The Mediating Role of Ambivalence Over Emotional Expression in Explaining the Effect of Cognitive Emotion Regulation Strategies on the Psychological Well-Being of Mothers of Children with Autism
Keywords:
autism, mothers, psychological well, being, ambivalence over emotional expression, Cognitive emotion regulation strategiesAbstract
Purpose: The present study aimed to examine the mediating role of ambivalence over emotional expression in explaining the effect of cognitive emotion regulation strategies on the psychological well-being of mothers of children with autism.
Methodology: This study employed a descriptive correlational design, and structural equation modeling was used for data analysis. The statistical population included all mothers of children with autism in special education schools and rehabilitation centers in Tehran during the 2021–2022 academic year. A total of 300 mothers were selected through convenience sampling and responded to the Ambivalence Over Emotional Expression Questionnaire (AEEQ; King & Emmons, 1990), the Cognitive Emotion Regulation Questionnaire (CERQ; Garnefski & Kraaij, 2006), and the Psychological Well-Being Scale (PWB; Ryff, 1989). The collected data were analyzed using confirmatory factor analysis with AMOS 24 software.
Findings: Structural equation modeling results indicated that all goodness-of-fit indices supported an acceptable fit of the structural model with the collected data. Maladaptive emotion regulation strategies negatively and significantly predicted psychological well-being, while adaptive emotion regulation strategies positively and significantly predicted psychological well-being in mothers of children with autism. Ambivalence over emotional expression negatively and significantly predicted psychological well-being in these mothers (p = .001). Moreover, among mothers of children with autism, ambivalence over emotional expression significantly mediated the relationship between emotion regulation strategies and psychological well-being (p = .001).
Conclusion: The findings of this study can be useful for counselors, psychologists, and professionals working in the field of autism.
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Adrian, M., Zeman, J., & Veits, G. (2011). Methodological implications of the affect revolution: A 35-year review of emotion regulation assessment in children. Journal of experimental child psychology, 110(2), 171-197.
Akfirat, O. N. (2020). Investigation of relationship between psychological well-being, self-esteem, perceived general self-efficacy, level of hope and cognitive emotion regulation strategies. European Journal of Education Studies, 7(9).
Alghamdi, K., Alahmadi, S., Sayedahmad, A., & Mosleh, H. (2022). Psychological well-being of mothers of children with autism in Saudi Arabia. Cureus, 14(3).
Alsa, A., Sovitriana, R., Ekasari, A., & Endri, E. (2021). Psychological well-being of mothers with autistic children. Journal of Educational and Social Research, 11(247-254).
Beck, A. T., Rial, W. Y., & Rickels, K. (1974). Short form of depression inventory: cross-validation. Psychological reports, 34(3_suppl), 1184-1186.
Bryan, J. L., Lucas, S. H., Quist, M. C., Steers, M. L. N., Foster, D. W., Young, C. M., & Lu, Q. (2016). God, can I tell you something? The effect of religious coping on the relationship between anxiety over emotional expression, anxiety, and depressive symptoms. Psychology of Religion and Spirituality, 8(1), 46.
Desiningrum, D. R. (2018). Psikologi anak berkebutuhan khusus (Psychology of children with special need). ISBN: 978-602-72845-5-5. 158 pages. Yogyakarta: Psikosains.
Desiningrum, D. R., Suminar, D. R., & Surjaningrum, E. R. (2019). Psychological well-being among mothers of children with autism spectrum disorder: The role of family function. Humanitas, 16(2), 106.
Desquenne Godfrey, G., Downes, N., & Cappe, E. (2023). A Systematic Review of Family Functioning in Families of Children on the Autism Spectrum. Journal of Autism and Developmental Disorders, 1-22.
Dinner, E. (2012). New findings and future directions for subjective well-being research. American psychologist, 67(8), 590.
Ehring, T. (2021). Thinking too much: rumination and psychopathology. World Psychiatry, 20(3), 441.
Garnefski, N., & Kraaij, V. (2006). Cognitive emotion regulation questionnaire–development of a short 18-item version (CERQ-short). Personality and individual differences, 41(6), 1045-1053.
