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Parent-adolescent Communication: Validation of a German Language Scale and Its Longitudinal Association With Adolescent Mental Health

Validierung Eines Psychometrischen Fragebogens Zur Eltern-Kind-Kommunikation im Selbstbericht

Status
Completed
Phases
Unknown
Study type
Observational
Source
ClinicalTrials.gov
Registry ID
NCT05332236
Enrollment
2338
Registered
2022-04-18
Start date
2022-05-20
Completion date
2025-05-31
Last updated
2025-10-02

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Parent-Child Relations

Keywords

parent-child communication, parent-adolescent communication

Brief summary

A German version of the Parent-Adolescent Communication Scale (PACS, Barnes & Olson, 1982) will be validated in a large sample of children (10-18 years) and their parents. As a secondary objective, the association of communication quality, children's somatic symptoms and mental health will be explored. After two years, participants from the community sample will be contacted again to see whether baseline communication quality predicts adolescent mental health two years later.

Detailed description

The quality of parent-child communication (pcc) is likely to be of importance for child mental health, especially during adolescence. Therefore, pcc is relevant in etiologic research, diagnostics, and as a possible target for intervention in at-risk and clinical populations. Up to now, there is no validated questionnaire in German language to assess pcc as parent and child self-report. A German translation of the widely used Parent-Adolescent Communication Scale (PACS, Barnes & Olson, 1982) will be validated in this study. This questionnaire comprises 20 items that are identical in parent and child versions apart from the referent (my mother/my father/my daughter/my son). In the original scale, two subscales were found via factor analysis: Open communication and problems in communication (ten items each). Internal consistency was adequate in most studies. Several studies have shown associations between pcc and child mental health. In the current study, the primary aim is to validate the questionnaire in a community, an at-risk, and a clinical sample, with the at-risk sample comprising parent-child dyads with parents seeking parenting advice. The clinical sample will be recruited among in- and outpatients at the Clinic for Child and Adolescent Psychiatry of the University Medical Center Hamburg-Eppendorf. Discriminative validity will be assessed in terms of group differences, construct validity in terms of correlations with different subscales on the parent-child relationship. With regard to the factorial structure, an exploratory factor analysis will be performed. As a secondary aim, the association between somatic symptoms, mental health, and pcc will be studied. In the longitudinal part of the study, parent-child communication quality will be analysed as a predictor of mental health, especially depressive symptoms and somatic symptoms.

Interventions

DIAGNOSTIC_TESTParent-Adolescent Communication Scale (questionnaire)

Observational psychometric validation study

Sponsors

Universitätsklinikum Hamburg-Eppendorf
Lead SponsorOTHER

Study design

Observational model
FAMILY_BASED
Time perspective
PROSPECTIVE

Eligibility

Sex/Gender
ALL
Age
10 Years to 99 Years
Healthy volunteers
Yes

Inclusion criteria

* Consent to participate * Child age: 10-18 years.

Exclusion criteria

\- None.

Design outcomes

Primary

MeasureTime frameDescription
Parent-adolescent communication scaleBaseline20 item measure consisting of two subscales (open and problem communication), 5-point Likert scale; child and parent report
Change in general adolescent mental healthFrom baseline to 2 years after recruitmentChanges in general adolescent mental health will be measured with the Strengths and Difficulties Questionnaire (SDQ), total scale. The total scale consists of 20 items rated on a 3-step scale. Higher values indicate higher symptom burden.

Secondary

MeasureTime frameDescription
Depressive symptoms two years after recruitmentTwo years after initial recruitment.The Centre for Epidemiological Studies Depression Scale for Children (DES-DC) measures depressive symptoms in adolescents using 20 items on a four-step Likert scale. Higher values indicate higher symptom burden. Instead of general cut-offs, standardized T-values accoring to gender groups above 60 can be considered as conspicuous (Barkmann et al. 2011).
Change in somatic complaintsFrom baseline to two years after recruitment.The somatic complaints subscale of the Child Behavior Checklist/Youth Self Report questionnaire will be used to measure somatic complaints in adolescents. It consists of 7 items and is measured on a three-step Likert scale. Higher values indicate more and more frequent somatic complaints.

Countries

Germany

Outcome results

None listed

Source: ClinicalTrials.gov · Data processed: Feb 5, 2026