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Metacognitive knowledge and online awareness in persons with multiple sclerosis
Yael Goverover1, Helen Genova2, Hali Griswold3
1New York University, New York, NY, USA Kessler Foundation, West Orange, NJ, USA.
Neurorehabilitation
|July 4, 2014
Summary
Individuals with multiple sclerosis (MS) show deficits in intellectual awareness and performance prediction compared to healthy controls. However, task experience may improve online awareness in MS patients.
Area of Science:
- Neuroscience
- Cognitive Psychology
Background:
- Self-awareness models differentiate intellectual awareness (metacognitive knowledge) from online awareness (real-time error detection).
- Understanding these distinctions is crucial for individuals with neurological conditions like multiple sclerosis (MS).
Purpose of the Study:
- To compare intellectual and online self-awareness in individuals with MS versus healthy controls (HCs).
- To investigate the relationship between self-awareness and functional performance in MS.
Main Methods:
- 18 individuals with MS and 16 HCs (ages 27-60) participated.
- Intellectual awareness was measured using discrepancy scores on the Functional Behavior Profile (FBP).
- Online awareness was assessed via self-prediction and self-assessment during a functional task.
Main Results:
- Individuals with MS exhibited significantly lower intellectual awareness than HCs.
- The MS group showed poorer online awareness in performance prediction compared to HCs.
- No significant difference in online assessment awareness was found, suggesting task experience can enhance this aspect in MS.
Conclusions:
- A multidimensional approach is essential for assessing self-awareness in MS.
- Findings support the development of self-awareness treatment models for individuals with MS.
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