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.     

What is the Revised Fear Survey Schedule for Children measuring?

The Fear Survey Schedule for Children-Revised (FSSC-R) is a widely used self-report questionnaire that purports to measure the number of fears and the overall level of fearfulness in children. A number of studies have shown that the ten most common childhood fears can be found on the Danger and Death subscale of the FSSC-R, with upwards of 50% of children endorsing such fears. However, some researchers (e.g., H. McCathie & S.H. Spence, 1991; Behaviour Research and Therapy, 29, 495-502) have questioned the validity of these findings, suggesting that these items do not reflect actual childhood fears that children have or experience on a daily or regular basis. Rather, they suggest that children are responding to these fear items as if they were actually occurring to them in the here and now. The current study examined the occurrence of five Danger and Death fears from the FSSC-R (i.e., "Not being able to breathe", "Being hit by a car or truck", "Falling from high places", "Bombing attacks or being invaded", and "Fire or getting burned") in a sample of normal school children aged eight to 12 years (N=102). More specifically, we used three different methods to asses these fears: (1). prevalence as determined by the standard FSSC-R procedure, (2). prevalence as determined by a fear list procedure, and (3). actual occurrence or prevalence of these fears in the past week, as determined by a diary method. Results indicated that while these fears ranked high when using the standard FSSC-R procedure, they were considerably less common when using the fear list procedure, and had a low probability of actual occurrence on a daily basis, as well as possessing a short duration and low intensity. Implications for the assessment of fears and the use of self-report measures like the FSSC-R are briefly 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.     

The fears of the counsellors: a qualitative study

The author begins this paper with the claim that fear is a relatively under-researched topic in counselling despite its prevalence. Ten counsellors were interviewed concerning their fears encountered in their therapeutic work. Participants were also asked what they had found to be helpful and unhelpful when attempting to deal with these fears. Fears reported are categorised into fears of losing control, fears of being separated from a group by way of disapproval or rejection, and fears of physical and/or sexual assault. Substantive quotations are provided from the interviews. The author concludes with the contention that a deeper consideration and enhanced understanding of counsellors' fears will assist counsellors and their supervisors to accord fear an appropriate and healthy respect without becoming unduly frightened in the process.     

Examining Race/Ethnicity and Fears of Children and Adolescents in the United States: Differences Between White,African American,and Hispanic Populations

The American Fear Survey Schedule for Children (FSSC‐AM; J. J. Burnham, 1995, 2005) has been used to measure fears of children and adolescents. The FSSC‐AM is based on the 2nd revision of a psychometrically sound and well‐known fear scale (i.e., FSSC‐II; E. Gullone & N. J. King, 1992). In this study, age and gender differences, fear intensity scores, and fear prevalence scores were analyzed across race/ethnicity (i.e., White, African American, and Hispanic populations). Multivariate analyses of variance yielded significant effects for race/ethnicity.     

Fears, worries, and scary dreams in 4- to 12-year-old children: their content, developmental pattern, and origins

Investigated anxiety symptoms in normal school children 4 to 12 years of age (N = 190). The percentages of children reporting fears, worries, and scary dreams were 75.8, 67.4, and 80.5%, respectively, indicating that these anxiety symptoms are quite common among children. Inspection of the developmental pattern of these phenomena revealed that fears and scary dreams were common among 4- to 6-year-olds, became even more prominent in 7- to 9-year-olds, and then decreased in frequency in 10- to 12-year-olds. The developmental course of worry deviated from this pattern. This phenomenon was clearly more prevalent in older children (i.e., 7- to 12-year-olds) than in younger children. Furthermore, although the frequency of certain types of fears, worries, and dreams were found to change across age groups (e.g., the prevalence of fears and scary dreams pertaining to imaginary creatures decreased with age, whereas worry about test performance increased with age), the top intense fears, worries, and scary dreams remained relatively unchanged across age levels. An examination of the origins of these common anxiety phenomena showed that for fears and scary dreams, information was the most commonly reported pathway, whereas for worry, conditioning experiences were more prominent.     

Affective and neuropsychological correlates of children's rituals and compulsive-like behaviors: continuities and discontinuities with obsessive-compulsive disorder

This study explored the relations among ritualistic and compulsive-like behavior, fears, and neuropsychological performance in typically developing children between the ages of four and eight years. Forty-two children were administered a battery of neuropsychological tasks assessing response inhibition and set-shifting. Two parent-report questionnaires assessed the intensity of children's fears and compulsive-like behaviors ("just right" perceptions and repetitive behaviors). For younger children (72 months), set-shifting and response inhibition accounted for significant variance in their ritualistic, compulsive-like behaviors. For older children (>72 months), a combination of neuropsychological (response inhibition) and affective (animal fears and social anxiety) factors predicted compulsive-like behaviors. These findings suggest that common neuropsychological mechanisms underlie compulsive, ritualistic behavior exhibited in normal development and in obsessive-compulsive disorder.     

