Systematic Reviews
Copyright ©The Author(s) 2021. Published by Baishideng Publishing Group Inc. All rights reserved.
World J Psychiatr. Sep 19, 2021; 11(9): 635-658
Published online Sep 19, 2021. doi: 10.5498/wjp.v11.i9.635
Thinking about worry: A systematic review and meta-analysis on the assessment of metacognitions in children and adolescents
Laura M Köcher, Kai Schneider, Hanna Christiansen
Laura M Köcher, Hanna Christiansen, Department of Psychology, University of Marburg, Marburg 35037, Germany
Kai Schneider, Department of Clinical Child and Adolescent Psychology, University of Landau, Landau 76829, Germany
Author contributions: Köcher LM and Christiansen H designed the research; Köcher LM performed the research; Köcher LM and Schneider K analyzed the data; Köcher LM wrote the paper; Christiansen H and Schneider K supervised the paper; All authors read and approved the final manuscript.
Conflict-of-interest statement: None of the authors has any conflict of interest to declare.
PRISMA 2009 Checklist statement: The authors have read the PRISMA 2009 Checklist, and the manuscript was prepared and revised according to the PRISMA 2009 Checklist.
Open-Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/Licenses/by-nc/4.0/
Corresponding author: Laura M Köcher, MSc, Research Associate, Department of Psychology, University of Marburg, Frankfurter Straße 35, Marburg 35037, Germany. laura.koecher@uni-marburg.de
Received: February 25, 2021
Peer-review started: February 25, 2021
First decision: April 21, 2021
Revised: May 4, 2021
Accepted: July 27, 2021
Article in press: July 27, 2021
Published online: September 19, 2021
Processing time: 202 Days and 1.8 Hours
Core Tip

Core Tip: Systematic review and meta-analysis showed that positive metacognitive beliefs about worry and negative metacognitive beliefs about worry correlate with worry and anxiety, as claimed in the metacognitive model of generalized anxiety disorder. Studies tended not to report significant correlations between age and positive metacognitive beliefs about worry or negative metacognitive beliefs about worry. Mean age was not a significant covariate in meta-regressions. No conclusions about meta-worry’s influence can be drawn. We need an adequate measurement of meta-worry, and measurements applying to young children should undergo further investigation. Studies showed moderate to large heterogeneity, and the power of meta-regression might have been low. As mostly cross-sectional data were collected, no causal conclusions can be drawn.