Assessment of fear of fear among Agoraphobic patients: The Agoraphobic Cognitions Scale

A self-report scale for the measurement of fear of fear, the Agoraphobic Cognitions Scale (ACS), was psychometrically evaluated. Two samples of inpatients satisfying DSM-III-R criteria for unipolar depressive and/or anxiety disorder were studied. Intercorrelational and factor analyses indicated that the ACS measured three dimensions of fear of fear: fear of bodily incapacitation, fear of losing control, and fear of acting embarrassingly. Three subscales were constructed to measure these dimensions. The subscales proved to have satisfactory internal consistency and criterion-related validity. However, fear of losing control was related not only to other anxiety symptoms, but also to depressive symptomatology. Agoraphobic patients reported more fear of bodily incapacitation and fear of losing control than social phobic, generally anxious, and nonanxious depressed patients. Fear of embarrassing action was higher among agoraphobic and social phobic patients than among generally anxious and nonanxious depressed patients. These results were obtained after controlling for general anxiety and depression level and, thus, support the validity of the fear of fear construct.     

Fear assessment in a dental analogue setting

An analogue setting for assessing dental fear involving a videotaped simulated dental operation was evaluated in terms of its capability of eliciting differential physiological arousal (Palmer Sweat Index) between high- and low-fear subjects, identified by self-reports of dental fear. Results showed high-fear subjects to exhibit significantly greater palmar sweating than did low-fear subjects, females to respond more than males, and a differential response across groups at different points during the simulated operation. High-fear subjects also gave verbal reports of greater physiological arousal and general anxiety while viewing the operation than did low-fear subjects.     

The Assessment of Normal Fear in Children and Adolescents

Published research into normal fear now spans more than one century. During this time, a large number of papers have been published in the area. The resulting literature has led to a detailed understanding of normal fear experiences and, in particular, the ways in which they change with maturation. Of central importance, when evaluating the documented outcomes of this work, is the soundness of the methods and tools used in assessment. It is not surprising given the large number of researchers that have been involved in this area, that the assessment methods used have varied substantially. These have ranged from the methodologically problematic technique of obtaining retrospective adult reports to the administration of psychometrically validated fear survey schedules. An extensive review of this literature reveals that, for the last two decades, the fear survey schedule has been the most widely used technique for the fear assessment. The preference that has and is being demonstrated for the fear survey schedule as an assessment tool is most likely due to its many advantages including ease of use, objectivity in scoring, and provision of a substantial amount of information in a short period. However, despite its advantages, researchers and clinicians need to be cognizant of its potential limitations and, depending on the questions being asked, may need to consider using it in combination with alternative assessment strategies.     

Perception of control over anxiety mediates the relation between catastrophic thinking and social anxiety in social phobia

Cognitive models of social phobia (social anxiety disorder) assume that individuals with social phobia experience anxiety in social situations in part because they overestimate the social cost associated with a potentially negative outcome of a social interaction. Some emotion theorists, on the other hand, point to the perception of control over anxiety-related symptoms as a determinant of social anxiety. In order to examine the relationship between perceived emotional control (PEC), estimated social cost (ESC), and subjective anxiety, we compared three alternative structural equation models: Model 1 assumes that PEC and ESC independently predict social anxiety; Model 2 assumes that ESC partially mediates the relationship between PEC and anxiety, and Model 3 assumes that PEC partially mediates the relationship between ESC and anxiety. We recruited 144 participants with social phobia and administered self-report measures of estimated social cost, perceived anxiety control, and social anxiety. The results support Model 3 and suggest that "costly" social situations are anxiety provoking in part because social phobic individuals perceive their anxiety symptoms as being out of control.     

Fear of Death in Hypochondriasis: Bodily Threat and Its Treatment Implications

This article aims to explore the perception of body in hypochondriasis and implications that it has for fear of death and for treatment of hypochondriasis. It is suggested that a sense of threat posed by the body in hypochondriasis is intimately related to the fear of body, expectations of bodily failure, fear of disease and pathological fear of death. Clinical aspects and potential antecedents of these phenomena are discussed in the article. It is emphasized that fear of the body and fear of death should be adequately addressed in the course of treatment, regardless of the nature of the primary treatment approach. Relevant treatment strategies are outlined, with treatment goals including an adoption of the non-threatening perception of one’s body, modification of attitudes and beliefs related to health, illness and death which heighten fear of death, and substantial alleviation or elimination of the pathological fear of death.     

