Cognitive behavior therapy for driving fear: A pilot randomized controlled trial

Fear of driving is common in clinical practice, while its treatment programs are understudied. This is the first randomized controlled trial to evaluate a newly developed protocol for cognitive behavior therapy (CBT) for driving fear compared with a wait list and to use specific assessment scales. 34 participants (30 women, 4 men) in an outpatient psychotherapy clinic were randomly allocated to either 18 sessions of CBT or a wait list (n = 17 each). After treatment, CBT was significantly more efficacious than the wait list with large effect sizes on the Instrument for Fear of Driving (IFD) (Cohen’s d = 2.58) and on the Driving Cognitions Questionnaire (DCQ) (Cohen’s d = 2.14). Driving fear is a condition treatable by CBT and the suggested protocol is safe, feasible and acceptable. Further studies with larger samples and active controls (e.g., virtual reality therapy) are required to draw generalizable conclusions on effect sizes.     

In the presence of conflicting gaze cues,fearful expression and eye-size guide attention

Humans are social beings that often interact in multi-individual environments. As such, we are frequently confronted with nonverbal social signals, including eye-gaze direction, from multiple individuals. Yet, the factors that allow for the prioritisation of certain gaze cues over others are poorly understood. Using a modified conflicting gaze paradigm, we tested the hypothesis that fearful gaze would be favoured amongst competing gaze cues. We further hypothesised that this effect is related to the increased sclera exposure, which is characteristic of fearful expressions. Across three experiments, we found that fearful, but not happy, gaze guides observers’ attention over competing non-emotional gaze. The guidance of attention by fearful gaze appears to be linked to increased sclera exposure. However, differences in sclera exposure do not prioritise competing gazes of other types. Thus, fearful gaze guides attention among competing cues and this effect is facilitated by increased sclera exposure – but increased sclera exposure per se does not guide attention. The prioritisation of fearful gaze over non-emotional gaze likely represents an adaptive means of selectively attending to survival-relevant spatial locations.     

Victims' emotional distress and preventive measures usage: Influence of crime severity,risk perception,and fear

The central thesis of this study is that crime victims' emotional distress, influenced by the severity of the offence experienced, impacts their propensity to utilize preventive measures via its influence on perceived risk of victimization and fear of crime. Path analysis was conducted to test a model of these relationships, utilizing data from a crime victimization survey conducted on the Caribbean Island, Trinidad, in 2015. Results suggest a direct predictive relationship between crime severity and emotional distress and indirect effects of emotional distress on preventive measures through risk perception and fear of crime. Findings were discussed in the context of prior research, comparability, and variances, and practical implications were noted.     

Attack priming and satiation in female golden hamsters: Tests of some alternatives to the aggression arousal interpretation

“Priming” a female hamster by allowing it a single attack on an intruder placed into its home cage transiently decreases the latency and increases the probability of attack on a second trial. Although we have previously argued that this priming effect reflects an increase in aggressive arousal, an alternative interpretation is that the fear elicited by placing a foreign object into the subject's home cage is reduced when it happens again on the second trial. Another interpretation is that priming is an effect of intruder novelty, i.e., the subject perceives a difference between the first and second intruders which causes it to attack the second more quickly. Experiment 1 compared the standard two trial paradigm with different intruders to trials in which (1) the first intruder was withdrawn and used again in the second trial, and (2) the intruder remained in the cage following the first attack. All intruders were pretreated with the analgesic-sedative methotrimeprazine to reduce the variability of their behavior. Neither hypothesis tested in Experiment 1 was supported, strengthening the interpretation of attack priming as a manipulation that affects primarily internal motivational mechanisms specific to aggression. Allowing a hamster to carry out a protracted series of attacks produces a “satiation” effect that is the reverse of priming, i.e., the latency of a subsequent attack is increased and its probability reduced. It is possible that the attack satiation observed in our earlier studies was not the result of processes internal to the subject, but could have been due to habituation to a particular intruder or to certain stimuli emitted by it during the protracted interaction. In Experiment 2 subjects were given three sessions of 10 successive trials using either 1 intruder presented repeatedly, 2 intruders presented alternately, or 10 different intruders presented once each. No difference among conditions was found in this study either suggesting that subject's aggressive behavior is insensitive to whatever changes may occur in intruders' behavior or other stimulus characteristics when they have been treated with methotrimeprazine. The lack of differences among test conditions in both experiments is most likely due to the efficacy of the drug in “standardizing” intruder behavior. Experiment 2 also revealed an interesting difference in two measures of attack latency. The time elapsing between intruder presentation and attack, i.e., the standard measure of latency, decreased from the first to the fourth trail; it then increased steadily over the remaining trials. The cumulative time that the subject remained in contact with the intruder prior to attack, a measure more indicative of attention to the intruder, dropped to an asymptotic value by the second trial. This difference suggests that the satiation effect may be accounted for by subjects' increasing avoidance of the intruders over trails, perhaps as a way of regualting their level of aggressive arousal.     

