The Empirical Development of the Child-Parent Communication Apprehension Scale for Use With Young Adults

Lucchetti, Anne E.; Powers, William G.; Love, Don

doi:10.1207/s15327698jfc0203_1

Cited by 14 publications

(19 citation statements)

References 27 publications

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“…Supervision was reverse-coded, so that a higher score indicated better supervision. Caregiver communication (past 2 months) was measured using an adapted version of the Child-Parent Communication Apprehension Scale for use with Young adults [ 40 ]. The scale asks about adolescent-caregiver overall communication as well as communication on sensitive issues, such as medication and sex, α = 0.56–0.75.…”

Section: Methodsmentioning

confidence: 99%

Relationships with caregivers and mental health outcomes among adolescents living with HIV: a prospective cohort study in South Africa

et al. 2021

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Background Mental health problems may impact adherence to anti-retroviral treatment, retention in care, and consequently the survival of adolescents living with HIV. The adolescent-caregiver relationship is an important potential source of resilience. However, there is a lack of longitudinal research in sub-Saharan Africa on which aspects of adolescent-caregiver relationships can promote mental health among adolescents living with HIV. We draw on a prospective longitudinal cohort study undertaken in South Africa to address this question. Methods The study traced adolescents aged 10–19 initiated on antiretroviral treatment in government health facilities (n = 53) within a health district of the Eastern Cape province. The adolescents completed standardised questionnaires during three data collection waves between 2014 and 2018. We used within-between multilevel regressions to examine the links between three aspects of adolescent-caregiver relationships (caregiver supervision, positive caregiving, and adolescent-caregiver communication) and adolescent mental health (depression symptoms and anxiety symptoms), controlling for potential confounders (age, sex, rural/urban residence, mode of infection, household resources), n=926 adolescents. Results Improvements in caregiver supervision were associated with reductions in anxiety (0.98, 95% CI 0.97–0.99, p=0.0002) but not depression symptoms (0.99, 95% CI 0.98–1.00, p=.151), while changes in positive caregiving were not associated with changes in mental health symptoms reported by adolescents. Improvements in adolescent-caregiver communication over time were associated with reductions in both depression (IRR=0.94, 95% CI 0.92–0.97, p<.0001) and anxiety (0.91, 95% CI 0.89–0.94, p<.0001) symptoms reported by adolescents. Conclusions Findings highlight open and supportive adolescent-caregiver communication and good caregiver supervision as potential factors for guarding against mental health problems among adolescents living with HIV in South Africa. Several evidence-informed parenting programmes aim to improve adolescent-caregiver communication and caregiver supervision, and their effect on depression and anxiety among adolescents living with HIV should be rigorously tested in sub-Saharan Africa. How to improve communication in other settings, such as schools and clinics, and provide communication support for caregivers, adolescents, and service providers through these existing services should also be considered.

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Section: Methodsmentioning

confidence: 99%

Relationships with caregivers and mental health outcomes among adolescents living with HIV: a prospective cohort study in South Africa

et al. 2021

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“…Supervision was reverse-coded, so that a higher score indicated better supervision. Caregiver communication (past two months) was measured using an adapted version of the Child-Parent Communication Apprehension Scale for use with Young adults (40). The scale asks about adolescent-caregiver overall communication as well as communication on sensitive issues, such as medication and sex, α = 0.56-0.75.…”

Section: Explanatory and Control Variablesmentioning

confidence: 99%

Relationships with caregivers and mental health outcomes among adolescents living with HIV: A prospective cohort study in South Africa

