Hostname: page-component-848d4c4894-x24gv Total loading time: 0 Render date: 2024-06-01T15:55:21.043Z Has data issue: false hasContentIssue false
  • English
  • Français

Rejection Sensitivity as a Moderator of Psychosocial Outcomes Following Pediatric Traumatic Brain Injury

Published online by Cambridge University Press:  17 May 2017

Emily A. Meadows ,
Keith Owen Yeates ,
Kenneth H. Rubin ,
H. Gerry Taylor ,
Erin D. Bigler ,
Maureen Dennis ,
Cynthia A. Gerhardt ,
Kathryn Vannatta ,
Terry Stancin  and
Kristen R. Hoskinson
Emily A. Meadows
Affiliation:
The Research Institute at Nationwide Children’s Hospital, Columbus, Ohio
Keith Owen Yeates
Affiliation:
Department of Psychology, Alberta Children’s Hospital Research Institute, and Hotchkiss Brain Institute, University of Calgary, Calgary, Alberta
Kenneth H. Rubin
Affiliation:
Department of Human Development & Quantitative Methodology, University of Maryland, College Park, Maryland
H. Gerry Taylor
Affiliation:
Department of Pediatrics, Case Western Reserve University, and Rainbow Babies Children’s Hospital, University Hospitals Cleveland Medical Center, Cleveland, Ohio
Erin D. Bigler
Affiliation:
Department of Psychological Science and Neuroscience Center, Brigham Young University, Provo, Utah
Maureen Dennis
Affiliation:
Program in Neuroscience and Mental Health, The Hospital for Sick Children, Toronto, Ontario
Cynthia A. Gerhardt
Affiliation:
The Research Institute at Nationwide Children’s Hospital, Columbus, Ohio Department of Pediatrics, The Ohio State University, Columbus, Ohio
Kathryn Vannatta
Affiliation:
The Research Institute at Nationwide Children’s Hospital, Columbus, Ohio Department of Pediatrics, The Ohio State University, Columbus, Ohio
Terry Stancin
Affiliation:
Department of Pediatrics, Case Western Reserve University, and MetroHealth Medical Center, Cleveland, Ohio
Kristen R. Hoskinson*
Affiliation:
The Research Institute at Nationwide Children’s Hospital, Columbus, Ohio Department of Pediatrics, The Ohio State University, Columbus, Ohio
*
Correspondence and reprint requests to: Kristen R. Hoskinson, Center for Biobehavioral Health, Nationwide Children’s Hospital, Columbus, OH 43205. E-mail: kristen.hoskinson@nationwidechildrens.org
Get access Rights & Permissions [Opens in a new window]

Abstract

Objectives: The current study examines whether psychosocial outcomes following pediatric traumatic brain injury (TBI) vary as a function of children’s rejection sensitivity (RS), defined as their disposition to be hypersensitive to cues of rejection from peers. Methods: Children ages 8–13 with a history of severe TBI (STBI, n=16), complicated mild/moderate TBI (n=35), or orthopedic injury (OI, n=49) completed measures assessing self-esteem and RS on average 3.28 years post-injury (SD=1.33, range=1.25–6.34). Parents reported on their child’s emotional and behavioral functioning and social participation. Results: Regression analyses found moderation of group differences by RS for three outcomes: social participation, self-perceptions of social acceptance, and externalizing behavior problems. Conditional effects at varying levels of RS indicated that externalizing problems and social participation were significantly worse for children with STBI at high levels of RS, compared to children with OI. Social participation for the STBI group remained significantly lower than the OI group at mean levels of RS, but not at low levels of RS. At high levels of RS, self-perceptions of social acceptance were lower for children with moderate TBI compared to OI, but group differences were not significant at mean or low levels of RS. No evidence of moderation was found for global self-worth, self-perceptions of physical appearance or athletic ability, or internalizing problems. Conclusions: The findings highlight the salient nature of social outcomes in the context of varying levels of RS. These findings may have implications for the design of interventions to improve social outcomes following TBI. (JINS, 2017, 23, 451–459)

