Origins of fear of dogs in adults and children: the role of conditioning processes and prior familiarity with dogs.

One hundred adults and 30 children completed questionnaires to investigate fear of dogs. Dog fearful adults asked to recall the origins of their fear reported classical conditioning experiences more frequently than vicarious acquisition or informational transmission. Overall, however, there was no difference in the frequency of attacks reported by the fearful and non-fearful groups. Significantly more fearful than non-fearful adults reported little contact with dogs prior to the onset of their fear which suggests that early non-eventful exposure to dogs may prevent a conditioning event from producing a dog phobia. Most adults reported that their fear began in childhood, and dog fear were more frequently reported by children than by adults. In the aggregate, however, dog-fearful adults and children differed in several ways; children were more likely than adults to report having received warnings about dogs, but also to recognize the potential attractiveness of a friendly dog. Unlike dog-fearful children, dog-fearful adults reported many other fears in addition to their fear of dogs. A better understanding of fear of dogs in adults may depend on discovering why some dog-fearful children, but not others, apparently lose their fear of dogs as they become older.     

Fear information and social phobic beliefs in children: a prospective paradigm and preliminary results

This paper presents a first attempt to develop a prospective paradigm to test Rachman's (Behav. Res. Ther. 15 (1977) 375) theory of fear acquisition for social fears. Following the prospective paradigm for animal fears developed by Field et al. (Behav. Res. Ther. 39 (2001) 1259) an attempt is made to adapt this paradigm to look at the effect of fear information in the development of social fears. A large group of normal children (N=135) who were at an age (10-13 years) at which social concerns are most pertinent were tested using this paradigm. They were given positive, negative or neutral information about three social situations: public speaking, eating in public, and meeting a new group of children. Children's fear beliefs were measured before and after the information was given and the information was given by a teacher, a same age peer or no information was given (a control). The results indicate that although information can change social fear beliefs it is dependent upon the type of social activity and who provides the information. The implications of these initial results for our understanding of both the role of fear information in the development of social fear beliefs, and the limitations of this current paradigm are discussed.     

The Fears of Youth in the 1990s: Contemporary Normative Data

This article reports the findings of a normative fear investigation involving a sample of 918 Australian children and adolescents, ranging in age from 718 years. The Fear Survey Schedule for Children and Adolescents-II (FSSC-II) was administered to determine self-reported prevalence, intensity, and content of fear. Consistent with past research, girls generally reported significantly higher levels of fearfulness than boys. Age differences also were found; younger children reported a higher intensity and a greater number of fears than older children and adolescents. Qualitative differences in normative fear were found, with younger children reporting more animal fears and older children reporting more fears relating to social evaluation or psychic stress. Significantly, although the specific content of children's and adolescents' normative fears in the 1990s (as compared with the 1960s) has changed (now including fear of AIDS and of nuclear war), the fears found to be most prevalent continue to relate to death and danger. These findings are discussed within the context of the prepotency and preparedness concepts of fear.     

Age, gender and patterns of common intense fears among adults

Questionnaires with ratings of 133 fear items were returned by 345 women and 200 men in northwestern Indiana. Respondents ranged in age from 15 to 89 yrs. Items having at least 10% of the responses rated as terror in one of the age groups were analyzed across age. Females showed five patterns as age increased: stability of fear; increasing fear; decreasing fear; increasing fear followed by a decrease in the older groups; and decreasing fear followed by an increase in the older groups. The predominant pattern among males was a sharp decrease after the younger age groups to very low levels in the older groups. Two common intense fears—those of harmless spiders and harmless snakes—seem to meet the theoretical criteria for biological preparedness. It is concluded that the preponderance of common intense fears of adults are the result of cultural and experiential influences.     

Cross-cultural aspects of fears in African children and adolescents

The purpose of this study was to compare level and type of fears in Nigerian and Kenyan children using the Fear Survey Schedule for Children, Revised (FSSC-R; [Ollendick, T.H. (1983). Reliability and validity of the Revised Fear Survey Schedule for Children (FSSC-R). Behaviour Research and Therapy, 21, 685-692]). A total of 852 males and females between the ages of 8 and 17 were surveyed. Results indicated that Nigerian children reported significantly higher total fear than Kenyan children and that scores from both countries were higher than those found in the United States, Australia and China. This suggests that the cultures of Kenya and Nigeria may share a common variable that makes reporting of fears greater than that reported by children of other world cultures. In addition, Christian children in both countries reported higher levels of fear on several factors than Muslim children, indicating that Islamic beliefs may encourage children to report less fear or to deal with their fears better than Christian beliefs. Finally, children between the ages of 8 and 12 reported greater fear of the unknown than children between 13 and 17 years of age. Overall, these findings suggest that important cultural, religious and age differences exist for levels of childhood fears reported in Nigeria and Kenya.     