Prediction of end-of-life fears in COPD – hoping for the best but preparing for the worst

Objective: The diagnosis of a life-threatening illness can trigger end-of-life fears. Early studies show that end-of-life fears play an important role in chronic obstructive pulmonary disease (COPD). However, predictors of these fears have not yet been identified. This study investigated the relevance of socio-demographic variables, illness severity, psychological distress and disease-specific anxieties as predictors of end-of-life fears in COPD.

Design: A total of 131 COPD patients participated at two time points. Regression and mediation analyses, as well as cross-lagged panel analyses were conducted.

Main outcome measures: The participants completed questionnaires assessing end-of-life fears (Multidimensional Orientation toward Dying and Death Inventory), psychological distress (Hospital Anxiety and Depression Scale), and disease-specific anxieties (COPD Anxiety Questionnaire). Pulmonary function and a 6-min walk test served as measures of illness severity.

Results: Illness severity was not predictive of end-of-life fears. However, gender and psychological distress explained incremental variance. When disease-specific anxieties were included as additional predictors, psychological distress was no longer significant. Cross-lagged panel analyses mostly supported these results. Moreover, disease-specific anxieties mediated the association between psychological distress and end-of-life fears.

Conclusion: Administration and intensity of end-of-life care (especially concerning end-of-life fears) in COPD patients should be based not only on illness severity, but rather on psychological distress and disease-specific anxieties.     

Perceptions of fear in other Children and adolescents: The role of gender and friendship status

Gender differences in fear were examined in 693 Chinese children and adolescents. Subjects were asked to rate their own fears, the fears of their best friends, and the fears of other classmates using the Fear Survey Schedule for Children — Revised (Ollendick, 1983). Consistent with previous investigations in Western and Eastern countries, girls rated themselves as more fearful than boys. In addition, both girls and boys rated their best friends as similar in number, content, and intensity of fears. However, girls rated their classmates as less fearful than themselves or their best friends, while boys rated their classmates as more fearful than themselves or their best friends. Findings are discussed in terms of gender role expectations and similarity-attraction hypotheses.     

Children's night-time fears: an overview

Night-time fears are a normal developmental occurrence for most children. However, a small proportion of children may experience severe night-time fears of much greater intensity and duration, and typically meet diagnostic criteria for an anxiety or phobic disorder diagnosis. The content and developmental features of children's night-time fears are explored, highlighting the heterogeneous nature of nocturnal fears. Fears of this nature are probably due to an interaction of biological, environmental and cognitive-mediational factors, together with the involvement of family and operant learning processes. Clinical assessment procedures are briefly outlined, including the behavioural interview, the diagnostic interview, self-report inventories and home-monitoring on the part of parents. Family-based cognitive-behavioural treatment strategies are described. Although research findings are encouraging for the efficacy of these interventions, future studies need to utilize methodologies that allow for the identification of the specific mechanisms responsible for treatment, and improved diagnostic assessment of night fearful children.     

Children's nighttime fears: parent-child ratings of frequency, content, origins, coping behaviors and severity

The present study investigated nighttime fears in normal school children aged 4 to 12 yr (N=176). Children and their parents were interviewed about the frequency, content, origins, coping behaviors and severity of children's nighttime fears. Results showed that 73.3% of the children reported nighttime fears, indicating that these fears are quite prevalent. Inspection of the developmental course of nighttime fears revealed that these fears are common among 4- to 6-year-olds, become even more frequent in 7- to 9-year-olds and then remain relatively stable in 10- to 12-year-olds. Inspection of the origins of nighttime fears revealed that most of the children (i.e., almost 80%) attributed their fear to negative information; conditioning and modeling were endorsed less frequently (25.6% and 13.2%, respectively). A substantial percentage of the children (24.0%) indicated that learning experiences had not played a role in the acquisition of their nighttime fears. Children reported a variety of coping strategies in order to deal with their nighttime fears and generally rated these strategies as helpful in reducing anxiety. Furthermore, children's nighttime fears were associated with moderate levels of anxiety. Moreover, in about 10% of the children, nighttime fears were related to one or more DSM-III-R anxiety disorders. Finally, parental reports of children's nighttime fears substantially deviated from children's reports. Most importantly, parents provided a marked underestimation of the frequency of nighttime fears, at least as reported by their children.     

Beliefs and fears underlying type A behavior: correlates of time urgency and hostility

Price (1980, 1983) has proposed that Type A behavior allows individuals to cope with fears and anxieties engendered by beliefs about their environment they develop through socialization. The present investigation tested her cognitive social learning model of Type A behavior by developing measures of beliefs and fears and validating them against Type A measures. Data was provided by 137 male and female university students of administration who completed questionnaires. Three beliefs and four fears were assessed along with four aspects of Type A behavior. Measures of beliefs and fears were moderately correlated with measures of time urgency and hostility, particularly among women. Younger men and women reported stronger beliefs and fears.     

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.     

