VARIABLES INFLUENCING THE DEVELOPMENT AND MAINTENANCE OF FEARS IN CHILDREN by ELIZABETH A. SLEDDEN, B.A. A DISSERTATION IN PSYCHOLOGY Submitted to the Graduate Faculty of Texas Tech University in Partial Fulfillment of the Requirements for the Degree of DOCTOR OF PHILOSOPHY Approved Accepted August, 1986 (c) 1986 Elizabeth A. Sledden ACKNOWLEDGMENTS I wish to gratefully acknowledge my Chairman, Dr. Bill Locke, whose support and assistance has guided me through our many "misadventures" with this research. The encouragement and input of Drs. Chatfield, Clopton, Greene, Katnik, and Maddux must also be recognized. I also convey my gratitude to the school principals, teachers, children, and parents who participated in the research. Many thanks go to my research assistants, my parents, whose unending supply of support made this research possible. The reviews of earlier editions of this document by David Dybell and Beverly Schneller Jerozal aided me in my quest to be concise and "see the forest, not the trees." Finally, I wish to recognize Bob Maul and express my admiration and gratitude for his selfless dedication to my research. 11 CONTENTS ACKNOWLEDGMENTS ii LIST OF TABLES v I. INTRODUCTION 1 Definitions 2 Behavioral Theories of Fear Acquisition 3 Previous Research on Potential Determinants of Fear Content II. III. 8 Review of Previous Scales 18 Methodological Concerns 26 Statement of the Problem 31 Hypotheses 35 METHODS AND PROCEDURES 38 Subjects 38 Pilot Study 48 Materials and Procedures 50 RESULTS 56 Analysis of the Hypotheses IV. , . . DISCUSSION 57 81 Sex 81 Age 86 Parent-Child Relationship 88 111 Place of Residence 92 Reported History of Trauma 95 Socio-Economic Class 97 Recommendations for Future Research REFERENCES 102 108 APPENDICES B PILOT STUDY 122 MATERIALS USED IN THE STUDY 130 SUPPLEMENTARY DATA TABLES 156 IV LIST OF TABLES Table 1 Breakdown of Subjects by Demographic Variables . . . . 39 Table 2 Breakdown of Subjects by Age Group and Average Total Number of Fears 40 Breakdown of Subjects by Age Group and Average Intensity Score 43 Table Table 3 4 Potential and Actual Number of Subjects by School and Age 47 49 Table 5 Univariate Statistics for the Pilot Study Table 6 Total Number of Reported Fears by Area Groups Table 7 Average Intensity of Fear by Area Groups Table 8 Total Number of Reported Fears by .... 59 Socio-Economic Groups Table 9 58 62 Average Intensity of Fear by Socio-Economic Group . . 63 Table 10 Total Number of Reported Fears for All Subjects ... 69 Table 11 Total Number of Reported Fears for Parents 70 Table 12 Average Intensity of Fear for All Subjects 71 Table 13 Total Number of Reported Fears by Sex Groups 72 Table 14 Average Intensity of Fear by Sex Groups 73 Table 15 Average Total Number of Fears by Age Group 75 Table 16 Average Intensity of Fear by Age Groups 76 Table 17 ANOVA Rural ANOVA Rural ANOVA Rural Table 18 Table 19 Summary Table of Concrete Fear Frequency: vs. Urban Children Summary Table of Concrete Fear Intensity: vs. Urban Children Summary Table of Abstract Fear Frequency: vs. Urban Children V 157 158 159 Table 20 Table 21 Table 22 ANOVA Summary Table of Abstract Fear Intensity: Rural vs. Urban Children 160 ANOVA Summary Table of Concrete Fear Frequency: Socio-Economic Groups 161 Correlations Between History of Trauma and Mean Intensity Scores 162 Table 23 Pairwise Comparison Between Category Mean Intensity Score for Upper and Lower Socio-Economic Class . . . . 163 Table 24 Pairwise Comparison Between Category Mean Intensity Score for Upper and Middle Socio-Economic Class . . . 164 Table 25 Pairwise Comparison Between Category Mean Intensity Score for Middle and Lower Socio-Economic Class . . . 165 Table 26 Pairwise Comparison Between Category Mean Intensity Score for Rural and Urban Groups 166 ANOVA Summary Table of Total Number of Fears: Mothers vs. Children 167 ANOVA Summary Table of Total Number of Fears: Fathers vs. Children 168 ANOVA Summary Table of Average Fear Intensity: Mothers vs. Children 169 ANOVA Summary Table of Average Fear Intensity: Fathers vs. Children 170 ANOVA Summary Table of Average Fear Intensity: Male vs. Female Children 171 Table 27 Table 28 Table 29 Table 30 Table 31 Table 32 ANOVA Summary Table of Average Fear Intensity: Children's Age Groups 172 Table 33 Differences Between Mean Intensity Scores by Age Group 173 Table 34 ANOVA Summary Table of Concrete Fear Frequency: Area vs. Socio-Economic Class vs. Category ANOVA Summary Table of Concrete Fear Intensity: Area vs. Socio-Economic Class vs. Category Table 35 Table 36 ANOVA Summary Table of Abstract Fear Frequency: Area vs. Socio-Economic Class vs. Category VI 174 175 176 Table 37 ANOVA Summary Table of Abstract Fear Intensity: Area vs. Socio-Economic Class vs. Category Vll 177 CHAPTER I INTRODUCTION Psychologists have been systematically investigating children's fears since the early 1930's (Jersild & Holmes, 1933). Earlier case studies were behavioral in nature (Jones, 1924; Valentine, 1930; Watson & Rayner, 1920) with the emphasis later moving into a psychoanalytic framework (Bornstein, 1935; Colm, 1959; Dosuzkov, 1949; Finch, 1960; Leonard, 1959; Pinchon & Arminda, 1950). More recent research has returned to a behavioral perspective (Barrios & Shigetomi, 1980; Fazio, 1969; Sidana & Sinha, 1973; Simon & Ward, 1974). Research in the area of children's fears has been limited. Only 40 case studies were published between 1929 and 1978, most of them post-1960 (Graziano & DeGiovanni, 1979). Thus, we have little knowledge about the development, maintenance, crucial factors, and treatment of children's fears. The data we do have are often difficult to interpret (Graziano, DeGiovanni, & Garcia, 1979) and sometimes are misrepresented in the available review articles. The purpose of this study is to continue developing the literature in the area of children's fears. Reviews of the literature as well as critiques of current methodologies suggest the need for a comprehensive measuring instrument which can be given to young school-age children as well as parents and teachers. A new instrument has been developed for this study which includes the strong points of the existing scales of 1 children's fears and attempts to address current methodological criticisms. Responses were obtained on this instrument, the Children's Fears and Worries Scale (CFWS), along with demographic data from third-sixth graders and their parents in the Gulf Coast and West Texas areas to gain normative data. This expansion of a non-clinical data pool is theoretically and pragmatically important to therapeutic considerations when the severity and "normalcy" of a child's fears is an issue. The data was analyzed with regard to content and intensity of reported fears in order to obtain information on possible influencing factors such as place of residence, socio-economic status, and reported history of trauma, as well as age and sex difference. Definitions The major distinction to be made in this paper is between a fear and a phobia. following: A fear is a reaction to actual threat which involves the subjective emotional experience; behavioral response; and physiological response (Miller, Barrett, & Hampe, 1974). a fear is a normal response to a menacing stimulus. It follows that In contrast, a phobia is a specific fear with one of the three components evidenced persistently, excessively, or to a maladaptive extent (Graziano et al., 1979; Miller et al., 1974). In addition, the target stimulus of a phobia is frequently ill-defined or innocuous (Miller et al., 1974) whereas the object of a fear can generally be clearly described. The severity of fears ranges from mild to severe, with the majority of clinical referrals dealing with severe fears. these "clinical" fears from "ordinary" fears? What distinguishes It may be the duration, with those persisting over two years fitting into the "clinical" category 3 (Graziano et al., 1979). The two year criterion is based on a study which indicated that, regardless of intensity, most children resolve their fear(s) within two years whether or not they receive treatment (Hampe, Noble, Miller, & Barrett, 1973). Although fears of clinical significance account for approximately 6.8% of all child referrals (Graziano & DeGiovanni, 1979), the majority of research literature deals with mildly fearful to "normal" children due to easier access to this type of subject (Matthews, 1978). This paper deals with normal to mildly fearful children. For a screening instrument to be useful in clinical practice, the performance of non-clinical populations is needed to serve as a comparison group for clinical subjects. populations. Thus, the data obtained was from non-clinical In addition to gathering information on fear content, the intensity of reported fears was examined. It is unclear whether clinical and mild or non-clinical fears function similarly with regard to acquisition, maintenance, and influential factors (Graziano et al., 1979), so a clinical population may indeed respond differently to the questionnaire and demographic variables than the non-clinical subjects used in this research. It is precisely these varied response patterns which could aid in forming treatment programs once they are clearly outlined through future research efforts. Behavioral Theories of Fear Acquisition The behavioral outlook is posed throughout this paper, and theories of fear acquisition are later applied to potential determinants of fear and the selection of independent variables in the study. models and theories will be briefly outlined: The following operant and classical 4 conditioning; two-factor theory; incubation effect hypothesis; social learning theory; cognitive mediation; and emotional processing. Operant & Classical Conditioning Operant conditioning states that voluntary fear responses are reinforced by their consequences and discriminated on the basis of associated stimuli. The classical conditioning model emphasizes reflexive fear responses at the autonomic level which are promoted by previously neutral stimuli. The originally neutral stimulus occurs with either an unconditioned stimulus or a previously conditioned stimulus that has come to elicit a fear reflex. This original model of fear acquisition has generally been considered deficient in the following areas as summarized by Rachman (1977, p. 375): 1) many people exposed to intense fear-provoking conditions do not develop phobias; 2) conclusive demonstrations of enduring conditioned fear reactions have not occured in the laboratory; 3) the emergence of phobias only at certain times and only in association with specific stimuli are not explained by the model; and 4) respondent fear reactions instated in the laboratory tend to extinguish quickly while phobic reactions are highly resistant to extinction. Two-Factor Theory Mowrer's two-factor theory (1960) suggested that fears are acquired through respondent conditioning and maintained operantly through reinforcement associated with the avoidance of the fear or anxiety state. This theory was initially well-received as it seemed to account for the high resistance to extinction of a phobia. Mowrer's posited involvement of the autonomic nervous system in fear mediation has been refuted. The acquisition and maintenance of avoidance behavior has been demonstrated in the absence of autonomic feedback (Rescorla & Solomon, 1967). Incubation Effect Hypothesis Eysenck (1976) focused on the perseverance of phobias when developing his incubation effect hypothesis. He held that the presentation of the conditioned stimulus without the unconditioned stimulus could, in some circumstances, maintain or even enhance the conditioned anxiety response. The enhancement, or incubation, might occur with brief exposure to the conditioned stimulus, an extremely powerful unconditioned response, or certain genetically determined predispositions. Seligman's preparedness hypothesis (1971) also suggests that certain fears are more likely than others due to their presence in the environment. In effect, if an action is important for survival, it is more likely that the stimuli for this action will be included in a phobic reaction. Social Learning Theory Bandura's social learning theory (1969) initially offered an idea suggesting that fears could be developed by the pairing of an action with an aversive event (conditioning) or by observing a model exposed to a trauma (modeling/imitation). Either process could lead to the acquisition of learned expectations/fears which could later be elicited by the associated external stimuli or through self-activation. The modeling was to be influenced by reinforcement, attention, retention, and motoric reproduction of the event(s) by the naive subject. Social 6 learning theory assumed that both conditioning and modeling processes function on the basis of their information value, with the observer acquiring "mainly symbolic representation of modeled events rather than specific stimulus-response connections" (Bandura, 1971, p. 16). Rachman proposed a similar notion that there are three "pathways to fear": conditioning; vicarious learning; and direct instruction (1977). Cognitive Mediation Based on Pavlovian conditioning, Reiss (1980) as well as Wagner and Rescorla (1972) have focused upon the influence of expectations in fear development. Expectations are mediators which can elicit anticipatory emissions of a conditioned response, verbal reports indicating awareness of the stimulus-response relationship, and instrumental approach/avoidance behaviors. Thus, phobias reflect four processes: 1) initial danger expectations involving social or physical danger; 2) anxiety expectations or the fear of actually becoming fearful; 3) negative reinforcement of avoidance behavior through anxiety reduction; and 4) positive self-reinforcement of avoidance through feedback from a conditioned "safety signal." Bandura has also looked at cognitions in his theory of self-efficacy, distinguishing between various types of expectations (1977a, b; 1978). Outcome expectancies are judgements about one's ability to perform or function in a specific way. For Bandura, fear acquisition may be as much a function of the person's efficacy expectation as of the actual danger associated with an external event. Fear behavior may also be modified with efficacy expectations relating to copying functions such as attention and memory skills. Within this 7 theory, the influence of external events upon fear behavior(s) depends on how they are cognitively processed, with the most influential form of processing that of self-efficacy expectations. Emotional Processing The formulations on emotional processing by Lang (1969) and Rachman (1980) are attempts to offset the emphasis on cognition in fear development theories, suggesting that emotional or affective responses are more central variables. Rachman (1980) proposed that emotional processing is the absorption of emotional disturbances to allow other experiences to proceed without disruption. Lang (1979) advanced a bioinformational theory in which specific patterns of afferent physiological activity are generated by a particular congnition. It is these patterns which are the prototype for overt behavioral expression of the cognition. Thus, behavioral change would necessitate the alteration of the affective cognitive structure to a more adaptive form, in turn, modifying the prototype for behavior. Little evidence supporting either theory of emotional mediation has yet to develop, but Lang and Rachman are indeed representative of a trend among cognitive theorists to relate information-processing to affective experience (Bower, 1980). 