Evidence map›Paper›PMID 39440149›Full record

ArticleNeurotrauma reports2024

Metacognitive Therapy for People Experiencing Persistent Post-Concussion Symptoms Following Mild Traumatic Brain Injury: A Preliminary Multiple Case-Series Study.

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 and 6 more

Abstract read
In one paragraph

Article in Neurotrauma reports, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

16 authors.

Johanne C C RauwenhoffDepartment of Psychology, Norwegian University of Science and Technology, Trondheim, Norway.ORCID https://orcid.org/0000-0002-0064-6560
Roger HagenDepartment of Psychology, Norwegian University of Science and Technology, Trondheim, Norway.
Migle KaraliuteDepartment of Psychology, Norwegian University of Science and Technology, Trondheim, Norway.
Odin HjemdalDepartment of Psychology, Norwegian University of Science and Technology, Trondheim, Norway.
Leif Edward Ottesen KennairDepartment of Psychology, Norwegian University of Science and Technology, Trondheim, Norway.
Stian SolemDepartment of Psychology, Norwegian University of Science and Technology, Trondheim, Norway.
Robert F AsarnowDepartment of Psychiatry and Biobehavioral Science, David Geffen School of Medicine, UCLA, Los Angeles, California, USA.
Cathrine EinarsenDepartment of Neuromedicine and Movement Science, Norwegian University of Science and Technology, Trondheim, Norway.
Joar Øveraas HalvorsenDepartment of Psychology, Norwegian University of Science and Technology, Trondheim, Norway.
Stephanie PaoliDepartment of Psychology, Norwegian University of Science and Technology, Trondheim, Norway.
Simen Berg SaksvikClinic of Rehabilitation, St. Olavs Hospital, Trondheim University Hospital, Trondheim, Norway.
Hanne SmevikDepartment of Psychology, Norwegian University of Science and Technology, Trondheim, Norway.
Gøril StorvigDepartment of Psychology, Norwegian University of Science and Technology, Trondheim, Norway.
Adrian WellsDepartment of Psychology, Norwegian University of Science and Technology, Trondheim, Norway.
Toril SkandsenNorHead-Norwegian Centre for Headache Research, Norwegian University of Science and Technology, Trondheim, Norway.ORCID https://orcid.org/0000-0001-5495-9338
Alexander OlsenDepartment of Psychology, Norwegian University of Science and Technology, Trondheim, Norway.ORCID https://orcid.org/0000-0001-8691-3860

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

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.

Indexed as

metacognitionsmetacognitive therapymild traumatic brain injurypost-concussion symptoms

Identifiers

PMID39440149
PMCPMC11491585

What OpenQuestion holds

Textmetadata
LicenceCC BY
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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.