Eating Disorder Symptom and Fear Change Trajectories During Imaginal Exposure Therapy: A Slope Network Analysis

Eating disorders (EDs) are characterized by fears related to food, body image, and social evaluation. Exposure-based interventions hold promise for targeting a range of ED fears and reducing ED psychopathology. We investigated change mechanisms and optimal fear targets in imaginal exposure therapy for EDs using a novel approach to network analysis. Individuals with an ED (N = 143) completed up to four online imaginal exposure sessions. Participants reported ED symptoms and fears at pretreatment, posttreatment, and 6-month follow-up. We constructed networks of symptoms (Model 1), fears (Model 2), and combined symptoms and fears (Model 3). Change trajectory networks from the slopes of symptoms/fears across timepoints were estimated to identify how change in specific ED symptoms/fears related to change in other ED symptoms/fears. The most central changing symptoms and fears were feeling fat, fear of weight gain, guilt about one’s weight/shape, and feared concerns about consequences of eating. In Model 3, change in ED fears bridged to change in desire to lose weight, desiring a flat stomach, following food rules, concern about eating with others, and guilt. As slope networks present averages of symptom/fear change slopes over the course of imaginal exposure therapy, further studies are needed to examine causal relationships between symptom changes and heterogeneity of change trajectories. Fears of weight gain and consequences of eating may be optimal targets for ED exposure therapy, as changes in these fears were associated with maximal change in ED pathology. Slope networks may elucidate change mechanisms for EDs and other psychiatric illnesses.     

Dissimulation and the sex difference in self-assessed fears: a brief note.

Since the publication of the first findings with a Fear Survey Schedule over five decades ago, there have been no published studies examining the extent of overlap of factorially-derived robust dimensions of irrational fears with social desirability or dissimulation. Due to measurement problems associated with the use of individual fear items or general fear measures, the findings reported to date are relatively meaningless. In the present study, community volunteers were administered the Fear Questionnaire and the Eysenck Personality Questionnaire-Lie scale, the correlation between both measures determined, and the influence of the Lie scores on the sex difference in self-assessed fears examined. Neither in males nor in females were Agoraphobic and Social fears significantly correlated with dissimulation. Significant associations reflecting small effect sizes were obtained in both samples between Blood-injury fears and Lie scores. Only the sex difference in Blood-injury fears was meaningfully affected by dissimulation: the usual finding of higher mean scores for females was obtained only after controlling for the influence of Lie scores. The importance of taking the research and practical implications of the findings with respect to the Blood-injury fears dimension seriously, despite the small magnitudes of the relevant data, was emphasized, as was the need for further studies in this area.     

Daily Goals, Life Goals, and Worst Fears: Means, Ends, and Subjective Well-Being

This study addressed the relations among personal strivings (daily goals) and future life goals and worst fears. Eighty undergraduate participants (62 women, 18 men) listed their daily goals, their ultimate life goals, and their worst fears, and completed questionnaire measures of subjective well-being. Daily goals were content-analyzed for relevance to attaining life goals or avoiding worst fears. Daily goals that were instrumental to life goals or that avoided worst fears were rated as more important but also more difficult by participants. Working on daily goals avoiding one's worst fears was negatively related to measures of subjective well-being, controlling for daily goal progress, difficulty, ambivalence, and importance. Working on daily goals that were instrumental to one's life goals only weakly predicted well-being. The avoidance of worst fears interacted with daily goal appraisals such that individuals who experienced little progress at daily goals that served to avoid their "worst case scenario" experienced the lowest levels of subjective well-being. In addition, progress at daily goals that were relevant to accomplishing one's life goals was significantly more strongly related to subjective well-being than progress at daily goals that were unrelated to one's life goals. Results indicate that daily goals are used to enact life goals and avoid worst fears and that these means–end relations have implications for well-being.     

How serious are common childhood fears?

OBJECTIVE: The present study examined the clinical status of common childhood fears. METHOD: Fears of the 290 children aged 8 to 13 years were assessed and then their severity was explored by means of a structured diagnostic interview measuring anxiety disorders according to the criteria of the Diagnostic and Statistical Manual of Mental Disorders (DSM). RESULTS: Childhood fears reflect significant anxiety disorders in a substantial minority (i.e. 22.8%) of the children. CONCLUSIONS: In most children, childhood fears are part of the normal development. However, in some children, these fears reflect serious anxiety problems which interfere with daily routine.     

Factor analysis of the 122 item fear survey schedule

The 122 item fear survey schedule was factor analyzed in an attempt to discover whether various stimuli cluster together in their capacity to evoke anxiety. The method of factor analysis involved a rotation to an oblique structure with the result that 5 conceptually pure factors emerged accounting for at least 90 per cent of the variance. The factors were named as follows: (1) fears related to small animals, (2) fears of the precipitators and manifestations of hostility, (3) moralistically related fears and sexual fears, (4) fears of isolation and loneliness, and (5) fears of anatomical destruction and physical pain. Using the items that correlated 0.35 or better with factors, a 40 item fear survey schedule emerged. Suggestions for clinical use of this fear survey schedule were made.