“…Open communication refers to communication that enables family cohesion and adaptability to a functional level (i.e., clear and unambiguous messages, empathy, reflective listening, and supportive speech) [39]. In contrast, problematic communication refers to closed and dysfunctional communication, which does not occur smoothly due to reluctance in parentechild interaction, with an experience of more critical expressions [40]. Higher open communication scores indicate more positive parent-child communication in which the parent and child can interact freely and express their opinions.…”