Biases in perception and reporting following a perceived toxic exposure.

Reactions to chemical exposures often include fears of future illness, cancerphobia, reports of multiple chemical sensitivity, and other ill-defined complaints. Frequently, these complaints occur at levels of exposure not known to cause physiological harm. Although frequently dismissed as hysterical or hypochondriacal reactions, these complaints, along with other indefinite symptoms, may be better understood in terms of biases in perception and reporting. In this paper, we outline various sources of perceptual and response biases including prior beliefs, the media, influential others, reconstructed personal histories, self-perceptions, and the forensic environment. It is recommended that a thorough understanding of symptom-reporting and psychological distress following a chemical exposure involves consideration of these issues.     

Attraction Toward and Nonverbal Stigmatization of Gay Males and Persons With AIDS Evidence of Symbolic Over Instrumental Attirudinal Structures

AIDS, the disease, has become highly associated with gays in our society. In fact, so much so that homosexual tolerance is more predictive of nonverbal involvement with persons with AIDS (PWAs) than it is of nonverbal involvement with gays. Additionally, fear of AIDS contraction is just as predictive of greater nonverbal involvement with gays and PWAs as is homosexual tolerance. This adds evidence to the claim that symbolic (anti-gay) and instrumental (fear of contraction) factors both must be considered when predicting attitudes and behaviors toward PWAs. Finally, these findings add further evidence to the claim that one's true attitudes are not always discernible from one's actions. This three-part investigation examines Stigmatization toward gays and persons with AIDS as more a symbolic than instrumental process, through the expression of attraction (task, social, and physical) and desire for future interaction, and through nonverbal expressions of involvement.     

Medical malpractice, mistake prevention, and compensation.

Clinicians' fear of malpractice litigation is the most significant obstacle to the open reporting of medical mistakes. Without open reporting of medical mistakes, however, root cause analysis of mistakes cannot be done, thus undermining efforts to implement safeguards to minimize the occurrence of future mistakes. Efforts to prevent medical mistakes, therefore, must first directly address clinicians' fear of malpractice litigation. In this paper, we explore the relationship between the current malpractice system and clinicians' fear of litigation. Ultimately, we argue that both the prevention of medical mistakes and the goals of malpractice litigation itself will be better served if substantial malpractice reform is undertaken.     

Stigma, social risk, and health policy: public attitudes toward HIV surveillance policies and the social construction of illness.

Data from a 1999 national telephone survey with a probability sample of English-speaking US adults (N=1,335) were used to assess how support for HIV surveillance policies is related to AIDS stigma and negative attitudes toward groups disproportionately affected by the epidemic. Anonymous reporting of HIV results to the government was supported by a margin of approximately 2-to-l, but name-based reporting was opposed 3-to-l. Compared with other respondents, supporters of name-based surveillance expressed significantly more negative feelings toward people with AIDS, gay men, lesbians, and injecting drug users. More than one third of all respondents reported that concerns about AIDS stigma would affect their own decision to be tested for HIV in the future. Implications for understanding the social construction of illness and for implementing effective HIV surveillance programs are discussed.     

Factors Influencing Managerial Disclosure of AIDS Health Information to Coworkers

This research investigates the importance of legal concerns over lawsuits, fear of AIDS in the workplace, and gender as factors influencing a manager's decision to disclose AIDS health information to coworkers. Data was obtained from questionnaires administered to managers employed in service, manufacturing, and government organizations. Findings indicate that both fear of AIDS in the workplace and concern over lawsuits exhibited a significant relationship with the likelihood of sharing AIDS health information and gender was found to moderate the relationship between likelihood of sharing AIDS health information, and fear of AIDS in the workplace. Male managers exhibited a higher level of fear of AIDS than female managers and did female managers, were found to be somewhat less likely than male managers to share AIDS health information with coworkers. Study findings, suggestions for future research, and implications are discussed.     

Predictors of Intention to Take Precautions Against AIDS Among Black College Students1

This research explored the relationship between behavioral intentions to engage in AIDS-risky sexual practices and a variety of variables that are theoretically and/or popularly assumed to be important factors in AIDS prevention. These variables included beliefs and knowledge about AIDS, fear of AIDS, perceived vulnerability of self and others, as well as probability that self and others on one's campus would contract AIDS, perceived efficacy to control exposure to AIDS, self-esteem, general locus of control, and past behavioral reaction to the threat of AIDS. General intention to “do something to protect oneself against AIDS,” and specific behavioral intention to use condoms in vaginal sex were measured and considered as possible proxies for future behavior. Data were collected from 124 black respondents in a southeastern university. In a series of multiple regression analyses, each of these measures of behavioral intentions was “predicted” from the other variables. Results showed that situational efficacy (to protect oneself from AIDS) was the best predictor of general intention, followed by reports of past behavioral changes as a result of the AIDS epidemic, and by knowledge. Proximal fear of AIDS was a negative predictor. For specific intentions, a specific belief about inconvenience in condom use was the best predictor, followed by past behavioral change, followed by knowledge. Normative beliefs, a belief that condoms would prevent disease, and distant threat of AIDS were also significant predictors. Theoretical and policy implications of the findings 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.     

