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Repressing Distress in Childhood: A Defense against Health-Related Stress

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Abstract

This paper is a review of empirical investigations of the repressive adaptive style in youth. Studies were selected on the basis of their adherence to Weinberger et al.’s (J Abnorm Psychol 88: 369–380, 1979) paradigm, consisting of the interaction between a measure of distress and a measure of defensiveness to categorize repressors. The presence of a repressive style of adaptation was identified in adolescence, especially among pediatric populations. Adolescent repressors were found to exhibit characteristics similar to those identified among adult samples (i.e., self-deception, biased self-reports, and inhibition of signals of distress). Only one study focused on young repressors’ autonomic reactivity, which is another main characteristic of a repressive adaptive style in adulthood. Methodological inconsistencies between child studies are highlighted and weaknesses in the psychometric properties of defensiveness measures in childhood are discussed. Future investigations should examine the impact of a repressive adaptive style on health outcomes and behaviors to see if adult health data associated with a repressive style of adaptation are replicable in childhood.

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References

  1. DA. Weinberger (1990) The construct validity of the repressive coping style JL. Singer (Eds) Repression and Dissociation. The University of Chicago Press Chicago,IL

    Google Scholar 

  2. DA Weinberger GE Schwartz RJ. Davidson (1979) ArticleTitleLow-anxious, high-anxious, and repressive coping styles: Psychometric patterns and behavioral and physiological responses to stress J Abnorm Psychol 88 369–380 Occurrence Handle10.1037//0021-843X.88.4.369 Occurrence Handle479459

    Article  PubMed  Google Scholar 

  3. LB Myers D. Reynolds (2000) ArticleTitleHow optimistic are repressors? The relationship between repressive coping, controllability, self-esteem and comparative optimism for health-related events Psychol Health 15 677–687

    Google Scholar 

  4. MW Eysenck N. Derakshan (1997) ArticleTitleCognitive biases for future negative events as a function of trait anxiety and social desirability Pers Ind Differ 22 597–605 Occurrence Handle10.1016/S0191-8869(96)00258-9

    Article  Google Scholar 

  5. MW Eysenck N. Derakshan (1999) ArticleTitleSelf-reported and other-rated trait anxiety and defensiveness in repressor, low-anxious, high-anxious, and defensive high-anxious groups Anx Stress Coping 12 127–144

    Google Scholar 

  6. MG Calvo MW. Eysenck (2000) ArticleTitleEarly vigilance and late avoidance of threat processing: Repressive coping versus low/high anxiety Cogn Emotion 14 763–787 Occurrence Handle10.1080/02699930050156627

    Article  Google Scholar 

  7. LS Newman LC. McKinney (2002) ArticleTitleRepressive coping and threat avoidance: An idiographic Stroop study Pers Soc Psychol Bull 28 409–422

    Google Scholar 

  8. TL Newton RJ. Contrada (1996) ArticleTitleThe face of repressive coping: Social context and the display of hostile expressions and social smiles J Nonverbal Behav 20 3–22

    Google Scholar 

  9. MJ Boden KL. Dale (2001) ArticleTitleCognitive and affective consequences of repressive coping Curr Psychol Dev Learn Pers Soc 20 122–137

    Google Scholar 

  10. N Derakshan MW. Eysenck (1997) ArticleTitleInterpretative biases for one’s own behavior and physiology in high-trait-anxious individuals and repressors J Person Soc Psychol 73 816–825 Occurrence Handle10.1037//0022-3514.73.4.816

    Article  Google Scholar 

  11. SD Barger AL Marsland EA Bachen SB. Manuck (2000) ArticleTitleRepressive coping and blood measures of disease risk: Lipids and endocrine and immunological responses to a laboratory stressor J Appl Soc Psychol 30 1619–1638

    Google Scholar 

  12. LL Brown AJ Tomarken DN Orth PT Loosen NH Kalin RJ. Davidson (1996) ArticleTitleIndividual differences in repressive-defensiveness predict basal salivary cortisol levels J Pers Soc Psychol 70 362–371 Occurrence Handle10.1037//0022-3514.70.2.362 Occurrence Handle8636888

    Article  PubMed  Google Scholar 

  13. BA Esterling MH Antoni MA Fletcher S Margulies N. Schneiderman (1994) ArticleTitleEmotional disclosure through writing or speaking modulates latent Epstein-Barr Virus antibody titers J Consult Clin Psychol 62 130–140 Occurrence Handle10.1037//0022-006X.62.1.130 Occurrence Handle8034815

