Data-Driven Identification of Brain-Behavioral and Sociodemographic Predictors of Anxiety Severity in Children Using
Ann M Iturra-Mena1, Melanie Wall1, Sherry Y H Chen1
1Columbia University, New York, New York.
JAACAP Open
|December 10, 2025
Summary
Machine learning identified key predictors of childhood anxiety, including neural markers like error positivity (Pe) and frontal theta power, alongside sociodemographic factors such as single-mother status. These findings reveal interactions influencing anxiety severity in children.
Area of Science:
- Neuroscience
- Developmental Psychology
- Machine Learning
Background:
- Childhood anxiety is common and linked to cognitive control issues and sociodemographic risks.
- The interplay between these factors in childhood anxiety remains poorly understood.
- A data-driven approach is needed to identify key predictors.
Purpose of the Study:
- To employ machine learning to pinpoint the most significant neural, behavioral, and sociodemographic predictors of childhood anxiety severity.
- To investigate interactions between these predictors.
Main Methods:
- 181 children (4-10 years) with anxiety data from prior studies were analyzed.
- Electroencephalogram (EEG) and behavioral data from a Go/NoGo task assessed cognitive control.
- Machine learning models (Random Forest, SVR, XGBoost) identified predictors and interactions.
Main Results:
- Random Forest achieved the highest prediction accuracy.
- Error positivity (Pe), single-mother status, frontal theta power, post-error accuracy, and occipital post-error alpha power were key predictors.
- Single-mother status moderated the effect of post-error alpha power on anxiety.
- Low frontal theta power amplified the association between Pe and anxiety.
Conclusions:
- A combination of cognitive control neural markers, behavioral performance, and sociodemographic factors, particularly single-mother status, significantly predicts childhood anxiety.
- Understanding these interactions is crucial for targeted diagnosis and treatment strategies.
- This study offers insights beyond traditional hypothesis-driven research in childhood anxiety.
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