The dimensional structure of people's fears,threats, and concerns and their relationship with right‐wing authoritarianism and social dominance orientation

Most theories addressing the topic have proposed that threat and fear underlie right‐wing authoritarianism (RWA), and many empirical findings have been consistent with this proposition. Important questions, however, remain unanswered, such as whether RWA is associated with fear and threat in general or only specific kinds of fear and threat. Theories of RWA generate markedly different predictions on this issue, particularly with respect to social or personal fears, and whether the association would also hold for the closely related construct of social dominance orientation (SDO). We investigated the issue by asking 463 undergraduate students to rate their feelings of fear, concern, and anxiety to a comprehensive 93‐item list of potential fears and threats, which were formulated as either personal or social. Exploratory factors analysis identified five distinct fear–threat factors: Harm to Self, Child, or Country; Personal and Relationship Failures; Environmental and Economic Fears; Political and Personal Uncertainties; and Threats to Ingroup. All the fear–threat factors were correlated with RWA, with the strongest correlations being for Threats to Ingroup, and with stronger effects for social than for personal fears. None of the fear factors correlated with SDO. These relationships were not affected by controlling for Social Desirability or Emotional Stability (EMS). When the intercorrelations between fear factors and EMS were controlled using ridge regression, only Threats to Ingroup predicted RWA. Structural equation modeling indicated good fit for a model in which low levels of EMS had a significant path to Threats to Ingroup, which in turn had a significant path to RWA, and EMS having a significant though weak indirect (fully mediated) inverse effect on RWA. Implications of these findings for theories of authoritarianism and future research are discussed.     

Contributions of the functional analysis of behavior to the problem of AIDS

Epidemiological patterns in the spread of HIV infection and the potential role of psychologists in encouraging behavioral changes intended to reduce risks of infection are examined. The 1st great wave of AIDS cases in the industrialized countries occurred primarily in specific, fairly self-contained subgroups such as male homosexuals, hemophiliacs, and IV drug users. Large proportions in these groups are either infected or have adapted risk reduction behavior. The risk of infection for the general heterosexual population in industrialized countries is very low but likely to increase progressively unless measures are taken to reduce risks. Psychologists, who expend considerable effort researching and attempting to effect behavioral changes, thus have a potentially significant role in slowing the spread of the AIDS epidemic. The means of avoiding HIV infection in sexually active persons and drug users are known, but the means of motivating individuals to change to less risky behaviors are not as well understood. Several factors have been identified that appear to influence the vulnerability of the organism to HIV infection or to development of AIDS once infected. Several are capable of modification through behavioral changes, such as high-risk sexual practices, use of particular contraceptive methods, inadequate hygiene, poor nutrition, and self-administration of drugs. Several aspects of HIV infection and its spread are capable of producing psychological stress, including anxiety over possible infection and testing, reaction to diagnosis, fear of rejection by others, watching friends and relatives sicken and die of AIDS, encountering suspicious symptoms, and perceiving signs of physical deterioration. Psychological support in these situations can help to prolong life and improve its quality. Examples abound of individuals who continue to display a risk behavior despite being well informed of its risks; physicians who smoke are 1 such group. Information is a necessary but not sufficient condition for adapting preventive behaviors. Functional behavioral analysis suggests that immediate pleasure, ephemeral though it may be, outweighs the mere possibility of an unpleasant consequence at some hypothetical future date.     

Attitudes Toward People Living With HIV/AIDS: A Model of Attitudes to Illness1

This study examined attitudes toward people living with HIV/AIDS within a sample of 220 young men and women. As predicted, a multiple regression analysis revealed that the fear of contracting HIV/AIDS through casual contact was a significant predictor of both men's and women's willingness to interact with people living with HIV/AIDS. Attitudes toward homosexuality were also a significant predictor of attitudes toward people living with HIV/AIDS among women, who generally have a low risk of contracting the disease in Western societies. These results indicate that attitudes toward people with a serious illness may be strongly related to the perceived risk of contracting the disease.     

无手机恐惧:我们为什么不能与手机分离?