    Article  PubMed  Google Scholar 

  14. LD Jammer H. Leigh (1999) ArticleTitleRepressive/defensive coping, endogenous opioids and health: How a life so perfect can make you sick Psychiatr Res 85 17–31 Occurrence Handle10.1016/S0165-1781(98)00134-6

    Article  Google Scholar 

  15. JV Flowers SA Armentrout CD Booraem ME Kraft SR Maddi PD. Wadhwa (1995) ArticleTitleThe association between psychosocial factors and the incidence of breast cancer Ann Behav Med 17 S081

    Google Scholar 

  16. MC McKenna MA Zevon B Corn J. Rounds (1999) ArticleTitlePsychosocial factors and the development of breast cancer: A meta-analysis Health Psychol 18 520–531 Occurrence Handle10.1037//0278-6133.18.5.520 Occurrence Handle10519468

    Article  PubMed  Google Scholar 

  17. AC Vindel A Sirgo GP. Manga (1994) ArticleTitleCancer y estilo represivo de afrontamiento Ansiedad y Estres 0 101–112

    Google Scholar 

  18. B. DeLa Torre (1994) ArticleTitlePsychoendocrinologic mechanisms of life stress Stress Med. 10 107–114

    Google Scholar 

  19. RM. Sapolsky (1998) Why zebras don’t get ulcers W. H. Freeman and Company New York

    Google Scholar 

  20. JH Nassau GK Fritz EL. McQuaid (2000) ArticleTitleRepressive-defensive style and physiological reactivity among children and adolescents with asthma J Psychosom Res. 48 133–140 Occurrence Handle10.1016/S0022-3999(99)00089-6 Occurrence Handle10719129

    Article  PubMed  Google Scholar 

  21. MM. Boice (1998) ArticleTitleChronic illness in adolescence Adolescence 33 927–940 Occurrence Handle9886019

    PubMed  Google Scholar 

  22. J. Bowlby (1979) ArticleTitleOn knowing what you are not supposed to know and feeling what you are not supposed to feel Can J Psychiatry 24 403–408 Occurrence Handle487334

    PubMed  Google Scholar 

  23. SJ. Blatt (1990) Interpersonal relatedness and self-definition: Two personality configurations and their implications for psychopathology and psychotherapy JL. Singer (Eds) Repression and Dissociation. The University of Chicago Press Chicago, IL

    Google Scholar 

  24. HC Traue JW Pennebaker (Eds) (1993) Emotion inhibition and health Hogrefe & Huber Publishers Ashland, OH

    Google Scholar 

  25. JD Safran LS. Greenberg (1998) Affect and the unconscious: A cognitive perspective. JD. Safran (Eds) Widening the Scope of Cognitive Therapy. Jason Aronson Inc Northvale, NJ

    Google Scholar 

  26. C Smith H. Steiner (1992) ArticleTitleRespiratory stridor and repressive defense style in adolescent Somatoform Disorder Acta Paedopsychiatr 55 199–202 Occurrence Handle1492547

    PubMed  Google Scholar 

  27. LB. Myers (1998) ArticleTitleRepressive coping, trait anxiety and reported avoidance of negative thoughts Pers Indiv Differ 24 299–303 Occurrence Handle10.1016/S0191-8869(97)00180-3

    Article  Google Scholar 

  28. EH Canning RD Canning WT. Boyce (1991) ArticleTitleDepressive symptoms and adaptive style in children with cancer J Am Acad Child Adolesc Psychiatry 31 1120–1124

    Google Scholar 

  29. S Phipps DK. Srivastava (1997) ArticleTitleRepressive adaptation in children with cancer Health Psychol 16 521–528 Occurrence Handle9386997

    PubMed  Google Scholar 

  30. S Phipps DK. Srivastava (1999) ArticleTitleApproaches to the measurement of depressive symptomatology in children with cancer: Attempting to circumvent the effects of defensiveness Dev Behavior Pediatr 20 150–156

    Google Scholar 

  31. S Phipps R. Steele (2002) ArticleTitleRepressive adaptive style in children with chronic illness Psychosom Med 64 34–42 Occurrence Handle11818584

    PubMed  Google Scholar 

  32. GK Fritz A Spirito A. Yeung (1994) ArticleTitleUtility of the repressive defense style construct in childhood J Clin Child Psychol 23 306–313

    Google Scholar 

  33. RG Steele V Elliot S. Phipps (2003) ArticleTitleRace and health status as determinants of anger expression and adaptive style in children J Soc Clin Psychol 22 40–58 Occurrence Handle10.1521/jscp.22.1.40.22764