Geun, A, Park., Kumlan, Yu. (2023). The Relationship Between Ambivalence over Emotional Expressiveness and Loneliness: The mediating Effect of Cognitive Emotion Regulation and Emotional Expressiveness. Korean Association For Learner-Centered Curriculum And Instruction, doi: 10.22251/jlcci.2023.23.4.29
Gratz, K. L., & Roemer, L. (2004). Multidimensional assessment of emotion regulation and dysregulation: Development, factor structure, and initial validation of the difficulties in emotion regulation scale. Journal of psychopathology and behavioral assessment, 26, 41-54.
Hampton, S., Allison, C., Aydin, E., Baron-Cohen, S., & Holt, R. (2022). Autistic mothers’ perinatal well-being and parenting styles. Autism, 26(7), 1805-1820.
Hirota, T., & King, B. H. (2023). Autism spectrum disorder: A review. Jama, 329(2), 157-168.
Hsiao, Y. J. (2016). Pathways to mental health-related quality of life for parents of children with autism spectrum disorder: roles of parental stress, children’s performance, medical support, and neighbor support. Research in Autism Spectrum Disorders, 23, 122-130.
Kim, I., Wang, Y., Dababnah, S., & Betz, G. (2021). East Asian American parents of children with autism: A scoping review. Review Journal of Autism and Developmental Disorders, 8, 312-320.
Kim, Y. H. (2018). The effects of College Student’s Ambivalence over Emotional Expressiveness on Psychological Well-being: Self-efficacy and Experience Avoidance as Mediators. Master's thesis. Graduate School Tongmyon University, Busan.
King, L. A., & Emmons, R. A. (1990). Conflict over emotional expression: psychological and physical correlates. Journal of personality and social psychology, 58(5), 864.
Kinnunen, M. L., Kokkonen, M., Kaprio, J., & Pulkkinen, L. (2015). The associations of emotion regulation and dysregulation with the metabolic syndrome factor. Journal of psychosomatic research, 58(6), 513-521.
Kraiss, J. T., Ten Klooster, P. M., Moskowitz, J. T., & Bohlmeijer, E. T (2020). The relationship between emotion regulation and well-being in patients with mental disorders: A meta-analysis. Comprehensive psychiatry, 102, 152189.
Laslo-Roth, R., George-Levi, S., & Ben-Yaakov, L. (2023). Support me in the good times too: Interpersonal emotion regulation, perceived social support, and loneliness among mothers of children with autism spectrum disorder. Journal of Social and Personal Relationships, 40(1), 55-75.
Lee, H. J., & Chung, E. J. (2020). The Effect of Emotional Expressive Ambivalence on Interpersonal Stress: The Mediating Effect of Social Support and Cognitive Emotion Regulation Strategy. The Journal of the Korea Contents Association, 20(9), 558-576.
Lee, J. D., Terol, A. K., Yoon, C. D., & Meadan, H. (2023). Parent-to-parent support among parents of children with autism: A review of the literature. Autism, 13623613221146444.
Lee, J. H., & Seo, E. S. (2019). The Relationship between Parents' Psychological Control and Interpersonal Problems: The Dual Mediating Effect of Dysfunctional Belief and Ambivalence over Emotional Expressiveness. The Journal of the Korea Contents Association, 19(8), 641-652.
Lu, Q., Tsai, W., Chu, Q., & Xie, J. (2018). Is expressive suppression harmful for Chinese American breast cancer survivors?. Journal of Psychosomatic Research, 109, 51-56.
Lynch, T. R., Cheavens, J. S., Morse, J. Q., & Rosenthal, M. Z. (2014). A model predicting suicidal ideation and hopelessness in depressed older adults: The impact of emotion inhibition and affect intensity. Aging & Mental Health, 8(6), 486-497.
Megreya, A. M., Al-Attiyah, A. A., Moustafa, A. A., & Hassanein, E. E. (2020). Cognitive emotion regulation strategies, anxiety, and depression in mothers of children with or without neurodevelopmental disorders. Research in Autism Spectrum Disorders, 76, 101600.
