Department of Psychology

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A qualitative study on adolescents’ perceptions and understandings of flourishing in the Western Cape, South Africa
(Springer Science and Business Media B.V., 2024-08-22) Witten, Heidi; Savahl, Shazly; Adams, Sabirah
Adolescence is a transitional period characterised by puberty, physical growth, and the capacity to complete life tasks. During this period, adolescents are faced with various challenges in completing various life tasks. Flourishing is defined as a state in which an individual functions optimally, and has a good level of well-being in all aspects of their life. Previous studies on adolescent flourishing have focused on measuring flourishing quantitatively, which suggests a need for further research that qualitatively explores adolescent flourishing. In this study we use the conceptualisation of flourishing that encompasses hedonia and eudaimonia. It is crucial to position adolescents at the core of research endeavours, to gain insight into the unique factors, values, and goals that contribute to their flourishing. The overall aim of the study is to explore adolescents’ understandings and perceptions of flourishing in the Western Cape, South Africa. Semi-structured individual interviews were conducted to gain a comprehensive understanding of adolescents’ perceptions and understanding of flourishing. The interviews were analysed using Braun and Clarke’s theoretical thematic analysis. We found two overarching thematic categories: 1) Understanding flourishing and 2) Factors that promote flourishing. The study findings emphasise the significance of balance in different aspects of life such as mental health, self-reflection, and self-expression to support adolescents in developing their own sense of flourishing and to understand their own experiences. The central role of relationships as a support structure for adolescents was found to be significant as the participants were able to identify what is needed through these relationships, which could promote their own flourishing. Future empirical research should endeavour to include both hedonic and eudaimonic traditions in exploring adolescent flourishing.
Adolescent substance use: The development and validation of a measure of perceived individual and contextual factors
(2014) Florence, Maria Ann; Mwaba, K; Koch, S.E
The purpose of the study was to gather validity evidence for a South African developed instrument designed to measure individual and contextual factors associated with adolescent substance use in low socio-economic status communities in the Western Cape, South Africa. Studies report high rates of substance use in these communities. This possibly points towards the impact of typical post-apartheid contextual factors on the development of adolescent substance use. The South African Substance Use Contextual Risk Questionnaire (SASUCRQ) measures adolescents’ subjective experiences of their own psycho-social and their communities’ functioning.
Adolescents’ perceptions of health and well-being: Influences of urban contemporary music
(National Inquiry Services Centre, 2016) Swartbooi, Cindy; Savahl, Shazly; Isobell, Deborah; Khan, Gadija; Wagenaa, Cassandra
The study aimed to explore adolescents’ perceptions of how urban contemporary music influences health and well-being among them. Data on health and well-being effects of music consumption were gathered from a convenience sample of 16 participants (male = 50%, females = 50%) between the ages of 15 and 17 in a series of two focus group interviews. The data were analysed using thematic analysis. Findings suggest the adolescents to perceive both positive and negative influences of contemporary music on their health and well-being. Positive influences included emotional well-being and sense of social belongingness. Negative influences included promotion of risky behaviours, including substance use, misogyny, sexual behaviour and violence. The findings suggest that urban contemporary music serves as a tool of normalisation as well as a catalyst for encouraging risky behaviour in adolescence.
Afrikaans adaptation of the children’s hope scale: Validation and measurement invariance
(Cogent OA, 2020) Savahl, Shazly; Adams, Sabirah; Florence, Maria Ann
The overarching aim of this study was to validate the Afrikaans version of Snyder’s (1997) Children’s Hope Scale in a sample of children from Cape Town, South Africa. Within this process, the study aimed to test the measurement invariance across the English and Afrikaans language versions. The study used a cross-sectional survey design, with a two-stage stratified random sample of 1022 children between the ages of 11- to 12-years-old. We selected the participants from 15 schools located in low and middle socio-economic status communities in the Cape Town Metropole. We used confirmatory factor analysis to analyse the data. The results indicated a good fit for the overall model using the pooled sample (X2 = 35.692; df = 7; p =.00; CFI =.984; RMSEA =.063; SRMR =.023). Multi-group confirmatory factor analysis further demonstrated the tenability of metric and scalar invariance.