Shenderovich

Boyes

Esposti

et al. 2020

Preprint

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Background Mental health problems may impact adherence to anti-retroviral treatment, retention in care, and consequently the survival of adolescents living with HIV. The adolescent-caregiver relationship is an important potential source of resilience. However, there is a lack of longitudinal research in sub-Saharan Africa on which aspects of adolescent-caregiver relationships can promote mental health among adolescents living with HIV. We draw on a prospective longitudinal cohort study undertaken in South Africa to address this question. Methods The study traced adolescents aged 10-19 initiated on antiretroviral treatment in government health facilities ( n = 53) within a health district of the Eastern Cape province. The adolescents completed standardised questionnaires during three data collection waves between 2014 and 2018. We used within-between multilevel regressions to examine the links between three aspects of adolescent-caregiver relationships (caregiver supervision, positive caregiving, and adolescent-caregiver communication) and adolescent mental health (depression symptoms and anxiety symptoms), controlling for potential confounders (age, sex, rural/urban residence, mode of infection, household resources), n =926 adolescents. Results Improvements in caregiver supervision were associated with reductions in anxiety (0.98, 95% CI 0.97-0.99, p=0.0002) but not depression symptoms (0.99, 95% CI 0.98-1.00, p=.151), while changes in positive caregiving were not associated with changes in mental health symptoms reported by adolescents. Improvements in adolescent-caregiver communication over time were associated with reductions in both depression (IRR=0.94, 95% CI 0.92-0.97, p<.0001) and anxiety (0.91, 95% CI 0.89-0.94, p<.0001) symptoms reported by adolescents. Conclusions Findings highlight open and supportive adolescent-caregiver communication and good caregiver supervision as potential factors for guarding against mental health problems among adolescents living with HIV in South Africa. Several evidence-informed parenting programmes aim to improve adolescent-caregiver communication and caregiver supervision, and their effect on depression and anxiety among adolescents living with HIV should be rigorously tested in sub-Saharan Africa. How to improve communication in other settings, such as schools and clinics, and provide communication support for caregivers, adolescents, and service providers through these existing services should also be considered.

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“…In terms of psychological constructs, communication apprehension consistently has been associated negatively with individuals' tendencies to communicate across relational contexts (Barraclough, Christophel, & McCroskey, 1988;Lucchetti, Powers, & Love, 2002;Martin & Myers, 2006;Martin, Valencic, & Heisel, 2002;Wheeless, 1984;McCroskey & Richmond, 1977) whereas communication competence has been associated positively with individuals' tendencies to communicate across relational contexts (Lee, 1988a(Lee, , 1988bMartin, Byrnes, & Myers, 2009;Sallinen-Kuparinen, McCroskey, & Richmond, 1991;Teven, Richmond, McCroskey & McCroskey, 2010), including academic mentoring relationships (Hawkins, 1991;Kalbfleisch & Davies, 1993). Thus, graduate students' scores on the ARMS should be related negatively to their reports of communication apprehension but related positively to their reports of communication competence, and may be one way in which construct validity of the ARMS can be established.…”

Section: Future Directionsmentioning

confidence: 99%

Using Mentoring Enactment Theory to Explore the Doctoral Student-Faculty Member Mentoring Relationship

Månsson¹

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The purpose of this dissertation was threefold. The first purpose was to examine the advisoradvisee mentoring relationship using Mentoring Enactment Theory (Kalbfleisch, 2002). The second purpose was to examine the relationship between advisees' use of relational maintenance behaviors and their own and their advisors' reports of relational characteristics (i.e., liking, communication satisfaction, relational satisfaction, trust, work commitment, and control mutuality). The third purpose was to examine the extent to which advisees' relational uncertainty with their advisors was related to their use of relational maintenance behaviors and their advisors' provision of career support and psychosocial support. The results of Principal Component Analyses, Pearson correlations, and MANOVAs indicate that advisors and advisees have similar perceptions of what behaviors advisees engage in to maintain their advisor-advisee mentoring relationships. These behaviors are: appreciation, courtesy (advisees only), tasks, goals, protection (advisors only), and humor. Advisees' use of these relational maintenance behaviors generally is related positively their own reports of relational characteristics and received mentoring support from their advisors, but advisees' use of relational maintenance behaviors is not related negatively to their relational uncertainty. Similarly, advisors' reports of their advisees' use of relational maintenance behaviors generally are related positively to their own reports of relational characteristics. The results indicate further that the sex composition of the advisor-advisee dyad has minimal impact on advisees' use of relational maintenance behaviors and advisors' provision of career support and psychosocial support for their advisees.

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The Empirical Development of the Child-Parent Communication Apprehension Scale for Use With Young Adults

Cited by 14 publications

References 27 publications

Relationships with caregivers and mental health outcomes among adolescents living with HIV: a prospective cohort study in South Africa

Relationships with caregivers and mental health outcomes among adolescents living with HIV: a prospective cohort study in South Africa

Relationships with caregivers and mental health outcomes among adolescents living with HIV: A prospective cohort study in South Africa

Using Mentoring Enactment Theory to Explore the Doctoral Student-Faculty Member Mentoring Relationship

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