    Article  Google Scholar 

  34. S Phipps R Steele K Hall L. Leigh (2001) ArticleTitleRepressive adaptation in children with cancer: A replication and extension Health Psychol 20 445–451 Occurrence Handle10.1037//0278-6133.20.6.445 Occurrence Handle11714187

    Article  PubMed  Google Scholar 

  35. J Shedler M Mayman M. Manis (1993) ArticleTitleThe illusion of mental health Am Psychol. 48 1117–1131 Occurrence Handle10.1037//0003-066X.48.11.1117 Occurrence Handle8259825

    Article  PubMed  Google Scholar 

  36. LB Myers A. Vetere (1997) ArticleTitleRepressors’ responses to health-related questionnaires Br J Health Psychol 2 245–257

    Google Scholar 

  37. GE. Schwartz (1990) Psychobiology of repression and health: A systems approach JL. Singer (Eds) Repression and Dissociation. The University of Chicago Press Chicago, IL

    Google Scholar 

  38. GE. Schwartz (1983) ArticleTitleDisregulation theory and disease: Applications to the repression/cerebral disconnection cardiovascular disorder hypothesis Int Rev Appl Psychol 32 95–118

    Google Scholar 

  39. PG Williams G Holmbeck RN. Greenley (2002) ArticleTitleAdolescent health psychology J Consult Clin Psychol 70 828–842 Occurrence Handle10.1037//0022-006X.70.3.828 Occurrence Handle12090386

    Article  PubMed  Google Scholar 

  40. DL. Paulhus (1991) Measurement and control of response bias JP. Robinson PR. Shaver LS. Wrightsman (Eds) Measures of Personality and Social Psychological Attitudes. Academic Press San Diego, CA

    Google Scholar 

  41. TE Joiner KL Schmidt GI. Metalsky (1994) ArticleTitleLow-end specificity of the Beck Depression Inventory Cogn Ther Res 18 55–68

    Google Scholar 

  42. KD Rudolph MD Dennig JR. Weisz (1995) ArticleTitleDeterminants and consequences of children’s coping in the medical setting: Conceptualization, review, and critique Psychol Bull 118 328–357 Occurrence Handle10.1037//0033-2909.118.3.328 Occurrence Handle7501740

    Article  PubMed  Google Scholar 

  43. RN Jamison S Lewis TG. Burish (1986) ArticleTitlePsychological impact of cancer on adolescents: Self-image, locus of control, perception of illness and knowledge of cancer J Chronic Dis 39 609–617 Occurrence Handle10.1016/0021-9681(86)90186-4 Occurrence Handle3734018

    Article  PubMed  Google Scholar 

  44. SL Gortmaker JM Perrin M Weitzman CJ Homer H. Sobol (1993) ArticleTitleAn unexpected success story: Transition to adulthood in youth with chronic physical health conditions J Res Adolesc 3 317–336

    Google Scholar 

  45. TD Elkin S Phipps RK Mulhern D. Fairclough (1997) ArticleTitlePsychological functioning of adolescent and young adult survivors of pediatric malignancy Med Pediatr Oncol 29 582–588 Occurrence Handle10.1002/(SICI)1096-911X(199712)29:6<582::AID-MPO13>3.0.CO;2-8 Occurrence Handle9324350

    Article  PubMed  Google Scholar 

  46. I. Seiffge-Krenke (1998) ArticleTitleChronic disease and perceived developmental progression in adolescence Dev Psychol 34 1073–1084 Occurrence Handle10.1037//0012-1649.34.5.1073 Occurrence Handle9779752

    Article  PubMed  Google Scholar 

  47. J Schwarzwald M Weisenberg M Waysman Z Solomon A. Klingman (1993) ArticleTitleStress reaction of school-age children to the bombardment by SCUD missiles J Abnorm. Psychol 102 404–410 Occurrence Handle10.1037//0021-843X.102.3.404 Occurrence Handle8408952

    Article  PubMed  Google Scholar 

  48. SE Taylor JD. Brown (1988) ArticleTitleIllusion and well-being: A social psychological perspective on mental health Psychol Bull 103 193–210 Occurrence Handle10.1037//0033-2909.103.2.193 Occurrence Handle3283814

    Article  PubMed  Google Scholar 

  49. M Weisenberg J Schwarzwald M Waysman Z Solomon A. Klingman (1993) ArticleTitleCoping of school-age children in the sealed room during SCUD missile bombardment and postwar stress reactions J Consult Clin Psychol 61 462–467 Occurrence Handle10.1037//0022-006X.61.3.462 Occurrence Handle8326048

