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. 2024 Jun;27(2):357-380.
doi: 10.1007/s10567-024-00480-9. Epub 2024 Jun 3.

Cognitive Functioning in Youth with Anxiety Disorders: A Systematic Review

Jonathan C Rabner  1   2   3 , Julia S Ney  4 , Philip C Kendall  5
Affiliations

Cognitive Functioning in Youth with Anxiety Disorders: A Systematic Review

Jonathan C Rabner et al. Clin Child Fam Psychol Rev. 2024 Jun.

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.

Keywords: Anxiety; Attention; Children and adolescents; Executive functioning; Language; Memory.

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Conflict of interest statement

Mr. Rabner and Ms. Ney report no competing interests.

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References

    1. American Psychiatric Association . Diagnostic and statistical manual of mental disorders. American Psychiatric Press; 2013.
    1. Baving L, Rellum T, Laucht M, Schmidt MH. Attentional enhancement to NoGo stimuli in anxious children. Journal of Neural Transmission. 2004;111(7):985–999. doi: 10.1007/s00702-004-0116-0. - DOI - PubMed
    1. Benton Sivan, A. (1991). Benton visual retention test, 5th edn. 10.1037/t14985-000
    1. Bushnell GA, Compton SN, Dusetzina SB, Gaynes BN, Brookhart MA, Walkup JT, Rynn MA, Stürmer T. Treating pediatric anxiety: Initial use of SSRIs and other anti-anxiety prescription medications. The Journal of Clinical Psychiatry. 2018;79(1):16m11415. doi: 10.4088/JCP.16m11415. - DOI - PMC - PubMed
    1. Cardinale EM, Subar AR, Brotman MA, Leibenluft E, Kircanski K, Pine DS. Inhibitory control and emotion dysregulation: A framework for research on anxiety. Development and Psychopathology. 2019;31(3):859–869. doi: 10.1017/S0954579419000300. - DOI - PMC - PubMed

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