Hoping to Live a “Normal” Life Whilst Living with Unpredictable Health and Fear of Death: Impact of Cystic Fibrosis on Young Adults

This study aimed to explore the hopes and fears of young adults with cystic fibrosis (CF). Fifteen young adults with CF, aged 18–29, were interviewed about their hopes and fears using a grounded theory approach. Five themes were identified during the analysis: perceptions of living with unpredictable health and fear of death and dying; hopes for normality; hopes for a normal relationship and/or marriage; hopes for having children; and hopes for a normal work life. Participants feared the unpredictable nature of CF and the suffering that they believed they would have to endure due to ill health before premature death. Despite their fears, participants hoped to live a “normal” life by achieving their hopes of having long-lasting relationships, having children and pursuing a career. The findings highlight the need to help alleviate the fears of young adults with CF and to enable them to plan to achieve their hopes, hence giving them a sense of control over their condition.     

Nighttime fears of children and adolescents: frequency, content, severity, harm expectations, disclosure, and coping behaviours

The present school-based study investigated the nighttime fears of 511 children and adolescents, aged 8-16 years. Participants were assessed using a structured interview about the frequency, content, severity, harm expectations, coping strategies, and disclosure of nighttime fears. Results indicated that nighttime fears are a common experience, with nearly two-thirds (64.2%) of children and adolescents reporting nighttime fears. Fear of intruders/home invasion was the most frequently reported nighttime fear. Females more frequently reported nighttime fears than males (72.9% and 54.6%, respectively) and a greater number of children reported nighttime fears compared to adolescents (79.4% and 48.8%, respectively). Nighttime fears were given moderate severity ratings, and harm expectations were most strongly associated with 'personal security' fears. Respondents reported a variety of coping strategies to manage their nighttime fears with self-control/distraction techniques being the most common. Most respondents reported disclosing their nighttime fear(s) to another person. The clinical implications of these findings and the methodological limitations are discussed.     

The influence of gender on children's ratings of fear in self and same-aged peers

In the present study, gender differences in children's fear were examined. Nine-year-old children were asked to rate their own fears, the fears of their peers of the opposite gender, and the fears of their peers of the same gender, using the Fear Survey Schedule for Children--Revised (Ollendick, 1983). Consistent with previous investigations, the results revealed that boys rated themselves as less fearful than girls. In addition, both male and female judges rated "other boys" as less afraid than "other girls." These findings emerged whether fear was examined in terms of intensity or prevalence. Implications and suggestions for future research are discussed.     

Reinforced practice and reduction of different kinds of fears in adults and children

The purpose of this study was to determine whether or not fears with different origins, course and chronicity could be reduced by a common treatment program. A number of therapeutic procedures that had been experimentally demonstrated to be individually important in prior behavior modification studies with neurotic disorders were combined into a single therapeutic program called ‘reinforced practice.’ The combined elements were: graduated and repeated practice in approaching actual phobic stimuli: reinforcement for gains in performance; feedback of measurable progress; and instructions designed to arouse expectations of gradual success. In each of four experiments involving four different fears, namely fear of heights, snakes and electric shock in adults, and fear of darkness in young children, Ss who expeienced the ‘reinforced practice’ procedure improved their performance by a significant and substantial margin as compared to untreated control Ss. These results suggest that regardless of different etiologies, regardless of whether or not the fears are ‘rational’ or ‘irrational,’ and regardless of whether or not the fears are transitory or long lasting, the same treatment procedure can be equally effective in reducing escape-avoidance behavior.     