8 Previous Research on Potential Determinants of Fear Content A few consistent trends in the literature on children's fears can be found, both with regard to the potential determinants of fear content as well as the influence (if any) of various demographic variables. review of this literature on five variables will be presented: A sex differences; age variations; place of residence; reported history of trauma; and socio-economic factors. Sex Differences One consistent finding throughout the research is that girls tend to report more fears than boys (Angelino, Dollins, & Mech, 1956; Bamber, 1974; Croake, 1969; Croake & Knox, 1973; Lapouse & Monk, 1959; Pratt, 1945; Reynolds & Richmond, 1978; Sarason, Davidson, Lighthall, Waite, & Ruebush, 1960; Scherer & Nakamura, 1968; Sidana, 1975; Spiegler & Liebert, 1970; Staley & O'Donnell, 1984). While no studies reported a larger number of fears among boys, a few indicated that there were no sex differences (Maurer, 1965; Miller, Barrett, Hampe, & Noble, 1971; Nalven, 1970). Moreover, sex differences were less reliable when the content of fears was considered. Pratt (1945) found no content differences between the sexes, but a higher percentage of girls than boys indicated that they feared animals, dirt, snakes, and strangers in a 1959 study by Lapouse and Monk. Where reported, it appears that girls fear objects with a greater intensity than boys (Bamber, 1974; Scherer & Nakamura, 1968). Age Variations Several studies suggested that there is no difference in the number of reported fears at different ages (Croake, 1969; Croake & Knox, 1973; Lapouse & Monk, 1959; Maurer, 1965). However, the remainder of the literature indicated that the number of fears declines with age and stabilizes in late adoloescence (Angelino & Shedd, 1953; Nalven, 1970; Reynolds & Richmond, 1978; Scherer & Nakamura, 1968). A peak in this downward linear relationship occurs between 9 and 11 years, where the number of fears of animals increases. The peak reaches a high of 64% of males and 47% of the females at age 11 fearing animals and drops to 8% of the males and 7% of the females at 13 years of age (Angelino & Shedd, 1953). The content of fears also appears to vary with age. Although most children indicate a fear of animals (Croake, 1969; Jersild & Holmes, 1933; Jersild, Markey, & Jersild, 1933; Lapouse & Monk, 1959; Maurer, 1965), this does decline with age (Angelino et al., 1965; Bauer, 1976; Lapouse & Monk, 1959; Maurer, 1965; Staley & O'Donnell, 1984). Two other categories where frequency diminishes with age are fear of the dark and fear of fantasy creatures (Bauer, 1976; Holmes, 1935; Maurer, 1965; Staley & O'Donnell, 1984). In contrast to these declines, there are increases with age in the areas of natural and supernatural dangers, "psychic stress," and social/school fears (Angelino et al., 1956; Lapouse & Monk, 1959; Miller, Barrett, Hampe, & Noble, 1972; Scherer & Nakamura, 1968; Staley & O'Donnell, 1984). With general agreement that age is an important variable in the intensity of children's fear reactions, it appears that younger children 10 tend to have more intense reactions to fearful situations (Graziano et al., 1979). A corollary would be to suggest that the intensity of fear reactions should also diminish with increasing age. Place of Residence When considering place of residence as an influencing variable the most widely used concept may be the rural/urban distinction. Children in rural areas may be familiar with different happenings than children raised in a densely populated city and vice versa. For example, children raised in a city may be less likely to worry about severe weather affecting their family, whereas for the child in a rural setting (e.g., ranching, farming) this is a realistic concern. Such differences in concern may result in rural populations having different fear contents or varying intensities of fear in response to some categories (e.g., natural events, animals, safety) when compared with urban samples. Conversely, urban samples may obtain higher fear intensities in categories about which they have greater awareness or more frequent contact (e.g., physical safety, social issues). Most of the data that deals with the influence of place of residence on children's fears has confounded this with effects of socio-economic class. Nalven (1970) compared the fears and worries of suburban and ghetto children and found that the children from the ghetto areas indicated a greater number of specific fears. These appear to be reflections of their immediate environment, with "rats" and "roaches" being frequent responses. No other differences were reported between the 11 two groups, lending only limited support to the idea that children fear what they are exposed to in their environment. Pratt (1945) researched the fears of 570 children in rural central Michigan and noted how difference in response classifications undermined comparisons of his results with those gathered from city children by other researchers (Jersild et al., 1933). The most assured conclusion is that a larger percentage of rural children (approximately 57%) indicated a fear of animals than did children from urban settings (only 25%). Pratt (1945) saw this relationship as reflecting the rural child's greater contact with animals. In general, both studies did not adequately control for the influence of socio-economic class. It is apparent that children in ghettos have a lower socio-economic level than those in suburban areas so that it becomes difficult to determine whether that or place of residence accounts for difference in the two samples' specific fears or in their general fear of animals. As used in this paper, the place of residence factor suggests that the fear of an event may be due to the child's awareness that such a traumatic event is possible in the environment. For example, it would be unlikely for a child in a suburb or inner city area to have come in contact with a poisonous snake and the child would have no reason to anticipate the possibility of such an event. Thus, this child would have no reported fear of a snake unless contact had been made, as suggested in reported history of trauma. However, it is equally likely that the child's environmental situation is directly influenced by socio-economic status and the availability of better housing. To clarify the importance of place of residence in the development of fears, it will 12 be necessary to sample children of various socio-economic classes in both rural and urban areas (e.g., high socio-economic class in both rural and urban areas). Reported History of Trauma Another factor which may mediate the type and intensity of fears may be the history or the frequency of exposure to a fearful event or "trauma." Here, actual contact with the now-feared object is involved, rather than having the knowledge that such an event may occur or exist. There is little in the literature which related history of trauma to the subsequent development of an associated fear. However, respondent theory would indicate that any neutral stimulus present at the time a fear behavior occurs has the potential of becoming a conditioned, fear-producing stimulus (Graziano et al., 1979). If the child has been in a fearful situation, it is likely that the anxiety will be produced any time that situation is repeated in the future. No published work has attempted to obtain a history of trauma from either the child or a responsible historian nor has any compared past events with current fears. The majority of behavioral treatments for children's fears utilize procedures which suggest an underlying theory of past events creating current fears. Matthews (1978) noted that the goal of reducing emotions and increasing contact with the feared object in many behavioral treatments is an indirect statement of causal relationships between history and fear-behaviors (e.g., systematic desensitization, imagery, flooding, participant modeling). Early case studies also employed learning approaches to produce and extinguish fears. In 1920, Watson and 13 Rayner viewed the fears of "Little Albert" as primarily learned responses to a previously neutral stimuli. Along similar lines, Jones (1924) used systematic desensitization to extinguish a 3-year-old's fear of white rabbits. Similar case studies can be found from the 1920's to the present, all with an emphasis on treatment outcome factors rather than the elucidation of causal relationships. It is suggested that research explore the developmental history of children and compare current fears with previous exposure to trauma to more accurately explore the causal relationship, if any, between history and fear development. Socio-Economic Factors Socio-economic factors may produce divergent sensitivities to events and the development of fears. It may be that the highly protected child and/or the child from a high socio-economic setting has all basic needs fulfilled (e.g., food, clothing, physical safety, shelter) and the only uncertainty is in relationship and social factors (e.g., prestige, schoolwork, friends, pleasing parents). It can be suggested that such a child would be concerned with these unstable social factors and not preoccupied with worries for having basic needs met, since the latter are consistently gratified (Hawkes & Koff, 1970). The reverse situation can also be posed in which the under-protected child from a low socio-economic environment does not have all basic needs met and focuses upon these uncertain factors of daily life (Hawkes & Koff, 1970). It is likely that this child will be concerned with fulfilling basic needs to the exclusion of "higher" needs such as stable social relationships (see Maslow, 1962 for discussion of hierarchy of needs). 14 Berecez (1968) and Graziano et al. (1979) called for further systematic investigation of socio-economic class as a variable in children's fears, citing the lack of data on socio-economic class difference correlates to the intensity and number of reported fears. To date, only a few theoretical propositions have been made concerning socio-economic class as an influencing factor. Hawkes and Koff (1970) suggested that inner city children may evidence higher levels of anxiety simply because their security and physiological needs are fulfilled on an intermittent schedule. Graziano et al. (1979) speculated that types of fears are socially determined in that the children from lower socio-economic classes seem to perceive their environments as hostile via the violent quality of their reported fears (Angelino et al., 1956; Nalven, 1960). Two studies have shown socio-economic class differences in the content of reported fears, suggesting that the child's social environment and socio-economic class standing influences fears. Angelino et al. (1956) observed, and Nalven (1970) replicated the finding that children from lower socio-economic class report more specific than general fears (e.g., dope peddlers, rats, money, violence, whippings). In addition, a number of studies have suggested that children from lower socio-economic classes tend to report a greater number of fears than higher economic class children (Angelino et al., 1956; Bamber, 1974; Croake, 1969; Croake & Knox, 1973; Jersild et al., 1933; Sidana, 1975). Four studies have dealt specifically with the influence of socio-economic class on children's fears. Angelino et al. (1956) began by looking at the fears and worries of 1,030 children from 9 to 18 years 15 of age in Oklahoma City and surrounding areas. The children were asked to "list the fears and worries you think persons of your own age group have." The responses were classified into the following groups: safety; school; natural phenomena; animals; health; economic; political; personal appearance; social relations; personal conduct; and supernatural. The mean number of total fears reported was not significantly different for the two socio-economic groups and the investigators omitted any data on differences in fear content. Yet they somehow concluded that "Our data showed a positive relationship between socio-economic background and the number and kinds of reported fears" (Angelino et al., 1956, p. 276). With the development of the General Anxiety Questionnaire (GAQ, Hawkes & Koff, 1970), Hawkes and Koff returned to the idea that socio-economic class has an impact on children's fears. The General Anxiety Questionnaire was given to 211 fifth-and-sixth graders in an inner city school. The data gathered indicated that the inner city children had significantly higher scores on the anxiety scale (p < .001) than the children in private schools. Four themes in the fears and worries of the inner city children could be seen: personal misfortune; inadequacy to meet external expectations; school; and manifestations of anxiety symptoms. The investigators suggested that there may be "absolute levels of anxiety that not only arise out of interpersonal relationships between parents and child, but also levels of anxiety that arise from such things as physiological and security needs that are tenuously met" (Hawkes & Koff, 1970, p. 258). In summary, the data from the Hawkes and Koff (1970) study suggested that socio-economic status influenced the number and type of fears reported by children. 