Predicting Children’s Anxiety Based on Mothers’ Emotional Adjustment, Alexithymia, and Family Accommodation
Keywords:
Emotional Adjustment, Alexithymia, Family Companionship, Children's AnxietyAbstract
Objective: The present study aimed to predict children’s anxiety based on mothers’ emotional adjustment, alexithymia, and family accommodation.
Methodology: This study employed a descriptive-correlational design. The statistical population consisted of children and adolescents aged 10–18 years living in Gorgan, Iran, in autumn 2025, along with their mothers. A sample of 480 children and their mothers was selected using multi-stage random cluster sampling. Instruments included the Anxiety subscale of the Child Behavior Checklist (CBCL), the Emotional Adjustment subscale of the Bell Adjustment Inventory, the Toronto Alexithymia Scale (TAS-20), and the Family Accommodation Scale–Anxiety (FAS-A). Data were analyzed using SPSS-28 through Pearson correlation coefficients and stepwise regression analysis.
Findings: Results indicated a significant negative correlation between mothers’ emotional adjustment and children’s anxiety (r = -0.29, p < .05), a significant positive correlation between mothers’ alexithymia and children’s anxiety (r = 0.61, p < .05), and a significant negative correlation between mothers’ family accommodation and children’s anxiety (r = -0.65, p < .05). Stepwise regression analysis revealed that family accommodation accounted for 42% of the variance in children’s anxiety (F = 108.42, p < .05). With the inclusion of alexithymia in the second step, the explained variance increased to 52% (F = 79.93, p < .001). Emotional adjustment did not enter the final regression model due to shared variance with other predictors.
Conclusion: The findings suggest that higher maternal alexithymia and maladaptive family accommodation are associated with elevated anxiety levels in children, underscoring the importance of addressing maternal emotional characteristics in prevention and intervention programs for childhood anxiety.
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References
Davodi-Boroujerd, G., Abasi, I., Arani, A. M., & Aslzaker, M. (2022). The relation between maternal personality and internalizing/externalizing behaviors: mediating role of maternal alexithymia, children's alexithymia and emotional regulation. Iranian Journal of Psychiatry, 17(1), 61. https://doi.org/10.18502/ijps.v17i1.8050
Dona, S. W. A., McKenna, K., Ho, T. Q. A., Mudiyanselage, S. B., Seymour, M., Le, H. N., & Gold, L. (2025). Health-related quality of life, service utilisation and costs for anxiety disorders in children and young people: a systematic review and meta-analysis. Social Science & Medicine, 373, 118023. https://doi.org/10.1016/j.socscimed.2025.118023
Ebrahimi Tirtashi, M. (2025). The effectiveness of maternal training with an Adlerian-Dreikurs approach on the anxiety symptoms of preschool children. Journal of Child Emotional Growth Psychology, 1(3), 28-38. https://www.journalcedp.com/article_222728_en.html
Eid, P., & Al Assaad, A. (2026). The Relationship Between Alexithymia, Impulsivity, and Aggression in Mixed Martial Arts Athletes. European Journal of Sport Science, 26(1), e70107. https://doi.org/10.1002/ejsc.70107
Errazuriz, A., Avello-Vega, D., Passi-Solar, A., Torres, R., Bacigalupo, F., Crossley, N. A., & Jones, P. B. (2025). Prevalence of anxiety disorders in Latin America: a systematic review and meta-analysis. The Lancet Regional Health-Americas, 45, 101057. https://doi.org/10.1016/j.lana.2025.101057
Howard, C. J., Oshri, A., Card, N., Muñoz, M., Thomas, C. R., & Brown, G. L. (2025). Perceived mother and father parenting and adolescent social anxiety symptoms: A Meta-Analysis. Adolescent Research Review, 1-20. https://doi.org/10.1007/s40894-025-00268-0
Jahedi Delivand, S., Tarkhan, M., Ahadhi, M., & Qodsi, P. (2024). The effectiveness of transcranial direct current stimulation (tDCS) treatment on the quality of life and anxiety of children with attention-deficit/hyperactivity disorder (ADHD). Scientific Research Journal of School and Virtual Learning, 12(3), 29-38. https://etl.journals.pnu.ac.ir/article_11639.html?lang=en
Jalali, M., & Pourahmadi Esfstanai, E. (2024). The effectiveness of the "From Shyness to Assertiveness" program on the clinical symptoms of children with separation anxiety disorder and their parents' family cohesion. Journal of Clinical and Personality Psychology, 22(2), 1-16. https://cpap.shahed.ac.ir/article_4547.html
Mojtabai, R., & Olfson, M. (2025). Trends in mental disorders in children and adolescents receiving treatment in the state mental health system. Journal of the American Academy of Child & Adolescent Psychiatry, 64(8), 906-920. https://doi.org/10.1016/j.jaac.2024.08.008
Price, N. N., & Kiel, E. J. (2022). Longitudinal links among mother and child emotion regulation, maternal emotion socialization, and child anxiety. Research on Child and Adolescent Psychopathology, 50(2), 241-254. https://doi.org/10.1007/s10802-021-00804-1
Shi, Z., Qu, Y., Yan, Y., & Wang, Q. (2024). Chinese mothers' reactions to adolescents' positive emotions: Relations to adolescents' emotional adjustment and mothers' socialization goals. Journal of youth and adolescence, 53(5), 1214-1231. https://doi.org/10.1007/s10964-023-01924-1
Singh, G., Sharma, S., Sharma, V., & Zaidi, S. Z. H. (2023). Academic stress and emotional adjustment: A gender-based post-COVID study. Annals of Neurosciences, 30(2), 100-108. https://doi.org/10.1177/09727531221132964
Song, Z., Huang, J., Qiao, T., Yan, J., Zhang, X., & Lu, D. (2022). Association between maternal anxiety and children's problem behaviors: A systematic review and meta-analysis. International journal of environmental research and public health, 19(17), 11106. https://doi.org/10.3390/ijerph191711106
Ye, Z. Y., Han, Z. Y., & Zhong, B. L. (2025). Family functioning and anxiety in children: a narrative review. Translational Pediatrics, 14(9), 2311. https://doi.org/10.21037/tp-2025-324
Zhang, J., Pan, C., & Du, G. (2025). The Role of Maladaptive Behaviors and Adjustment Disorders in Linking Separation Anxiety to Depression in Primary School Students. Journal of Child and Adolescent Psychopharmacology, 10445463251407896. https://doi.org/10.1177/10445463251407896
Zimmer-Gembeck, M. J., Rudolph, J., Kerin, J., & Bohadana-Brown, G. (2022). Parent emotional regulation: A meta-analytic review of its association with parenting and child adjustment. International Journal of Behavioral Development, 46(1), 63-82. https://doi.org/10.1177/01650254211051086
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