Children's self-reported coping strategies: The role of defensiveness and repressive adaptation

Abstract

This study examined differences in self-reported coping strategies across children classified according to Weinberger et al.'s (1979) adaptive style paradigm. Consistent with the larger literature, it was hypothesized that repressors (i.e. characterized by high self-reported defensiveness and low self-reported distress) would endorse fewer behaviorally and cognitively avoidant coping strategies than other adaptive style groups. Participants included 134 children, ranging in age from 10 to 13 (M=11.26, sd=.59), who completed measures of defensiveness, trait anxiety, and coping. Consistent with the hypotheses, results indicated significantly lower endorsement of avoidant coping strategies, and significantly higher endorsement of approach-oriented strategies among repressors, but no significant differences across adaptive style groups for other forms of coping. Results indicate that, consistent with other indicators of psychological functioning, the measurement of coping strategies is subject to the effects of socially desirable responding. Further, results provide evidence that measures of coping may be contaminated by items reflecting adjustment problems.     

Lung function, adherence and denial in asthma patients who exhibit a repressive coping style

Lung function, adherence and denial were explored in asthma patients who possess a repressive coping style (repressors). Repressors (low trait anxiety, high defensiveness) and non-repressors were identified by their trait anxiety and defensiveness scores. Participants completed measures of self-reported adherence, denial, morbidity and demographic data. A lung function measure (FEV(1)) was obtained for a subset of patients. Repressors, who comprised 33% of the sample, had significantly worse lung function but scored significantly higher on self-reported adherence, compared to non-repressors. Age was positively correlated with adherence. Although repressive coping was positively correlated with denial, denial was significantly correlated with defensiveness but not trait anxiety. The study provides evidence that repressors are an important group to identify in future studies of asthma.     

Emotional information processing in repressors: The vigilance–avoidance theory

A vigilance–avoidance theory of the repressive coping style (low trait anxiety and high defensiveness) is presented. The new theory attempts to account for several key findings, including the discrepancy between low self-reported anxiety and high behavioural and physiological indicators of anxiety shown by individuals with a repressive coping style. According to the theory, repressors have an initial rapid vigilant response triggering behavioural and physiological responses and involving attentional and interpretive biases to self-relevant threat stimuli. These biases may be based on negative self-relevant schematic information. This initial vigilant stage is followed by an avoidance stage involving avoidant cognitive biases (attentional, interpretive, and memory) that inhibit the conscious experience of anxiety. Future research should examine systematically the time course of repressors’ reactions to threatening and non-threatening stimuli.     

Repressive adaptation in a nonclinical sample: consistent and inconsistent reports of child psychosocial functioning across informants

Using multiple indicators (self-report, parent report, school grades, and disciplinary referrals), we compared the psychosocial functioning of children across Weinberger's (1990) and Weinberger, Schwartz, and Davidson's (1979) repressive adaptive style (RAS) groups. Participants included 134 children ages 10 to 13 years that were recruited from public schools and 117 of their caregivers. Relative to nonrepressors, we hypothesized repressors to evidence lower levels of self-reported distress but higher parent-reported distress on the Behavior Assessment System for Children (BASC; Reynolds & Kamphaus, 1992). Summary scores from the BASC self-report differed significantly between repressors and nonrepressors in the expected directions. No significant group differences in parent-reported distress or school functioning emerged. Consistent with Phipps (2005), results question the predominant assumption that the RAS is associated with risk of psychosocial difficulties in children.     

Repression and effective coping styles

This study investigated the relationship between repressive coping style as defined by Weinberger (1990)—low reported anxiety and high reported defensiveness—and several individual difference measures related to general coping styles. Twenty‐nine studies looking at cognitive, behavioural, and individual difference factors associated with repressive coping were tabulated and reviewed. In the current study 116 women and 32 men were administered a questionnaire including measures of personality, ways of coping, self‐monitoring, interpersonal influence, and locus of control to further explore the repressor coping style. Two measures, as opposed to the usual one, were used to categorize repressors: the use of anxiety and social desirability measures of Weinberger, Schwartz and Davidson (1979) and the Gudjonsson (1981) method using Neuroticism and Lie scales from the EPQ(R). Analysis of variance showed that repressors reported using more positive/healthy and less negative/unhealthy coping styles. The results did not change substantially when more extreme scoring groups were used. Factor analysis of the scales revealed six clear factors relating to ways of coping; again, repressors scored highly on the factor denoting positive coping. It was also found that the Lie and Neuroticism scales of the revised EPQ personality questionnaire of Eysenck, Eysenck and Barrett (1985) could be used as a substitute for anxiety and defensiveness to predict repression with considerable success. However results from both one‐ and two‐way analysis of variance indicated that the two different ways of classifying repressors was not totally inter‐changeable as the overlap in results occurred only with highly significant effects. The results are discussed in the light of previous investigations into repression which suggested that repressors report an overly optimistic way of coping in order to avoid negative affect. Copyright © 1999 John Wiley & Sons, Ltd.     

