Memory self-awareness and memory self-monitoring following severe closed-head injury

Department of Psychology, Washington State University, Pullman, WA 99164-4820, USA.
Brain Injury (Impact Factor: 1.81). 10/2004; 18(10):997-1016. DOI: 10.1080/02699050410001719934
Source: PubMed


To examine the accuracy of memory self-awareness and memory self-monitoring abilities in participants with severe closed-head injury (CHI).
A performance-prediction paradigm was used to evaluate meta-memory abilities in 31 participants with severe CHI (>1 year post-injury) and 31 controls. To assess memory self-awareness, before completing story recall, visual reproduction and list learning memory tasks, participants predicted the amount of information they would remember for each task. Memory self-monitoring was evaluated by examining participants' ability to increase the accuracy of their predictions following experience with each memory task.
Although participants with CHI exhibited poorer recall than controls, they were equally aware of how differing task demands influence recall. They also successfully modified their predictions following task exposure.
Meta-memory was better preserved than actual memory performance. It may be possible to build on meta-memory skills to help patients with CHI more consistently use strategies that aid memory performance.

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    ABSTRACT: This article provides a clinical review of current treatment approaches to short-term and working memory impairments in individuals who have sustained traumatic closed-head injuries. Preliminarily, general information on closed-head injuries is presented. Specific short-term and working memory impairments, as well as assessments and interventions used in the practice of speech-language pathology, are then discussed. Finally, a literature review regarding outcomes and treatment efficacy is presented, revealing potentially limited generalization, though subjective benefits are described. The goal of this article is to prompt clinicians to evaluate their current interventions, thereby maximizing the effectiveness of the therapeutic process and ulti- mately enhancing the lives of the individuals served.
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