Co-Occurrence Between Internalizing Problems, Academic-Related Anxieties, and Mathematics Difficulties: A Cross-Cultural Study
Dan Cai, Ana Paula Alves Vieira, Dan-Xin Huang, Yuliya Kotelnikova, George K. Georgiou
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Source: Crossref
Published: Oct 22, 2026
DOI: 10.1177/00222194261491760
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The purpose of this study was to examine whether there are differences in internalizing problems (i.e., anxiety, depression, somatic complaints, and social withdrawal) and academic-related anxieties (i.e., school anxiety and mathematics anxiety) between children with and without mathematics difficulties (MD) in Canada and China. Participants included 71 children with MD and 86 typically developing (TD) children (ages 8–12) from Shanghai, China (32 MD, 46 TD) and Alberta, Canada (39 MD, 40 TD). Teachers rated their students’ internalizing problems using the Behavior Assessment System for Children–Third Edition (including anxiety, depression, somatic complaints, and social withdrawal subscales), while students self-reported on their mathematics and school anxiety. Results indicated first that children with MD experienced significantly higher levels of both internalizing problems and mathematics anxiety than their TD peers. Second, Canadian children with MD were rated as having more mathematics anxiety than their Chinese counterparts and Chinese children with MD had more somatic complaints than their Canadian counterparts. No significant interaction was found between country and difficulty group status. Taken together, these findings suggest that having MD confers emotional vulnerability in both countries, but culture may shape the form in which distress is expressed.
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