Awareness of deficits in traumatic brain injury: a multidimensional approach to assessing metacognitive knowledge and online-awareness.

Hdl Handle:
http://hdl.handle.net/10147/129207
Title:
Awareness of deficits in traumatic brain injury: a multidimensional approach to assessing metacognitive knowledge and online-awareness.
Authors:
O'Keeffe, Fiadhnait; Dockree, Paul; Moloney, Pauline; Carton, Simone; Robertson, Ian H
Affiliation:
Trinity College Institute of Neuroscience and Department of Psychology, Trinity College, Dublin, Ireland.
Citation:
Awareness of deficits in traumatic brain injury: a multidimensional approach to assessing metacognitive knowledge and online-awareness. 2007, 13 (1):38-49 J Int Neuropsychol Soc
Publisher:
Journal of the International Neuropsychological Society
Journal:
Journal of the International Neuropsychological Society : JINS
Issue Date:
Jan-2007
URI:
http://hdl.handle.net/10147/129207
DOI:
10.1017/S1355617707070075
PubMed ID:
17166302
Abstract:
Recent models of impaired awareness in brain injury draw a distinction between metacognitive knowledge of difficulties and online awareness of errors (emergent and anticipatory). We examined performance of 31 Traumatic Brain Injury (TBI) participants and 31 healthy controls using a three-strand approach to assessing awareness. Metacognitive knowledge was assessed with an awareness interview and discrepancy scores on three questionnaires--Patient Competency Rating Scale, Frontal Systems Behavioral Scale and the Cognitive Failures Questionnaire. Online Emergent Awareness was assessed using an online error-monitoring task while participants performed tasks of sustained attention. Online anticipatory awareness was examined using prediction performance on two cognitive tasks. Results indicated that the TBI Low Self-Awareness (SA) group and High SA group did not differ in terms of severity, chronicity or standard neuropsychological tasks but those with Low SA were more likely to exhibit disinhibition, interpersonal problems and more difficulties in total competency. Sustained attention abilities were associated with both types of online awareness (emergent and anticipatory). There was a strong relationship between online emergent and online anticipatory awareness. Metacognitive knowledge did not correlate with the other two measures. This study highlights the necessity in adopting a multidimensional approach to assessing the multifaceted phenomenon of awareness of deficits.
Item Type:
Article
Language:
en
MeSH:
Adult; Awareness; Brain Injuries; Cognition Disorders; Demography; Female; Humans; Internet; Interpersonal Relations; Knowledge of Results (Psychology); Male; Neuropsychological Tests; Severity of Illness Index; Tomography, X-Ray Computed
ISSN:
1355-6177

Full metadata record

DC FieldValue Language
dc.contributor.authorO'Keeffe, Fiadhnaiten
dc.contributor.authorDockree, Paulen
dc.contributor.authorMoloney, Paulineen
dc.contributor.authorCarton, Simoneen
dc.contributor.authorRobertson, Ian Hen
dc.date.accessioned2011-05-06T13:44:01Z-
dc.date.available2011-05-06T13:44:01Z-
dc.date.issued2007-01-
dc.identifier.citationAwareness of deficits in traumatic brain injury: a multidimensional approach to assessing metacognitive knowledge and online-awareness. 2007, 13 (1):38-49 J Int Neuropsychol Socen
dc.identifier.issn1355-6177-
dc.identifier.pmid17166302-
dc.identifier.doi10.1017/S1355617707070075-
dc.identifier.urihttp://hdl.handle.net/10147/129207-
dc.description.abstractRecent models of impaired awareness in brain injury draw a distinction between metacognitive knowledge of difficulties and online awareness of errors (emergent and anticipatory). We examined performance of 31 Traumatic Brain Injury (TBI) participants and 31 healthy controls using a three-strand approach to assessing awareness. Metacognitive knowledge was assessed with an awareness interview and discrepancy scores on three questionnaires--Patient Competency Rating Scale, Frontal Systems Behavioral Scale and the Cognitive Failures Questionnaire. Online Emergent Awareness was assessed using an online error-monitoring task while participants performed tasks of sustained attention. Online anticipatory awareness was examined using prediction performance on two cognitive tasks. Results indicated that the TBI Low Self-Awareness (SA) group and High SA group did not differ in terms of severity, chronicity or standard neuropsychological tasks but those with Low SA were more likely to exhibit disinhibition, interpersonal problems and more difficulties in total competency. Sustained attention abilities were associated with both types of online awareness (emergent and anticipatory). There was a strong relationship between online emergent and online anticipatory awareness. Metacognitive knowledge did not correlate with the other two measures. This study highlights the necessity in adopting a multidimensional approach to assessing the multifaceted phenomenon of awareness of deficits.-
dc.language.isoenen
dc.publisherJournal of the International Neuropsychological Societyen
dc.subject.meshAdult-
dc.subject.meshAwareness-
dc.subject.meshBrain Injuries-
dc.subject.meshCognition Disorders-
dc.subject.meshDemography-
dc.subject.meshFemale-
dc.subject.meshHumans-
dc.subject.meshInternet-
dc.subject.meshInterpersonal Relations-
dc.subject.meshKnowledge of Results (Psychology)-
dc.subject.meshMale-
dc.subject.meshNeuropsychological Tests-
dc.subject.meshSeverity of Illness Index-
dc.subject.meshTomography, X-Ray Computed-
dc.titleAwareness of deficits in traumatic brain injury: a multidimensional approach to assessing metacognitive knowledge and online-awareness.en
dc.typeArticleen
dc.contributor.departmentTrinity College Institute of Neuroscience and Department of Psychology, Trinity College, Dublin, Ireland.en
dc.identifier.journalJournal of the International Neuropsychological Society : JINSen
dc.description.provinceLeinster-

Related articles on PubMed

All Items in Lenus, The Irish Health Repository are protected by copyright, with all rights reserved, unless otherwise indicated.