Metacognitive monitoring in moderate and severe traumatic brain injury

Kathy S. Chiou, Richard A. Carlson, Peter A. Arnett, Stephanie A. Cosentino, Frank G. Hillary

Research output: Contribution to journalArticlepeer-review

29 Scopus citations


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.

Original languageEnglish (US)
Pages (from-to)720-731
Number of pages12
JournalJournal of the International Neuropsychological Society
Issue number4
StatePublished - Jul 2011
Externally publishedYes


  • Awareness
  • Brain injury
  • Confidence judgments
  • Executive functioning
  • Metacognition
  • Self-monitoring

ASJC Scopus subject areas

  • General Neuroscience
  • Clinical Psychology
  • Clinical Neurology
  • Psychiatry and Mental health


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