16 An extension and replication of Hawkes and Koff (1970) was done by Hawkes and Furst in 1971. The General Anxiety Questionnaire (Hawkes & Koff, 1970) was administered to 1,201 fifth and sixth graders in eight schools. The schools variables were as follows: inner—outer city area; urban—suburban area; and public—private school. findings of the earlier study. The data confirmed the Black inner city children had higher anxiety scores than their white suburban peers. The same themes were also found in the responses of the lower socio-economic subjects as those reported by Hawkes and Koff (1970). In addition, the inner city children tended to have lower achievement and IQ scores. However, there were no significant differences in attempts to present either a fake-bad or fake-good response on the fears questionnaire for the two populations. Hawkes and Furst (1971) suggested that the differences in the number of fears could be explained by differences in "socio-emotional mediating structures" (p- 349) of children from different socio-economic classes. They posed the possibility that the responses reflected the harsher environments of the inner city children whose anxiety is based on unmet security and physical needs. Finally, they noted that their results, given the prevalence of anxiety respones dealing with school achievement, contradicted some prevalent stereotypes about inner city children and a lack of motivation to achieve in school. The most recent study investigating children from different socio-economic levels was conducted in Tel-Aviv by Ziv and Luz in 1973. A Hebrew version of the Children's Manifest Anxiety Scale (CMAS; Castaneda, McCandless, & Palermo, 1956) was given to 858 children from low to high socio-economic levels. Ziv and Luz (1973) found that the 17 children from lower socio-economic classes had higher anxiety scores than their upper-level peers, regardless of sex. Children from lower socio-economic levels endorsed items such as "Other children are happier than I" frequently enough to clearly differentiate the low from the high socio-economic class children. The authors suggested that lower socio-economic class parents tended to be more rigid and less permissive which created more anxiety and lower self-esteem in their children than those in higher economic groups. A final distinction between the two groups was that the lower economic class children tended to endorse somatic symptomatology-related items more frequently than children from higher socio-economic classes. It was suggested that interpretation incorporate the possibility that children from lower socio-economic classes might have been less capable of hiding their true reactions on the questionnaire and experienced greater comprehension difficulties than the children from higher socio-economic classes. Two general criticisms can be made of the research relating to socio-economic class to fear development in children. First, specific events rather than general fears which may have inflated the total number of fears were reported by the lower socio-economic class groups (Nalven, 1970). Secondly, it is possible that the children from the lower socio-economic classes tended to have weaker abstraction skills when compared to age mates from higher socio-economic classes. Such a difference in abstraction ability may have facilitated reporting specific fears among lower socio-economic class children due to an inability to accurately categorize events and report categories of fears (Graziano et al., 1979). 18 Review of Previous Scales What follows is a review of checklists and standardized assessment techniques used to measure children's fears. The advantages and disadvantages of checklists are included in this section to avoid confusion with the methodology section concerning the various assessment instruments. The various techniques have been used in the studies discussed in the review of the literature and were the basis for the development of the new questionnaire used in the present study, the Children's Fears and Worries Questionnaire. Checklists Constructed Within A Study Nine studies were found which used checklists which were developed using data from pilot interviews (Croake, 1969; Croake & Knox, 1973; Hagman, 1932; Jersild, Goldman, & Loftus, 1941; Lapouse & Monk, 1959; Pinter and Lev, 1940; Sidana & Sinha, 1973; Simon & Ward, 1974; Winker, 1949). A distinction is made here between checklists and fear inventories (instruments). A checklist is understood as commonly developed on a single population and is rarely used in later research; fear inventories are standardized and used in many different research projects. An advantage of a checklist is that it has the promise of being a more objective measure of fears than interviews. The influence of social desirability is reported to be lowered, especially when the measure is given in a group situation by lessening the subject's contact with the examiner (Croake & Hinkle, 1976). The phenomenon may be due to the absence of a judgmental examiner and the almost secretive nature of the measure in that one's peers do not have access to one's responses. 19 The ability to standardize responses is a second advantage. However, it is surprising that few, if any, checklists have been standardized. Croake and Knox (1973) used a checklist developed earlier by Croake in 1969. Jersild et al., (1941) adapted a list initially developed by Pinter and Lev (1940). not found. Otherwise, replication studies were The reliability and validity of most checklists is undeterminable (Geer, 1965; Manosevitz & Lanyon, 1965) with only split-half reliability being reported as a rule. Such data indicates only internal consistency, not the temporal stability of the checklist (Graziano et al., 1979). The length of the checklist itself and the type of variables are limiting factors (Croake & Hinkle, 1976). Research and common sense indicate that there is a positive relationship between the total number of reported fears and the length of the checklist (Croake, 1969). The length of the lists found in this review ranges from 50 (Sidana & Sinha, 1973) to over 200 items (Lapouse & Monk, 1959). It is possible that discrepant results may be due to differences in length of checklists. In general, the benefits of checklists are many. Checklists can provide the subject with an opportunity to anonymously list all of his or her fears and even indicate the intensity or frequency of the specific fear on Likert-type scales. In addition, checklists can be comprehensive in nature by providing space for the subject to list idiosyncratic fears which do not appear in the listings. 20 Specific Assessment Instruments The development of formal instruments to measure children's fears has been slow in comparison with such instruments for adults. The hallmark of these instruments is that they are specifically designed to be completed by a child, in contrast with checklists which can be filled out either by the child or a caretaker and most interviews which deal with caretaker responses. The majority of the published literature focused on the actual development and statistical qualities of the questionnaires. With the exception of the Children's Manifest Anxiety Scale (Castaneda et al., 1956), very few studies were found to be concerned with actually using an instrument and gathering data on the nature of children's fears (Hawkes & Furst, 1971; Holloway, 1958, 1971; Staley & O'Donnell, 1984; Ziv & Luz, 1973; Ziv & Shauber, 1969). The available instruments can be arranged in two categories (Ryall & Dietiker, 1979). One type focuses on intensity of reaction and is exemplified by the Children's Manifest Anxiety Scale (Castaneda et al., 1956), as well as its Short Form (Levy, 1958), and revised version. What I Think and Feel (Reynolds & Richmond, 1978). The second and more prevalent type of instrument incorporates the frequency distribution of fears as well as associated intensity. This category includes the General Anxiety Questionnaire (Hawkes & Koff, 1970), the Louisville Fear Survey (Miller et al., 1972), the Children's Fear Survey Schedule (Ryall and Dietiker, 1979), the General Anxiety Scale for Children (Sarason et al., 1960), and the Fear Survey for Children (Scherer & Nakamura, 1968). A brief discussion of the characteristics of each scale is presented below. 21 Children's Manifest Anxiety Scale (CMAS). By far, the most widely used instrument is the CMAS (Castaneda et al., 1956), with over 100 studies currently in print (Reynolds & Richmond, 1978). The CMAS did not actually measure fears but explored the child's tendency or predisposition to experience a chronic state of anxiety (Hawkes & Koff, 1970; Scherer & Nakamura, 1968). Taylor's scale of manifest anxiety (1953) was the basis for CMAS as 42 of Taylor's items were chosen along with 11 lie items from Taylor's lie scale. The lie items were not about anxiety or anxiety-related behaviors, instead they focused upon a tendency to falsify answers. Children were asked to circle either "yes" or "no" to indicate if each item applied to their personal life. An item analysis (Hanfer & Kaplan, 1959) suggested that the 42 anxiety questions differentiated between highly anxious subjects and the remainder of their sample of fourth, fifth, and sixth graders. differences in the sex of the subject were reported. No Several studies found that a subject's performance on the lie scale of the CMAS had little or no correlation with performance on the anxiety portion (Holloway, 1958, 1961; Kitano, 1960; Muuss, 1960). Other published reports investigated the reliability and validity of the CMAS as well as gathered normative data on different populations (e.g., Holloway, 1958, 1961; Kitano, 1960). Short Form of the CMAS. The popularity of the CMAS can be seen in the efforts made by Levy (1958) to arrive at an abbreviated version. Levy evaluated protocols of the original CMAS and found 10 items which showed no significant differences with regard to the subjects' sex or grade level. He used these 10 items as the Short Form. The original 22 protocols were rescored using only the 10 items and Levy reported that the Short Form predicted scores on the 42-item original form with correlations between 0.84 and 0.95. General Anxiety Scale for Children (GASC). The authors of the GASC originally developed a scale to measure test anxiety in children (TASC; Test Anxiety Scale for Children; Sarason et al., 1960) and developed the GASC to obtain a compatible measure of anxiety in situations other than classroom tests. The GASC originally had 80 anxiety items and was later revised to include only those items which correlated with a total test score, resulting in a final total of 34 anxiety-related items. These items indicated the child's willingness to report unhappy experiences involving anxiety, bodily reactions to anxiety-producing events, responses to a wide variety of situations, and acknowledgments of situations with painful or dangerous results. There was an 11 item lie scale which focused upon the child's willingness to admit or deny feelings of unhappiness and anxiety, in a word, defensiveness. The unique quality of the GASC lie scale was that its items were anxiety-relevant and in context with the other items on the scale. Sarason and his colleagues (1960) reported initial correlations of -.40 to -.66 between lie scale scores and anxiety scores. The authors felt that this was an overall indication of defensiveness which skewed the results of their research, suggesting that the children may have indicated more anxious behaviors if they had been less defensive. Fear Survey Schedule for Children (FSS-FC). Scherer and Nakamura developed the FSS-FC in 1968, based on the adult scale presented by Wolpe and Lange in 1964. Eighty items were selected to be conceptually similar 23 with Wolpe and Lange's items. Some were identical to the adult items, with the remaining questions chosen after discussions with graduate students and school personnel, all familiar with the area of children's fears. Initially the items fell into the following eight subscales: school; home; social; physical; animal; travel; classical phobia; and miscellaneous. Children were to indicate their responses on a Likert scale from one to five with the following labels: much; and very much. none; a little; some; In this fashion, each child was given a total number of fears score (any item with a degree of two or more) as well as a total degree of fear which was the sum of all responses. A factor analysis of the items resulted in 10 subscales which were different from those originally suggested; failure/criticism; major fears; anxiety—neuroses; minor fears—travel; medical fears; anxiety—worry; fear of death; fear of the dark; home—school fears; and miscellaneous fears. Very few items were found in factors III and VI, the anxiety—neurosis and anxiety—worry subscales. An intercorrelation matrix of the factors indicated an interrelationship between the failure, medical, and miscellaneous factors and between the major, death, and home—school fear factors. In addition, the failure, medical, and miscellaneous fear groups showed significant differences when analyzed by sex and anxiety groupings. General Anxiety Questionnaire (GAQ). published the GAQ. In 1970 Hawkes and Koff It had an anxiety scale and a lie scale which was identical to lie scale on the GASC (Sarason et al., 1960). The 39 items on the anxiety scale came from the CMAS (Castaneda et al., 1956) as well as the GASC (Sarason et al., 1960). Thirty-one items were chosen from 24 the CMAS, but only those which dealt with the physiological concomitants of anxiety or those which overlapped with GASC questions. from the GASC completed the remainder of the anxiety scale. Eight items Children were asked to respond to each item as it applied to them by circling yes or no. Louisville Fear Survey (LFS). Miller and associates (1972) developed an 81 item inventory which was suitable for children aged 4 through 18 years or their caretakers to complete. The items were obtained through reviews of the literature in child clinical psychology, previous inventories relating to childhood anxiety, and current adult fear survey measures. Each item was responded to on a three-point scale: no fear (1 point); reasonable/normal fear (2 points); or excessive/unrealistic fear (3 points). A total fear score was obtained by summing the responses. The items were found to lie in three factors through a factor analysis. Factor I was a fear of physical injury from man-made dangers. A fear of natural and supernatural dangers was classified as Factor II, with psychic stress as Factor III. What I Think and Feel - the Revised CMAS. In order to decrease administration time, clarify unclear items, lower the overall reading level, and develop better lie scale questions, a revision of the CMAS was done by Reynolds and Richmond in 1978. The length of the original scale was reduced by 33% with 25 of the original items retained and three new items added for a total of 28 anxiety items and lie questions. The original CMAS was reviewed by clinicians and teachers who were asked to add any omitted items. The resulting total of 73 items were given to reading specialists to be revised to a first grade reading 25 level. However, the authors finally agreed upon a third grade reading difficulty level with the hopes of using oral administration for children in the first and second grades. Items were retained if they had at least a 0.4 correlation with the total anxiety scale score and had a high intercorrelation with the rest of the lie items. Recent research focused on the long-term stability of the new scale as well as its concurrent validity (Reynolds, 1981). Children's Fear Survey Schedule (CFSS). A self-report instrument designed only for oral administration was created by Ryall and Dietiker in 1979. It focused upon specific fear stimuli and the intensity of the child's fear response. fear word choice. The authors' primary emphasis was on the child's In order to make the task clear for young children a process was outlined in which the child would indicate a preferred word for the concept of fear. The three common fear words used were "afraid," "scared," and "nervous." The child was shown Picture A and asked if the boy in the drawing was "afraid or scared." paired with "nervous" when shown Picture B. The child's choice was then If the same word was chosen for Pictures A and B, that was considered to be the preferred word. If however, the child chose a different word for the two pictures, the two words were given with Picture C to determine the final word choice. The CFSS had 48 specific fear stimuli questions and two open-ended questions to obtain information about idiosyncratic fears. the questions was: The format of "Are you (fear word) of (specific fear item) at all? Not (fear word), a little (fear word), very (fear word)?" The responses were scored on a three point scale with "not" receiving zero points, "a little" given one point, and two points given for each "very" response. 