Evidence map›Paper›PMID 41184516›Full record

SynthesisScientific reports2025

Cognitive rehabilitation in anxiety disorders: a systematic review and meta-analysis of randomized controlled trials.

Saba Mokhtari, Asieh Mokhtari, Fahime Saeed, Seyedeh Nazanin Aghayan, Mahsa Boroon, Mohammadreza Shalbafan

Abstract readSystematic ReviewMeta-Analysis
In one paragraph

Synthesis in Scientific reports, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

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

1 citing paper in PubMed.

  1. Review
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

6 authors.

Saba MokhtariPsychosis Research Center, University of Social Welfare and Rehabilitation Sciences, Tehran, Iran.
Asieh MokhtariSchool of Allied Medical Sciences, Iran University of Medical Sciences, Tehran, Iran.
Fahime SaeedPsychosis Research Center, University of Social Welfare and Rehabilitation Sciences, Tehran, Iran.
Seyedeh Nazanin AghayanStudent Research Committee, School of Medicine, Shahroud University of Medical Sciences, Shahroud, Iran.
Mahsa BoroonDepartment of Psychiatry, Imam Hossein Hospital, School of Medicine, Alborz University of Medical Sciences, Karaj, Iran.
Mohammadreza ShalbafanMental Health Research Center, Psychosocial Health Research Institute (PHRI), Department of Psychiatry, School of Medicine, Iran University of Medical Sciences, Tehran, Iran. Shalbafan.mr@iums.ac.ir.

Funding

Iran University of Medical Sciences 1402-4-99-28059
6 · The paper itself

Abstract

In this study, we sought to conduct a systematic review and meta-analysis of research that utilized cognitive rehabilitation to enhance cognitive functions and alleviate symptoms in adult patients with anxiety disorders. We selected controlled randomized clinical trials that used cognitive training and remediation interventions and published before June 2024 using search databases including PubMed, ScienceDirect, Scopus, Cochrane, and Proquest. For the meta-analysis, standard differences in means with the random effect model and with a 95% confidence interval of change in outcome measures from baseline to post-intervention between the cognitive rehabilitation and the control groups were calculated. The database search identified 1825 studies of interest, ultimately including eight studies with 242 participants in the cognitive rehabilitation group and 223 participants in the control group. The meta-analysis of the data extracted from these studies shows a small and significant effect on the symptom severity (d = 0.25 (95% CI, 0.02 to 0.47) p-value = 0.02, I2 = 30.12%), and a large and significant effect on the working memory (d = 0.84 (95% CI, 0.07 to 1.13) p-value = 0.02, I2 = 0.00%) of patients with anxiety disorders. However, there was no significant difference between the intervention and control groups regarding attention (d = 0.07 (95% CI, -0.25 to 0.4) p-value = 0.65, I2 = 0.00%). This systematic review and meta-analysis demonstrate that cognitive rehabilitation is an effective intervention for reducing symptom severity and improving working memory in patients with anxiety disorders. Given the significance of achieving complete remission from these disorders and addressing the neuropsychological deficits associated with anxiety, cognitive rehabilitation should be regarded as an essential component of treatment for anxious patients. Further research focusing on different anxiety diagnoses, cognitive deficits, and targeted interventions is necessary.

Indexed as

Anxiety DisordersCognitive Behavioral TherapyCognitive RemediationAdultCognitionCognitive TrainingHumansMemory, Short-TermRandomized Controlled Trials as TopicTreatment OutcomeAnxiety disordersAttentionCognitive functionMeta-analysisSystematic reviewWorking memory

Identifiers

PMID41184516
PMCPMC12583720

What OpenQuestion holds

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LicenceCC BY-NC-ND
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Registered trials

None linked

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 OpenQuestion graph.