Effectiveness of training in expressing positive emotions, reacting to change and greeting peers after childhood traumatic brain injury: a single-case experimental study.

Background: Social cognitive deficits are common after traumatic brain injury (TBI). The participant in this single-case experimental design (SCED) was 7 years old when he sustained a severe TBI. After 2 years in rehabilitation, he continues to show deficits in social cognition. Objective: To determine the effectiveness of three interventions, each aimed at improving a behavior altered by social cognition deficits. These behaviors were: (1) expression of positive emotions, (2) reacting to changes in plans, and (3) greeting classmates. Method: An A-B-A' design was used for each behavior. In addition, each behavior was targeted with a rehabilitation program applied over 10 sessions. Results: For the first behavior, changes between phases B-A' (NAP = 0.712) and A-A' (NAP = 0.864) indicated improvements in the child's ability to express positive emotions. In the second behavior, changes in the intensity of reactions between phases B and A' (NAP = 0.815) and A vs. A' (NAP = 0.834) indicated that the child adapted to changes in a plan and to unexpected situations in a more adaptive way. For the third behavior, changes in the number of greetings between phases A and B (NAP = 0.883) and A vs. A' (NAP = 0.844) suggested that during the third phase of the study, the participant fully acquired the habit of greeting peers and increased his interactions with others. Conclusion: While the participant showed improvements in all three targeted behaviors, due to the complexity of the third behavior, it is recommended that in future research, the intervention targeting social interactions should be applied over a longer timeframe to ensure that improvements are more stable in the long term.

Validation of the ToMas-child Scale for the Assessment of the Theory of Mind in a Group of Spanish Speaking Children Aged 3 to 7 Years from Spain.

This study aimed to determine the psychometric properties of the Theory of Mind assessment scale in children (ToMas-child). Two hundred and fifty-two Spanish children from 3 to 7 years were assessed in school settings. Rasch analysis showed the ToMas-child is a unidimensional scale valid for the assessment of the main components of the ToM in children. Data of hierarchical distribution of six items (seven tasks) are discussed as milestones in the latent construct of ToM development in childhood, and construct validity of the scale is examined. A reliability index of PSI = 0.7 indicated the usefulness of the scale as a screening tool.