26 Methodological Concerns There has been a proliferation of research methodologies in the investigation of children's fears. follows: The methods may be grouped as interviews with a child; interviews, observation, and records of adults; fears from childhood as recalled by adults; checklists constructed within a study; specific assessment instruments; and experimental situations. This variety of measures seriously hinders comparisons between studies and any attempts at making definitive conclusions as to the nature, development, and maintenance of children's fears. Development of the ideal instrument may prove a pointless effort if that instrument is designed for isolated use. Rather, the use of many assessment techniques is suggested, in part, because of the tripartite nature of fears (Graziano et al., 1979; Miller et al., 1972) but also because of the wide variety of skills and behaviors that may be influenced by fear cognitions and fear behaviors. The assessment device endorsed within the confines of this paper accommodates some of the methodological points which follow. Social Desirability One major methodological concern involves what may be called the social desirability set. Adults and children alike wish to be considered "normal"; the act of admitting a fear may threaten one's "normal" status. Spiegler and Liebert (1970) found that the more socially acceptable it is to fear something, the more frequently an individual will report having that fear. There is also a difference between asking what individuals fear and asking what fears are commonly found in their peer group (Croake 27 & Hinkle, 1976), a technique used only occasionally (Angelino et al., 1956; Angelino & Shedd, 1953; Nalven, 1970). It has been suggested that both of these effects of social desirability can be reduced by the use of a checklist, especially when the measure is given in a group situation (Croake & Hinkle, 1976). This phenomenon may reflect the more private nature of the checklist in that one's peers do not have ready access to one's responses. In a similar light, the use of a questionnaire may also decrease the influence of social desirabilty if the child is assured that neither peers nor significant others will be viewing their responses. Subjectivity of the Data The data gathered by all methods is subjective in nature and this subjectivity may be unavoidable no matter which investigatory method is employed. Self-reports and those of significant others are obviously subjective and so is observational data which is subject to experimenter and rater bias. What an individual reports as a fear may be at odds with the observation of an "unbiased" observer (Croake & Hinkle, 1976). A study by Lapouse and Monk (1959) investigated the social desirability issue by asking to report fears and having their mothers indicate what their child feared. The authors found that the children in the sample reported 41% more fears than their mothers reported the children as having. It is possible that the subjective nature of their question, "Does your child have fears?" contributed to this discrepancy of the mothers viewing their child as less fearful than the child's own self-report. Agreement was high (81%) when the mothers and children were asked about objective overt behaviors such as the occurrence of bed-wetting. Although the mothers can hardly be seen as objective 28 observers, this data does suggest that self-reports can be and often are in conflict with observational data. The use of strictly observational data may not produce objective data in that the observation of the child may alter the child's typical response pattern. In addition, the use of experimental fear-producing sessions to obtain observational data is ethically questionable. A tentative solution may be to obtain information from the child and caretaker on an identical instrument and to compare variances in the reports. It is possible that caretakers tend to underestimate the child's fears and worries. Children generally do not discuss all of their concerns with caretakers and may strive to present themselves in a good light by being "brave" and "fearless" children. Inaccuracy of Recall A related issue is that all methods relying on adult information must depend on the memory skills of each informant, yet memory skills are variable and difficult to control (Jersild & Holmes, 1935). In addition, the adult is asked to make inferences about or to label reactions they experienced as a child or observe in their own children. It is impossible that the adult may attribute current feelings and interpretations to childhood behaviors (Jersild & Holmes, 1935). Jersild and Holmes (1935) found that a fear of social criticism accounted for 8,7% of their reported adult fears and only 1,6% of their reported children's fears. When faced with a fear behavior which could be recalled but not readily explained, adults may apply current concerns 29 such as self-esteem, inadequacy, and prestige, thus inflating the reporting of fears related to social criticism. Development of Cognitive Skills The situation becomes more complex when the informant is a child. A young child may not be able to engage in self-appraisal to the degree necessitated by the task of an open-ended question asking for a list of fears. It is possible that the younger child can produce an accurate answer when asked if specific things are feared, a technique found in all of the current checklists and assessment instruments. The likelihood of the child comprehending the concept of fear is taken into account by the inclusion of open-ended questions to obtain idiosyncratic information. Comprehensiveness of the Measure A fifth critique deals with the comprehensiveness of measuring and reporting all of a child's fears, either common or idiosyncratic (Graziano et al., 1979). However, coverage of a wide range of fears may require lengthy questionnaires. Young children have a short attention span and every investigator should be conscious of the length of the instrument used (Ryall & Dietiker, 1979). The attention spans of young children should be noted if they seem to be a problem in the administration of lengthy by comprehensive surveys and arrangements should be made for the child to complete the questionnaire in multiple sessions if necessary. 30 Classification of Fears When the questionnaires are completed, attempts are made to review and clarify the reported fears. This task is made difficult due to the variety of fears listed on the different checklists and assessment instruments. However, some classification schemes appear to be more popular than others as gauged by the frequency of use in other research (Angelino et al., 1956; Jersild & Holmes, 1935; Maurer, 1965). A frequent occurrence is that some categories comprise a larger number of potential items than other categories (e.g., fears of animals vs. vs. political fears such as nuclear war). When the most "popular" fears of children are sought, it would seem axiomatic that the greater the number of different items per category, the higher the frequency (Croake & Hinkle, 1976). Accordingly, it has been suggested that categories be constructed so as to encompass equal numbers of items to facilitate a more accurate comparison of frequencies (Croake & Hinkle, 1976). However, no studies to date have specifically indicated that their categories are equal in the number of items. Idiosyncratic Expression of Fear The child's particular expression of fear has been shown to vary significantly (Ryall & Dietiker, 1978). A procedure which seems to allow the child to use a preferred word was developed by Ryall and Dietiker in 1979 and has been described in the previous section on the Children's Fear Survey Schedule. Although an excellent approach, it would be difficult to employ with a large number of subjects. The process requires a relatively long interview with the subject on an individual basis and may hinder the anonymity of results as well as increase the 31 influence of social desirability factors. It may be that in order to sample a large number of subjects a single word to describe "fear" must be used on questionnaires, with the examiner present to give preliminary examples of fear-related behaviors and physical sensations. Reading Abilities Ryall and Dietiker (1979) also suggested that instruments be geared to the different reading abilities of children. instrument to subjects at a prereading level. These authors read their Oral administration is the preferred method of administration with young children but its benefits in obtaining information are somewhat offset by possible examiner-bias and other negative influences of examiner presence. Statement of the Problem Apart from recurrent demonstrations of age-linked differences in the fears of children, few definitive conclusions can be drawn from the research literature. The aim of the present study was to add to the existing information on common attribute variables such as age and sex as well as social variables involving socio-economic class, past experiences, and place of residence. The final goal of this research was to develop an assessment instrument that addressed most of the methodological concerns presented earlier. Major Variables and Theoretical Rationales Nalven (1970) and Pratt (1945) have suggested that the content of children's fears varies with their place of residence. It is possible that the objects in a child's environment become targets for fearful reactions rather than objects with which the child has had no contact. 32 The investigation of place of residence (rural, urban) as it applies to the content and subsequent intensity of children's fears was conducted in this research. It has been the rule for behavioral treatments of fear(s) to use techniques related to extinguishing the connection between a fear stimuli and a behavioral response. Such therapy suggests that it may be the child's previous experience with a given class of stimuli (e.g., those associated with place of residence) which is influential in the development of a fear. Instead of placing children in experimental fear-producing situations of an artificial nature, this study attempted to gain a "developmental history" from both the child and parents to begin to determine if the child's natural experience with a particular set of events increased the likelihood of developing a fear of such events. Recent studies have suggested a difference in the content and intensity of children's fears when different socio-economic levels are considered (Angelino et al., 1956; Hawkes & Furst, 1971; Hawkes & Koff, 1970; Nalven, 1970; Ziv & Luz, 1973). However, these studies were difficult to compare because of differing methodologies and unclear descriptions of results in some published reports. Differences in intensity, content, and number of fears in children from different socio-economic levels are not well established. incorporated into the present study. So these variables were 33 Past research has indicated that girls report a larger total number of fears than boys (Angelino et al., 1956; Bamber, 1974; Croake, 1969; Croake & Knox, 1973; Lapouse & Monk, 1959; Pratt, 1945; Sarason et al., 1960; Scherer & Nakamura, 1968; Spiegler & Liebert, 1970; Staley & O'Donnell, 1984). The current study hoped to extend or replicate this body of normative data on sex and age using the new instrument. In summary, an important goal in the area of children's fears would seem to involve defining the more prominent processes in their development and maintenance as a preliminary step to definitive normative data. The lay press is currently focusing on children's fears of nuclear war and the "psychic stresses" that today's children experience. Perhaps some exploration of how to determine the "normalcy" of children's concerns as well as ways to mediate negative effects will result from a continued expansion of this literature. Rather than focusing solely on the "common" or "normal" fear stimuli, normative data on the intensity and content of a child's fears with respect to the influencing variables has been suggested as a more fruitful pursuit (Graziano et al., 1979). Such was the purpose of this study. Information on these variables may later be put to use in clarifying theoretical propositions and treatment programs relating to fearful children. The Children's Fears and Worries Scale (CFWS) A new assessment technique has been developed within the confines of this study and an earlier pilot study (see Appendix A for additional information). The CFWS was designed in response to many of the methodological criticisms which have been leveled at current checklists and surveys. A brief outline of these innovations follows below. 