Manipulation of focus of attention and its effects on anxiety in high-anxious individuals and repressors

Abstract

There were four groups of participants: low-anxious (low anxiety-low defensiveness), repressors (low anxiety-high defensiveness), high-anxious (high anxiety-low defensiveness), and defensive high-anxious (high anxiety-high defensiveness). They were exposed to self-focus and other-focus conditions, and self-report, physiological, and behavioural measures of anxiety were recorded. The focus manipulation (self vs. other) was effective, with all four groups having higher self-reported anxiety in the self-focus condition. It was found that self-focused attention accounted for a significant amount of variation in self-reported anxiety. The findings were discussed within the theoretical framework proposed by Eysenck (1997).     

Repressive Adaptive Style Across Ethnicities

There may be significant differences in coping styles across ethnicities. Previous research has suggested disparities in the number of individuals who utilize repressive adaptive coping style among cultural groups. Repressive adaptive style is a coping mechanism in which individuals report low distress levels while they actually experience high levels of stress. Developing an enhanced understanding of the prevalence of the utilization of repressive adaptive style in different ethnic groups is important for informing intervention techniques to better account for the cultural influences on mental health. The present study investigated the utilization of repressive adaptive style across American Indian (n?=?31), African American (n?=?53), and European American (n?=?48) children in the Midwest. The age range of the children was 10 to 13 years and 50.8% were male. Dependent measures included the Children’s Social Desirability Scale and the State-Trait Anxiety Inventory for Children. Results indicated significant differences in reports of anxiety between ethnic groups. Additionally, it was discovered that African American and European American children utilized repressive adaptive style more than American Indian children, albeit not significantly. Because of the high rates of suicide and emotional distress believed to be experienced by American Indian children this result is interesting. Continued research investigating protective factors, such as high levels of cultural identity and connectedness, is warranted.     

Interpretive bias,repressive coping,and trait anxiety

Objectives: According to vigilance–avoidance theory, repressors have an avoidant interpretive bias, i.e., they interpret ambiguous self-relevant situations in a nonthreatening fashion. This study sought to demarcate the range of situations associated with avoidant interpretive bias in repressors. Design: Four groups of participants, representing the four combinations of low- and high-trait anxiety and defensiveness, were identified. Those low in trait anxiety and high in defensiveness were categorized as repressors. Methods: Participants (N = 163) rated their likelihood of making both threatening and nonthreatening interpretations of 32 ambiguous scenarios over four domains: social, intellectual, physical, and health. Half the scenarios were self-relevant and half were other relevant. Brief measures of state anxiety were taken after each likelihood rating. Results: Repressors displayed an avoidant interpretive bias for ambiguous threats in the social and intellectual domains but not the health or physical domains. This was due to repressors' low level of trait anxiety rather than their high defensiveness. Conclusions: Individuals high in trait anxiety are especially sensitive to situations involving social evaluation but not those characterized by danger to their health or physical well-being.     

The moderating effect of avoidant coping on restrained eaters' risk for disinhibited eating: implications for dietary relapse prevention

Avoidant coping style was tested as a moderating variable for the effect of ego threat on chronic dieters' (restrained eaters) risk for disinhibited eating. Young women (n=146) were randomly assigned to a speech threat or to a no threat condition and then participated in a bogus ice cream taste test. Analyses of covariance revealed that restrained eaters who scored higher on a standardized measure of avoidant coping consumed significantly more ice cream than restrained eaters who scored lower on avoidant coping regardless of the threat condition to which they were assigned. The findings suggest that dieters prone to using avoidant coping strategies may be particularly vulnerable to overeating and, therefore, could be at risk for lapses in dietary restraint. Hence, dietary relapse prevention programs might target dieters who tend to use avoidant coping strategies for cognitive-behavioral therapy to teach them adaptive coping skills.     

