Department of Psychology

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A qualitative exploration of the dimensions of family resilience in a rural community on the West Coast
(University of the Western Cape, 2017) Twigg, Jennifer; Florence, Maria; Isaacs, Serena
Historically, families living in disenfranchised communities were viewed as being dysfunctional. This view led to the perpetuation of the challenges and adverse situations faced by these families. It is important to view the family holistically rather than just to focus on the risk factors and/or the dysfunctional nature of the family. This study endeavoured to explore how the family functions and copes with the challenges they face. The aim of the study was to qualitatively explore the dimensions of family resilience as perceived by families in a rural community on the West Coast, South Africa. Family resilience theory was used as the theoretical framework for the research study. Three family resilience dimensions were explored. These dimensions are family belief systems, family organisation and resources, and family communication patterns. Participants were selected by means of nonprobability sampling. The local NGO in collaboration with the researcher identified the participants. The participants were homogenous in terms of being parents who participated in a parent support programme and were from the same community. Six semi-structured, oneon- one interviews were conducted as the data collection method. The interviews were transcribed and analysed using thematic analysis. Three main themes emerged, in congruence with the theoretical framework. These themes were the family's belief system, their organisational patterns when faced with adversity, as well as the communication patterns of the family. The participants all reported that their strong sense of faith was used as coping mechanisms through their adversities. They had varying reports on how their family organised themselves and how they communicated. Some participants reported that living in a small community could at times be challenging, especially when sharing adversities as they feared community gossip, which then acted as a barrier to seeking help. The researcher adhered to the ethics requirements of the study in terms of confidentiality, provided the participants with informed consent forms and informed them of their rights as participants. Participants were free to discontinue the research process at any point without prejudice.
Abused women's understandings of intimate partner violence and the link to intimate femicide
(Institute for qualitative research, 2016) Dekel, Bianca; Andipatin, Michelle
In this article, we explore how women survivors of intimate partner violence understand the abuse they endured and the possible link to intimate femicide. This is a qualitative study based on a feminist poststructuralist perspective. Seven South African women, aged 23 to 50 years, with a history of different manifestations of Intimate Partner Violence (IPV) participated in open-ended interviews. The data was analyzed by means of discourse analysis. In their explanations, the women constructed gendered identities, which reflected contradictory and ambiguous subjective experiences. The women's understandings were filtered through the particular social context in which their abusive experiences occurred. The findings highlighted that contemplating femicide was too threatening, and consequently participants drew on discourses of femininity, romantic love, and others to justify their remaining in their violence-ridden relationships. It emphasizes the need for additional engagement in women's understandings of intimate femicide, as women who live in abusive relationships have largely been consigned to the periphery.
Adherence to anti-retroviral treatment: Perceptions of challenges and experiences among people living with aids
(University of the Western Cape, 2007) SaIi, Lungelo; Mwaba, S
New antiretroviral therapy has given hope to HIV-infected people, but the medication requires strict optimal adherence if suppression of HIV is to be maintained. Successful long-term treatment of HIV/AIDS requires at least 95o/o adherence to ARV medication in order to prevent emergence of drug-resistant HIV variants that lead to regimen failure and limit options of future therapy. Barriers to successful adherence to medication include patient-related, provider-related, regimen-related, disease-related, and systems related factors. This study focused on the understanding of participants' perceptions of challenges and solution to adherence to antiretroviral medication. In-depth interviews, using semi-structured schedules, were conducted with 10 HIV positive males and females between 18 and 30 years old, and on ARV treatment at a clinic in Crossroads. From the qualitative data, study deracinated a number of patients' perceptions of challenges and experiences they face in their battle with HIV/AIDS. These include patients' self-efficacy to take doses as prescribed, beliefs about taking medication, knowledge about HIV, counselling and education, denial, lack of food and hunger, stigma, perceived social support, side-effects, patient satisfaction, privacy and confidentiality, the challenge of alcohol, depression, and relation to health providers. The findings of the study indicate that effective adherence to medication requires long-term commitment and easy access to medication and HIV/AIDS education programmes to minimize the stigma of the disease. An important implication of the study is that programmes that identify and address barriers to adherence should be aligned with professionals who provide clinical care. The study further recommends that a longitudinal study that tracks adherence for some time, together with evaluations should be performed to identify lapses in adherence, treatment failure, non-adherence, and reduced quality of life for HIV positive people.