Keywords

ChildBrain injuriesSocial participationSelf-conceptEmotional adjustmentSocial adjustment
Type
Research Articles
Information
Journal of the International Neuropsychological Society , Volume 23 , Issue 6 , July 2017 , pp. 451 - 459
Copyright
Copyright © The International Neuropsychological Society 2017 

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

REFERENCES

Andrews, T.K., Rose, F.D., & Johnson, D.A. (1998). Social and behavioral effects of traumatic brain injury. Brain Injury, 12(2), 133–138. http://dx.doi.org/10.1080/026990598122755 CrossRefGoogle ScholarPubMed
Ayduk, O., Mendoza-Denton, R., Mischel, W., Downey, G., Peake, P.K., & Rodriguez, M. (2000). Regulating the interpersonal self: Strategic self-regulation for coping with rejection sensitivity. Journal of Personality and Social Psychology, 79(5), 31–60. doi: 10.1037//0022-3514.79.5.776 CrossRefGoogle ScholarPubMed
Ayduk, O., Downey, D., & Kim, M. (2001). Rejection sensitivity and depressive symptoms in women. Personality and Social Psychology Bulletin, 27, 868–877. doi: 10.1177/0146167201277009 CrossRefGoogle Scholar
Bedell, G.M. (2004). Developing a follow-up survey focused on participation of children and youth with acquired brain injuries after discharge from inpatient rehabilitation. Neurorehabilitation, 19(3), 191–205.CrossRefGoogle ScholarPubMed
Bedell, G.M., & Dumas, H.M. (2004). Social participation of children and youth with acquired brain injuries discharged from inpatient rehabilitation: A follow-up study. Brain Injury, 18(1), 65–82. http://dx.doi.org/10.1080/0269905031000110517 CrossRefGoogle ScholarPubMed
Brown, R.L. (2010). Epidemiology of injury and the impact of health disparities: Current opinion in pediatrics. Current Opinion in Pediatrics, 22(3), 321–325. doi: 10.1097/MOP.0b013e3283395f13 CrossRefGoogle Scholar
Chapman, L.A., Wade, S.L., Walz, N.C., Taylor, H.G., Stancin, T., & Yeates, K.O. (2010). Clinically significant behavior problems during the initial 18 months following early childhood traumatic brain injury. Rehabilitation Psychology, 55(1), 48–57. http://dx.doi.org/10.1037/a0018418 CrossRefGoogle ScholarPubMed
Deegan, J.R. (1978). On the occurrence of standardized regression coefficients greater than one. Educational and Psychological Measurement, 38, 873–888. doi: 10.1177/001316447803800404 CrossRefGoogle Scholar
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 and Experimental Neuropsychology, 31(7), 835–847. doi: 10.1080/13803390802572419 CrossRefGoogle ScholarPubMed
Downey, G., & Feldman, S.I. (1996). Implications of rejection sensitivity for intimate relationships. Journal of Personality and Social Psychology, 70, 1327–1343. http://dx.doi.org/10.1037/0022-3514.70.6.1327 CrossRefGoogle ScholarPubMed
Downey, G., Lebolt, A., Rincon, C., & Freitas, A. (1998). Rejection sensitivity and children’s interpersonal difficulties. Child Development, 69, 1074–1091. http://dx.doi.org/10.1111/j.1467-8624.1998.tb06161.x CrossRefGoogle ScholarPubMed
Feldman, S., & Downey, G. (1994). Rejection sensitivity as a mediator of the impact of childhood exposure to family violence on adult attachment behavior. Development and Psychopathology, 6, 231–247. https://doi.org/10.1017/S0954579400005976 CrossRefGoogle ScholarPubMed
