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

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.