Origins of childhood fears: an evaluation of Rachman's theory of fear acquisition

This study explored Rachman's (1977) theory of fear acquisition in a large sample of Australian and American children and adolescents. Participants completed a questionnaire that addressed different pathways of fear acquisition for 10 highly prevalent fears. The majority of children attributed the onset of their fears to vicarious and instructional factors, although these indirect sources of fear were often combined with direct conditioning experiences. Also examined were effects for gender, age, and nationality. Boys and preadolescents were found to report more direct and vicarious experiences than girls or adolescents. Effects due to nationality were minimal. Methodological limitations attendant to self-reports were acknowledged.     

Multimedia Field Test Thinking About Exposures? There’s an App for That!

Anxiety Coach is a smartphone application (“app”) for iOS devices that is billed as a self-help program for anxiety in youth and adults. The app is currently available in the iTunes store for a one-time fee of $4.99. Anxiety Coach is organized around three related content areas: (a) self-monitoring of anxiety symptoms, (b) learning about anxiety and its treatment, and (c) guiding users through the development of a fear hierarchy and completion of exposure tasks. Although the app includes psychoeducation about anxiety as well as information regarding specific skills individuals can use to cope with anxiety (e.g., cognitive restructuring), the primary focus of the app is on exposure tasks. As such, the app includes a large library of potential exposure tasks that are relevant to treating common fears and worries, making Anxiety Coach useful to clients and clinicians alike. Additionally, Anxiety Coach prompts users to provide fear ratings while they are carrying out an exposure task and displays a message instructing users to stop the exposure once fear ratings drop by half. These features work together to create an app that has the potential to greatly increase the reach of exposure-based cognitive behavioral therapy for anxiety.     

Age differences in executive functioning across the lifespan: the role of verbalization in task preparation

Age-related changes in executive functioning across the lifespan were assessed in children (mean age=9.4 years), younger adults (mean age=21.5 years), and older adults (mean age=65.3 years). Executive functioning was investigated with a task-switching paradigm that permits the separation of two control components: to select and to switch between task sets. The specific aims of this study were (a) to determine developmental functions in both control components across the lifespan; and (b) to examine whether age-related changes in these components are influenced by verbal prompts during task preparation. The results revealed an inverted u-shaped developmental function for the ability to select between task sets but not for the ability to switch between task sets. In contrast to younger adults and children, older adults generally benefited from verbalizations during task preparation. Children, but not older adults, showed a facilitation of task execution when verbal prompts were task-compatible. Conversely, older adults, but not children, showed stronger interference when verbal prompts are task-incompatible. Our findings suggest that inner speech in an important modulator of developmental changes in executive functioning across the lifespan.     

Empirically Supported Treatments for Insomnia

The purpose of this study was to examine the level of fears in Swedish children and to examine the relation of those fears to state and trait anxiety. The purpose was also to do a normative study of FSSC-R (Fear Survey Schedule for Children - Revised). In total, 550 children between 8 and 16 years of age answered the questionnaires. The results indicate that there are no gender differences in total fear score, factor scores and number of fears. In contrast to earlier results, there was no correlation between fear and trait anxiety; however, a modest correlation was found between fear and state anxiety     

The origins and remission of fear in a group of tarantula enthusiasts

Members of a tarantula interest group were surveyed concerning their present and past attitudes and fears of tarantulas. Those who had been fearful but were no longer so, were asked how they acquired their fear and how they overcame their fear. A comparison group of equivalent sex and age distribution was also surveyed. Subjects' reports indicated that of the 51% of the tarantula group members and the 70% of the comparison group who reported fear, the major sources ofthat fear were media information (61%) and interpersonal/vicarious communication (34%). Among those previously fearful but who overcame their fear, 70% attributed fear reduction to acquired knowledge of tarantulas or spiders, 40% to observation and 27% to direct physical contact. These results are discussed in terms of fear acquisition mechanisms and processes by which fears remit without professional treatment.     

What is the revised Fear Survey Schedule for Children measuring?

