The Etiology of Fear and Anxiety

2015 ◽  
pp. 189-200
Author(s):  
John M. Hettema
Keyword(s):  
Fear And Anxiety

A Confirmatory Factor Analytic Study of Anxiety, Fear, and Behavioral Inhibition System Measures

2007 ◽  
Vol 28 (4) ◽  
pp. 179-187 ◽  
Author(s):  
Andrew J. Cooper ◽  
Adam M. Perkins ◽  
Philip J. Corr
Keyword(s):  
Trait Anxiety ◽  
Behavioral Inhibition ◽  
Discriminant Validity ◽  
Self Report ◽  
Behavioral Inhibition System ◽  
Reinforcement Sensitivity Theory ◽  
Factor Analytic ◽  
Confirmatory Factor ◽  
Structural Invariance ◽  
Fear And Anxiety

Abstract. Recent revisions to the reinforcement sensitivity theory (RST) of personality have highlighted the distinction between the emotions of fear and anxiety. These revisions have substantial implications for self-report measurement; in particular, they raise the question of whether separate traits of fear and anxiety exist and, if so, their interrelationship. To address this question, the current study used confirmatory factor analytic procedures to examine the convergent and discriminant validity of measures of trait anxiety, fear, and the behavioral inhibition system (BIS). We also examined measurement and structural invariance across gender in 167 males and 173 females who completed the Spielberger State-Trait Anxiety Inventory (STAI), the Carver and White BIS Scale, and the Fear Survey Schedule (FSS). The findings suggested that trait anxiety and the BIS scale are relatively distinct from Tissue Damage Fear (FSS). Further, the final model showed measurement and structural invariance across gender. The implications of the results for future self-report assessment in RST research are discussed.

Fear and anxiety: Theoretical distinction and clinical test

1996 ◽  
Author(s):  
Bruce N. Cuthbert ◽  
Margaret M. Bradley ◽  
Peter J. Lang
Keyword(s):  
Clinical Test ◽  
Fear And Anxiety

Psychological influences on wound healing

2019 ◽  
Vol 98 (8) ◽  
pp. 312-314
Keyword(s):  
Wound Healing ◽  
Enhanced Recovery ◽  
Enhanced Recovery After Surgery ◽  
Wound Complications ◽  
State Of Mind ◽  
Life Threatening ◽  
Psychological Influences ◽  
Fear And Anxiety ◽  
Care Costs

Surgical wound complications remain a major cause of morbidity; although usually not life threatening, they reduce the quality of life. They are also associated with excessive health care costs. Wound healing is affected by many factors – wound characteristics, infection, comorbidities and nutritional status of the patient. In addition, though, psychological stress and depression may decrease the inflammatory response required for bacterial clearance and so delay wound healing, as well. Although the patient´s state of mind can be influenced only to a certain extent, we should nevertheless stick to ERAS (Enhanced Recovery After Surgery) guidelines and try to diminish fear and anxiety by providing enough information preoperatively, pay due attention to postoperative analgesia and seek to provide an agreeable environment.

A review on aversive Pavlovian-to-Instrumental transfer in humans

2020 ◽  
Author(s):  
Anna Gerlicher ◽  
Merel Kindt
Keyword(s):  
Avoidance Behavior ◽  
Neural Circuits ◽  
Transfer Effects ◽  
Future Directions ◽  
Transfer Paradigm ◽  
Wide Range ◽  
Threat Cues ◽  
Imminent Threat ◽  
Fear And Anxiety ◽  
Pathological Anxiety

A cue that indicates imminent threat elicits a wide range of physiological, hormonal, autonomic, cognitive, and emotional fear responses in humans and facilitates threat-specific avoidance behavior. The occurrence of a threat cue can, however, also have general motivational effects and affect behavior. That is, the encounter with a threat cue can increase our tendency to engage in general avoidance behavior that does neither terminate nor prevent the threat-cue or the threat itself. Furthermore, the encounter with a threat-cue can substantially reduce our likelihood to engage in behavior that leads to rewarding outcomes. Such general motivational effects of threat-cues on behavior can be informative about the transition from normal to pathological anxiety and could also explain the development of comorbid disorders, such as depression and substance abuse. Despite the unmistakable relevance of the motivational effects of threat for our understanding of anxiety disorders, their investigation is still in its infancy. Pavlovian-to-Instrumental transfer is one paradigm that allows us to investigate such motivational effects of threat cues. Here, we review studies investigating aversive transfer in humans and discuss recent results on the neural circuits mediating Pavlovian-to-Instrumental transfer effects. Finally, we discuss potential limitations of the transfer paradigm and future directions for employing Pavlovian-to-Instrumental transfer for the investigation of motivational effects of fear and anxiety.

Zebrafish Models to Study Fear and Anxiety

2016 ◽  
Vol 5 (2) ◽  
pp. 139-151
Author(s):  
Adam Collier ◽  
David Echevarria
Keyword(s):  
Fear And Anxiety

Effects and utility of an online forward triage tool during the SARS-CoV-2 pandemic: patient perspectives (Preprint)

2020 ◽  
Author(s):  
Janet Michel
Keyword(s):  
Decision Making ◽  
Health System ◽  
Information Source ◽  
Patient Perspectives ◽  
User Friendliness ◽  
Fear And Anxiety ◽  
Mail Address ◽  
Second Wave ◽  
E Mail

BACKGROUND Background: Online forward triage tools (OFTT) or symptom checkers are being widely used during this COVID-19 pandemic. The effects and utility of such tools however, have not been widely assessed. OBJECTIVE Objective: To assess the effects (quantitatively) and the utility (qualitatively) of a COVID-19 OFTT in a pandemic context, exploring patient perspectives as well as eliciting recommendations for tool improvement. METHODS Methods: We employed a mixed-method sequential explanatory study design. Quantitative data of all users of the OFTT between March 2nd, 2020 and May 12th, 2020 were collected. A follow-up survey of people who consented to participation was conducted. Secondly, qualitative data was collected through key informant interviews (n=19) to explain the quantitative findings, as well as explore tool utility, user experience and elicit recommendations. RESULTS Results: An estimate of the effects, (quantitatively) and the utility (qualitatively) of a COVID-19 OFTT in a pandemic context, and recommendations for tool improvement. In the study period, 6,272 users consulted our OFTT; 560 participants consented to a follow-up survey and provided a valid e-mail address. 176 (31.4%) participants returned a complete follow-up questionnaire. 85.2% followed the recommendations given. 41.5% reported that their fear was allayed after using tool and 41.1% would have contacted the GP or visited a hospital had the tool not existed. Qualitatively, seven overarching themes emerged namely i) accessibility of tool, ii) user-friendliness of tool, iii) utility of tool as an information source, iv) utility of tool in allaying fear and anxiety, v) utility of tool in decision making (test or not to test), vi) utility of tool in reducing the potential for onward transmissions (preventing cross infection) and vii) utility of tool in reducing health system burden. CONCLUSIONS Conclusion: Our findings demonstrated that a COVID-19 OFTT does not only reduce the health system burden, but can also serve as an information source, reduce anxiety and fear, reduce cross infections and facilitate decision making (to test or not to test). Further studies are needed to assess the transferability of these COVID-19 OFTT findings to other contexts as the second wave sweeps across Europe.

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