The Adolescent HIV Disclosure Cognition and Affect Scale: Preliminary Reliability and Validity.
Globally, there are 2 million HIV-positive 10-19-year-olds. One challenge for this population is sharing their HIV status with others (onward HIV disclosure). There are no multi-item, multidimensional scales of HIV disclosure cognitions and affect for young people living with HIV. An 18-item measure of HIV disclosure cognition and affect was developed, administered to 65 adolescents living with HIV (aged 12-16 years). Data were explored using principal component analysis and preliminary construct and criterion validity assessed. Three factors were revealed: negative disclosure attitudes and feelings, self-efficacy, and positive disclosure attitudes and feelings. The full scale and its subscales were internally consistent. The total score showed statistically significant positive relationships with HIV disclosure in the past 6 months, HIV disclosure intention and self-perception. Preliminary evidence of the measure's good psychometric properties suggests it may be helpful in future clinical and research work.
Department of Psychology, Royal Holloway University of London.
Michael
M
Evangeli
D000223:Adaptation, Psychological; D000293:Adolescent; D000339:Affect; D001294:Attitude to Health; D002648:Child; D003071:Cognition; D030881:Disclosure; D005260:Female; D015658:HIV Infections / Q000523:psychology*; D006801:Humans; D033182:Intention; D007398:Interpersonal Relations; D008297:Male; D011581:Psychological Tests; D011594:Psychometrics; D015203:Reproducibility of Results; D020377:Self Efficacy; D055815:Young Adult
HIV/AIDS; adjustment; adolescents; coping