Abstract
AbstractWorry is common in children and adolescents, yet some youth experience excessive worries that persist over time and cause significant distress. Whilst the literature on worry and generalised anxiety disorder (GAD) in adults is well established, relatively less is known about the cognitive mechanisms underlying child and adolescent worry. An influential cognitive model of adult pathological worry (Hirsch and Matthews in Behav Res Therapy 50:636–646, 10.1016/j.brat.2012.06.007, 2012) proposes that negative information-processing biases, reduced executive functions, and verbal worry are critical in the aetiology of GAD in adults. The current systematic review investigated whether this cognitive model of worry could be extended to understand child and adolescent worry. Following a systematic search of the literature and screening for eligibility, 30 studies were identified. Evidence indicates that negative information-processing biases and reduced executive functions play an important role in worry and GAD in children and adolescents. However, evidence that children and adolescents experience verbal worry is inconclusive. Building upon Hirsch and Matthews' cognitive model (Behav Res Therapy 50:636–646, 10.1016/j.brat.2012.06.007, 2012), we propose a model of child and adolescent worry to provide a guiding framework for future research. We conclude that cognitive models of worry should incorporate a developmental framework in order to provide greater insight into the mechanisms uniquely associated with worry in children and adolescents and help to identify the cognitive processes to target for early interventions and treatments.
Funder
FP7 Ideas: European Research Council
Publisher
Springer Science and Business Media LLC
Subject
Psychiatry and Mental health,Clinical Psychology,Developmental and Educational Psychology,Education,Pediatrics, Perinatology and Child Health
Reference91 articles.
1. Abend, R., de Voogd, L., Salemink, E., Wiers, R. W., Pérez-Edgar, K., Fitzgerald, A., et al. (2017). Association between attention bias to threat and anxiety symptoms in children and adolescents. Depression and Anxiety,35(3), 1–10. https://doi.org/10.1002/da.22706.…
2. Aktar, E., Nikolić, M., & Bögels, S. M. (2017). Environmental transmission of generalized anxiety disorder from parents to children: Worries, experiential avoidance, and intolerance of uncertainty. Dialogues in Clinical Neuroscience,19(2), 137–147.
3. Albano, A. M., & Hack, S. (2004). Children and adolescents. In R. G. Heimberg, C. L. Turk, & D. S. Mennin (Eds.), Generalized anxiety disorder: Advances in research and practice. New York: The Guilford Press.
4. American Psychiatric Association. (2013). Diagnostic and statistical manual of mental disorders (5th ed.). Washington, DC: American Psychiatric Association.
5. Barahmand, U. (2008). Age and gender differences in adolescent worry. Personality and Individual Differences,45, 778–783. https://doi.org/10.1016/j.paid.2008.08.006.
Cited by
22 articles.
订阅此论文施引文献
订阅此论文施引文献，注册后可以免费订阅5篇论文的施引文献，订阅后可以查看论文全部施引文献