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Conceptual analysis demonstrates parental hostility dynamics in childhood anxiety, highlighting the value of co-regulation and dyadic repair in family-based interventions.
Childhood anxiety and anxiety-related difficulties are among the most common forms of child psychopathology, with adverse consequences for social functioning, school adjustment, family life, and later developmental outcomes. Research has repeatedly linked negative parenting behaviors with childhood anxiety, but broad constructs such as negative parenting often obscure which parental behaviors are most relevant, through which mechanisms they operate, and under what conditions they become clinically meaningful. This paper focuses on parental hostility during middle childhood as a behaviorally specific relational process, while differentiating it from related, overlapping parenting dimensions, including rejection, punitive discipline, psychological control, and autonomy restriction. Building on this distinction, the article proposes a systemic-developmental transactional perspective for intervention and research that locates parental hostility within developmental demands, caregiver regulation, family-system anxiety, structural stress, culture, and child characteristics. This perspective is translated into the proposed Co-Regulation and Parent–Child Resilience in Middle Childhood framework, a conceptual adjunct to evidence-based anxiety care that targets caregiver regulation, predictable caregiving practices, warmth, autonomy support, child coping, graded mastery, and dyadic repair. By integrating attachment, family systems, and transactional developmental perspectives, the article offers a non-blaming framework for intervention development and presents an observational agenda for testing mechanisms and change over time.
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Bita Baradaranhezaveh (2026) studied this question.
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