Metacognitive Therapy for People Experiencing Persistent Post-Concussion Symptoms Following Mild Traumatic Brain Injury: A Preliminary Multiple Case-Series Study
After mild traumatic brain injury (mTBI), a subgroup of individuals experience persistent post-concussion symptoms (PPCS) that include headaches, cognitive difficulties, and fatigue. The aim of this preliminary study was to investigate possible effects associated with metacognitive therapy (MCT) on...
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| Format: | Article |
| Language: | English |
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Mary Ann Liebert
2024-11-01
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| Series: | Neurotrauma Reports |
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| Online Access: | https://www.liebertpub.com/doi/10.1089/neur.2024.0076 |
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| author | Johanne C. C. Rauwenhoff Roger Hagen Migle Karaliute Odin Hjemdal Leif Edward Ottesen Kennair Stian Solem Robert F. Asarnow Cathrine Einarsen Joar Øveraas Halvorsen Stephanie Paoli Simen Berg Saksvik Hanne Smevik Gøril Storvig Adrian Wells Toril Skandsen Alexander Olsen |
| author_facet | Johanne C. C. Rauwenhoff Roger Hagen Migle Karaliute Odin Hjemdal Leif Edward Ottesen Kennair Stian Solem Robert F. Asarnow Cathrine Einarsen Joar Øveraas Halvorsen Stephanie Paoli Simen Berg Saksvik Hanne Smevik Gøril Storvig Adrian Wells Toril Skandsen Alexander Olsen |
| author_sort | Johanne C. C. Rauwenhoff |
| collection | DOAJ |
| description | After mild traumatic brain injury (mTBI), a subgroup of individuals experience persistent post-concussion symptoms (PPCS) that include headaches, cognitive difficulties, and fatigue. The aim of this preliminary study was to investigate possible effects associated with metacognitive therapy (MCT) on PPCS, maladaptive coping strategies, and positive and negative metacognitive beliefs following mTBI. A pre–post design supplemented with single-case A–B replication series to assess potential MCT mechanisms was used. Of the nine participants who received MCT, all experienced a decrease in PPCS, which constituted a reliable improvement for eight participants. For eight participants (we could calculate effect sizes for eight out of nine participants), moderate to very large decreases in maladaptive coping styles and positive and negative metacognitive beliefs were observed. However, based on visual analyses, participants 6, 8, and 9 show a downward baseline trend regarding MCT mechanisms that may have persisted into the intervention phase. No adverse events were reported. In conclusion, MCT was associated with improvements in PPCS and unhelpful psychological mechanisms, but caution is required in interpreting this association. Future research using formal single-case replication on symptom measures and randomized controlled trials appears to be justified. |
| format | Article |
| id | doaj-art-ba823ee4313f4733a987b64404d3441d |
| institution | OA Journals |
| issn | 2689-288X |
| language | English |
| publishDate | 2024-11-01 |
| publisher | Mary Ann Liebert |
| record_format | Article |
| series | Neurotrauma Reports |
| spelling | doaj-art-ba823ee4313f4733a987b64404d3441d2025-08-20T02:30:54ZengMary Ann LiebertNeurotrauma Reports2689-288X2024-11-015189090210.1089/neur.2024.0076Metacognitive Therapy for People Experiencing Persistent Post-Concussion Symptoms Following Mild Traumatic Brain Injury: A Preliminary Multiple Case-Series StudyJohanne C. C. Rauwenhoff0Roger Hagen1Migle Karaliute2Odin Hjemdal3Leif Edward Ottesen Kennair4Stian Solem5Robert F. Asarnow6Cathrine Einarsen7Joar Øveraas Halvorsen8Stephanie Paoli9Simen Berg Saksvik10Hanne Smevik11Gøril Storvig12Adrian Wells13Toril Skandsen14Alexander Olsen15Department of Psychology, Norwegian University of Science and Technology, Trondheim, Norway.Department of Psychology, Norwegian University of Science and Technology, Trondheim, Norway.Department of Psychology, Norwegian University of Science and Technology, Trondheim, Norway.Department of Psychology, Norwegian University of Science and Technology, Trondheim, Norway.Department of Psychology, Norwegian University of Science and Technology, Trondheim, Norway.Department of Psychology, Norwegian University of Science and Technology, Trondheim, Norway.Department