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Metacognitive knowledge and online awareness in persons with multiple sclerosis

GOVEROVER Y; GENOVA H; GRISWOLD H; CHIARAVALLOTI N; DELUCA J
NEUROREHABILITATION , 2014, vol. 35, n° 2, p. 315-323
Doc n°: 172760
Localisation : Centre de Réadaptation de Lay St Christophe

D.O.I. : http://dx.doi.org/DOI:10.3233/NRE-141113
Descripteurs : AE3 - SEP

Recent models of self-awareness draw a distinction between
intellectual awareness (metacognitive knowledge of disabilities) and online
awareness of errors (emergent and anticipatory awareness).
The present
study compared these two types of self-awareness (metacognitive knowledge of
disabilities and online awareness) in individuals with multiple sclerosis (MS)
and healthy participants. The relationship between self-awareness and functional
performance was also examined. METHODS: Participants included 18 individuals with
MS and 16 healthy controls (HC) between the ages of 27 and 60. Intellectual
awareness was assessed via discrepancy scores on the Functional Behavior Profile
(FBP) between participants and their informants. Online Awareness was examined
using self-prediction and self-assessment of performance on a functional task.
RESULTS: Participants with MS had significantly lower levels of intellectual
awareness relative to HCs. The MS group demonstrated worse prediction online
awareness than HCs. However, assessment online awareness did not differ between
groups, indicating that experience with a task can improve online awareness in
persons with MS. CONCLUSION: This study highlights the necessity of adopting a
multidimensional approach to assessing the multifaceted phenomenon of
self-awareness in MS. In addition, it provides initial evidence to support a
self-awareness treatment model for persons with MS.

Langue : ANGLAIS

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