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Language skills and interpersonal trust in adolescents with and without mental illness
Journal article   Peer reviewed

Language skills and interpersonal trust in adolescents with and without mental illness

Angela Clarke, Tanya A Rose and Pamela Meredith
International Journal of Speech-Language Pathology, Vol.25(4), pp.589-607
2023
PMID: 35614858
url
https://doi.org/10.1080/17549507.2022.2075466View
Published Version

Abstract

language skills interpersonal trust adolescents UniSC Diversity Area - Disability and Inclusion UniSC Diversity Area - Life Stages
Purpose: The primary aim was to compare adolescents with mental illness and non-clinical adolescents on vocabulary, social problem-solving, trust in parents, attachment and mentalisation. A secondary aim was to investigate whether adolescents’ language skills were associated with trust in parents. Method: Seventy-eight adolescents (16–18 years) participated in this cross-sectional quantitative study: a clinical sample (n = 28, M = 16.7 years, 19F) recruited from a mental health service and a non-clinical sample (n = 50, M = 17.0 years, 28F). Standardised language measures and self-report measures of trust in parents; communication quality; attachment; and mentalisation were used. Primary and secondary aims were addressed through independent samples t-tests and Pearson’s correlation analyses, respectively. Result: Adolescents experiencing mental illness reported significantly poorer vocabulary, less trust in mother/father, greater attachment anxiety/avoidance, and poorer reflective functioning, than non-clinical adolescents. Expressive vocabulary of clinical (but not non-clinical) adolescents significantly negatively correlated with trust in mother (but not father). Conclusion: Results highlight a role for speech-language pathologists (SLPs) in supporting communication needs of adolescents with mental illness. SLPs should consider trust by: i) understanding adolescents with mental illness may have difficulty trusting them potentially impacting therapeutic engagement; and ii) delivering services in ways that might build trust, such as involving adolescents in treatment planning.

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Domestic collaboration
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Audiology & Speech-language Pathology
Linguistics
Rehabilitation

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