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WHY ARE FRIENDSHIP AND PEER ACCEPTANCE IMPORTANT FOR MANY STUDENTS AFTER TBI?

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WHY ARE FRIENDSHIP AND PEER ACCEPTANCE IMPORTANT FOR MANY STUDENTS AFTER TBI?

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Outcome studies have shown that children and adolescents with TBI tend to have fewer friends than their uninjured peers. In one study, almost 40% of children with moderate-to-severe TBI had no friends or at most one friend, whereas all of the uninjured peers had more than one friend. Many children and adolescents with brain injury state that their most troubling concerns after the injury are the absence of meaningful, lasting friendships and the difficulty finding new friends. These children understandably feel socially isolated, a conditi0on that can easily lead to depression. (See Tutorial on Depression.) There are many potential reasons why maintaining old friendships and gaining new friends are especially challenging for children and adolescents with TBI. In some cases, cognitive difficulties result in placement at a lower grade or in a new school, which interferes with maintenance of old friendships. Significantly weakened cognitive and academic performance can also result in diff

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