related quality of life and psychosocial consequences after mild traumatic brain injury in children and adolescents. Brain Injury, 22(3), 215–221. doi:10.1080/02699050801935245 CrossRefGoogle ScholarPubMed
Razza, R.A., & Blair, C. (2009). Associations among false-belief understanding, executive function, and social competence: A longitudinal analysis. Journal of Applied Developmental Psychology, 30(3), 332–343. doi:10.1016/j.appdev.2008.12.020 Google Scholar
Repacholi, B.M., & Gopnik, A. (1997). Early reasoning about desires: Evidence from 14- and 18-month-olds. Developmental Psychology, 33(1), 12–21.Google Scholar
Rosema, S., Crowe, L., & Anderson, V. (2012). Social function in children and adolescents after traumatic brain injury: A systematic review 1989-2011. Journal of Neurotrauma, 29(7), 1277–1291. doi:10.1089/neu.2011.2144 CrossRefGoogle ScholarPubMed
Ryan, N.P., Anderson, V., Godfrey, C., Beauchamp, M.H., Coleman, L., Eren, S., & Catroppa, C. (2014). Predictors of very-long-term sociocognitive function after pediatric traumatic brain injury: Evidence for the vulnerability of the immature “social brain”. Journal of Neurotrauma, 31(7), 649–657. doi:10.1089/neu.2013.3153 Google Scholar
Sady, M.D., Vaughan, C.G., & Gioia, G.A. (2014). Psychometric characteristics of the postconcussion symptom inventory in children and adolescents. Archives of Clinical Neuropsychology, 29(4), 348–363. doi:10.1093/arclin/acu014 CrossRefGoogle ScholarPubMed
Satz, P., Zaucha, K., McCleary, C., Light, R., Asarnow, R., & Becker, D. (1997). Mild head injury in children and adolescents: A review of studies (1970-1995). Psychological Bulletin, 122(2), 107–131.CrossRefGoogle ScholarPubMed
Shay, N., Yeates, K.O., Walz, N.C., Stancin, T., Taylor, H.G., Beebe, D.W., & Wade, S.L. (2014). Sleep problems and their relationship to cognitive and behavioral outcomes in young children with traumatic brain injury. Journal of Neurotrauma, 31, 1305–1312. doi:10.1089/neu.2013.3275 Google Scholar
Snodgrass, C., & Knott, F. (2006). Theory of mind in children with traumatic brain injury. Brain Injury, 20(8), 825–833.Google Scholar
Spanier, G.B. (1976). Measuring dyadic adjustment: New scales for assessing the quality of marriage and similar dyads. Journal of Marriage and the Family, 38(1), 15–28.Google Scholar
Srebnik, D.S., & Elias, M.J. (1993). An ecological, interpersonal skills approach to drop-out prevention. American Journal of Orthopsychiatry, 63(4), 526–535.Google Scholar
Taylor, H.G., Yeates, K.O., Wade, S.L., Drotar, D., Stancin, T., & Minich, N. (2002). A prospective study of short- and long-term outcomes after traumatic brain injury in children: Behavior and achievement. Neuropsychology, 16(1), 15–27.Google Scholar
Teasdale, G., & Jennett, B. (1974). Assessment of coma and impaired consciousness. A practical scale. Lancet, 2(7872), 81–84.Google Scholar
Turkstra, L.S., Dixon, T.M., & Baker, K.K. (2004). Theory of mind and social beliefs in adolescents with traumatic brain injury. Neurorehabilitation, 19(3), 245–256.Google Scholar
Umile, E.M., Sandel, M.E., Alavi, A., Terry, C.M., & Plotkin, R.C. (2002). Dynamic imaging in mild traumatic brain injury: Support for the theory of medial temporal vulnerability. Archives of Physical Medicine & Rehabilitation, 83(11), 1506–1513. doi:10.1053/apmr.2002.35092 Google Scholar
Wade, S.L., Cassedy, A., Walz, N.C., Taylor, H.G., Stancin, T., & Yeates, K.O. (2011). The relationship of parental warm responsiveness and negativity to emerging behavior problems following traumatic brain injury in young children. Developmental Psychology, 47(1), 119–133. doi:10.1037/a0021028 Google Scholar
Walz, N.C., Yeates, K.O., Taylor, H.G., Stancin, T., & Wade, S.L. (2009). First-order theory of mind skills shortly after traumatic brain injury in 3- to 5-year-old children. Developmental Neuropsychology, 34(4), 507–519.Google Scholar
Walz, N.C., Yeates, K.O., Taylor, H.G., Stancin, T., & Wade, S.L. (2010). Theory of mind skills 1 year after traumatic brain injury in 6- to 8-year-old children. Journal of Neuropsychology, 4(2), 181–195. doi:10.1348/174866410X488788 Google Scholar
Wechsler, D. (2002). Wechsler preschool and primary scale of intelligence (3rd ed.). San Antonio, TX: The Psychological Corporation.Google Scholar
Wellman, H.M. (1990). The child's theory of mind. Cambridge, MA: MIT Press.Google Scholar
Wellman, H.M., Fang, F., & Peterson, C.C. (2011). Sequential progressions in a theory-of-mind scale: Longitudinal perspectives. Child Development, 82(3), 780–792. doi:10.1111/j.1467-8624.2011.01583.x Google Scholar
Wellman, H.M., & Woolley, J.D. (1990). From simple desires to ordinary beliefs: The early development of everyday psychology. Cognition, 35(3), 245–275.CrossRefGoogle ScholarPubMed
Wozniak, J.R., Krach, L., Ward, E., Mueller, B.A., Muetzel, R., Schnoebelen, S., & Lim, K.O. (2007). Neurocognitive and neuroimaging correlates of pediatric traumatic brain injury: A diffusion tensor imaging (DTI) study. Archives of Clinical Neuropsychology, 22(5), 555–568. doi:10.1016/j.acn.2007.03.004 Google Scholar
Wrightson, P., McGinn, V., & Gronwall, D. (1995). Mild head injury in preschool children: Evidence that it can be associated with a persisting cognitive defect. Journal of Neurology, Neurosurgery, & Psychiatry, 59(4), 375–380.Google Scholar
Yeates, K.O., Swift, E., Taylor, H.G., Wade, S.L., Drotar, D., Stancin, T., & Minich, N. (2004). Short- and long-term social outcomes following pediatric traumatic brain injury. Journal of the International Neuropsychological Society, 10(3), 412–426.Google Scholar
Yeates, K.O., Taylor, H.G., Rusin, J., Bangert, B., Dietrich, A., Nuss, K., & Wright, M. (2012). Premorbid child and family functioning as predictors of post-concussive symptoms in children with mild traumatic brain injuries. International Journal of Developmental Neuroscience, 30(3), 231–237. doi:10.1016/j.ijdevneu.2011.05.008 Google Scholar
Yeates, K.O., Taylor, H.G., Walz, N.C., Stancin, T., & Wade, S.L. (2010). The family environment as a moderator of psychosocial outcomes following traumatic brain injury in young children. Neuropsychology, 24(3), 345–356. doi:10.1037/a0018387 Google Scholar