Specific Phobia in Young Children: Associations between the Origins of Fear and Clinical Expression of Phobia Symptoms.

Specific phobias set early in life, have a chronic course, and predict development of additional mental health concerns later in life; however, little is currently known about the origins of specific phobias in young children aged 3–6 years. The current study explores the origins of phobic fear amon...

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Published in:Journal of Child & Family Studies Vol. 34; no. 4; pp. 1018 - 1031
Main Authors: Trimarchi, Lisa, Waters, Allison M., Simcock, Gabrielle, Farrell, Lara J.
Format: Article
Published: Springer Nature Apr2025
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Online Access:View this record in EBSCOhost
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      pub: Springer Nature
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        atl: Specific Phobia in Young Children: Associations between the Origins of Fear and Clinical Expression of Phobia Symptoms.
      aug:
        au:
          Trimarchi, Lisa
          Waters, Allison M.
          Simcock, Gabrielle
          Farrell, Lara J.
        affil:
          https://ror.org/02sc3r913 Griffith University, Southport, QLD, Australia
          https://ror.org/02sc3r913 Griffith University, Mount Gravatt, QLD, Australia
          School of Applied Psychology, Parklands Drive, 4222, Southport, QLD, Australia
      su:
        Phobias
        Fear
        Mental health
        Parent-child relationships
        Interviewing
        Anxiety
        Cognitive therapy
        Psychology of parents
        Avoidance (Psychology)
        Child behavior
        Pathological psychology
        Children
        Risk assessment
        Research funding
        Questionnaires
        Neural development
      sug:
        subj:
          Phobias
          Fear
          Mental health
          Parent-child relationships
          Interviewing
          Anxiety
          Cognitive therapy
          Psychology of parents
          Avoidance (Psychology)
          Child behavior
          Pathological psychology
          Children
          Offices of Mental Health Practitioners (except Physicians)
          Risk assessment
          Research funding
          Questionnaires
          Neural development
      keyword:
        Anxiety disorders
        Parenting
        Pathways to fear
        Psychology and Cognitive Sciences Psychology Medical and Health Sciences Public Health and Health Services
        Specific phobia
        Anxiety disorders
        Parenting
        Pathways to fear
        Psychology and Cognitive Sciences Psychology Medical and Health Sciences Public Health and Health Services
        Specific phobia
      ab: Specific phobias set early in life, have a chronic course, and predict development of additional mental health concerns later in life; however, little is currently known about the origins of specific phobias in young children aged 3–6 years. The current study explores the origins of phobic fear among treatment seeking pre-school aged children diagnosed with a Specific Phobia. Specifically, Rachman's (1977) theory of fear acquisition and differences in children's specific phobia presentation and parental characteristics across direct and indirect (information and modelling) pathways. Seventy-four children aged 3–6 years with a specific phobia, and their parents completed an assessment battery of child phobic symptoms and related child and parent factors. Parents completed a child diagnostic telephone interview and online questionnaires assessing child factors (phobia type, phobia severity, child anxiety) and parent factors (fears, anxiety symptoms, psychopathology, parental rearing). Children participated in a standardised behavioural approach task (BAT) within the clinic and rated subjective units of distress for their phobic stimuli. All children who experienced a direct aversive event, regardless of other pathways endorsed, demonstrated more behavioural avoidance and subjective distress relative to those who did not. Animal phobias were associated with greater frequency of direct aversive events. Children experiencing the indirect pathways experienced greater generalised anxiety symptoms than all other pathways. The findings of this study suggest unique clusters of clinical presentations across the different pathways to fear among young children with SP. Future research examining whether treatment outcomes differ based on pathways to fear would enhance treatment planning. Highlights: Little is known about the origins of specific phobias around the time of onset, during the preschool years (ages 3–6). This study examines child clinical presentations associated with of Rachman's (1977) pathways to fear at the time of onset. Children who experienced a direct aversive event displayed greater behavioural avoidance and subjective distress. Children who experienced indirect (information and modelling) pathways to fear displayed more generalised anxiety symptoms. Parental factors, including psychopathology and parenting styles did not differ across the different pathways to fear.
      pubtype: Academic Journal
      doctype: Article
      src: R
    language: English
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