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J Head Trauma Rehabil. 2005 Jul-Aug;20(4):315-32.

The relative importance of metacognitive skills, emotional status, and executive function in psychosocial adjustment following acquired brain injury.

Author information

  • 1Division of Occupational Therapy, The University of Queensland, Brisbane, Australia. t.ownsworth@shrs.uq.edu.au

Abstract

OBJECTIVES:

To examine the interrelationships between metacognitive skills and measures of emotional status and executive function following acquired brain injury (ABI), and examine their relative importance to psychosocial outcomes.

DESIGN:

A cross-sectional multicentre study employing correlational and multiple regression analyses.

PARTICIPANTS:

Sixty-seven adults with ABI living in the community, on average 4.4 years (SD = 4.7) postinjury.

MEASURES:

Sydney Psychosocial Reintegration Scale, Self-Awareness of Deficits Interview, Self-Regulation Skills Interview, Hospital Anxiety Depression Scale, Beck Hopelessness Scale, and standardized measures of executive function.

RESULTS:

Metacognitive skills correlated with level of hopelessness and executive measures of idea generation and error self-regulation. The best predictor of psychosocial outcome was depressive symptoms, with specific outcomes additionally related to error self-regulation and intellectual awareness.

CONCLUSIONS:

The findings highlight the need to evaluate interventions targeting depression and metacognitive skills to improve psychosocial outcomes.

PMID:
16030439
[PubMed - indexed for MEDLINE]
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