Fletcher, J.M., Ewing-Cobbs, L., Miner, M., Levin, H.S., & Eisenberg, H.M. (1990). Behavioral changes after closed head injury in children. Journal of Consulting and Clinical Psychology, 58, 93–98. http://dx.doi.org/10.1037/0022-006X.58.1.93 CrossRefGoogle ScholarPubMed
Ganesalingam, K., Sanson, A., Anderson, V., & Yeates, K.O. (2006). Self-regulation and social and behavioral functioning following childhood traumatic brain injury. Journal of the International Neuropsychological Society, 12, 609–621. https://doi.org/10.1017/S1355617706060796 CrossRefGoogle ScholarPubMed
Harper, M.S., Dickson, J.W., & Welsh, D.P. (2006). Self-silencing and rejection sensitivity in adolescent romantic relationships. Journal of Youth and Adolescence, 35(3), 435–443. doi: 10.1007/s10964-006-9048-3 CrossRefGoogle Scholar
Harter, S. (1985). The self-perception profile for children. (Available from Susan Harter, University of Denver. 2040 South York Street, Denver, CO 80208-0204).Google Scholar
Hayes, A.F. (2013). Introduction to mediation, moderation, and conditional process analysis: A regression-based approach. New York: Guilford Press.Google Scholar
Howard, I., Joseph, J.G., & Natale, J.E. (2005). Pediatric traumatic brain injury: Do racial/ethnic disparities exist in brain injury severity, mortality, or medical disposition? Ethnicity & Disease, 15(4 Suppl 5), 51–56.Google ScholarPubMed
Hymel, S., Rubin, K.H., Rowden, L., & LeMare, L. (1990). Children’s peer relationships: Longitudinal prediction of internalizing and externalizing problems from middle to late childhood. Journal of Child Development, 61(6), 2004–2021. doi: 10.1111/j.1467-8624.1990.tb03582.x Google Scholar
Karver, C.L., Wade, S.L., Cassedy, A., Taylor, G., Stancin, T., Yeates, K.O., & Walz, N.C. (2012). Age at injury and long-term behavior problems after traumatic brain injury in young children. Rehabilitation Psychology, 57(3), 256–265. http://dx.doi.org/10.1037/a0029522 CrossRefGoogle ScholarPubMed
Kinsella, G., Ong, B., Murtagh, D., Prior, M., & Sawyer, M. (1999). The role of the family for behavioral outcome in children and adolescents following traumatic brain injury. Journal of Consulting and Clinical Psychology, 67, 116–123. http://dx.doi.org/10.1037/0022-006X.67.1.116 CrossRefGoogle ScholarPubMed
Laible, D.J., Carlo, G., & Raffaelli, M. (2000). The differential relations of parent and peer attachment to adolescent adjustment. Journal of Youth and Adolescence, 29, 45–59. doi: 10.1023/A:1005169004882 CrossRefGoogle Scholar
Langlois, J.A., Rutland-Brown, W., & Thomas, K.E. (2005). The incidence of traumatic brain injury among children in the United States: Differences by race. Journal of Head Trauma Rehabilitation, 20(3), 229–238.CrossRefGoogle ScholarPubMed
London, B., Downey, G., Bonica, C., & Paltin, I. (2007). Social causes and consequences of rejection sensitivity. Journal of Research on Adolescence, 17, 481–506. http://dx.doi.org/10.1111/j.1532-7795.2007.00531.x CrossRefGoogle Scholar
Marston, E.G., Hare, A., & Allen, J.P. (2010). Rejection sensitivity in late adolescence: Social and emotional sequelae. Journal of Research on Adolescence, 20(4), 959–982. http://dx.doi.org/10.1111/j.1532-7795.2010.00675.x CrossRefGoogle ScholarPubMed
Max, J.E., Castillo, C.S., Bokura, H., Robin, D.A., Lindgren, S.D., Smith, W.L., & Mattheis, P.J. (1998). Oppositional defiant disorder symptomatology after traumatic brain injury: A prospective study. The Journal of Nervous and Mental Disease, 186, 325–332. doi: 10.1097/00005053-199806000-00001 CrossRefGoogle ScholarPubMed