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 and attitudes about violence on television
(University of the Western Cape, 2001) Taylor, Ashley; Ahmed, Rashid
The idea that television contributes to aggressive behaviour, and the argument that violence on television on may instigate aggressive behaviour, has been a heavily debated issue for many years. Most of the research done however , has been done in the area of the role that television violence has on influencing behaviour, rather than on how people who the behaviour is impacting on, perceive the violence television. The aim of this study was to look at perceptions and attitudes adolescents have towards the violence that they exposed to on television. The present research aimed to find out what adolescents regarded as violence' what their attitudes, perceptions and knowledge was surrounding violence on television, whether they thought that television violence affected their interpersonal behaviour, and what solutions and strategies they imagined would be successful in combating violent behaviour. This study was done with a convenient sample comprising 25 adolescents who took part in four focus groups comprising 8 participants in 2 groups 9 in 1 group' and 7 in the other group. The participants were provided with a vignette depicting a violent incident and discussion was facilitated around what their perceptions were with regards to the vignette and televised violence. The data was then analysed through a process of thematic content analysis to identify the themes that gave an understanding of the participants belief television violence and perceptions with regards to television violence. Several possibilities emerged as explanations for the perceived limited effect television violence had on adolescents among, these being their ability to distinguish between fantasy and reality. The other primary reason that participants gave for the limited effect that television violence had on them was the fact that they were exposed to violence in their Iives on a daily basis, and that this has minimised the effect that television violence has furthermore the findings revealed that they saw violence as being primarily physical and that the main solution for them was individual responsibility and how the person perceives and interprets what they see. The main reason violence was seen as being primarily physical seemed to be the "graphicness" of violence that participants could see as opposed to more 'abstract' emotional or psychological violence which they could not see. To counteract violence, participants felt that the main solution lies in the individual taking responsibility foe his /her actions.
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.
Adolescents’ perceptions of the ‘substance use violence nexus’: a South African perspective
(Taylor & Francis, 2016) Khan, Gadija; Savahl, Shazly; Isaacs, Serena
The aim of the study was to explore adolescents’ perceptions of substance use as a contributing factor to community violence by employing a conceptual framework proposed by Goldstein. Data were collected from a sample of adolescents between the ages of 15 and 16 years by means of focus group interviews. Theoretical thematic analysis was used to analyse and interpret the findings. The participants’ perceptions indicated that substance use and withdrawal symptoms induce physiological and behavioural modifications resulting in aggression and violence. The findings also suggest that participants believed that substance users frequently commit property and violent interpersonal crimes such as theft, robbery, assault and murder to procure their substances. Further, the adolescents’ perceived violence to be rooted within gang culture as well as the involvement in shared markets for illicit substance trading.
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.
Alcohol consumption amongst young adults living in a low socioeconomic status community in Cape Town
(Society for Personality Research, 2013) Adams, Sabirah; Savahl, Shazly; Isaacs, Serena; Carels, Cassandra Zeta
Our aim was to ascertain the extent of risky alcohol consumption amongst young adults living in a low socioeconomic status community in Cape Town, South Africa. We used a cross-sectional survey design and the street intercept method to administer the Alcohol Use Disorders Identification Test (AUDIT). A key finding in this study was that 54.30% of male and 47.90% of the female participants were alcohol dependent, according to the classification criteria set out in the AUDIT. Our finding necessitates further investigations into alcohol consumption amongst young adults in South Africa. In addition, researchers should endeavor not only to identify, but also to understand, the dynamics of risk and resilience factors so that this information could be used to develop intervention initiatives that could mediate young adults’ initial consumption of alcohol.
Alignment of school discipline with positive behavioural interventions and supports: The case of one disadvantaged urban South African Primary School
(AOSIS, 2021) Gagnon, Joseph Calvin; Sylvester, Frederick J.; Marsh, Kathryn
Positive behavioural interventions and supports (PBIS) is a framework that aligns with the South African Department of Education’s Alternatives to Corporal Punishment.The aim of this study is to provide a snapshot of the extent to which policies and practices in a disadvantaged South African primary school align with PBIS.The study was conducted at a South African primary school with grades kindergarten to Grade 7 in an urban disadvantaged community.
An exploratory investigation into fathers' perspectives of school readiness
(University of the Western Cape, 2018) Meyburgh, Celeste; Munnik, Erica
In recent years, the global focus on Early Child Development (ECD) has delivered mounting evidence of it being one of the most rewarding areas of investment a country can make. A central outcome of quality ECD is to provide sufficient support to enable a child to arrive at Grade 1 ready to learn. Environmental factors impacting on child development and school readiness have thus been under increasing scrutiny. Although studies have delivered evidence of fathers' unique contribution to ECD, fathers' impact on a child's school readiness is often overlooked. The overall aim of this thesis was to report on the findings of the exploratory investigation on fathers' perspectives of school readiness. All relevant ethics principles were observed in the study. The study received ethics clearance from the Senate Research Committee (HS/16/5/41). The study followed an explorative design incorporating qualitative methodologies for data collection and analysis. Semi-structured interviews were conducted with a sample of nine fathers residing in Cape Town, who had full parental rights and responsibilities for their child in Grade R. Thematic analysis produced three themes with subthemes. The core findings suggested that first, fathers did not have a good fund of knowledge about school readiness and child development. Personal context and subjective experiences impacted or informed their views and beliefs about school readiness. Second, feedback from teachers and professionals was highly valued and was a primary source of information about their children's school readiness. Third, facilitating school readiness involved different systems and role players of which fathers are important role players. It emerged that in some ways the role of fathers remains undervalued and in others, fathers' ability to participate is diminished due to their fund of knowledge, gendered patterns to child rearing and engagement with school systems.
