Cognitive Functioning in Youth with Anxiety Disorders: A Systematic Review.

IF 5.5 1区 心理学 Q1 PSYCHOLOGY, CLINICAL
Jonathan C Rabner, Julia S Ney, Philip C Kendall
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Abstract

Anxiety disorders are disorders involving cognition. Research on cognition in youth with anxiety can focus on cognitive content (e.g., self-talk) as well cognitive functioning. The present review examines domains of cognitive functioning (i.e., episodic memory, language, attention, executive functioning, motor skills, and visual functioning) in youth diagnosed with an anxiety disorder. A database search of Embase, PsycINFO, and PubMed yielded 28 studies that met inclusion criteria of youth aged 17 years or younger, a sample diagnosed with a principal anxiety disorder and a comparison sample of controls, a comparison between those samples, and use of a behavioral measure of neuropsychological performance. Findings did not identify any cognitive functioning strengths for anxious youth. Deficits were found in two domains (i.e., receptive language and motor skills) whereas no deficits were found in attention, visuospatial skills and one domain of executive functioning (i.e., inhibition). Most domains had mixed findings. Additional analysis indicated that anxiety disorders in youth are not associated with diminished IQ. Directions for future research are identified including (a) the prioritization of studies with larger, representative samples (b) the role of cognitive functioning as a predictor of anxiety treatment outcome (c) the examination of the effect of treatment on cognitive performance, and (d) the course of anxiety and potential impairment in cognitive functioning.

Abstract Image

焦虑症青少年的认知功能:系统回顾
焦虑症是一种涉及认知的疾病。有关焦虑症青少年认知的研究可侧重于认知内容(如自言自语)和认知功能。本综述研究了被诊断患有焦虑症的青少年的认知功能领域(即外显记忆、语言、注意力、执行功能、运动技能和视觉功能)。通过对 Embase、PsycINFO 和 PubMed 数据库的检索,我们发现有 28 项研究符合纳入标准,这些研究涉及 17 岁或以下的青少年、被诊断患有主要焦虑症的样本和对照组比较样本、这些样本之间的比较以及神经心理学表现的行为测量。研究结果没有发现焦虑症青少年在认知功能方面有任何优势。在两个领域(即接受性语言和运动技能)发现了缺陷,而在注意力、视觉空间技能和一个执行功能领域(即抑制)没有发现缺陷。大多数领域的研究结果不一。其他分析表明,青少年焦虑症与智商下降无关。研究还指出了今后的研究方向,包括:(a)优先进行具有较大代表性样本的研究;(b)认知功能作为焦虑症治疗结果预测因素的作用;(c)研究治疗对认知能力的影响;以及(d)焦虑症的病程和认知功能的潜在损害。
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来源期刊
CiteScore
10.50
自引率
4.30%
发文量
45
期刊介绍: Editors-in-Chief: Dr. Ronald J. Prinz, University of South Carolina and Dr. Thomas H. Ollendick, Virginia Polytechnic Institute Clinical Child and Family Psychology Review is a quarterly, peer-reviewed journal that provides an international, interdisciplinary forum in which important and new developments in this field are identified and in-depth reviews on current thought and practices are published. The Journal publishes original research reviews, conceptual and theoretical papers, and related work in the broad area of the behavioral sciences that pertains to infants, children, adolescents, and families. Contributions originate from a wide array of disciplines including, but not limited to, psychology (e.g., clinical, community, developmental, family, school), medicine (e.g., family practice, pediatrics, psychiatry), public health, social work, and education. Topical content includes science and application and covers facets of etiology, assessment, description, treatment and intervention, prevention, methodology, and public policy. Submissions are by invitation only and undergo peer review. The Editors, in consultation with the Editorial Board, invite highly qualified experts to contribute original papers on topics of timely interest and significance.
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