A Greek-Language Inventory of Fears: Psychometric Properties and Factor Structure of Self-Reports of Fears on the Hellenic Fear Survey Schedule

The structure of fearfulness and the psychometric properties of a Greek-language version of the Fear Survey Schedule were studied in a sample of normal Greek adults. Overall summary scores were higher for women than for men, had satisfactory temporal stability and internal consistency, and were useful in discriminating levels of phobic anxiety independent of levels of depression as assessed by a concurrent self-report measure. However, the temporal stabilities of responses for many items were inadequate for the reliable identification of levels of fear of specific events and objects. A factor analysis yielded five components that were conceptually similar to those obtained abroad. Subscales based on component items were psychometrically reliable. In comparison with American subjects, Greek subjects rated similar items as most fearful, but reported higher levels of fears of these items, reflecting either higher levels of fears, greater disclosure, or cultural differences in the meaning of fear ratings.     

The effect of on‐ or off‐line extinction of a first‐order conditioned stimulus on a second‐order conditioned response in rats

In a water‐licking experiment with rats, the effects of the extinction of a first‐order conditioned stimulus (CS1) on the suppression of licking established for a second‐order conditioned stimulus (CS2) were explored. Extinction of the first‐order conditioned response (CR1) attenuated the conditioned suppression induced by CS2 when the rats had been allowed to lick water during the CR1 extinction phase. However, if water had been unavailable during the CR1 extinction phase, suppression by CS2 was not affected. The latter result is consistent with other studies of rats' conditioned suppression and suggests that the underlying mechanism of second‐order conditioning in this experiment is a connection between CS2 and the response elicited by CS1 rather than a CS2‐CS1 connection. The former result was interpreted as the CR1 extinction phase encouraging the rats to lick water despite the fear elicited by CS1, and thus, in testing, they licked despite the fear elicited by CS2.     

创伤后应激障碍的动物模型及其神经生物学机制

创伤后应激障碍是指个体由于经历对生命具有威胁的事件或严重的创伤,导致症状长期持续的精神障碍。研究创伤后应激障碍的主要动物模型为条件性恐惧和应激敏感化模型。研究表明,创伤后应激障碍中长时程留存的恐惧性记忆、高唤醒等症状与大脑杏仁核、内侧前额叶皮层和海马三个脑区及下丘脑-垂体-肾上腺轴负反馈功能增强密切相关。其中杏仁核活动增强是条件性恐惧记忆获得、保持和表达的关键神经基础。内侧前额叶皮层对杏仁核的去抑制及海马向杏仁核传递的威胁性环境信息,促进创伤后应激障碍症状的出现。在经历创伤应激后糖皮质激素受体的上调及多巴胺活动的增强是创伤后应激障碍产生的主要神经基础。对创伤后应激障碍的药物治疗研究证明多巴胺D2受体在改善患者症状中的作用比较重要,但仍需作更深入的探索     

Self-reported change in health behaviour after a mass media-based health education campaign

A comprehensive short-term fund-raising campaign, was launched in 1987 by a health charity organization in cooperation with the only Norwegian TV-channel covering the whole country. The campaign which was extensively announced on TV and other media and which involved large proportions of the population, finished up with a six hour TV-show on the fund-raising day. Because a considerable amount of information on prevention of heart disease was presented in connection with the campaign, it is presently evaluated as a nationwide health education campaign. Twenty-two per cent of the population reported changes in one or more habits in connection with the campaign (one third of them took more exercise, while one quarter reduced/quit their smoking). Health behaviour change among family/friends, reported new knowledge of health and worry created by the campaign, were the factors most clearly associated with self-reported behaviour change. The paper discusses the magnitude of the effects of the campaign in relation to the study design, and the importance of social environment and fear arousal on health behaviour.     

The Development and Validation of the Multicomponent AIDS Phobia Scale

The development, reliability, and validity of a new instrument, the Multicomponent AIDS Phobia Scale (MAPS), is described. Based on a sample of 181 university students, the results indicate that the MAPS has strong internal consistency and moderate test-retest reliability. In addition, an assessment of concurrent and discriminant validity indicates statistically significant correlations with other self-report measures of anxiety, hypochondriasis, obsessive-compulsive disorder, and fear of AIDS. The results of a factor analysis indicate that the scale consists of two factors: Fear of Infection and Fear of Others/Avoidance. Although further research with the MAPS in a clinical population is warranted to investigate the generalizability of this study's results, the instrument appears to be a reliable and valid measure of AIDS Phobia and may prove useful for improving clinical assessment and documenting treatment outcome.     

Assessment of the aftermath of rape: Changing patterns of fear

In order to test a social learning theory model which states that fear and anxiety responses are classically conditioned by a terror-inducing rape experience, 46 recent rape victims and 35 nonvictims matched for age, race, and neighborhood of residence were assessed with the 120-item Modified Fear Survey at four postrape intervals: (1) 6–10 days, (2) 1 month, (3) 3 months, and (4) 6 months. Victims were significantly more fearful than nonvictims, and victim fears declined somewhat over time but remained at high levels at the 6-month postrape period. Content analysis of highly feared situations revealed that most fears were rape related in that they were rape cues, rape-precipitated concerns, and/or cues signaling vulnerability to subsequent attack. Patterns of fear appeared to change such that attack vulnerability cues were most feared.This research was supported by NIMH Grant No. 1 RO1 MH29602 from the National Center for Prevention and Control of Rape.An earlier version of this article was presented at the Twelth Annual Convention of the Association for Advancement of Behavior Therapy, Chicago, November 18, 1978.