Fear of Physical Harm: Factor Structure and Psychometric Properties of the Injury/Illness Sensitivity Index

Three fundamental fears—anxiety sensitivity, fear of negative evaluation, and injury/illness sensitivity—are believed integral components of anxiety-related psychopathologies. S. Taylor (1993) performed a cumulative factor analysis on measures of these and found them factorially distinct. Subsequently, separate factor analyses have been performed on measures of anxiety sensitivity and fear of negative evaluation. No such analysis exists for the Injury/Illness Sensitivity Index (ISI; S. Taylor, 1993). The ISI, an 11-item self-report questionnaire intended to measure fear of illness and injury, has the potential to inform the understanding of mechanisms underlying anxiety-associated chronic health conditions. The primary purpose of this study was to assess the factor structure and psychometric properties of the ISI. A principal components analysis with oblique rotation, conducted on data from 122 participants, suggests the ISI comprises two distinct lower order factors—Fear of Illness and Fear of Injury—that load onto a higher order factor of Fear of Physical Harm.     

Evaluation of Five Procedures for Classification of Participants’ Fear Levels

The present study evaluated the ability of 5 different fear classification procedures to discriminate between 3 fear levels and to correlate with 6 commonly used dependent measures of fear. A standardized fear assessment procedure was administered on 2 separate trials to 71 women participants. Following the completion of the assessment trials, the participants data were scored and regrouped according to 5 fear classification procedures (behavioral, self-report, skin conductance level, skin response amplitude, and heart rate). This design permitted each procedure to be evaluated to the same target stimulus and at the same point in time. The classifications of participants on the basis of behavior and skin conductance response were found to be most effective selection procedures with self-report, skin conductance level, and heart rate being the least. Reliability of the findings was assessed by a test–retest procedure.     

The facial pattern of disgust, appetence, excited joy and relaxed joy: an improved facial EMG study

The purpose of the study was to investigate the facial muscle pattern of disgust in comparison to appetence and joy, using an improved facial EMG method. We analyzed the activity of nine facial muscles in forty healthy subjects. The subject group was randomly divided into two groups (oversaturated vs. hungry) of ten women and ten men each. Four different emotions (disgust, appetence, excited-joy and relaxed-joy) were induced by showing pictures from the IAPS. Pre-visible facial muscle activity was measured with a new facial EMG. A Visual Analog Scale (VAS) was established. Disgust is represented by a specific facial muscle pattern involving M.corrugator and M.orbicularis oculi, clearly distinguishing it from the facial patterns of appetence and joy. The intensity of disgust is stronger in a state of hunger than under oversaturation and is altogether stronger in females than in males. Our findings indicate the possibility to explore the entire emotion system successfully through a state-of-the-art psychophysiological method like our EMG device.     

Defensive emotions and evaluative judgements: Sensitivity to anger and fear predicts moral judgements,whereas sensitivity to disgust predicts aesthetic judgements

Aesthetic and moral evaluations engage appetitive and defensive emotions. While the role played by pleasure in positive aesthetic and moral judgements has been extensively researched, little is known about how defensive emotions influence negative aesthetic and moral judgements. Specifically, it is unknown which defensive emotions such judgements tap into, and whether both kinds of judgement share a common emotional root. Here, we investigated how participants' individual sensitivity to disgust, fear, anger and sadness predicted subjective judgements of aesthetic and moral stimuli. Bayesian modelling revealed that participants who were more sensitive to anger and fear found conventional and moral transgressions more wrong. In contrast, participants who were more sensitive to disgust disliked asymmetrical geometric patterns and untidy rooms more. These findings suggest that aesthetic and moral evaluations engage multiple defensive emotions, not just disgust, and that they may rely on different defensive emotions as part of their computational mechanism.     

The perceived vulnerability to disease scale: Cross-cultural measurement invariance and associations with fear of COVID-19 across 16 countries

Using cross-sectional data from N = 4274 young adults across 16 countries during the COVID-19 pandemic, we examined the cross-cultural measurement invariance of the perceived vulnerability to disease (PVD) scale and tested the hypothesis that the association between PVD and fear of COVID-19 is stronger under high disease threat [that is, absence of COVID-19 vaccination, living in a country with lower Human Development Index (HDI) or higher COVID-19 mortality]. Results supported a bi-factor Exploratory Structural Equation Modeling model where items loaded on a global PVD factor, and on the sub-factors of Perceived Infectability and Germ Aversion. However, cross-national invariance could only be obtained on the configural level with a reduced version of the PVD scale (PVD-r), suggesting that the concept of PVD may vary across nations. Moreover, higher PVD-r was consistently associated with greater fear of COVID-19 across all levels of disease threat, but this association was especially pronounced among individuals with a COVID-19 vaccine, and in contexts where COVID-19 mortality was high. The present research brought clarity into the dimensionality of the PVD measure, discussed its suitability and limitations for cross-cultural research, and highlighted the pandemic-related conditions under which higher PVD is most likely to go along with psychologically maladaptive outcomes, such as fear of COVID-19.