Pediatric brain tumor survivors (PBTS) face social, emotional, and cognitive challenges that significantly impact their quality of life. While survival rates have improved due to advances in medical treatments, PBTS are often at a heightened risk for social isolation and difficulties forming and maintaining peer relationships. In this review, we synthesize existing research on the social and cognitive struggles faced by PBTS and the challenges they face forming meaningful, reciprocal friendships. PBTS often have cognitive deficits that hinder their ability to recognize social cues and are at risk of bullying and teasing from peers, which can lead to further social isolation. The role of family support is critical, with strong family bonds serving as an essential protective factor. Social skills interventions have shown promise, yet further research is needed to understand how these interventions can effectively increase the social performance of PBTS with their peers.

Pediatric brain tumor survivors (PBTS)

Peer relationships

Social isolation

Cognitive challenges

© 2025 The Author(s). Published by Elsevier Inc.