An investigation into the correlates of family resilience in an impoverished rural community in the Western Cape
(University of the Western Cape, 2018) October, Kezia Ruth; Isaacs, Serena
Families in South Africa are faced with manifold hardships that negatively impact the family as a unit. However, there are a variety of protective factors that have been identified as meaningful resources that facilitates healing and growth within a family unit. The study aims to investigate whether age, gender, employment status and level of education significantly predicts family resilience. The study utilised secondary data compromised of (N=656) participants from a low socio-economic rural community in South Africa. Family resilience views the family as a functional system of which provides positive adaption to family members who have experienced stressful events. Walsh's key processes in family resilience is outlined, highlighting a multi-level developmental systems orientation. The study utilised a multiple regression analysis consisting of four predictor variables namely, age, gender, employment status and level of education to assess whether these variables predict high levels of family resilience. The model found that amongst the four predictor variable, only employment status significantly predicted family resilience.
An investigation into the relationship between exposure to violence, resilience and PTSD in a sample of psychology students at the University of the Western Cape
(University of the Western Cape, 2018) Nortje, Carla Anne; Ahmed, Rashid
Post-apartheid South Africa has been marked by high levels of trauma resulting from exposure to violence. Many South Africans are therefore at risk for developing Posttraumatic Stress Disorder (PTSD). Despite a large body of research identifying various protective factors which may influence an individual's response to a traumatic event, a gap in South African research on the relationship between exposure to multiple traumatic experiences, protective factors and the development of PTSD was identified. Therefore, located within the systems theory framework, the aim of this study was to investigate the relationship between demographic characteristics, types of exposure to trauma and resilience associated with the development of posttraumatic stress (PTS) when there are multiple exposures to trauma. A quantitative, cross-sectional, exploratory study on 158 psychology students at the University of the Western Cape was undertaken. Using a non-random, convenience sampling method, data were collected by means of four self-report questionnaires namely; a biographical questionnaire, the Life Events Checklist for DSM-5 (LEC-5), the Resilience Scale for Adults (RSA), and the Posttraumatic Stress Disorder Checklist for DSM-5 (PCL-5).
Anxiety in brief: Assessment of the five-item trait scale of the state-trait anxiety inventory in South Africa
(MDPI, 2023) Pretorius, Tyrone B.; Padmanabhanunni, Anita
The current study examined the psychometric properties of a short form of the trait scale of the Spielberger State-Trait Anxiety Inventory. Participants consisted of a convenience sample of students (n = 322) who completed the five-item version of the trait scale of the State-Trait Anxiety Inventory, the Perceived Stress Scale, the nine-item version of the Beck Hopelessness Scale, the 10-item version of the Center for Epidemiological Studies Depression Scale, and the Post-Traumatic Stress Disorder Checklist. We used classical test theory and item response theory (Rasch and Mokken analyses) to examine the psychometric properties of a previously proposed five-item version of this scale. These approaches confirmed that the five-item measure of anxiety had satisfactory reliability and validity, and also confirmed that the five items comprised a unidimensional scale.
Applying qualitative methods to investigate social actions for justice using social media: Illustrations from Facebook
(SAGE, 2020) Orth, Zaida; Andipatin, Michelle G.; Mukumbang, Ferdinand C.
Social media is becoming a valuable resource for hosting activism as illustrated in the rise of the hashtag movements, such as #MeToo and #Endrapeculture, used to speak out against rape culture. In this article, we discuss the use of social media as the source and object of research, using the case of the 2016 South African #nakedprotest. We used naturalistic observation on Facebook comment threads and followed these up with online Facebook focus groups. Qualitative content analysis and thematic decomposition analysis were used, respectively, to explore online discourses of rape culture. We found that the use of social media as a medium for data collection is valuable for exploring trending social issues such as the rape culture #nakedprotest.