Experiences of interpersonal relationships, stress and coping amongst adolescents who report substance use
(University of Western Cape, 2021) Gadija, Khan; Naidoo, Pamela
Adolescence, a critical developmental period, requires a certain level of adjustment and may negatively impact youth psychosocial development. Unsurprisingly, adolescent substance use continues to be a major public global health concern. Additionally, some adolescents are immersed in various interpersonal relationships and exposed to various stressors daily, which may affect their psychological well-being and developmental trajectories. This research aimed to explore the experiences of interpersonal relationships, stress and coping, and determine substance use patterns, symptoms of two common mental disorders (depression and generalized anxiety) amongst adolescents who report using substances (legal and illegal) in low-income communities in South Africa by employing Bronfenbrenner’s bio-ecological theory and the person-process-context-time model as a theoretical lens.
An exploration into the impact of exposure to community violence and hope on children's perceptions of well-being: a South African perspective
(Springer, 2013) Savahl, Shazly; Isaacs, Serena; Adams, Sabirah; Carels, Cassandra Zeta; September, Rose
The study aims to explore the relationship between exposure to community violence, hope, and well-being. More specifically, the study aims to ascertain whether hope is a stronger predictor of well-being than exposure to violence. Stratified random sampling was used to select a sample of 566 adolescents aged 14–17 years, from both high violence and low violence areas in Cape Town, South Africa. A questionnaire consisting of Snyder’s Children’s Hope Scale, the Recent Exposure to Violence Scale and the KIDSCREEN-52 was used. Data analysis techniques included descriptive statistics, correlations, and multiple regression. A positive, significant relationship was found between children’s hope and their well-being. Although exposure to community violence was found to be significantly correlated with wellbeing, the relationship was negligible.While exposure to community violence and hope were found to be significant predictors of well-being, hope emerged as a stronger predictor of child well-being than exposure to community violence.
Exploring intrinsic religiosity as a means to militate against risky sexual behaviour in adolescents from Christian faith-based schools
(University of Western Cape, 2021) Bomester, Olivia; Pedro, Athena
Adolescent sexual development forms a crucial role in the process of identity formation and the establishment of healthy romantic and social relationships. However, some adults are uncomfortable with the notion of adolescent sexuality, and would choose to remain in a state of denial or ignorance. It is pivotal that adults address the topic of adolescent sexuality. Numerous adolescents are not adequately guided by parents, educators, and church leaders. Hence, their lack of basic sexual knowledge or simply having erroneous ideas appertaining to sexuality may cause them to make very unwise sexual decisions. A number of adolescents routinely engage in behaviours that unknowingly put their health at risk. Amongst South African adolescents, sexual risk-taking behaviours including early coitarche, unprotected sex, multiple sex-partners and low contraceptive use are quite common.
Gender patterns in the contribution of different types of violence to posttraumatic stress symptoms among South African urban youth
(Elsevier, 2013) Kaminer, Debra; Hardy, Anneli; Heath, Katherine; Mosdell, Jill; Bawa, Umesh
OBJECTIVE: Identifying the comparative contributions of different forms of violence exposure to trauma sequelae can help to prioritize interventions for polyvictimized youth living in contexts of limited mental health resources. This study aimed to establish gender patterns in the independent and comparative contributions of five types of violence exposure to the severity of posttraumatic stress symptoms among Xhosa-speaking South African adolescents. METHOD: Xhosa-speaking adolescents (n = 230) attending a high school in a low-income urban community in South Africa completed measures of violence exposure and posttraumatic stress symptoms. RESULTS: While witnessing of community violence was by far the most common form of violence exposure, for the sample as a whole only sexual victimization and being a direct victim of community violence, together with gender, contributed independently to the severity of posttraumatic stress symptoms. When the contribution of different forms of violence was examined separately for each gender, only increased exposure to community and sexual victimization were associated with symptom severity among girls, while increased exposure to direct victimization in both the community and domestic settings were associated with greater symptom severity in boys. CONCLUSIONS: The findings provide some preliminary motivation for focusing trauma intervention initiatives in this community on girls who have experienced sexual abuse compounded by victimization in the community, and boys who have been direct victims of either domestic or community violence. Further research is required to establish whether the risk factors for posttraumatic stress symptoms identified among adolescents in this study are consistent across different communities in South Africa, as well as across other resource-constrained contexts.