34 A major concern in all survey and self-report research has been the influence of social desirability. The CFWS was designed to be completed on a group basis, thereby eliminating some of the individual contact with the examiner and providing a sense of anonymity when answering the items. The children were reassured that neither their parents nor teacher would see their responses. Questionnaire data is, by all means, subjective in nature and a reflection of the respondent's self-image, or even an ideal self. The subjectivity and inaccuracy of reportings cannot be totally eliminated in any paper-and-pencil technique. The CFWS incorporated a "lie scale" which determined the subject's tendency to be defensive and not admit everyday happenings on the CFWS in general. In addition, the children's self-report data was supplemented by parental responses on identical questions about the child. It was highly possible that the child did not recall certain early events which the parent was able to report. Although previous investigators (Lapouse & Monk, 1959) have demonstrated discrepancies between parental and child surveys, the value of parental information and insights cannot be overlooked. The largest criticism of research to date has been the failure to classify fears in a similar manner across instruments and the relatively limited scope of most scales. The CFWS was composed of eight subsets of items (categories), with 10 items in each. This should allow comparisons across fear contents as suggested by Croake and Hinkle in 1976. Four of the subscales were designated to be "concrete" in nature, meaning that they focused upon the basic needs of life. The remaining four categories were labeled "abstract" in that they focused upon non-essential topics 35 such as supernatural beings and social standing. The abstract categories may have required a higher level of cognitive sophistication in the child. Finally, several open-ended items were placed at the end of the CFWS to allow the child and parent to indicate any idiosyncratic fears which were not listed in the CFWS proper. Although Ryall and Dietiker (1978) demonstrated quite clearly the idiosyncratic nature of a fear word choice, the ability to determine each subject's preferred word would only increase administration time and make it impossible to print a standard version of any questionnaire for a subject to complete. The CFWS used the words "fear" and "worry" and the examiner was present during the administration of the scale to give examples of fears, worries, and to answer any other questions that the subjects had. Ryall and Dietiker (1978) also discussed the importance of an accurate reading level of any questionnaire. The CFWS has not been analyzed for reading difficulty, but a pilot study demonstrated that second graders were able to comprehend the CFWS with little assistance. Hypotheses The following hypotheses were explored in the present research. The majority of these hypotheses were given a nondirectional emphasis in view of the diversity of previous findings. Alternate hypotheses might well have predicted more specific relationships if the methodological limits to prior work were weighted less heavily. 36 HI: Rural children will report a different total number of concrete fears than urban children. H2: Urban children will report a different total number of abstract fears than rural children. H3: Low socio-economic class children will report a different total number of fears than high socio-economic class children. H4: Low socio-economic class children will report a different total number of concrete fears than high socio-economic class children. H5: Children with a high frequency of trauma in a specific fear category will have a high average fear score in that category. H6: Differences in average fear scores will be seen between the eight fear categories when subjects are considered with regard to low socio-economic class, high socio-economic class, rural and urban variables. H7: Parents will report a smaller number of fears than their children. H8: males. Females will report a different total number of fears than 37 H9: Differences in the total number of reported fears will be seen when subjects are considered by age groups. CHAPTER II METHODS AND PROCEDURES Subjects The children in this study were third through sixth grade children and their parents recruited from private elementary schools. 260 child subjects participated in the original sample. A total of Two child subjects were omitted from the sample because of a lie scale score of 7 or less which suggested that their responses were of questionable validity. sample. Thus, a total of 258 child subjects were used in the actual Whenever possible, one or both parents of each child subject also participated. The child subjects were analyzed according to the following demographic variables: socio-economic class (upper, middle, lower); sex; age (in months); and area (urban, rural). According to the Hollingshead Two Factor Index of Social Position ( Hollingshead & Redlich, 1958), 21% (54) of the children came from homes classified in the upper socio-economic stratum, 65% (168) came from the middle socio-economic stratum, and 14% (36) from the lower socio-economic stratum. Females comprised 56% (144) of the sample and males the remaining 44% (114). The children ranged in age from 6 years, 5 months to 16 years, 0 months. The average age was 11 years. The median age was 10 years, 6 months and the most frequently represented age was 9 years, 2 months. (See Tables subjects by the demographic variables.) 38 1 through 3 for breakdowns of 39 Table 1 Breakdown of Subjects by Demographic Variabl es Area Sex SES Number Percencage Urban M U 20 M M L U M L U M L U M L 54 11 26 72 7 4 18 6 4 24 12 7% 21% 4% 10% 27% 3% Rural Urban Rural M F M F Urban 85 105 28 40 32% 39% 11% 15% UU 46 46 M T 126 18 8 42 18 17% 48% 6% U M L 114 144 54 168 36 T u Rural 7% 2% 2% 1G% M 17% 6% GRANT) TOTALS M F 4^% 56% 21% 65% 14% Note. The following abbreviations are used above: Sex: Male, Female SES: (Socio-Economic Standing): Upper, Middle, Lower 40 Table 2 Breakdown of Subjects by Age Group and Average Total Number of Fears Nuoiber Mean T o c a l S c d . Dev. Area Sex SES 78-89 Urban F M 70 0 90-101 Urban H H 42 0 102-107 Urban M L 67 0 F U 63 0 L 25 0 M M 66 0 F L 64 0 H U 47 23 H 41 3 L 65 0 U 52 15 M 45 9 U 38 0 M 41 21 L 31 0 M 70 14 L 73 14 H H 44 16 F U 42 14 M 45 19 L 91 0 U 50 0 M 49 28 M 63 16 Aae(Monchs) * Rural 108-113 Urban F Rural M F 114-119 Urban Rural M F 120-12S Urban M F L 2 58 26 U 2 45 17 M 5 51 20 L 2 50 3 U 5 49 19 M 9 49 15 41 Table 2 Continued Age (Months) Area Sex SES Nufflber Rural M U I 33 0 M 3 31 30 L 2 29 10 H 6 56 19 L 4 74 10 U 4 39 21 M 3 41 16 L 1 32 0 U 4 48 10 N 13 49 16 N 2 40 10 L 1 S8 0 U 1 21 0 M ] 38 26 L 1 36 0 U 1 71 0 N 1 38 0 u :1 63 14 H :> 53 17 L I 80 0 U I 49 11 n } 54 9 M M i 51 18 F U t> 54 17 H 4 56 13 L 2 51 23 u I 47 0 H I 33 0 u 1 68 0 M 2 74 2 U I 51 0 M 6 46 12 U I 45 0 F 126-131 Urban N F Rural H F 132-137 Urban H F Rural 138-143 Urban Rural F M F 144-149 Urban M F Mean Tocai Scd. Dev 42 Table 2 Continued Age (Honchs) Area Sex Rural N F 150-155 Urban M F 156-161 168-173 Number M 6 56 15 L 2 55 33 M 1 9 0 L 2 43 30 N 1 58 0 M 1 59 0 U 1 65 0 M 9 49 15 L 2 55 3 U 1 47 0 M 11 42 17 Rural F L 1 65 0 Urban M .U 2 33 12 M 7 36 10 L 3 53 14 U I 57 0 M 4 44 21 U 3 57 13 H 2 46 3 F M 3 49 13 M U 1 78 0 F U 1 41 0 N 1 71 0 F 162-167 Mean Tocal Scd. Dev SES Urban Urban H 174-185 Urban M U 1 40 0 186-191 Urban H H 2 46 4 192-197 Urban H L 1 13 0 Note. The following abbreviaciona are used above. Sex: Male, Female SES (Socio-Economic Standing): Upper, Middle, Lower Scd. Dav. (Scandard Deviation) 43 Table 3 Breakdown of Subjects by Age Group and Average Intensity Score Aitii(Honchit) Area Sex SES Nuaber Mean Incenaicy Sea. Dev. 78-89 Urban F H 1 2.92 1.70 90-101 Urban N N 1 2.55 1.92 Urban H L 1 3.00 1.67 F U I 1.99 0.84 L 1 3.06 1.67 H H I 2.92 1.91 F L I 1.86 1.69 H U 4 1.95 0.55 N 3 1.99 0.54 L I 2.66 1.J8 U 4 2.32 1.25 H 9 2.27 0.52 U I 1.91 1.44 H 6 2.24 0.98 L 1 1.65 1.68 H 4 3.64 0.76 L 2 3.61 0.24 H H 5 2.27 0.54 F U 3 2.49 0.63 H 3 2.38 0.74 L I 4.78 1.81 U 1 2.33 1.44 H 4- 2.56 0.99 H 5 3.07 0.31 L 2 2.93 0.44 U 2 2.28 0.51 H 5 2.53 0.69 L 2 2.38 0.72 U 5 2.56 1.13 N 9 2.81 2.68 102-107 Rural 108-113 Urban F Rural H F 114-119 Urban Rural H F 120-125 Urban H F 44 Table 3 Continued Age Months Area Sex SES 1 1.77 • 1.29 M 3 1.75 0.62 L 2 1.95 0.69 H 6 3.22 1.42 L 4 3.39 0.74 U 4 1.36 0.5O N 3 1.34 0.66 L 1 2.16 1.85 U 4 2.67 0.69 M 13 2.12 0.58 M 2 2.32 0.20 L 1 2.92 1.95 F • U 1 1.46 0.96 H 2 2.25 1.07 L 1 4.06 1.47 U 1 2.76 1.25 H 1 2.23 1.75 U ) 2.36 0.97 N S 2.19 0.41 L 1 4.05 1.75 U 2 2.:j2 0.94 M 3 3.16 0.59 Urban N M 6 2.41 0.61 F U 4 2.54 0.98 M 4 2.41 0.47 L 2 2.36 0.33 U I 1.70 0.78 M 1 2.11 1.73 U I 3.18 1.72 M 2 2.90 1.52 U I 2.19 i.::a M 6 2.39 0.62 U I 2.49 1.79 F Urban H F Rural N • 132-137 Urban H F Rural F 138-143 Rural M F 144-149 Std. Dev. U Rural H 126-131 Number Mean Intensity Urban M F 45 Table 3 Continued Age (Months) Area Sex Rural SES N F 150-155 Urban M F 156-161 168-173 M 6 2.11 0.21 L 2 2.53 1.31 M 1 1.22 0.84 L 2 1.89 0.66 H 1 2.70 1.76 N 1 2.16 1.28 U 1 2.36 1.18 M 9 2.37 0.69 L 2 1.67 0.96 U 1 1.84 1.21 M 11 2.07 0.73 Rural F L 1 2.31 1.37 Urban H U 2 1.61 0.37 M 7 1.70 0.39 L 3 ,2.13 0.96 U 1 2.41 1.61 N 4 2.10 0.64 U 3 2.48 0.60 H 2 1.85 0.36 F M ] 2.22 0.49 M U 1 3.91 1.85 F U I 1.64 1.91 M I 2.34 1.01 F 162-167 Mean Incensi cy Scd. Dev. Number Urban H Urban 174-185 Urban M U I 1.69 0.96 186-191 Urban M M 2 1.58 0.23 192-197 Urban M L I 1.29 0.91 Note, the following abbreviation s are used abo ve. Sex: Male , Female SES (Socio--Economic Standing): U pper. Middle, Lower Scd. Dev: Scandard Deviation 46 The vast majority of the sample came from urban areas (74%, 190 subjects), with the remaining 26% (68) obtained from rural areas. This large discrepancy resulted from differences in population density in the two sampling areas, as well as the difficulty obtaining consent from the school officials in rural areas. The distribution of subjects by area and schools can be found in Table 4 along with the number of potential and actual subjects. As suggested by Campbell and Stanley (1963), it can be assumed that the responding schools had characteristics which varied from the non-participating schools. Such factors could restrict generalization of results to other populations as well as jeopardize the external validity of the study. One characteristic may be the examiner's and research assistants' familiarity with the participating schools and corresponding lack of information about the operating systems and policies of the non-participating schools. In addition, parochial schools are not subject to the many local and governmental policies and regulations as are public schools. Finally, the particpating schools may be characterized by an enthusiasm for improvement, increased understanding and self-reflection of the principals, school board members and parents. Regardless of financial abilities, it seems that parents enrolling children in parochial schools may be more interested in social and intellectual achievement than the parents of children attending public schools. Consequently, the children sampled in this study may experience greater social pressures than their public school cohorts. Due to this factor and the small number of subjects in each demographic grouping (see Tables 1 and 4 ) , the generalization of results 47 Table 4 Potential and Actual Number of Subjects by School and Age School Area Possible Actual A Urban 270 45 16% B Urban 40 11 27% C Urban 30 8 26% D Urban 30 19 63% E Urban 160 38 23% F Urban 200 69 34% 730 190 26% SUBTOTAL Percent M Rural 117 17 14% N Rural 65 6 9% 0 Rural 60 17 28% R Rural 56 28 50% 298 68 23% SUBTOTAL I^ote. 4 other Urban area schools were contacted and refused to participate. 13 other Rural area schools were contacted and refused to participate. The numbers in this table were based on the sample used in the study which omitted two rural subjects on the basis of their lie scale scores, leaving a total of 258 subjects. 48 of the present study should be applied with caution and limited to children in parochial elementary schools. Replications with larger subject groups and public school children would extend the generalizability and raise the external validity of the CFWS. Data was also gathered from the parents of the children who participated in the study. The 65 children (25%) whose parents did not participate were retained in the data but not used in any of parent-child comparisons (Hypothesis Seven). Of the 193 children (75%) whose parents participated, 113 of these subjects (43%) had both parents complete the questionnaires. There was a total number of 186 mothers and 118 fathers who participated in the research. Pilot Study A pilot study was conducted to gain information about the proper format, content and feasibility of the survey materials and general methodology. Children and parents in a private elementary school in a metropolitan urban setting served as subjects. The subjects responded to the pilot fears questionnaires on two occasions and gave feedback as to the format and content of the instruments. Revisions in the questionnaire format and content were made based on qualitative and quantitative information from the pilot study feedback (see Appendix B for a listing of items retained from the pilot study idiographic items). A discussion of the pilot study can be found in Appendix A. Only univariate statistics were obtained for the pilot study ( see Table 5). 49 Table 5 Univariate Statistics for the Pilot Study Source Mean Std, Deviation 12.65 4.03 17.73 9.38 3.25 19.11 High SES 11.08 3.78 14.34 Middle SES 10.61 4.02 19.02 Total Abstract Fears 11.81 3.79 19.21 Total Concrete Fears 9.71 3.83 15.61 21.51 6.61 43.82 Females Males Total Fears Note. SES stands for socio-economic status. 50 Materials and Procedures Instruments Each child and parent completed the CFWS as well as a Developmental History Sheet. One parent per child completed a Demographic Information Sheet for each child subject. The Children's Fears and Worries Questionnaire (CFWS). The CFWS had a total of 91 items, representing a fear scale and an 11 item lie scale. The 80 fear items on the CFWS were chosen from existing child fear and anxiety scales and via results of the pilot study. Items from existing scales were selected on the basis of their factorial classifications in original articles and their emphasis on anxiety and fear behaviors or cognitions. Additional items were chosen if they appeared at least 25% of the time as idiosyncratic items on pilot study surveys. The fear scale items were designed to fall into eight subject categories of 10 items each. When a category could not be completed with items from existing scales, the idiosyncratic questions were added. The particular categories for the items were chosen based on previous research and factorial findings in the literature (Angelino et al., 1956; Miller et al., 1972; Scherer & Nakamura, 1968). The categories were: Nature; Health; Safety; Animals; School; Home; Social; and Supernatural. The first four categories were labeled "concrete" in that they represented basic needs and did not necessarily require advanced cognitive skills to comprehend. The remaining four subdivisions were called "abstract" because they were composed of higher needs such as social concerns and have been suggested to demand a higher level of 51 cognitive sophistication (Graziano et al., 1979). Lists of the origin of each item and its category assignment can be found in Appendix B. The lie scale items were the original 11 items from the lie scale of the General Anxiety Scale for Children (Sarason et al., 1960). These items were designed to test response sets and blend in with the anxiety items in content and wording. The 91 items on the CFWS appear in an order determined by random number selection. This procedure was employed to spread out each category's questions, thus alleviating the effects of boredom and/or frustration in the subject. A final subset of items on the CFWS was open-ended questions for subjects to indicate idiosyncratic fears or worries which were not specified in the survey. A total of three blank items were included. Subjects were asked to indicate if each item applied to them by circling either "yes" or "no." If the choice was "yes," then the respondent was asked