Theory of mind in children with traumatic brain injury.
OBJECTIVE
This study was designed to examine the existence of deficits in mentalizing or theory of mind (ToM) in children with traumatic brain injury (TBI).


METHODS
ToM functioning was assessed in 12 children aged 6-12 years with TBI and documented frontal lobe damage and compared to 12 controls matched for age, sex and verbal ability. Brief measures of attention and memory were also included.


RESULTS
The TBI group was significantly impaired relative to controls on the advanced ToM measure and a measure of basic emotion recognition. No difference was found in a basic measure of ToM.


CONCLUSIONS
Traumatic brain damage in childhood may disrupt the developmental acquisition of emotion recognition and advanced ToM skills. The clinical and theoretical importance of these findings is discussed and the implications for the assessment and treatment of children who have experienced TBI are outlined.
Snodgrass
Clare
C
Direct Access Service, Old Sandy Rd Clinic, Glasgow, Scotland, UK. clare.snodgrass@glacomen.scot.nhs.uk
Knott
Fiona
F
D001930:Brain Injuries / Q000503:physiopathology / Q000523:psychology*; D002648:Child; D003072:Cognition Disorders / Q000209:etiology / Q000523:psychology*; D004644:Emotions / Q000502:physiology*; D005149:Facial Expression; D005260:Female; D006801:Humans; D008297:Male; D009483:Neuropsychological Tests; D011340:Problem Solving / Q000502:physiology*; D021641:Recognition, Psychology / Q000502:physiology*; D012919:Social Behavior