Ascertaining the structural validity of the adapted English and translated Afrikaans versions of the Family Resilience Assessment (FRAS) Sub-scales
(University of Western Cape, 2020) Carlson, Shantay; Isaacs, Serena; Savahl, Shazly
Family resilience has become an important concept in mental health and family research over the past twenty years. An assessment tool that was found to assess this concept within western English-speaking populations is the Family Resilience Assessment Scale (FRAS). The FRAS was developed by Sixbey and is based on Walsh’s model of family resilience, a prominent theorist in family resilience research. A recent study has translated and adapted the original scale into Afrikaans, which is one of the eleven official languages of South Africa. This was done for the FRAS to be utilised in a context other than the one it was developed for.
The association between biopsychosocial factors and disability in a national health survey in South Africa
(Taylor & Francis, 2017) Naidoo, P.; Sewpaul, Ronel; Nyembezi, Anam; Reddy, Priscilla; Louw, K.; Desai, R.; Stein, Dan J.
The association between psychosocial factors and disability is less clear. This study investigated the biological and psychosocial (employment and psychological distress) factors associated with level of disability in an adult sample in South Africa. Data were analysed from a cross-sectional survey among adults aged 18–64 (n = 4974). Multiple linear regression was used to investigate the associations of the selected variables with disability. The mean percentage score on the WHODAS scale of disability was 5.31% (95% CI: 4.74–5.88). Age (p < 0.001) and race (p = 0.0002) were significantly associated with disability, and history of stroke (β = 7.19, 95% CI: 3.19–11.20) and heart-related conditions (β = 2.08, 95% CI: [0.23–3.93) showed positive associations. Of the psychosocial variables, psychological distress (β = 10.49 [8.63–12.35]) showed a strong positive association while employment (−1.62 [−2.36 to −0.88]) showed a negative association with disability. The association between demographic factors, medical conditions and increased disability confirms the findings in the literature. The finding that psychological distress is associated with increased disability has not been frequently reported. This study highlights specific psychosocial targets that may be usefully addressed by health policies and interventions in order to improve disability management.
The association between psychological distress, alcohol use and physical non-communicable diseases in a nationally representative sample of South Africans
(SAGE Publications, 2016) Sorsdahl, Katherine; Sewpaul, Ronel; Evans, Meredith; Naidoo, Pamela; Myers, Bronwyn; Stein, Dan J.
This study examines the associations between symptoms of mental disorders and diabetes and hypertension in a nationally representative sample of South Africans. We examined unadjusted and adjusted associations of socio-demographic characteristics, alcohol use and psychological distress with diabetes and hypertension. Multivariate logistic regression revealed that hypertension is significantly associated with age, while diabetes is significantly associated with age, population group and psychological distress. The association between psychological distress and diabetes found here suggests the usefulness of additional research using more detailed measures of psychiatric disorders in local studies and reinforces clinical calls for attention to psychiatric screening in patients with diabetes.
Behaviour is the key in a pandemic: The direct and indirect effects of Covid-19-related variables on psychological wellbeing
(SAGE Publications, 2021) Padmanabhanunni, Anita; Pretorius, Tyrone
The aim of this study was to investigate the potential role of three COVID-19-related variables (i.e., risk perception, knowledge, and behaviour) on four indices of pandemicrelated mental health (i.e., anxiety, depression, loneliness, and hopelessness). In total, 337 participants completed four self-report questionnaires: selected subscales of the World Health Organisation’s COVID-19 Behavioural Insights Tool, UCLA Loneliness Scale, State-Trait Anxiety Inventory–Trait Scale, Center for Epidemiologic Studies Depression Scale, and Beck Hopelessness Scale. In addition to descriptive statistics and intercorrelations, structural equation modelling was used to compare three models of the potential role (predictor or moderator/mediator) that the three abovementioned COVID-19-related variables could play in psychological wellbeing. The results showed high levels of psychological distress among the current sample.
Behaviour is the key in a pandemic: The direct and indirect effects of Covid-19-related variables on psychological wellbeing
(SAGE Publications, 2021) Padmanabhanunni, Anita; Pretorius, Tyrone
The aim of this study was to investigate the potential role of three COVID-19-related variables (i.e., risk perception, knowledge, and behaviour) on four indices of pandemicrelated mental health (i.e., anxiety, depression, loneliness, and hopelessness). In total, 337 participants completed four self-report questionnaires: selected subscales of the World Health Organisation’s COVID-19 Behavioural Insights Tool, UCLA Loneliness Scale, State-Trait Anxiety Inventory–Trait Scale, Center for Epidemiologic Studies Depression Scale, and Beck Hopelessness Scale. In addition to descriptive statistics and intercorrelations, structural equation modelling was used to compare three models of the potential role (predictor or moderator/mediator) that the three abovementioned COVID-19-related variables could play in psychological wellbeing.

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