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

J Head Trauma Rehabil. 2005 Jul-Aug;20(4):315-32. doi: 10.1097/00001199-200507000-00004.

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.

Publication types

  • Multicenter Study

MeSH terms

  • Activities of Daily Living
  • Adaptation, Psychological*
  • Adolescent
  • Adult
  • Brain Injuries / physiopathology*
  • Brain Injuries / psychology*
  • Brain Injuries / rehabilitation
  • Cognition*
  • Cross-Sectional Studies
  • Emotions*
  • Employment
  • Female
  • Humans
  • Interpersonal Relations
  • Male
  • Middle Aged
  • Neuropsychological Tests
  • Social Behavior
  • Treatment Outcome