title: Social self-perception among pediatric brain tumor survivors compared with peers.
abstract: OBJECTIVE
  To assess self-perceptions of social behavior among children treated for a brain tumor and comparison children. To investigate group differences in the accuracy of children's self-perceptions as measured by discrepancies between self and peer reports of social behavior and to understand if these phenomena differ by gender.
  
  
  METHODS
  Self and peer reports of social behavior were obtained in the classrooms of 116 children who were treated for an intracranial tumor. Social behaviors were assessed using the Revised Class Play, which generates indices for 5 behavioral subscales: Leadership-popularity, Prosocial, Aggressive-disruptive, Sensitive-isolated, and Victimization. A child matched for gender, race, and age was selected from each survivor's classroom to serve as a comparison. Abbreviated IQ scores were obtained in participants' homes.
  
  
  RESULTS
  Relative to comparison children, those who had undergone treatment for a brain tumor overestimated their level of Leadership-popularity and underestimated levels of Sensitive-isolated behaviors and Victimization by peers. Female survivors were more likely than male survivors to underestimate Sensitive-isolated behaviors and Victimization.
  
  
  CONCLUSIONS
  Following treatment for a brain tumor, children (particularly girls) may be more likely than healthy children to underestimate peer relationship difficulties. These discrepancies should be considered when obtaining self-report from survivors and developing interventions to improve social functioning.
authors.affiliation: *Department of Psychiatry and Behavioral Sciences, Memorial Sloan Kettering Cancer Center, New York, NY; †Center for Biobehavioral Health, The Research Institute at Nationwide Children's Hospital; and the Department of Pediatrics, The Ohio State University, Columbus, OH; ‡Department of Biostatistics and Informatics, University of Colorado Denver, Denver, CO; §Center for Cancer Genetics and Prevention, Dana Farber Cancer Institute; and Department of Psychiatry, Harvard Medical School, Boston, MA; ‖Department of Pediatrics, Children's Hospital Milwaukee and the Medical College of Wisconsin, Milwaukee, WI; and ¶Department of Psychology and Division of Hematology/Oncology, Hospital for Sick Children; and Department of Public Health and Behavioural Sciences, University of Toronto, Toronto, Canada.
authors.forename: Christina G
authors.initials: CG
authors.lastname: Salley
authors.forename: Cynthia A
authors.initials: CA
authors.lastname: Gerhardt
authors.forename: Diane L
authors.initials: DL
authors.lastname: Fairclough
authors.forename: Andrea F
authors.initials: AF
authors.lastname: Patenaude
authors.forename: Mary J
authors.initials: MJ
authors.lastname: Kupst
authors.forename: Maru
authors.initials: M
authors.lastname: Barrera
authors.forename: Kathryn
authors.initials: K
authors.lastname: Vannatta
mesh_terms: D000293:Adolescent; D001932:Brain Neoplasms / Q000523:psychology*; D002648:Child; D019548:Crime Victims / Q000523:psychology; D005260:Female; D006801:Humans; D008297:Male; D010379:Peer Group; D012649:Self Concept; D012737:Sex Factors; D012919:Social Behavior; D012934:Social Isolation / Q000523:psychology; D017741:Survivors / Q000523:psychology*