无手机恐惧是一种由手机不在身边或无法使用手机所诱发的情境性焦虑。近年来,大量研究证实了无手机恐惧的普遍存在。相关理论从错失恐惧、手机依恋和自我扩展等视角解释了无手机恐惧发生的原因。综述以往的实证研究发现,无手机恐惧的发生会受到个体特征(人口学变量、人格特质等)和手机使用行为等多方面因素的影响;同时,无手机恐惧会对个体的认知与学业表现、问题性手机使用行为、压力感、心理健康、生活方式和睡眠等多方面产生消极影响。未来研究应厘清和完善无手机恐惧的结构与测量工具,拓展无手机恐惧的研究方法与手段,进一步探讨无手机恐惧的影响因素、后效及作用机制,并加强对无手机恐惧的干预研究。     

AIDS, FRAIDS, and Quarantine: Student Responses to Pro-Quarantine Initiatives in California

In the literature on AIDS, only a few empirical social reactivist studies of heterosexuals have been done, probably due to the preoccupation with explaining the incidence of AIDS among high-risk groups. The following study of 563 students enrolled in a large Southern California university adds to the heterosexual student literature by operationalizing an important research variable, FRAIDS, and by embarking on explanatory analysis of attitude and self-reported behavior. FRAIDS, which we will define as the fear of getting AIDS from casual contact sources, may be helpful in explaining both high-risk sexual behavior among heterosexuals and pro-quarantine sentiment. However, only the subsets of the FRAIDS variable (FRAIDS-dry and FRAIDS-wet) proved explanatory. FRAIDS-dry (fear of HIV infection from dry sources) proved significant in explaining sexual activity, while FRAIDS-wet (fear of HIV infection from wet casual contact sources) was found significant in explaining pro-quarantine sentiment. The converse was not true. Using homophobia as a control variable, homophobia was found to overshadow FRAIDS-wet for males but FRAIDS-wet rivaled homophobia in predicting pro-quarantine sentiment for females. Growing quarantine sentiment was noted among the students, as the survey took place during two different time periods (Fall of 1986 ( N = 375) and Spring of 1988 ( N = 188)), essentially before and after the actual vote in November 1986 on a pro-quarantine initiative (Proposition 64) that appeared on the California ballot. This apparent increase in pro-quarantine sentiment among students (and voters) highlights the need for attention to homophobia as well as detailed discussion of the fear of wet casual contact in AIDS education.     

Nuclear attitudes and reactions: associations with depression, drug use, and quality of life

For 40 years the world has lived with the threat of nuclear war and, recently, with the possibility of nuclear power plant accidents. Although virtually every generation must confront various national or international crises, the threat of nuclear war is unprecedented in its destructive potential. This study is an attempt to assess attitudes and amount of distress associated with the ever-present threat of nuclear war and the possibility of accidents at nuclear power plants. The Nuclear Attitudes Questionnaire (NAQ) consists of 15 items and was administered to 722 young adults who have grown up in the nuclear age. The items were found to reflect four latent factors of nuclear concern, nuclear support, fear of the future, and nuclear denial, all of which in turn represent a second-order construct of nuclear anxiety. Women reported significantly more nuclear concern, less nuclear support, more fear of the future, and less nuclear denial than did men. In latent-variable models, nuclear anxiety was found to be significantly associated with less purpose in life, less life satisfaction, more powerlessness, more depression, and more drug use. It is concluded that the threat of nuclear war and accidents is significantly related to psychological distress and may disturb normal maturational development.     

The Effects of Fear of AIDS and Gender on Responses to Fear-Arousing Condom Advertisements

The effects of message fear arousal, fear of AIDS, and gender on attitudinal responses to condom advertisements were tested in a laboratory experiment. Ninety-five male and 96 female college students, previously assessed for fear of getting AIDS, rated the effectiveness of 1 of 4 high-fear or 4 low-fear condom ads in motivating them to buy the product. Contrary to prediction, the high-fear condom ads did not significantly differ from low-fear ads in effectiveness. The prediction that subjects' fear of AIDS would interact with ad fear level was also not supported. However, subjects with a high fear of getting AIDS viewed ads as more effective than did low-fear subjects. As predicted, male subjects viewed ads as more effective than did women. Results support the health belief model's tenet that a sense of vulnerability facilitates acceptance of a message. Implications of the results for condom use promotion in AIDS prevention materials are discussed.     

恐惧的代价：疼痛恐惧、心理忧虑和躯体化对疼痛感知预测作用的比较

首次在无痛群体中比较疼痛恐惧、心理忧虑和躯体化对疼痛感知的预测作用大小及调节和中介关系。以多个同类量表得分的Z分数加和作为三者的因子分,以冷压痛觉测验（CPT）疼痛指标（阈限、耐受性、强度、不愉快度）为目标变量,通过分层回归及调节和中介作用分析,发现疼痛恐惧对疼痛不愉快度的预测作用最强,心理忧虑对疼痛体验（强度、不愉快度）的预测作用被疼痛恐惧完全中介,躯体化只有在高疼痛恐惧条件下才显著负向预测疼痛不愉快度。综上,疼痛恐惧是三因素中预测CPT疼痛体验的主要因素。     