Coping strategies and psychological distress in cancer patients before autologous bone marrow transplant

The increased use of bone marrow transplantation (BMT) to treat a variety of cancers has led researchers to study psychological functioning of BMT patients. The majority of studies conducted, however, has focused on adjustment after transplantation. Cancer patients' use of coping strategies before undergoing this procedure may also relate to levels of psychological distress. Our aims were (1) to provide normative coping data, controlling for situation-specific variables with a homogeneous sample, targeted stressor, and fixed time point, using the Ways of Coping Questionnaire; and (2) to identify coping strategies associated with distress before high-dose chemotherapy. Subjects were 49 patients scheduled to receive high-dose chemotherapy and an autologous bone marrow transplant. Consistent with previous coping research, we found that escape-avoidance was related to psychological distress on several measures. Item endorsement analyses of the escape-avoidance subscale suggest that patients may have used more passive than active avoidance strategies. Subsequent participation in a longitudinal study was not affected by initial levels of avoidant coping.     

Positive and negative affect in parenting disabled children

Research on parents' positive and negative affect may clarify critical aspects in the emotional impact of raising a child with disabilities, as related to stress-resistance factors such as personal coping and family climate. Parental affect (positive and negative), coping strategies (active and avoidant), and family climate (relationships, personal growth, and system maintenance) among 71 families with disabled children were compared (using MANCOVA) to parental measures of 77 families with nondisabled children, revealing significant differences. Parents of disabled children reported higher levels of negative (distressed) affect, adopted more avoidant coping strategies, and differed in their familial interrelations and the opportunities for personal growth available to them in their families. The discrepancies between the fathers' and mothers' scores in avoidant coping and in the family climate areas of personal growth and system maintenance were greater among the parents of disabled children than among the control parents. Positive and negative affect were differently predicted in the two groups of parents, highlighting the different role of coping resources and family resources in mediating stress. Implications were drawn for intervention planning and family empowerment.     

Coping patterns of African American adolescents: a confirmatory factor analysis and cluster analysis of the Children's Coping Strategies Checklist

The current study examined patterns of coping strategies in a sample of 497 low-income urban African American adolescents (mean age = 12.61 years). Results of confirmatory factor analysis indicated that the 4-factor structure of the Children's Coping Strategies Checklist (T. S. Ayers, I. N. Sandler, S. G. West, & M. W. Roosa, 1996) was not replicated in the current sample. The final model was a 3-factor model that was invariant across gender. The Active Coping factor and Revised Avoidant Coping factor were highly correlated in the present sample. Results of cluster analyses identified 2 coping groups differing on the frequency of coping use and preferred coping methods. The 1st group was more likely to use avoidant coping and less likely to use social support-seeking coping than the 2nd group, which showed more consistent use across coping strategies. There were no significant differences in the association between stressors and symptoms across the 2 groups. The results highlight the importance of examining factor structures of coping measures with underrepresented groups.     

Identifying repressors: A methodological issue for health psychology

Abstract

The majority of studies in health psychology use self-report measures. However, there is a growing body of evidence indicating that this methodology may be problematic for a significant minority of the population: individuals who possess a repressive coping style (repressors). Repressors, who fail to report negative affect, answer many self-report measures in a positive fashion. Research has identified an association between repressors, who are identified by low trait anxiety scores and high defensiveness scores, and adverse health outcomes. Therefore, repressors are an important group for health psychologists to investigate. Health psychology research should use more than one method of data collection in an attempt to unravel this difficult methodological problem.     

Profiles and Correlates of Children’s Self-Reported Coping Strategies Using a Cluster Analytic Approach

We used cluster analysis to identify children’s coping profiles and to examine self- and parent-reported correlates of coping in a community sample. Participants included 135 children (M age = 11.27, s.d. = .59) recruited from local public elementary and junior high schools and 116 of their parents. Analyses included hierarchical cluster analysis (Ward’s method), followed by non-hierarchical (k-means) cluster analysis to confirm the cluster solution. Results yielded four clusters reflecting high, active, low, and indiscriminant patterns of coping strategies. Members of the active coping group self-reported the fewest symptoms of distress and the greatest number of prosocial competencies after controlling for social desirability. No differences emerged for parent-reported psychosocial functioning across coping profiles. Our results suggest that a combination of active coping strategies may be associated with better psychosocial functioning than a combination of active and avoidant coping strategies.     

Predicting Burnout Among HIV/AIDS and Oncology Health Care Workers

Abstract

This study examined the relationship between repressive coping, controllability, self-esteem and comparative optimism for health-related events. Repressors (low trait anxiety-high defensiveness) compared with both (a) specific control groups on anxiety and defensiveness (e.g., low-anxious, high-anxious and defensive high anxious) and (b) total nonrepressors were significantly more comparatively optimistic for health-related events. Repressors remained significantly more comparatively optimistic than total nonrepressors when self-esteem was partialled out.