Influences on life aspirations among adolescents in a low-income community in Cape Town, South Africa
(Routledge, 2015) Hendricks, Gaironeesa; Savahl, Shazly; Mathews, Kulthum
The aim of this study was to determine the influences on adolescents’ aspirations from a low-income community in Cape Town. A sequential mixed method exploratory design was used following two distinct phases. The qualitative phase comprised focus group interviews with 118 grade 12 learners attending a school in a low-income community (age range: 16–19 years) and focused on identifying factors influencing life aspirations. The quantitative phase with 191 adolescents (males = 54.45 %, females = 45.55 %); age range: 14–18 years) from the same community aimed to ascertain the influences of personal attributes on self-aspirations. Participants completed the Expectations/Aspirations measure, the New General Self-Efficacy Scale, the Rosenberg Self-Esteem Scale and the Multidimensional Scale of Perceived Social Support. Qualitative data were thematically analysed. Quantitative data were analysed using multiple regression. The findings revealed that self-efficacy, self-esteem and social support were the most critical factors influencing adolescents’ aspirations. Self-efficacy was a major determinant of life aspirations among the adolescents. Life skills programmes with youth from disadvantaged communities should seek to incorporate training aimed at developing adolescents’ self-efficacy.
Interventions directed at reducing high risk-taking behaviour in adolescents. A RE-AIM framework review
(University of the Western Cape, 2021) Mate, Rumbidzai Kangira; Erasmus, C
The stage of adolescence is a transitional stage in human development that can be confusing and stressful as it involves adjusting to adulthood which comes with independence and responsibilities. Adolescents solidify their journey towards self-identity as they gradually detach from being completely dependent on their parents. They form new bonds with peers and other people and are bound to be experimental as they embark on a life discovery journey. Studies reveal that adolescents are increasingly engaging in risk-taking behaviours such as risky sexual behaviour, substance use and violence, despite the implementation of numerous behavioural change interventions
Prevalence and correlates of anal sex among secondary school students in Cape Town, South Africa
(Taylor & Francis, 2018) Ybarra, Michele; Price-Feeney, Myeshia; Mwaba, Kelvin
Research efforts have overlooked anal sex as a risk factor for adolescents’ acquisition of HIV despite the high rates of HIV among South African youth. Here, we report findings from a survey conducted in 2012 among secondary school youth, ages 16–24, in Cape Town. 937 adolescents completed a pencil-and-paper survey. Eleven and 31% of female and male youth, respectively, reported ever having anal sex. By comparison, 59% and 78% of female and male youth reported ever having vaginal sex. The percentage of youth reporting lifetime rates of anal sex increased with age: 32% of 20-to-24 year olds had anal sex compared to 16% of 16-to-17-year olds. When the sample was stratified by sex, this difference appeared to be driven by older male, but not female, sexual behavior. Despite noted differences in prevalence rates by sex, both boys and girls who had anal sex were more likely than their same-sex peers who had vaginal sex to report sexual coercion victimization and perpetration experiences and inconsistent condom use. Interestingly, some differences in HIV motivation, information, and behavioral skills were noted for youth who had vaginal sex versus youth who had never had sex; scores were largely similar for youth who had anal sex versus youth who had never had sex however. Together, these findings suggest that anal sex is not uncommon and may be an important marker for other HIV risk behaviors in at least one lower income South African community. Anal sex needs to be explicitly discussed in adolescent HIV prevention and healthy sexuality programing, incorporating age-relevant scenarios about negotiating condoms and other healthy relationship behaviors (e.g., refusing sex when it is not wanted).