Attltudes Towards AIDS and Homosexuals: Gender, Marital Status, and Religlon

The current study investigates the relationship between fear of AIDS and homophobia. The role of gender, marital status, religion, and church attendance as possible mediating variables in the hypothesized relationship was also investigated. Responses of 507 subjects to questionnaires indicated that men and women reported the same level of fear of AIDS; however, men were more homophobic than women. There was no difference between single and married individuals in the level of fear of AIDS; but people who had never been married were more homophobic than married individuals. There was also no relationship between religiosity and fear of AIDS. There were, however, differences in levels of homophobia across denominations. Finally, there was a relationship between church attendance and both fear of AIDS and homophobia. The results are compared to those obtained by Bouton and his colleagues 5 years earlier and implications for educational programs designed to change attitudes toward AIDS and homosexuality are discussed.     

Links between rational and irrational beliefs,trait anxiety and fear of COVID 19

IntroductionOur beliefs and knowledge influence the way we act, react, or adapt to an aversive situation such as the current COVID-19 pandemic. The purpose of this study is to explore factors that may influence perceived fear of COVID-19.MethodologyThree hundred and forty-two people from the general population participated in this study. The participants completed an online anamnestic questionnaire that included questions regarding feelings of vulnerability to illness, fear of COVID-19, rational and irrational beliefs about COVID-19, and trait anxiety.ResultsA stepwise regression analysis showed that trait anxiety, irrational and rational beliefs, and having comorbidities linked to severe forms of the disease were associated with perceived vulnerability concerning health and fear of COVID-19.DiscussionThis study seems to underline the importance of pre-existing vulnerabilities that were exacerbated during the pandemic.     

恐惧记忆习得与消退的性别差异及其神经机制

大多数人在其一生中都会经历创伤事件,但只有少数人会发展成为创伤后应激障碍（PTSD）。焦虑障碍的易感性和保护因素成为一个重要议题。基于恐惧记忆习得与消退模型的研究发现女性个体表现出“易习得、难消退”的特点。在恐惧相关脑区的脑生理结构、功能/结构连接性、以及大脑可塑性的性别差异可能是该特征的根本原因。性激素作为一种焦虑障碍的保护因素,可以调节这种性别差异,这种调节效应可能是通过影响大脑结构形态（如神经细胞的形态和数量）、调控与记忆相关基因的表达（如HDAC4）而实现的。雌性激素水平的不稳定性可能是女性易感焦虑障碍的重要原因。未来对性别差异的深入研究将有助于推进个性化医疗。     

The visual detection of threat: A cautionary tale

The fear response hypothesis and the associated claim that humans have an evolutionary propensity to detect threats automatically in their immediate visual environment are critically appraised. This review focuses on reports of visual search experiments in which participants were tested with speeded oddball tasks in which the search displays contained photographic images of naturally occurring entities. In such tasks, participants have to judge whether all the images are from one category or whether the display contains a distinctive image. The evidence, which has been used to support the fear response hypothesis, is assessed against a series of concerns that relate to stimulus factors and stimulus selection. It is shown that when careful consideration is given to such methodological details, it becomes very difficult to defend the fear response hypothesis. It is concluded that, at present, the fear response hypothesis has no convincing empirical support, and it is urged that, in the future, researchers who wish to study visual threat detection take stimulus selection much more seriously.     

Dispositional optimism and physical wellbeing: The relevance of culture,gender, and socioeconomic status

The present study examined the relationship between dispositional optimism and physical wellbeing (as reflected in physical symptom reporting) in two groups of American and Jordanian college students. It also assessed moderation effects of culture, gender, and socioeconomic status (SES). Participants were administered a questionnaire consisting of items pertaining to dispositional optimism (as measured by the Revised Life Orientation Test, LOT‐R) along with items assessing physical symptom reporting and sociodemographic factors (e.g., gender, socioeconomic status). The results revealed significant negative correlations between dispositional optimism and physical symptom reporting for both American and Jordanian participants, although the magnitude of the correlation for the American group was noticeably larger than that for the Jordanian group. The results also showed that women, especially Jordanians, were more likely than men to report physical symptoms. Among Jordanians, physical symptom reporting was more common among those of lower SES. No statistically significant differences in physical symptom reporting were found between American men and women or between the two cultural groups. Multiple regression analyses revealed no statistically significant interactions between optimism and cultural background, optimism and gender, or optimism and SES. Overall, the results suggest that optimism is the factor most predictive of physical symptom reporting, followed by SES and gender. These results corroborate previous findings on the relationship between dispositional optimism and physical wellbeing, and point to crosscultural differences in relationship patterns. These differences suggest that although personality characteristics such as optimism may play an important role in the physical wellbeing of both Western and non‐Western groups, the influence of sociodemographic factors such as gender and SES and their interaction with cultural variables must not be overlooked.