Executive function and metacognitive self-awareness after severe traumatic brain injury

Giuseppa Renata Mangano, Eva Azicnuda, Daniela Silvestro, Jessica Rigon, Renata Mangano, Umberto Bivona, Paola Ciurli, Rita Formisano, Graziano Onder, Carmen Barba

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76 Citazioni (Scopus)


The objective of this study is to identify the clinical, neuropsychological, neuropsychiatric, and functional variables that correlate with metacognitive self-awareness (SA) in severe traumatic brain injury (TBI) outpatients and to assess the influence of the same variables on the sensory-motor, cognitive, and behavioral-affective indicators of SA. This cross-sectional observational study evaluated 37 outpatients from May 2006 to June 2007 in a neurorehabilitation hospital on the basis of the following inclusion criteria: (1) age 8); (3) posttraumatic amnesia (PTA) resolution; (4) capacity to undergo formal psychometric evaluation despite cognitive and sensory-motor deficits; (5) absence of aphasia; (6) availability of informed consent. A neuropsychological battery was used to evaluate attention, memory, and executive functions. SA was assessed by the awareness questionnaire (AQ), administered to both patients and relatives. Decreased metacognitive self-awareness is significantly correlated with increased problems in some components of executive system, even when the AQ subscales were considered separately. The significant correlation found between some components of executive system and metacognitive self-awareness confirmed the importance of addressing this issue to treat SA contextually in the rehabilitation of executive functions.
Lingua originaleEnglish
pagine (da-a)862-868
Numero di pagine7
RivistaJournal of the International Neuropsychological Society
Stato di pubblicazionePublished - 2008

All Science Journal Classification (ASJC) codes

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  • ???subjectarea.asjc.3200.3203???
  • ???subjectarea.asjc.2700.2728???
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