This study was designed to investigate parameters of children's fear in terms of frequency of fearful thoughts and avoidance behaviour. It is suggested that current measures such as the Fear Survey Schedule for Children--Revised (FSSC-R) do not assess fearful behaviour in the sense of the occurrence of fearful responding in daily life, but rather reflect a negative affective response to the thought of occurrence of specific events. A modified version of the FSSC-R examined the frequency of fearful thoughts/feelings and avoidance activities amongst 376 children aged 7-12 yr. Contrary to predictions, it was found that children reported high levels of fearful thoughts and avoidance behaviour to those items identified as the greatest fears on the FSSC-R, namely fears of injury, illness, death and danger. These events were typically of low probability (e.g. earthquakes) and the question was raised as to what children are responding to when they are asked to rate their fearful responses. The same pattern of results was reflected in older compared to younger children. It is suggested that even when children are asked to rate frequency of fearful thoughts or avoidance behaviour, they tend to respond to fear questionnaire items according to their affective response to the image or thought of the stimulus situation rather than their actual fear responses. Both the FSSC-R and the modified version were found to discriminate between teacher nominated high and low fearful children and to correlate significantly with a self report measure of anxiety.     

Vicarious learning and the development of fears in childhood

Vicarious learning has long been assumed to be an indirect pathway to fear; however, there is only retrospective evidence that children acquire fears in this way. In two experiments, children (aged 7-9 years) were exposed to pictures of novel animals paired with pictures of either scared, happy or no facial expressions to see the impact on their fear cognitions and avoidance behavior about the animals. In Experiment 1, directly (self-report) and indirectly measured (affective priming) fear attitudes towards the animals changed congruent with the facial expressions with which these were paired. The indirectly measured fear beliefs persisted up to 3 months. Experiment 2 showed that children took significantly longer to approach a box they believed to contain an animal they had previously seen paired with scared faces. These results support theories of fear acquisition that suppose that vicarious learning affects cognitive and behavioral fear emotion, and suggest possibilities for interventions to weaken fear acquired in this way.     

The Use of Song Lyrics to Alleviate a Child's Fear

A two stage intervention employing a cognitive self-control strategy which made use of familiar song lyrics and successfully eliminated an intense fear in a nine-year-old boy in a school setting. In the first stage, the child learned to identify a cue which accompanied a strong anxiety response, in the second he learned to induce a competing cognitive coping response. The client was free of fear by the fourth day of treatment, suggesting the efficacy of using popular song lyrics as prompts for self-control strategies in children of this age.     

Temperament moderates the effect of the verbal threat information pathway on children's heart rate responses to novel animals

Temperamental variables such as trait anxiety are risk factors in children for the development of anxiety disorders. This experiment aimed to test whether temperament moderates the effect of verbal threat information on the physiological component of the fear emotion. An experiment is reported in which 6-10 year old children's (N = 54) fear beliefs about novel animals were measured. They were then given threat, positive or no verbal information about these animals following which their heart rate was recorded while they placed their hands in boxes that they believed these animals inhabited. Children also completed a questionnaire measure of trait anxiety. Child-reported temperament moderated the effect that threat information has on the physiological component of the fear emotion. Fear information is, therefore, a possible mechanism through which temperament leads children to acquire animal fears.     

Self-reported fears (FSS-II) of subjects aged 50 years and over

From studies of fears in children and adolescents, it was concluded that fears decrease with age and that girls show more fears than boys at the approach of adolescence. Community studies of adult fears as well as psychopathology have suggested a decrease in fears and phobic and anxiety symptoms with age. However, little is known of the distribution of fears in older adults. In view of this, the FSS-II was administered to a group of individuals aged 50 yr and over, as part of a larger epidemiological investigation of the oral health and treatment needs of older adults within Metropolitan Toronto. The results supported the hypothesis that the gender differences which ermerge at adolescence hold up into old age. The predicted age decrease in fearfulness was also supported.     

Reducing earthquake-related fears in victim and nonvictim children

In this study, the authors investigated the fears of earthquake victim and nonvictim elementary school students and the effectiveness of an activity-based cognitive fear reduction (ABCF) procedure developed by the authors. To measure fear, the authors collected data from 266 participants using a modified version of the Fear Survey Schedule for Children (FSSC; W. Yule, O. Udwin, & K. Murdoch, 1990). Results demonstrated that earthquake victim children were more fearful on 2 subtests of the FSSC than were nonvictim children and that girls had significantly stronger fears on all subscales than did boys. The ABCF procedure was not an effective approach for reducing the fears of earthquake victims. However, the control group did demonstrate a significant reduction in fears. The authors suggest that the activity designed for this group may have been an intervention in itself. The authors discuss this finding and offer suggestions for researchers and therapists.