Strength and limitations
’ precocious puberty, precocious puberty symptoms, anxiety
Observing all the principles of clinical trials, including random allocation and allocation concealment, was among the strengths of this study. In order to reduce incorrect answers, the questionnaires were completed by the researcher and their native language was used to establish better communication with the participants in the counseling sessions. However, all the items answered by the participants were assumed to be correct because their validity determination was beyond the research methodology. The study was conducted among the mothers of elementary school students in Tabriz city. All of them were literate and had girls with precocious puberty symptoms, which can affect the generalizability of the results. It was uncertain whether mothers’ stress and anxiety were due to their daughters’ precocious puberty. Mental health was not evaluated in girls; it is suggested that this issue be investigated in future studies. Further research is needed for a more comprehensive conclusion.