    Article  PubMed  Google Scholar 

  50. CR Brewin T Dalgleish S. Joseph (1996) ArticleTitleA dual representation theory of posttraumatic stress disorder Psychol Rev 103 670–686 Occurrence Handle10.1037//0033-295X.103.4.670 Occurrence Handle8888651

    Article  PubMed  Google Scholar 

  51. ED Krause T Mendelson TR. Lynch (2003) ArticleTitleChildhood emotional invalidation and adult psychological distress: the mediating role of emotional inhibition Child Abuse Negl 27 199–213 Occurrence Handle10.1016/S0145-2134(02)00536-7 Occurrence Handle12615094

    Article  PubMed  Google Scholar 

  52. SJ Erickson H. Steiner (2000) ArticleTitleTrauma spectrum adaptation. Somatic symptoms in long-term pediatric cancer survivors Psychosomatics 41 339–346 Occurrence Handle10.1176/appi.psy.41.4.339 Occurrence Handle10906356

    Article  PubMed  Google Scholar 

  53. M Richards E Benson C Cushing R. Steele (2004) An examination of the relationships between repressive adaptive style and self-reported coping behaviors. Poster presented at the Society of Pediatric Psychology National Conference on Child Health Psychology Charleston, NC

    Google Scholar 

  54. JL Wallander JW Varni L Babani H Banis K. Wilcox (1989) ArticleTitleFamily resources as resistance factors for psychological maladjustment in chronically ill and handicapped children J Pediatr Psychol 14 157–173 Occurrence Handle2526867

    PubMed  Google Scholar 

  55. RJ Thompson KE Gustafson KM. Gil (1995) Psychological adjustment of adolescents with cystic fibrosis or sickle cell disease and their mothers JL Wallander LJ. Siegel (Eds) Adolescent Health Problems. The Guilford Press New York

    Google Scholar 

  56. P Cramer J. Block (1998) ArticleTitlePreschool antecedents of defense mechanism use in young adults: A longitudinal study J Pers Soc Psychol 74 159–169 Occurrence Handle10.1037//0022-3514.74.1.159 Occurrence Handle9457780

    Article  PubMed  Google Scholar 

  57. RS Lazarus S. Folkman (1984) Stress, appraisal, and coping Springer New-York

    Google Scholar 

  58. JK Connor-Smith BE Compas ME Wadsworth AH Thomsen Saltzman. (2000) ArticleTitleResponses to stress in adolescence: Measurement of coping and involuntary stress responses J Consult Clin Psychol 68 976–992 Occurrence Handle10.1037//0022-006X.68.6.976 Occurrence Handle11142550

    Article  PubMed  Google Scholar 

  59. BF Fuller DA. Conner (1990) ArticleTitleSelection of viligant and avoidant coping strategies among repressors, highly anxious and truly low-anxious subjects Psychol Reports 66 103–110

    Google Scholar 

  60. BE Compas JK Connor-Smith H Saltzman Thomsen AH ME. Wadsworth (2001) ArticleTitleCoping with stress during childhood and adolescence: Problems, progress, and potential in theory and research Psychol Bull 127 87–127 Occurrence Handle11271757

    PubMed  Google Scholar 

  61. C Harbeck-Weber L. Peterson (1993) ArticleTitleChildren’s conceptions of illness and pain Ann Child Dev 9 133–161

    Google Scholar 

  62. VC Crandall VJ Crandall W. Katvosky (1965) ArticleTitleA children’s social desirability questionnaire J Consult Psychol 29 27–36 Occurrence Handle14277395

    PubMed  Google Scholar 

  63. SD. Barger (2002) ArticleTitleThe Marlowe-Crowne affair: Short forms, psychometric structure, and social desirability J Pers Assess 79 286–305 Occurrence Handle10.1207/S15327752JPA7902_11 Occurrence Handle12425392

    Article  PubMed  Google Scholar 

  64. JE Ellingson PR Sackett LM. Hough (1999) ArticleTitleSocial desirability corrections in personality measurement: Issues of applicant comparison and construct validity J Appl Psychol 84 155–166 Occurrence Handle10.1037//0021-9010.84.2.155

    Article  Google Scholar 

  65. CA Pauls G. Stemmler (2003) ArticleTitleRepressive and defensive coping during fear and anger Emotion 3 284–302 Occurrence Handle10.1037/1528-3542.3.3.284 Occurrence Handle14498797

