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Metacognitive Monitoring in Moderate and Severe Traumatic Brain Injury

Published online by Cambridge University Press:  04 May 2011

Kathy S. Chiou ,
Richard A. Carlson ,
Peter A. Arnett ,
Stephanie A. Cosentino  and
Frank G. Hillary
Kathy S. Chiou*
Affiliation:
Department of Psychology, The Pennsylvania State University, University Park, Pennsylvania
Richard A. Carlson
Affiliation:
Department of Psychology, The Pennsylvania State University, University Park, Pennsylvania
Peter A. Arnett
Affiliation:
Department of Psychology, The Pennsylvania State University, University Park, Pennsylvania
Stephanie A. Cosentino
Affiliation:
Cognitive Neuroscience Division, Gertrude H. Sergievsky Center, Columbia University Medical Center; New York, New York
Frank G. Hillary
Affiliation:
Department of Psychology, The Pennsylvania State University, University Park, Pennsylvania
*
Correspondence and reprint requests to: Kathy S. Chiou, Department of Psychology, The Pennsylvania State University, 610 Moore Building, University Park, PA 16802. E-mail: ksc167@psu.edu
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Abstract

The ability to engage in self-reflective processes is a capacity that may be disrupted after neurological compromise; research to date has demonstrated that patients with traumatic brain injury (TBI) show reduced awareness of their deficits and functional ability compared to caretaker or clinician reports. Assessment of awareness of deficit, however, has been limited by the use of subjective measures (without comparison to actual performance) that are susceptible to report bias. This study used concurrent measurements from cognitive testing and confidence judgments about performance to investigate in-the-moment metacognitive experiences after moderate and severe traumatic brain injury. Deficits in metacognitive accuracy were found in adults with TBI for some but not all indices, suggesting that metacognition may not be a unitary construct. Findings also revealed that not all indices of executive functioning reliably predict metacognitive ability. (JINS, 2011, 17, 720–731)

Keywords

AwarenessBrain injuryMetacognitionConfidence judgmentsSelf-monitoringExecutive functioning
Type
Research Articles
Information
Journal of the International Neuropsychological Society , Volume 17 , Issue 4 , 21 June 2011 , pp. 720 - 731
Copyright
Copyright © The International Neuropsychological Society 2011

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