The psychological impact of the COVID-19 pandemic on adolescent learners attending public schools in the Eastern Cape
(University of the Western Cape, 2023) Nodo, Olwethu; Padmanabhanunni, Anita
Due to various mitigation strategies implemented to contain the spread of COVID-19, nearly 1.2 billion school children had their education put on hold. In addition, the widespread nature of the COVID-19 pandemic came with numerous psychological challenges, including stress, anxiety, and depression. The aim of this study was to investigate the psychological impact of the COVID-19 pandemic on adolescent learners attending public schools in the Eastern Cape Province of South Africa. The study was a quantitative study that used six self-reporting questionnaires: demographic questionnaire, Fear of COVID-19 Scale (FCV-19S), Generalized Anxiety Disorder 7-Item (GAD-7) Scale, Patient health questionnaire (PHQ-9), The Multidimensional Scale of Perceived Social Support (MSPSS), and Connor-Davidson Resilience Scale (CDRISC-10).
The relationship between adolescents' subjective well-being and career aspirations amongst adolescents residing in low socioeconomic status communities in Cape Town: The mediating role of social support
(University of the Western Cape, 2019) Manuel, Donnay; Savahl, Shazly
Adolescence is a critical developmental stage wherein adolescents face various challenges which potentially impact on the development of their future orientation, the setting of and working towards goals, and ultimately their life trajectories. Considering South Africa’s socio-political history which has resulted in limitations regarding educational and career possibilities of adolescents, there is a need to examine factors that influence adolescents’ aspirations. The current study thus aimed to ascertain the nature of the relation between adolescents’ subjective well-being and career aspirations. Within this process, the study further aimed to ascertain the extent to which this relation is mediated by social support. The current study forms part of a larger study that explored the relation between adolescents’ career aspirations and a range of personal and contextual factors, using a cross-sectional design. The sample comprised 1082 adolescents (males and females) in grades 8 to 11, purposively selected from eight schools in low-income communities in Cape Town, South Africa. Descriptive statistics were used to determine the levels of career aspirations, subjective well-being and social support among the participants. Mediation analysis using the bootstrap confidence interval approach, within a structural equation modelling data analysis framework was conducted to determine the extent to which social support mediates the relationship between subjective well-being and career aspirations. For the overall model using the pooled sample, the study found a non-significant relation between adolescents’ subjective well-being and career aspirations. Across gender, the results demonstrated a significant relation between subjective well-being and career aspirations for the male group, explaining 2.1% of the variance in aspirations. However, a non-significant relation was obtained for the female group. An important finding of the study is that social support did not mediate the relation between adolescents’ subjective well-being and career aspirations for the pooled sample, and across both gender groups. For females, a significant negative relation was found between social support and aspirations. Results also revealed a significant negative relation between age and aspirations for both males and females. Social support and financial resources are important factors to consider in relation to adolescents’ well-being and aspirations, especially given that the social support that females receive is informed by gender norms and cultural beliefs, which in turn hinders their aspirations. It is recommended that interventions are targeted at an institutional level, inclusive of challenging gender roles, providing information about educational and career opportunities for young people, and improving parenting skills in an effort to advance adolescents’ career aspirations.
The role of fortitude in relation to exposure to violence among adolescents living in lower socio-economic areas in South Africa
(Taylor & Francis, 2016) Pretorius, Tyrone B.; Padmanabhanunni, Anita; Campbell, Jerome
OBJECTIVE: There is compelling evidence that a significant proportion of adolescents exposed to violence do not develop trauma-related symptoms, but adapt successfully. This differential vulnerability has propelled research into identifying factors that promote coping. This study focused on the role of fortitude in the relationship between violence and trauma-related symptoms among South African adolescents living in two low-income communities. Fortitude is derived from positive cognitive appraisals of the self, the family and external sources of support. METHOD: Adolescents (n = 498) completed an adapted version of the Harvard Trauma Scale (HTS) and the Fortitude Questionnaire (FORQ). RESULTS: Moderated regression analysis demonstrated that fortitude had a health-sustaining and stress- buffering role. Adolescents who displayed high levels of fortitude had lower levels of trauma symptoms in relation to exposure to violence (stress-buffering) and were able to maintain their levels of wellbeing irrespective of the nature and extent of such exposure (health-sustaining). CONCLUSION: The study provides evidence for fortitude as a protective factor by highlighting the role of specific cognitive appraisals related to fortitude in facilitating adaptation in relation to trauma. The study also underscores the relevance of using clinical interventions that target problematic cognitive appraisals and strengthen perceptions of coping.