to indicate the item's intensity or frequency on a five-point Likert scale. The anchors of the scale were "A Little" (1 point) and "A Lot" (5 points). All "no" answers, although not on the Likert scale, were given zero points. The scoring of the CFWS produced a total number of fears score and an intensity or frequency score. As the anchors were not specific to intensity or frequency, it is unknown if the respondents systematically viewed the task on either dimension. For the purposes of the remainder of this paper, the scores on the Likert scale will be referred to as "intensity scores." The average intensity score was produced by summing all of the responses on the Likert scale for each item and using the mean response number. The 52 total number of reported fears was obtained by counting all of the items which were answered "yes." The difference between the parent and child versions of the CFWS was in the wording of the questions. The children's form asked if the child ever worried or feared something and the parents' version asked the adult about their child's concerns (i.e., "Does your child ever worry about..."). Developmental History Questionnaire. The Developmental History Questionnaire asked the child or parent to indicate the frequency of the child's experience with each fear item on the CFWS. lie scale items was not obtained. History on the 11 The respondent was asked to indicate if the event had ever occured by circling either "no" or "yes." If "yes" was chosen, the number of times the event happened was to be indicated. Demographic Information Form. The following information was solicited from a parent on the Demographic Information Form: child's date of birth, completed education, current grade placement; mother's completed education and occupation; and father's completed education and occupation. The information about the child was used to determine age (in months) and current grade level. Socio-economic status was determined using the Hollingshead Two Factor Index of Social Position (1957). This particular measure of socio-economic status was selected as it did not rely on income levels for classification and had been widely used in the literature, allowing linkage of the current results with those from other studies. The computation involved assigning the primary wage-earner's education a 53 number from 1 to 7 on Hollingshead's educational scale and multiplying the number by 4. A second score was obtained by finding the primary wage-earner's occupation in the occupational listings and multiplying the number by 7. The two resulting scores were added together and are divided into five socio-economic classes by Hollingshead. For this study, Class I to V were seen as a continuum, with Class I indicating high socio-economic status. Classes II and III the middle socio-economic status, and Classes IV and V the lower socio-economic status. Procedure A copy of the CFWS, Developmental History Questionnaire, Demographic Information Form, consent form, and an explanatory cover letter were mailed to the principals for all the selected elementary schools. The cover letter was printed on Texas Tech University, Department of Psychology letterhead and indicated that the study was concerned with investigating factors of potential influence in the development of children's fears. The cover letter also provided a detailed outline of the procedure for the research. Once permission was granted from the principal, the total number of potential subjects was obtained from enrollment lists. Packets were developed to send to parents which contained a consent form and an explanatory cover letter (see Appendix B for a sample). All signed consent forms were returned to the schools and subsequently to the examiner (see Table 4 for percentages of participating subjects by school and area). Each subject family was given a number which was written on all forms (both child's and parents') for that family. A packet was made for each child which 54 consisted of a CFWS and Developmental History Questionnaire (see Appendix B for samples). The groups of child packets were given to the teachers to administer, along with a list of the subjects' names and identifying numbers so that the forms could be accurately administered without placing names on the forms. The teachers were also given packets for the children to take home to their parents. Each participating parent received a CFWS, Developmental History Questionnaire, and a Demographic Information Form to complete (see Appendix B for samples). A self-addressed, stamped envelope was included for the parents to return completed forms to the examiner. Once the children had completed their forms in the classroom, they were returned to the examiner and then the children were given packets to take home for their parents. A research assistant or the classroom teacher administered the forms to the children on a group classroom basis, with only the subjects in the classroom for the administration. The subjects were asked to read the directions on the front cover of the CFWS with the examiner (see Appendix B for a sample cover letter). The adult remained in the classroom to answer any questions and help the subjects who had difficulty reading or understanding any of the words on the questionnaire. A time period of four weeks elapsed between the sending home of the parent packets with the children and a follow-up on those parents who had not returned completed forms in the mail. A letter was sent to those parents living out of the vicinity of the research assistant or examiner, reminding the parent of the project and asking them to 55 complete the questionnaires and return them within a two-week period (see Appendix B for a sample letter). A phone number and address were given for the parents to use if they had lost the forms and needed replacements. Parents living in the same area as the examiner or research assistant were contacted by phone. Those responses not received at the end of the two-week follow-up period were considered noncompliant. in the study. However, the child information was retained for analysis CHAPTER III RESULTS Two types of fear-related data were obtained from each child and adult subject. The first was the total number of fears indicated on the CFWS questionnaire. Secondly, the intensity of each fear was indicated on a six-point Likert scale ranging from 0 to 5, with zero points given to all "no" answers. The following analyses utilized both types of data and will be discussed accordingly. Unless indicated otherwise, the analyses compared mean average fear intensity scores or total number of fears reported for each of the eight fear categories excluding scores on the lie scale (Category Nine). Finally, alternative analyses of variance (ANOVA) using a between-group design were performed on the respective measures. An extended number of statistical comparisons was to be performed so the conservative probability of .01 was taken for statistical significance. Unless indicated otherwise, all of the analyses were performed using the Statistical Package for the Social Sciences (SPSS; Hull & Nie, 1981; Nie, Hull, Jenkins, Steinbrenner & Bent, 1975). The analyses of variance which produced significant results can be found in table form in Appendix C. 56 57 Analysis of the Hypotheses Hypotheses One Hypothesis One suggested that rural children would report a different total number of concrete fears than urban children. These analyses compared the scores in four concrete categories for each subject, resulting in a total of 1032 observations. An analysis of variance was done comparing the total number of fears reported in the concrete categories (numbers 5-8) for both groups. This analysis indicated only a trend toward differences in total number of fears yielding an F_ value of 4.502 which at 1 and 1030 degrees of freedom had an associated probability of .034 (see Table 17 in Appendix C ) . The mean number of concrete fears for the rural subjects was 20.12 and the mean for the urban subjects was 17.88 (See Table 6). This analysis suggested that rural subjects tended to report slightly more concrete fears than the urban subjects. An analysis of variance was also done to compare the intensity of reported fears in the concrete categories for the rural and urban subjects. This analysis indicated a significant difference between the two groups, 1 ( 1 , 1030)= 22.406, p < .001 (see Table 18 in Appendix C). The average intensity score for the urban subjects was 2.224 and 1.906 for the rural subjects (see Table 7). Therefore, Hypothesis One was supported in regard to the subjects' average fear intensity scores as urban subjects reported a higher intensity reaction to concrete fear categories than did rural subjects. 58 Table 6 Total Number of Reported Fears by Area Groups RURAL Category Mean URBAN Std. Dev. Mean Std. Dev. 1 School 5.880 2.481 5.932 2.700 2 Home 6.614 2.364 5.623 2.484 3 Social 5.910 2.406 6.183 2.662 4 Supernatural 5.537 2.405 4.372 2.680 5 Nature 4.791 2.382 3.565 2.799 6 Health 4.925. 2.532 4.152 2.659 7 Safety 5.880 2.423 5.680 2.750 8 Animals 4.522 2.218 4.487 2.615 59 Table 7 Average Intensity of Fear by Area Groups RURAL URBAN Category Mean Std. Dev. Mean Std. Dev, 1 School 2.2806 0.872 2.6319 1.116 2 Home 2.2015 0.733 2.7183 1.109 3 Social 2.3119 0.893 2.6293 1.085 4 Supernatural 1.8672 0.783 2.3199 1.110 5 Nature 1.6119 0.600 2.0424 0.953 6 Health 1.8463 0.690 2.1681 0.997 7 Safety 2.2716 0.789 2.5335 1.116 8 Animals 1.8940 0.654 2.1518 0.912 60 Hypothesis Two Hypothesis Two predicted that urban children would report a different total number of abstract fears than rural children. The following analyses used 1032 observations, as there was a score for each of the 258 subjects in each of the four abstract categories (numbers 1-4). Analysis of variance indicated a significant difference between the two samples, £ (1, 1030)= 6.765, p < .009 (see Table 19 in Appendix C ) . The mean number of abstract fears for the rural subjects was 23.94 and 22.11 for the urban subjects (see Table 6). Unexpectedly, the rural subjects reported a greater number of abstract fears. An additional analysis of variance compared the rural and urban subjects according to the intensity of reported fears in the abstract categories. Again, a significant difference was found to exist between the two groups, £ (1, 1030)= 30.267, p < .001 (see Table 20 in Appendix C ) . The average intensity for the urban population was 2.574 and 2.165 for the rural population (see Table 7), indicating a greater intensity of abstract fears for urban than rural subjects. Hypothesis Three Hypothesis Three suggested that there would be a difference in the total number of fears reported by children in the lower and upper socio-economic strata. The following analyses used scores for each child from the nine categories, using nine scores for each of the 258 subjects. The total number of observations was 2322. An analysis of variance comparing all three socio-economic groups on the basis of total number of fears did not indicate a significant 61 difference between the three groups, F_ (2, 2319)= 1.053, p. < .349. The average total number of fears was 40 for the upper group, 39 for the middle group, and 45 for the lower group (see Table 8 ) . This result did not support Hypothesis Three. A second analysis of variance compared the three socio-economic groups on the basis of their average fear intensity scores. A significant difference was not found between the groups, £ (2, 2319)= 1.801, p < .116. The mean intensity score was 2.40 for the upper group, 2.39 for the middle group, and 2.28 for the lower group (see Table 9 ) . This result did not support Hypothesis Three. Hypothesis Four Hypothesis Four predicted that there would be a difference in the total number of concrete fears reported by children in the upper and lower socio-economic groups. An initial analysis of variance compared the total number of concrete fears reported by all three socio-economic groups, resulting in a total of 1032 observations. A significant trend was found between these three groups, £ (2, 1029)= 3.159, p < .043 (see Table 21 in Appendix C ) . The average total number of scores in the concrete categories was 18 for the upper group, 17 for the middle group, and 22 for the lower group (see Table 8). The difference between the upper and middle socio-economic groups (222 subjects, 4 categories each, 888 observations) was not significant, t^ (1, 886)= -0.19, p < .851. The lower group reported significantly more concrete fears than the middle group (204 subjects, 816 observations), _^ (1, 814)= 2.49, p < .013. In the predicted direction, there was a strong 62 > IT) CO vO • CM CO sr >3r^ rr\ in o -3in in CO vO o o en en CN CN CN CN CN • CN CN CN CN CN CN CN CN o CN o o CN o in in in CN O in in in in in > •a r^ en o in <r in r^ in 00 v£) c^ r^ o CN ^ vO en CX) vO en 00 in CN CN CN CN CN CN CN CN CN CN C^ vO cn in en <r i-H o r>. in en <r vO in 00 i—H <—H CN in -a- in in o '—{ 4-) 00 a. O O o c o u w I o > 0) •H u o "O 00 ja -H a. 