For individual events, repressors differed in comparative optimism for events which were rated as high controllability. It is concluded that repressors are exhibiting comparative optimism over and above nonrepressor groups for events which are rated as controllable. These results suggest that comparative optimism findings may be exaggerated by not controlling for the disproportionate influence of repressors in skewing sample means. Suggestions for future studies are discussed.     

Identity Style and Coping Strategies

This study examined the relationship between identity style and strategies used to cope with stressors that potentially threaten one's sense of identity. Identity style refers to differences in the way individuals construct and revise or maintain their sense of identity. An informational style involves actively seeking out, evaluating, and utilizing self-relevant information. A normative style highlights the expectations and standards of significant others. A diffuse/avoidant style is characterized by procrastination and situation-specific reactions. Late-adolescent college subjects were administered measures of identity style, ways of coping with academic stressors, and test anxiety. Within this self-as-student context, subjects with diffuse and normative identity styles employed avoidant-oriented coping strategies (wishful thinking, distancing, and tension reduction). An informational style was associated with deliberate, problem-focused coping. Findings are discussed in terms of a process model of identity development.     

Active and Avoidant Coping and Coping Efficacy as Mediators of the Relation of Maternal Involvement to Depressive Symptoms among Urban Adolescents

Our study tested an extension of the social resource model in an urban sample of 129 African American and 114 European American adolescents. Maternal involvement was positively related to the use of active and avoidant coping strategies among youth of both ethnicities. Additionally, use of active coping strategies was related to greater coping efficacy, which, in turn, was associated with less depressive symptomatology. For African Americans, avoidant coping was related to greater coping efficacy, which, in turn, was associated with less depressive symptoms. For European Americans, avoidant coping was not significantly related to coping efficacy. Our findings underscore the importance of examining developmental models across ethnic/racial groups and suggest that adolescent mental health programs may benefit from culturally sensitive attention to coping beliefs and practices.     

Impact of emotional approach coping and hope on PTSD and depression symptoms in a trauma exposed sample of Veterans receiving outpatient VA mental health care services

Abstract

The present investigation evaluates the relationship between coping style, dispositional hope, and posttraumatic stress disorder (PTSD) and depression symptom severity in a trauma-exposed Veteran sample. Specifically, we evaluated the adaptive value of emotional avoidant and approach coping strategies and perceptions of hope in a sample of 209 trauma-exposed Veterans receiving outpatient mental health care at a VA facility. Participants completed a life events questionnaire and inventories assessing coping, dispositional hope, and PTSD and depression symptom severity. Hierarchical regression analyses were conducted controlling for relevant demographic variables. Greater levels of emotional avoidance and lower levels of emotional expression were significantly associated with increased PTSD and depression symptom severity. Dispositional hope was positively associated with depression symptoms only and perceptions of hope moderated the association between emotional avoidance coping and depression symptoms. Findings highlight the value of emotional coping strategies and perceptions of hope in posttraumatic adjustment. Specifically, employing coping techniques that encourage emotional expression may promote improved adjustment among trauma-exposed individuals, while reduced perceptions of hope and the use of avoidant coping strategies may place individuals at greater risk for depression following exposure to traumatic events.     

Impact of emotional approach coping and hope on PTSD and depression symptoms in a trauma exposed sample of Veterans receiving outpatient VA mental health care services

The present investigation evaluates the relationship between coping style, dispositional hope, and posttraumatic stress disorder (PTSD) and depression symptom severity in a trauma-exposed Veteran sample. Specifically, we evaluated the adaptive value of emotional avoidant and approach coping strategies and perceptions of hope in a sample of 209 trauma-exposed Veterans receiving outpatient mental health care at a VA facility. Participants completed a life events questionnaire and inventories assessing coping, dispositional hope, and PTSD and depression symptom severity. Hierarchical regression analyses were conducted controlling for relevant demographic variables. Greater levels of emotional avoidance and lower levels of emotional expression were significantly associated with increased PTSD and depression symptom severity. Dispositional hope was positively associated with depression symptoms only and perceptions of hope moderated the association between emotional avoidance coping and depression symptoms. Findings highlight the value of emotional coping strategies and perceptions of hope in posttraumatic adjustment. Specifically, employing coping techniques that encourage emotional expression may promote improved adjustment among trauma-exposed individuals, while reduced perceptions of hope and the use of avoidant coping strategies may place individuals at greater risk for depression following exposure to traumatic events.