    Article  PubMed  Google Scholar 

  66. DP Crowne D. Marlowe (1960) ArticleTitleA new scale of social desirability independent of psychopathology J Consult Psychol 24 349–354 Occurrence Handle13813058

    PubMed  Google Scholar 

  67. H. Steiner (1992) ArticleTitleRepressive adaptation and family environment Acta Paedopsychiatr 55 121–125 Occurrence Handle1414343

    PubMed  Google Scholar 

  68. SN Beretvas JL Meyers WL. Leite (2002) ArticleTitleA reliability generalization study of the Marlowe-Crowne Social Desirability Scale Educ Psychol Meas 62 570–589 Occurrence Handle10.1177/0013164402062004003 Occurrence HandleMR1913159

    Article  MathSciNet  Google Scholar 

  69. RF Baumeister KJ. Cairns (1992) ArticleTitleRepression and self-presentation: When audiences interfere with self-deceptive strategies J Pers Soc Psychol 62 851–862 Occurrence Handle10.1037//0022-3514.62.5.851 Occurrence Handle1593424

    Article  PubMed  Google Scholar 

  70. Freud S. (1992). Repression. In: Strachey J. (ed). The Standard Edition of the Complete Psychological Works of Sigmund Freud. Hogarth, London. ([1915] 1957). with self-deceptive strategies. J Pers Soc Psychol 62: 851–862

  71. MK Rothbart SA. Ahadi (1994) ArticleTitleTemperament and the development of personality J Abn Psychol 103 55–66 Occurrence Handle10.1037//0021-843X.103.1.55

    Article  Google Scholar 

  72. C Valiente RA Fabes N Eisenberg TL. Spinrad (2004) ArticleTitleThe relations of parental expressivity and support to children’s coping with daily stress J Fam Psychol 18 97–106 Occurrence Handle10.1037/0893-3200.18.1.97 Occurrence Handle14992613

    Article  PubMed  Google Scholar 

  73. S. Minuchin (1974) Families and family therapy Harvard U Press Oxford

    Google Scholar 

  74. M Mikulincer V Florian A. Weller (1993) ArticleTitleAttachment styles, coping strategies, and posttraumatic psychological distress: The impact of the Gulf War in Israel J Pers Soc Psychol 64 817–826 Occurrence Handle10.1037//0022-3514.64.5.817 Occurrence Handle8505710

    Article  PubMed  Google Scholar 

  75. M Mikulincer I. Orbach (1995) ArticleTitleAttachment styles and repressive defensiveness: The accessibility and architecture of affective memories J Pers Soc Psychol. 68 917–925 Occurrence Handle10.1037//0022-3514.68.4.687 Occurrence Handle7776187

    Article  PubMed  Google Scholar 

  76. M. Mikulincer (1995) ArticleTitleAttachment style and the mental representation of the self J Pers Soc Psychol 69 1203–1215 Occurrence Handle10.1037//0022-3514.69.6.1203

    Article  Google Scholar 

  77. ML Cooper PR Shaver NL. Collins (1998) ArticleTitleAttachment styles, emotion regulation, and adjustment in adolescence J Pers Soc Psychol 74 1380–1397 Occurrence Handle10.1037//0022-3514.74.5.1380 Occurrence Handle9599450

    Article  PubMed  Google Scholar 

  78. JA. Feeney (2000) ArticleTitleImplications of attachment style for patterns of health and illness Child Care Health Dev 26 277–288 Occurrence Handle10.1046/j.1365-2214.2000.00146.x Occurrence Handle10931068

    Article  PubMed  Google Scholar 

  79. E Chen KA Matthews WT. Boyce (2002) ArticleTitleSocioeconomic differences in children’s health: How and why do these relationships change with age? Psychol Bull 128 295–329 Occurrence Handle10.1037//0033-2909.128.2.295 Occurrence Handle11931521

    Article  PubMed  Google Scholar 

  80. LC Gallo KA. Matthews (2003) ArticleTitleUnderstanding the association between socioeconomic status and physical health: Do negative emotions play a role? Psychol Bull 129 10–51 Occurrence Handle10.1037//0033-2909.129.1.10 Occurrence Handle12555793

    Article  PubMed  Google Scholar 

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    Armande Gil MEd

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Gil, A. Repressing Distress in Childhood: A Defense against Health-Related Stress. Child Psychiatry Hum Dev 36, 27–52 (2005). https://doi.org/10.1007/s10578-004-3605-3

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