Morrish, L., Rickard, N., Chin, T. C., & Vella-Brodrick, D. A. (2018). Emotion regulation in adolescent well-being and positive education. Journal of Happiness Studies, 19, 1543-1564.
Neff, K. D., & Faso, D. J. (2015). Self-compassion and well-being in parents of children with autism. Mindfulness, 6(4), 938–947.
Nelson, S. K., Layous, K., Cole, S. W., & Lyubomirsky, S. (2016). Do unto others or treat yourself? The effects of prosocial and self-focused behavior on psychological flourishing. Emotion, 16(6), 850.
Nelson-Coffey, S. K., Killingsworth, M., Layous, K., Cole, S. W., & Lyubomirsky, S. (2019). Parenthood is associated with greater well-being for fathers than mothers. Personality and Social Psychology Bulletin, 45(9), 1378-1390.
Newland, L. A. (2015). Family well‐being, parenting, and child well‐being: Pathways to healthy adjustment. Clinical psychologist, 19(1), 3-14.
Nomaguchi, K., & Milkie, M. A. (2020). Parenthood and well‐being: A decade in review. Journal of Marriage and Family, 82(1), 198-223.
Nuske, H. J., Hedley, D., Tseng, C. H., Begeer, S., & Dissanayake, C. (2018). Emotion regulation strategies in preschoolers with autism: Associations with parent quality of life and family functioning. Journal of Autism and Developmental Disorders, 48, 1287-1300.
Park, W. J. (2018). The Moderating Effects of Collectivism in the Relationships between Ambivalence over Emotional Expressiveness, Psychological Maladjustment, and Subjective Well-being. Journal of the Korea Academia-Industrial cooperation Society, 19(12), 80-89.
Raulin, M. L. (1984). Development of a scale to measure intense ambivalence. Journal of Consulting and Clinical Psychology, 52(1), 63.
Rutherford, H. J., Wallace, N. S., Laurent, H. K., & Mayes, L. C. (2015). Emotion regulation in parenthood. Developmental Review, 36, 1-14.
Ryff, C. D. (1989). Psychological well-being scale. Psyc TESTS Dataset. doi, 10, t04262.
Sanjaya, E. L., Suminar, D. R., & Fardana, N. A. (2022). A Descriptive Study: Parenting of Children with Special Needs.
Schnabel, A., Youssef, G. J., Hallford, D. J., Hartley, E. J., McGillivray, J. A., Stewart, M., ... & Austin, D. W. (2020). Psychopathology in parents of children with autism spectrum disorder: A systematic review and meta-analysis of prevalence. Autism, 24(1), 26-40.
Shefaley Phebe, K., & Kadaba, S. (2019). The Effect of Ambivalence over Emotional Expression on Expressive Flexibility and Psychological Well-being.
Steptoe, A., Deaton, A., & Stone, A. A. (2015). Psychological wellbeing, health and ageing. Lancet, 385(9968), 640.
Thompson, R. A. (2019). Emotion dysregulation: A theme in search of definition. Development and psychopathology, 31(3), 805-815.
Turnage, D., & Conner, N. (2022). Quality of life of parents of children with Autism Spectrum Disorder: An integrative literature review. Journal for Specialists in Pediatric Nursing, 27(4), e12391.
Valiquette-Tessier, S. C., Gosselin, J., Young, M., & Thomassin, K. (2019). A literature review of cultural stereotypes associated with motherhood and fatherhood. Marriage & Family Review, 55(4), 299-329.
Wang, Y., Zheng, Z., Wang, X., & Li, Y. (2022). Unraveling the effect of ambivalence over emotional expression on subjective wellbeing in Chinese college students in romantic relationships: A multiple mediation model. Frontiers in Psychiatry, 13, 9
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Copyright (c) 2025 Nasrin Hamili (Author); Arezo Tarimoradi (Corresponding author); Parisa Peyvandi, Marjan Hosseinzadeh Taghvai, Esmat Danesh (Author)
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