of Psychiatry and Biobehavioral Science, David Geffen School of Medicine, UCLA, Los Angeles, California, USA.Department of Neuromedicine and Movement Science, Norwegian University of Science and Technology, Trondheim, Norway.Department of Psychology, Norwegian University of Science and Technology, Trondheim, Norway.Department of Psychology, Norwegian University of Science and Technology, Trondheim, Norway.Clinic of Rehabilitation, St. Olavs Hospital, Trondheim University Hospital, Trondheim, Norway.Department of Psychology, Norwegian University of Science and Technology, Trondheim, Norway.Department of Psychology, Norwegian University of Science and Technology, Trondheim, Norway.Department of Psychology, Norwegian University of Science and Technology, Trondheim, Norway.NorHead—Norwegian Centre for Headache Research, Norwegian University of Science and Technology, Trondheim, Norway.Department of Psychology, Norwegian University of Science and Technology, Trondheim, Norway.After mild traumatic brain injury (mTBI), a subgroup of individuals experience persistent post-concussion symptoms (PPCS) that include headaches, cognitive difficulties, and fatigue. The aim of this preliminary study was to investigate possible effects associated with metacognitive therapy (MCT) on PPCS, maladaptive coping strategies, and positive and negative metacognitive beliefs following mTBI. A pre–post design supplemented with single-case A–B replication series to assess potential MCT mechanisms was used. Of the nine participants who received MCT, all experienced a decrease in PPCS, which constituted a reliable improvement for eight participants. For eight participants (we could calculate effect sizes for eight out of nine participants), moderate to very large decreases in maladaptive coping styles and positive and negative metacognitive beliefs were observed. However, based on visual analyses, participants 6, 8, and 9 show a downward baseline trend regarding MCT mechanisms that may have persisted into the intervention phase. No adverse events were reported. In conclusion, MCT was associated with improvements in PPCS and unhelpful psychological mechanisms, but caution is required in interpreting this association. Future research using formal single-case replication on symptom measures and randomized controlled trials appears to be justified.https://www.liebertpub.com/doi/10.1089/neur.2024.0076metacognitionsmetacognitive therapymild traumatic brain injurypost-concussion symptoms |
| spellingShingle | Johanne C. C. Rauwenhoff Roger Hagen Migle Karaliute Odin Hjemdal Leif Edward Ottesen Kennair Stian Solem Robert F. Asarnow Cathrine Einarsen Joar Øveraas Halvorsen Stephanie Paoli Simen Berg Saksvik Hanne Smevik Gøril Storvig Adrian Wells Toril Skandsen Alexander Olsen Metacognitive Therapy for People Experiencing Persistent Post-Concussion Symptoms Following Mild Traumatic Brain Injury: A Preliminary Multiple Case-Series Study Neurotrauma Reports metacognitions metacognitive therapy mild traumatic brain injury post-concussion symptoms |
| title | Metacognitive Therapy for People Experiencing Persistent Post-Concussion Symptoms Following Mild Traumatic Brain Injury: A Preliminary Multiple Case-Series Study |
| title_full | Metacognitive Therapy for People Experiencing Persistent Post-Concussion Symptoms Following Mild Traumatic Brain Injury: A Preliminary Multiple Case-Series Study |
| title_fullStr | Metacognitive Therapy for People Experiencing Persistent Post-Concussion Symptoms Following Mild Traumatic Brain Injury: A Preliminary Multiple Case-Series Study |
| title_full_unstemmed | Metacognitive Therapy for People Experiencing Persistent Post-Concussion Symptoms Following Mild Traumatic Brain Injury: A Preliminary Multiple Case-Series Study |
| title_short | Metacognitive Therapy for People Experiencing Persistent Post-Concussion Symptoms Following Mild Traumatic Brain Injury: A Preliminary Multiple Case-Series Study |
| title_sort | metacognitive therapy for people experiencing persistent post concussion symptoms following mild traumatic brain injury a preliminary multiple case series study |
| topic | metacognitions metacognitive therapy mild traumatic brain injury post-concussion symptoms |
| url | https://www.liebertpub.com/doi/10.1089/neur.2024.0076 |
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