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An additional analysis of variance compared all three of the socio-economic groups on the basis of average fear intensity scores in the concrete categories. (2, 1029)= 2.169, p < .115. No significant differences were found, F^ The mean intensity score in the concrete categories for the upper group was 2.156, 2.169 for the middle group, and 1.988 for the lower group (see Table 9). This result did not support Hypothesis Four. Analyses Concerning Abstract Fear Categories. Although Hypothesis Four specified socio-economic class differences in regard to the concrete categories, additional analyses were done comparing the socio-economic groups on the basis of total number of fears in the four abstract categories. The mean total number of reported abstract fears was 22 for the upper group, 22 for the middle group, and 24 for the lower group (see Table 8). The differences between the means were not statistically significant: upper and middle, t_ (1, 886)= 0.46, p < .643; upper and lower, _^ (1, 358)= 0.14, p < .889; middle and lower, t (1, 814)= -0.23, p < .816. These results did not complement Hypothesis Four. Comparisons were also done between the average fear intensity scores in the four abstract categories for the three socio-economic groups. The mean intensity score for the upper group was 2.494, 2.473 for the middle group, and 2.404 for the lower group (see Table 9). differences between these means were not significant: upper and .ddle, t (1, 886)= -0.25, p < .800; upper and lower, _t (1, 358)= mi( The 65 -0.79, p < .429; middle and lower, t_ (1, 814)= -0.71,p < .475. These results indicated that these socio-economic groups did not differ on the abstract categories in their intensity responses. Hypothesis Five This hypothesis predicted that children with a high frequency of trauma in a category would have a high average fear intensity score in that category. The data for the frequency of trauma was obtained from the "Things That Have Happened to Me" questionnaire (developmental history - child's form, see sample in Appendix B ) . This particular questionnaire provided a space to indicate how many times the child had experienced specific events. However, many subjects used descriptive words such as "a lot" and "couple" rather than actual numerical values as requested. The subjects' use of qualitative words made an accurate comparison between groups impossible due to the subjective nature of the descriptive words (e.g., "couple" could mean different numerical amounts to various people). Thus, this data was converted into a dichotomous scale which indicated whether (one point) or not (zero points) that event had happened to the child. A similar comparison between the parents' developmental history on their child and child's perception of his or her fears was proposed. However, this comparison was not made as the vast majority of participating parents failed to complete the developmental history questionnaire. The data for this hypothesis was in two forms; the developmental history was coded as a dichotomous variable and average fear scores were continuous variables on a six-point Likert scale. A point-biserial correlation was computed for history and average fears 66 scores in general. The correlation of .1410 (p < .001) indicated that there was a small correlation between these factors. Additional point-biserial correlations were performed for each of the eight fear categories. The respective point-biserial correlations that indicated significant positive relationships between history and intensity were .17, .20, .15, .17, and .13 for School, Home, Nature, Safety, and Animal categories (see Table 22 in Appendix C ) . Although the correlations did not account for much of the variance, a trend certainly existed. In the remaining categories (Social, Supernatual, Health) there were nonsignificant trends toward a positive relationship between history and intensity. Thus, at least a positive trend existed in all of the fear categories for intensity of current fear and history of trauma to vary together. Hypothesis Six Hypothesis Six predicted that differences in the average fear scores for each category would be seen when the subjects were considered by the demographic variables of socio-economic class and area. The variable of socio-economic class was considered first. The average fear intensity scores were computed for all of the three socio-economic groups in each of the eight fear categories (see Table 9). Then, pairwise comparisons were conducted between these means for the following groupings: upper and lower; upper and middle; and middle and lower socio-economic groups. In each instance, the difference between the means was insignificant. However, there was a trend for the upper socio-economic group to report a greater intensity of fear than the lower socio-economic group, as well as for the middle 67 socio-economic group to report greater intensity than the lower socio-economic group. Refer to tables 23 through 25 in Appendix C for these t_ values and significance levels. Pairwise comparisons were done with the subjects divided by area (rural, urban). The average fear intensity scores were computed in each fear category for both groups (see Table 7). Pairwise comparisons found the urban group to report a greater intensity than the rural group in the following categories: Home, Supernatural, Nature, and Health. The significant values were as follows: Home, _t (1, 256)= 3.55, p < .0001; Supernatural, _t (1, 256)= 3.08, p < .002; Nature, _t (1, 256)= 3.46, p < .0001; and Health, t_ (1, 256)= 2.44, p< .015. The remaining t_ values and significance levels can be found in Table 26 in Appendix C. Hypothesis Seven Hypothesis Seven suggested that parents would report a different total number of fears than their children. In this comparison, only the 193 children whose parents completed the CFWS questionnaire were used. An analysis of variance comparing the children's scores with those of their mothers (186 subjects, 91 observations each, 16,926 total observations) indicated there was a significant difference in the total number of reported fears between these two groups, £ (1, 16924)= 1135.877, p < .001 (see Table 27 in Appendix C ) . In a similar fashion, the difference between fathers and their children (118 subjects, 91 observations each, 10738 total observations) indicated there was a significant difference, £ (1, 10735)= 428.472, p < .001 (see Table 28 in Appendix C ) . The average total number of reported 68 fears for children was 49, for mothers the average was 36, and for fathers the average was 33 (see Tables 10 and 11). Thus, children reported a significantly greater total number of fears than their parents described them as experiencing. This hypothesis was also examined with regard to the children's and parents' average fear intensity. An analysis of variance comparing children and mothers suggested a significant difference, £ (5, 16920)= 260.1, p < .001 (see Table 29 in Appendix C ) . A comparison between children and fathers found a significant difference, £ (5, 10731)= 79.4, p < .001 (see Table 30 in Appendix C ) . The average intensity score for the children was 2.39, 1.611 for the mothers, and 1.75 for the fathers (see Table 12). Thus, the children reported a greater intensity of fear than the parents depicted them as experiencing. Hypothesis Eight Hypothesis Eight proposed that male and female children would report a different total number of fears. The analyses were performed using a score for each of the nine categories for each of the 258 subjects, resulting in 2322 total observations. Male children reported an average total number of 4.579 fears per category while females reported 5.542 (see Table 13). An analysis of variance indicated that there was no significant difference between the two groups, £ (1, 2320)= 0.203, p < .653. This result did not support Hypothesis Eight. Male and female children were also compared on their average fear intensity scores. Male children reported an average intensity of 2.158 while females reported an average of 2.572 (see Table 14). An analysis 69 Table 10 Total Number of Reported Fears for All Subjects Category Mean 1 School 6 2 Home 2 3 Social 6 4 Supernatural 5 5 Nature 4 6 Health 4 7 Safety 6 8 Animals 5 9 Lie 9 GRAND MEAN 49 70 Table 11 Total Number of Reported Fears for Parents Category Mothers Fathers 1 School 5.85 5.26 2 Home 5.14 4.52 3 Social 6.44 5.83 4 Supernatural 3.89 3.47 5 Nature 3.56 3.01 6 Health 3.17 3.20 7 Safety 3.86 3.43 8 Animals 4.11 4.22 9 Lie 7.67 7.11 35.99 32.95 GRAND MEAN 71 Table 12 Average Intensity of Fear for All Subjects Category Mean Std. Dev. 1 School 2.5407 1.0679 2 Home 2.5841 1.0483 3 Social 2.5469 1.0460 4 Supernatural 2.2023 1.6052 5 Nature 1.9306 0.8943 6 Health 2.0845 0.9369 7 Safety 2.4655 1.0459 8 Animals 2.0849 0.8591 9 Lie 3.0070 1.7427 GRAND MEAN 2.3900 1.7200 72 Table 13 Total Number of Reported Fears by Sex Groups Category FEMALES MALES MEAN MEAN 1 School 6.263 5.482 2 Home 6.159 5.263 3 Social 6.458 5.675 4 Supernatural 5.131 4.096 5 Nature 4.082 3.631 6 Health 4.680 3.939 7 Safety 6.236 5.096 8 Animals 5.326 3.447 GRAND MEAN 5.542 4.579 73 Table 14 Average Intensity of Fear by Sex Groups FEMALES Std. Dev. MALES Category Mean Mean Std. Dev. 1 School 2.6903 1.8275 2.3518 1.6725 2 Home 2.8062 1.9337 2.3035 1.6869 3 Social 2.7292 1.7763 2.3167 1.5804 4 Supernatural 2.3393 1.7956 1.9535 1.4994 5 Nature 2.0014 1.5738 1.8412 1.8675 6 Health 2.2562 1.7311 1.8675 1.3951 7 Safety 2.6951 1.8109 2.1754 1.5754 8 Animals 2.3771 1.7307 1.7158 1.2758 GRAND MEAN 2.5726 1.8037 2.1589 1.5764 74 of variance indicated there was a significant difference between the two groups, £ (1, 2320)= 7.762, p < .005 (see Table 31 in Appendix C). This result indicated that females reported a significantly greater intensity of fears than their male counterparts. Hypothesis Nine The final hypothesis suggested that different age groups of children would report different total number of fears. For the following comparison, the 258 subjects were grouped according to their age at the time of administration, resulting in 5 groups, each comprising a two-year period. Tables 2 and 3 contain further breakdowns of the subjects within each age group. The computations for these analyses used a single data point for each subject. An analysis of variance suggested there was no significant difference in the total number of reported fears between the age groups, £ (4, 253)= 1.344, p < .254. The respective means for the age groups, youngest to oldest, were as follows: 57, 49, 51, 46, and 35. The average number of reported fears for the subjects as a whole was 49 with a standard deviation of 12 (see Table 15). A similar analysis was done which compared the age groups by average fear intensity scores, using a single data point for each subject. The analysis of variance indicated a significant difference between the various age groups, £ (4, 253)= 2.976, p < .02 (see Table 32 in Appendix C ) . The mean intensity scores and standard deviations for each of the five age groups can be found in Table 16. An a posteriori comparison test, the Scheffe, was performed to determine if the difference between any of the age group means were significant. As 75 Table 15 Average Total Number of Fears by Age Group Age in Months 78-102 # Subjects Mean Std. Dev. 7 57 17 103-126 136 49 18 127-150 83 51 16 151-174 29 46 15 175-198 3 35 19 GRAND MEAN 49 76 Table 16 Average Intensity of Fear by Age Groups Age in Months 78-102 # Subjects 7 Mean Std. Dev, 2.617 .5036 103-126 136 2.4846 .8809 127-150 83 2.3634 .6698 151-174 29 2.0595 .6384 174-198 3 1.4835 .1626 GRAND MEAN 2.3898 77 the Scheffe is a conservative analysis, no significant differences were found, but a trend clearly existed. The subjects tended to report a lesser intensity of fear with increasing age (see Table 33 in Appendix C). Post Hoc Analyses The variables of area (rural, urban) and socio-economic class (high, middle, low) appeared to be confounded in the present sample with more upper and middle class subjects residing in urban than rural areas (see Table 1 in Chapter Two). Post hoc analyses were performed to further explore this relationship and to obtain general response trends on a category by category basis from the entire subject population. The post hoc analyses were performed using SAS (Statistical Analysis System; SAS Institute Inc., 1982). The contingency coefficient between Area and Socio-Economic Class was 0.239. Following this, four split-plot ANOVAs were performed. Area and Socio-Economic class were between group variables, with Category as a repeated measure (within group independent variable). In these analyses the major groupings of concrete and abstract fears were treated separately so that each ANOVA had only four repeated measures of Category with each category having a separate score. In a similar fashion, intensity scores and total numbers of fears were analyzed individually. The resulting four ANOVAs were titled Concrete Intensity, Concrete Number, Abstract Intensity, Abstract Number. Results of the subject population as a whole can be seen in the main effects of Category on each of the four ANOVAs (see Tables 34 through 37 in Appendix C ) . In each instance there was a significant 78 main effect: Concrete Number ~ £ (3, 756)= 19.46, p < .0001; Concrete Intensity — £ (3, 756)= 21.83, p < .0001; Intensity ~ £ (3, 756)= 10.22, p < .0001; (3, 756)= 19.46, p < .0001. Abstract Abstract Number — £ These significant main effects were further examined with the Scheffe at both the 0.05 and 0.01 levels of significance. In the Concrete Intensity situation, at the 0.05 level, the categories were significantly different from each other, with Safety having a significantly greater intensity score than the Animal, Health, and Nature categories. At the more conservative 0.01 level. Safety was found to be significantly greater than only the Nature category. In the Concrete Frequency situation, the same differences were found to be significant at both the 0.05 and 0.01 levels. Once again. Safety was found to have a fewer number of reported fears than the Nature, Health, and Animal categories. With the Scheffe at the 0.05 and 0.01 levels, no significant differences were found in the Abstract Intensity results. However, using a less conservative post hoc analysis, the Newman-Keuhls at the 0.01 level. Supernatural fears were found to have significantly less intense fear reactions than the School, Home, and Social categories. Using the Scheffe at the 0.05 level, Supernatural fears were significantly more frequent than the fears in the other abstract categories of School, Home, and Social. At the 0.01 level, Supernatural was found to be significantly greater than only the Social category. In summary, these post hoc analyses found that the Safety category had significantly more intense and less frequent fears than the other concrete categories. The Supernatural 79 category was found to be significantly less intense and more frequent than the remaining three abstract categories. Two interaction effects were found to be significant in the Concrete Frequency ANOVA (see Table 34 in Appendix C ) . The simple main effect of Area by Category was significant, £ (3, 756)= 4.237, p < .0055. Analysis of this effect demonstrated that the rural and urban groups differed significantly within the Nature category, £ (1, 252)= 4.956, p < .027. The rural group responded more frequently than the urban group, and a small general trend was noted for rural subjects to endorse more items supporting the information found in Hypothesis One. The simple main effect of Area by Socio-Economic Class by Category was also significant, £ (6, 756)= 2.767, p > .0115. The rural groups differed in the Health and Animal categories, with the lower socio-economic class subjects reporting the greatest number of fears and the upper class subjects the least number of fears. A similar trend was found in response to the Nature category with lower class subjects reporting the most fears and upper class subjects the least. In the Animal category, a different trend was found with the lower and upper classes reporting the most fears and middle class subjects the least number of fears. Two main effects were found to be significant within the four ANOVAs. In the area of Concrete Intensity, the main effect of Area was significant, £ (1, 252)= 5.433, p < .02 (see Table 35 in Appendix C ) . This parallels the results found in Hypothesis One that children in urban areas reported significantly more intense fear reactions to the Concrete categories than did the children from rural areas. In 80 addition, for the Abstract Intensity ANOVA, the main effect of Area was significant, £ (1, 252)= 6.318, p < .0126 (see Table 37 in Appendix C ) . This follows the pattern of results found in Hypothesis Two that children in urban areas reported significantly more intense fear reactions than children in rural areas to the Abstract fear categories. CHAPTER IV DISCUSSION The results of this study, as presented in Chapter Three, are discussed and critiqued below. The discussion is organized around the independent variables of sex, age, parent-child relationship, place of residence, reported history of trauma, and socio-economic class. The chapter will conclude with recommendations for future research. Sex The first variable to be discussed is that of the sex of the child. It is clear that the female and male subjects of this study were alert to similar number of fears, yet males remained more subdued in their reported reactions to these fears. Extant research has consistently indicated that female children report more fears than males (Angelino et al., 1956; Bamber, 1974; Croake, 1969; Croake & Knox, 1973; Lapouse & Monk, 1959; Pratt, 1945; Reynolds & Richmond, 1978; Sarason et al., 1960; Scherer & Nakamura, 1968; Sidana, 1975; Spiegler & Liebert, 1970; Staley & O'Donnell, 1984). That finding was not replicated in the present study as the total number of fears was similar for male and female children. However, earlier findings with regard to the intensity of fears (Bamber 1974; Scherer & Nakmura, 1968) were replicated as females reported a greater intensity of fear than their male counterparts (see Tables 13 and 14). 