Evidence map›Paper›PMID 41788149›Full record

SynthesisAlpha psychiatry2026

Relationship Between Negative Cognition and Poor Quality of Life and Anxiety in Adolescents: A Meta-Analysis.

Şenay Kılınçel, Oğuzhan Kılınçel

Abstract readSystematic Review
In one paragraph

Synthesis in Alpha psychiatry, 2026. 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

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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

2 authors.

Şenay KılınçelDepartment of Child and Adolescent Psychiatry, Faculty of Medicine, Istanbul Aydın University, 34295 Istanbul, Turkey.ORCID https://orcid.org/0000-0001-5298-0264
Oğuzhan KılınçelDepartment of Child Development, Istanbul Gelisim University Faculty of Health Sciences, 34315 Istanbul, Turkey.ORCID https://orcid.org/0000-0003-2988-4631

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Anxiety disorders are among the most prevalent psychiatric conditions during adolescence and are closely associated with maladaptive cognitive processes and impaired quality of life (QoL). However, the magnitude of these associations and the factors moderating them remain inconsistent across studies. This meta-analysis aimed to synthesize the available empirical evidence on the relationships between negative cognitions, QoL, and anxiety in adolescents, and to examine potential moderating variables. Methods: In accordance with the PRISMA 2020 guidelines, a systematic literature search was conducted across PubMed, Embase, PsycINFO, Web of Science, Scopus, and grey literature sources. Eligible studies included adolescents aged 10-19 years and reported correlation coefficients between negative cognitions or QoL and anxiety. A total of 42 studies (N = 27,845) were included and pooled using random-effects models, with Fisher's z-transformed correlation coefficients as the primary effect size. Moderator analyses examined the influence of measurement instruments, sample characteristics (clinical vs. non-clinical), age, gender distribution, and study quality. Results: Across 34 studies (n = 21,006), negative cognitions showed a moderate positive association with anxiety (r = 0.41, 95% CI: 0.37-0.45, Conclusion: Negative cognitions and reduced quality of life are robustly associated with anxiety in adolescents, particularly in clinical samples and in studies with a predominance of female participants. These findings provide strong support for cognitive-behavioral models of adolescent anxiety and underscore the importance of integrating cognitive restructuring with quality-of-life-enhancing strategies in prevention and intervention programs. Future longitudinal and cross-cultural research is needed to clarify causal mechanisms and to optimize mental health care for adolescents.

Indexed as

adolescentanxietyattitudecognitive behavioral therapycognitive dysfunctionmeta-analysis as topicquality of lifethinking

Identifiers

PMID41788149
PMCPMC12957976

What Socratic holds

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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 Socratic graph.