Friendship in children with internalizing and externalizing problems: A preliminary investigation with the Pictorial Assessment of Interpersonal Relationships

This study examined the relationship between friendship representation and internalizing and externalizing problems in school-aged children. One hundred Caucasian 6-7 year-old children (50 males and 50 females) and their mothers took part in the study. The Draw-a-Man Test, the Pictorial Assessment of Interpersonal Relationships, and the Child Behavior Checklist (CBCL/6-18) were used. Children with internalizing problems, externalizing problems, comorbid internalizing and externalizing problems, and a control group were compared on their pictorial representations of friendship. Results showed that children with externalizing problems included more pictorial indices of each friend's autonomy and a larger imbalance of importance between them; children with internalizing problems drew themselves as less similar to their friends. In conclusion, children's pictorial representation allows exploring some aspects of their tacit knowledge about the relationship with a best friend, which is not easily expressed verbally by young children. Finally, the implications of these findings for theoretical and empirical research development on friendship are discussed. (c) 2013 Elsevier Ltd. All rights reserved.