Distorted cognition and pathological anxiety in children and adolescents

The present article provides a review on the role of distorted cognition in the pathogenesis of childhood anxiety problems. A comprehensive model of information processing that can be employed for discussing various types of anxiety-related cognitive distortions is presented. Evidence for the occurrence of these cognitive distortions in anxious children and adolescents is summarised. Then, the origins of cognitive distortions in anxious children and adolescents are addressed with reference to genetic-based vulnerability, environmental influence, and gene-environment interactions. Finally, the article provides a critical discussion of the developmental aspects of cognitive distortions, their precise role in the aetiology and maintenance of childhood anxiety disorders, and their relevance for the treatment of this type of psychopathology. Throughout the article many leads are given that may guide future research in this area.