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.     

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.     

Facial reactions to fear-relevant stimuli for subjects high and low in specific fear

This study was performed to investigate whether subjects high and low in fear of snakes react with different facial electromyographic (EMG) responses when exposed to snakes. Two groups of subjects were exposed to slides of snakes or flowers. After the experiment they rated their fear of snakes on a questionnaire and based on these ratings they were divided into high and low fear groups. Facial EMG was measured from the corrugator and zygomatic muscle regions. As predicted the high fear group reacted with a facial response interpretable as a negative emotional reaction whereas the low fear group did not. This difference was specific to snakes because high and low groups did not differ in responses to slides of flowers. The results are consistent with the proposition that facial EMG technique is a sensitive tool to distinguish reactions between subjects high and low in specific fears.     

Comparing one-step M-estimators of location when there are more than two groups

Methods for comparing means are known to be highly nonrobust in terms of Type II errors. The problem is that slight shifts from normal distributions toward heavy-tailed distributions inflate the standard error of the sample mean. In contrast, the standard error of various robust measures of location, such as the one-step M-estimator, are relatively unaffected by heavy tails. Wilcox recently examined a method of comparing the one-step M-estimators of location corresponding to two independent groups which provided good control over the probability of a Type I error even for unequal sample sizes, unequal variances, and different shaped distributions. There is a fairly obvious extension of this procedure to pairwise comparisons of more than two independent groups, but simulations reported here indicate that it is unsatisfactory. A slight modification of the procedure is found to give much better results, although some caution must be taken when there are unequal sample sizes and light-tailed distributions. An omnibus test is examined as well.     

Post-extinction conditional stimulus valence predicts reinstatement fear: Relevance for long-term outcomes of exposure therapy

Exposure therapy for anxiety disorders is translated from fear conditioning and extinction. While exposure therapy is effective in treating anxiety, fear sometimes returns after exposure. One pathway for return of fear is reinstatement: unsignaled unconditional stimuli following completion of extinction. The present study investigated the extent to which valence of the conditional stimulus (CS+) after extinction predicts return of CS+ fear after reinstatement. Participants (N = 84) engaged in a differential fear conditioning paradigm and were randomised to reinstatement or non-reinstatement. We hypothesised that more negative post-extinction CS+ valence would predict higher CS+ fear after reinstatement relative to non-reinstatement and relative to extinction retest. Results supported the hypotheses and suggest that strategies designed to decrease negative valence of the CS+ may reduce the return of fear via reinstatement following exposure therapy.     

Unique characteristics of neonatal classical conditioning: The role of the amygdala and locus coeruleus

The central nervous system of altricial infants is specialized for optimizing attachments to their caregiver. During the first postnatal days, infant rats show a sensitive period for learning and particularly susceptible to learning an attraction to their mother’s odor. Classical conditioning appears to underlie this learning that is expressed behaviorally as anincreased ability to acquire odor preferences and a decreased ability to acquire odor aversions. Specifically, in neonatal rats, pairing an odor with moderately painful shock (0.5mA) or milk produces a subsequent relativepreference for that odor. The neural circuitry supporting theincreased ability to acquire odor preferences appears to be the heightened functioning of the noradrenergic pontine nucleus locus coeruleus. Indeed, norepinephrine from the locus coeruleus appears to be both necessary and sufficient for learning during the sensitive period. On the other hand, thedecreased ability to acquire odor aversions seems to be due to the lack of participation of the amygdala in at least some aversive learning situations. The site of plasticity in the pup’s brain appears to be limited to the olfactory bulb. This neonatal sensitive period for learning ends around postnatal day 9–10, at which time pups make the transition from crawling to walking and classical conditioning becomes “adultlike”. The neonatal behavioral and neural induced changes are retained into adulthood where it modifies sexual behavior.