Relationship between maternal anxiety and kinship center attachment with health-related quality of life in children with elimination disorders: The mediating role of negative emotional security
Leili Hosseinpour, Ilnaz SajjadianBACKGROUND:
Elimination disorders involve challenges in controlling or delaying urination and defecation, which are influenced by psychological factors and negatively impact the health-related quality of life (HRQoL) for affected children. This study aims to explore the relationship between maternal anxiety and kinship center attachment, with the HRQoL in children experiencing elimination disorders, with the mediating role of negative emotional security.
MATERIALS AND METHODS:
In a structural equation modeling correlation study, a total of 150 children aged 10–12 years (94 boys, 56 girls) with their mothers had been referred to private pediatric clinics in Isfahan, Iran, for treatment in the spring of 2024 and were selected non-randomly from available data. Children responded to the Family Emotional Security Questionnaire, and mothers responded to questionnaires on the Anxiety, Kinship Center attachment, and Children’s Health-Related Quality of Life. Structural equation modeling was used to analyze the research model.
RESULTS:
The results showed that the direct effect of maternal anxiety, kinship center attachment, and negative emotional security on children’s HRQoL was significant (
CONCLUSION:
Maternal anxiety and kinship center attachment directly impact HRQoL. This relationship strengthens with negative emotional security. When maternal anxiety and insecure attachment coexist with negative emotional security, children are more likely to face severe elimination disorders, adversely affecting their HRQoL.