Max, J.E., Lansing, A.E., Koele, S.L., Castillo, C.S., Bokura, H., Schachar, R., & Williams, K. (2004). Attention deficit hyperactivity disorder in children and adolescents following traumatic brain injury. Developmental Neuropsychology, 25(1-2), 159–177. http://dx.doi.org/10.1080/87565641.2004.9651926 CrossRefGoogle ScholarPubMed
McDonald, K.L., Bowker, J.C., Rubin, K.H., Laursen, B., & Duchene, M.S. (2010). Interactions between rejection sensitivity and supportive relationships in the prediction of adolescents’ internalizing difficulties. Journal of Youth and Adolescence, 39, 563–574. doi: 10.1007/s10964-010-9519-4 CrossRefGoogle ScholarPubMed
Reynolds, C.R., & Kamphaus, R.W. (2004). Behavior Assessment System (Second Edition, Circle Pines, MN: American Guidance Service.Google Scholar
Rubin, K.H., Coplan, R.J., & Bowker, J.C. (2009). Social withdrawal in childhood. Annual Review of Psychology, 60, 141–171. doi: 10.1146/annurev.psych.60.110707.163642 CrossRefGoogle ScholarPubMed
Rubin, K.H., Bukowski, W., & Bowker, J. (2015). Children in peer groups. In M. Bornstein & T. Leventhal Volume Eds. R.M. Lerner (Series Ed.), Handbook of child psychology and developmental science (formerly The handbook of child psychology), Seventh Edition, Volume Four: Ecological Settings and Processes (pp. 175–222). New York: Wiley.Google Scholar
Sandstrom, M.J., Cillessen, A.H.N., & Eisenhower, A. (2003). Children’s appraisal of peer rejection experiences: Impact on social and emotional adjustment. Social Development, 12, 530–550. http://dx.doi.org/10.1111/1467-9507.00247 CrossRefGoogle Scholar
Schwartz, L., Taylor, H.G., Drotar, D., Yeates, K.O., Wade, S.L., & Stancin, T. (2003). Long-term behavior problems following pediatric traumatic brain injury: Prevalence, predictors, and correlates. Journal of Pediatric Psychology, 28(4), 251–263. https://doi.org/10.1093/jpepsy/jsg013 CrossRefGoogle ScholarPubMed
Taylor, H.G., Yeates, K.O., Wade, S.L., Drotar, D., Klein, S.K., & Stancin, T. (1999). Influences on first year recovery from traumatic brain injury in children. Neuropsychology, 13, 76–89. http://dx.doi.org/10.1037/0894-4105.13.1.76 CrossRefGoogle ScholarPubMed
Wolfe, K.R., Bigler, E.D., Dennis, M., Gerhardt, C., Rubin, K., Taylor, H.G., & Yeates, K.O. (2015). Self-awareness of peer-rated social attributes in children with traumatic brain injury. Journal of Pediatric Psychology, 40, 272–284. https://doi.org/10.1093/jpepsy/jsu060 CrossRefGoogle ScholarPubMed
Yeates, K.O. (2000). Closed-head injury. In K.O. Yeates, M.D. Ris & H.G. Taylor (Eds.), Pediatric neuropsychology: Research, theory and practice (pp. 92–116). New York: Guilford Press.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, 412–426. https://doi.org/10.1017/S1355617704103093 CrossRefGoogle Scholar
Yeates, K.O., Gerhardt, C.A., Bigler, E.D., Dennis, M., Rubin, K.H., Stancin, T., & Vannatta, K. (2013). Peer relationships of children with traumatic brain injury. Journal of the International Neuropsychological Society, 19(5), 518–527. https://doi.org/10.1017/S1355617712001531 CrossRefGoogle ScholarPubMed
Yeates, K.O., Bigler, E.D., Abildskov, T., Dennis, M., Gerhardt, C.A., Vannatta, K., & Taylor, H.G. (2013). Social competence in pediatric traumatic brain injury: From brain to behavior. Clinical Psychological Science, 2(1), 97–107.CrossRefGoogle Scholar