Impact of the repressive personality style on the measurement of psychological distress in children and adolescents with chronic illness: an example from hemophilia.

Described the impact of the repressive personality style on the measurement of psychological distress among children and adolescents with hemophilia. Two groups were compared on parent and self-report measures of anxiety and depression: a nondefensive group (n = 34) with low distress; and a highly defensive group (n = 26) who were identified as having a repressive personality style and who also reported low distress. Consistent with hypotheses, highly defensive children reported comparable levels of anxiety and lower levels of depression than nondefensive children. On the other hand, mothers of highly defensive children and adolescents described them as more distressed than mothers of nondefensive (self-assured) children. Findings underscore the importance of including data from other informants, (e.g., parents, teachers, or peers) to avoid misleading findings based on self-reports of anxiety and depression obtained from highly defensive children.