Scoping review protocol exploring the relationship between food insecurity, mental health and diet intake among adolescents across the globe
(BMJ Publishing Group, 2023) Nkwanyana, Akhona; Florence, Maria; Swart, Elizabeth Catherina
Studies, exploring the effect of food insecurity on physical and mental health, have shown that food insecurity is associated with lower self-reports of physical and mental health. With the COVID-19 pandemic, food insecurity has increased leading to higher risks of poor mental health. Despite evidence of the negative implications of food insecurity on mental health, there is a paucity of research on these variables for adolescents specifically. The current evidence shows there is a gap in adolescent centred research linking mental health and food insecurity globally. Adolescence is a crucial period of development where habits, nutritional inadequacies linked to food insecurity and mental health problems formed due to these inadequacies can be conveyed into adulthood. The aim of this study is to systematically scope the literature exploring the relationship between mental health, food (in) security and/or diet intake of adolescents
The subjective experiences of parents of adolescent substance users, their knowledge of and access to available treatment resources
(University of Western Cape, 2021) Louw, Seneca Ance; Isaacs, Serena
Substance use is certainly not a new phenomenon, however, it is one that remains a significant problem in the lives of adolescents, especially in low-income communities. This phenomenon not only affects the individual and society, but also the family and parents/guardians of the substance user. Parents within low-income contexts may feel overlooked in planning and service delivery initiatives, which may lead to a lack of appropriate knowledge and resources for parents when confronted with a child who uses substances. This, in turn, amplifies the challenges faced within resource-constrained environments, and further perpetuates ineffective coping strategies and poor well-being for parents.
The subjective experiences of parents of adolescent substance users, their knowledge of and access to available treatment resources
(University of Western Cape, 2021) Louw, Seneca Ance; Isaacs, Serena
Substance use is certainly not a new phenomenon, however, it is one that remains a significant problem in the lives of adolescents, especially in low-income communities. This phenomenon not only affects the individual and society, but also the family and parents/guardians of the substance user. Parents within low-income contexts may feel overlooked in planning and service delivery initiatives, which may lead to a lack of appropriate knowledge and resources for parents when confronted with a child who uses substances.
Validation of the children’s hope scale amongst a sample of adolescents in the Western Cape Region of South Africa
(Springer, 2016) Savahl, Shazly; Casas, Ferran; Adams, Sabirah
A growing body of research has provided evidence for the cognitive-motivational construct of hope as a psychological strength, particularly for adolescents confronted with ensuing adverse conditions. Given the dearth of research on hope in South Africa, the aim of the current study was to validate Snyder’s Children’s Hope Scale within this context. A cross sectional survey design was used to collect data from a sample of 1022 adolescents between the ages of 13 and 16 (449 males and 573 females) attending high schools within the Western Cape geographical region of South Africa. The sample was selected using a two-stage stratified random sampling protocol, with socio-economic status (low, medium and high) as the defining variable. Data were collected using Snyder’s (1997) Children’s Hope Scale which was adapted to the South African context and translated into Afrikaans. Confirmatory factor analysis was used to analyse the data. The results indicate good fit indices for the overall model with two error co-variances (x2 =35.692; df=7; p=0.00; CFI=0.984; RMSEA=0.063; SRMR=0.023). Multi-group analysis with constrained factor loadings and intercepts show good fit across socio-economic status groups which indicate that these groups can be compared by correlations, regressions and means. The overall findings suggest that the Children’s Hope Scale is an appropriate measure for use in the South African context.

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