81 82 These different results were obtained from a questionnaire improved in several respects over past instruments. Among these refinements was the introduction of categories of fear content that were equivalent in scope so as to facilitate comparisons across fear categories. It may be that having equivalent categories removed the differences in number of fears which have been reported by males and females in the past. Males may have been more sensitive toward the added questions, raising their reported number of fears to the levels reported by female subjects. Other studies which obtained differences in intensity scores employed a Likert-type measurement similar to the one used on the CFWS. The Likert format allows for a wider range of responses than does the yes/no format used to obtain a total number of fears. It is suggested that this more sensitive form of measurement may have been influential in obtaining differing intensity scores from male and female children on the CFWS. The present findings could also be accounted for by associated research on changes in parental attitudes and behaviors. Specific speculations in the areas of adult modeling, attitudes on sex roles, warmth, and the increase in working mothers will be discussed below. It is thought that behaviors modeled by significant adults (Bandura, 1969, 1971) and those presented in media-reinforced stereotypes (Greenberg & Heeter, 1983; Roberts, 1983) are likely to influence children's behaviors, sex roles, and fear response patterns. It has been suggested that sex role orientation is acquired by the age of three years via contact with significant adults (Fleishman, 1983) and 83 that parental attitudes concerning sex roles are very influential in the child's sexual identity formation. Recent changes in media depiction of females may have influenced the finding in the present research that female and male children were just as likely to fear, or report fearing something. The media emphasis on the "supermom" image, suggesting that women should be able to handle multiple roles and fulfill all societal expectations with ease (Geis, Brown, Hennings, & Porter, 1984; Haskell, 1979; Merriam & Hyer, 1984; Seggar, 1975) is being expressed in the current aspiration of young girls to create dual-career households and a declining interest in family development (Merriam & Hyer, 1984). It is possible that the young females in the present study aspired to similar goals and presented themselves as capable and not needing to rely on affection/emotional support from others, thus indicating relatively few fears. Admittedly, the "new" sex roles tend to over-exaggerate female independence and represent the extreme end of the male/female or dependent/independent spectrums. The more "traditional" sex roles at the opposite end of the spectrum may have influenced the subjects' reports of fear intensity. As these long-lasting models have more visibility in the media, the female subjects may have responded in a manner indicating the same number of fears as males, yet with more intensity, depicting the more sensitive, emotionally expressive media model of feminity (Greenberg, Richard, & Henderson, 1980; Henderson & Greenberg, 1980; McGhee, 1975). In a similar manner, the traditional depiction of brave and capable male media personalities and cartoon characters (Busby, 1974; Greenberg 84 et al., 1980; Henderson & Greenberg, 1980; Mayes & Valentine, 1979; McGhee, 1975; Miller & Reeves, 1976) may have influenced male children to represent themselves as self-reliant and manly by indicating a small number and low intensity of fears. It is predicted that differences in fear intensity will continue to reflect trends in stereotypic sex roles as depicted in the media. This trend should continue as young children are most likely to be influenced by and learn from the media, especially television, lacking the experience and cognitive skills to evaluate social messages and their content (Comstock, Chaffee, Katzman, McCombs, & Roberts, 1978; Roberts, 1983; Roberts & Bachen, 1981). The large body of research on parental influence on children's sex roles can be extended to the current findings on children's fears. Emotional expression, including fears, is a facet of one's sex role concept (Papalia & Olds, 1978). As such, traditional feminine roles accomodate fear expression, whereas masculine stereotypes do not. Parents may be able to influence the amount of fears expressed by a child through encouragement of a particular sex role stereotype. The literature consistently demonstrates the differential impact of fathers and mothers on sex-typing their children. Johnson (1983) and Hetherington (1970) suggest that the father figure is most important in fostering sex role development since he will respond to sons and daughters differently, whereas the mother does not. Once the child is past preschool age, the father becomes demanding and critical of his son, yet indulgent and affectionate toward his daughter (Johnson, 1963). Since traditional feminine roles include responsiveness to the feelings of others and masculine roles emphasize control and 85 manipulation of the environment and others, the influence of the father in sex role development could be very substantial (Hetherington & Parke, 1975). Mothers appear to have little influence on sex role acquisition of their sons and only marginal influence on their daughters (Hetherington & Parke, 1975). In fact, highly feminine mothers do not have daughters any higher in feminine traits than moderately feminine mothers (Hetherington, 1967). Displays of parental warmth appear to have a great impact on sex role development in children, especially when same-sex parents are considered (Bronson, 1959; Mussen & Distler, 1959; Mussen & Rutherford, 1963; Payne & Mussen, 1956). However, when both parents are nurturant, boys tend to rate the father higher than the mother in warmth (Hetherington, 1967; Rothbart & Macoby, 1966). This pattern is most apparent in boys rated high in masculinity (Hetherington, 1970). In contrast, highly feminine girls rate both parents high in warmth (Hetherington, 1970) further supporting the suggestion that fathers are more influential in the formation of appropriate sex roles in children. Studies have shown that contented non-working and working mothers display more warmth and positive feelings toward their children than unhappy working and non-working mothers (Hoffman, 1961; Yarrow, Scott, DeLeeuw, & Heineg, 1962). Although the impact of maternal warmth on sex role development is minimal, it seems that the critical variable is the mother's satisfaction with her occupational situation. One would expect that contented working women, despite less time with their children, display the same amount of warmth and nurturance toward their children as do non-working mothers. Daughters of working mothers tend 86 to perceive fewer differences between males and females than do daughters of non-working mothers (Broverman, Vogel, Broverman, Clarkson, & Rosenkrantz, 1972). More specifically, daughters of working mothers preceive women in general as more competent and males and females equal in competency and expression of warmth (Broverman et al., 1972). In summary, the findings of the present study that males and females reported a similar number and dissimilar intensity of fears can be accounted for by the innovations in the format and content of the CFWS. These trends should be replicated with different subject populations in the future. More removed speculations involve the influence of both traditional and newer sex role stereotypes on the male and female subjects respectively. It is possible that an instrument such as the CFWS can help track the influence of parental expectations and media influence on sex roles as it pertains to admission of fears. Further clarification of these issues may be aided by the inclusion of a sex role attitude survey for the parents and a masculinity-femininity scale for the child subjects. Age A second variable manipulated in the current research was that of the child's age. The literature includes contradictory findings in that some studies report that the number and intensity of fears declines with age (Angelino & Shedd, 1953; Graziano et al., 1979; Nalven, 1970; Reynolds & Richmond, 1978; Scherer & Nakamura, 1968: Staley & O'Donnell, 1984) and other studies indicate no differences in 87 the number of fears as a function supporting one of these opposing positions. The children in the present study were divided into five age groups, each ranging 2 years. The distribution of ages in the study was wide, from 6 years-5 months to 16 years. Two of the age groups had less than ten subjects in each, suggesting that the following interpretations and findings be treated as accurate, yet with some degree of caution. Children did not report significantly different total numbers of fears when inspected by age groups (see Table 15). It was also found that children in the various age groups reported slightly different fear intensity responses, with the intensity decreasing with age (see Table 16). These results replicated previous findings of no differences in the total number of reported fears at different ages (Croake, 1969; Croake & Knox, 1973; Lapouse & Monk, 1959; Maurer, 1965) as well as declines in fear intensity with increasing age of the child (Graziano et al., 1979). It is clear that children in the current study reported similar number of fears at all ages, yet were able to temper the intensity of their reactions as they grew older. This trend can be attributed most fully to increased developments in cognitive abilities and logic as children mature. For example, the preschool child's thought patterns can be characterized by egocentrism, focusing on one aspect of a situation, and the concept of irreversability (Flavell, 1963). These traits could easily promote fear responses to a higher level of intensity as the young child is unable to consider alternative coping methods. The concept of intentionality allows school-aged children to 88 better understand the distinction between accidental and intended trauma (Kohlberg, 1964). A correlated possibility for school-age children would be the prospect that they may better work through potential trauma via imagination and mental rehearsal than younger children by using symbols to carry out mental operations (Papalia & Olds, 1978). This type of cognitive rehearsal may decrease the perceived intensity of the fear by providing the child with some feeling(s) of control. In addition, adolescents, more so than children, are able to consider a greater number of possible relationships and solutions to a problem, using a process of elimination to find the correct deduction (Papalia & Olds, 1978). Clearly, the adolescent is better equipped to analyze traumatic events and fears than the younger child, creating a noticeable decrease in the intensity of fear reactions as demonstrated by the present findings on the CFWS. Parent-Child Relationship The relationship between parental report and child's self report was explored in the present investigation to add to the body of literature started by Lapouse and Monk (1958) suggesting that these reports are at variance when the topic is fears. It was found that children in the present study generally reported a significantly larger number and greater intensity of fears than their parents reported (see Tables 10 through 12, and 27 through 30). In the content areas of Safety and Home, parent and child responses were at a larger variance than in the remaining categories. Parents described their children as 89 having slightly fewer safety-related fears and more home-related fears than were indicated by the children. Concerns about the reliability and validity of parental reports (e.g., Achenbach & Edelbrock, 1978; Haggard, Brekstad, & Skard, 1966; Humphreys & Ciminero, 1979; Mash & Terdal, 1981; Pyles, Stolz, & MacFarlane, 1935; Yarrow, Campbell, & Burton, 1970) can be applied to and supported by the present results. One suggestion has been that the influence of social desirability increases parental reports of positive behaviors (Evans & Nelson, 1977; McCord & McCord, 1961; Mednick & Shaffer, 1963; Wenar & Coulter, 1962). It can be said that low validity is a result of parental efforts to depict positive images of themselves and their children. Within the confines of the current study, it is suggested that parents reported fewer fears and lesser intensities in order to depict their children in the best possible light. Parents and children have been found to be more reliable reporters when specific behaviors are assessed than when reporting on ill-defined behaviors or personality variables (Eyberg & Johnson, 1974; Haggard et al., 1960; Lapouse & Monk, 1958; Lobitz & Johnston, 1975; Peed, Roberts, & Forehand, 1977; Walter & Gilmore, 1973; Yarrow et al., 1970). With this issue in mind, it is not surprising that there were differences between parent and child data on the CFWS as it asks for observations and subjective impressions of fear behavior(s). More specificially, differences in the Safety category may be due to the effect of parents' struggles to teach children personal safety skills as well as media messages that children do not necessarily 90 protect themselves. Although the majority of such messages focus on prevention of sexual assault, many are concerned with general safety skills (Bowen, 1984; Fields, 1984; Hechinger, 1984, 1985; Kleinmann, 1984; Spock, 1984; "When you can't," 1984). The increase in safety education for parents (Roberts, Elkins, & Royal, 1984), safety skills acquisition programs for children (Jones, Kazdin, & Haney, 1981; Peterson, 1984; Poche, Brouwer & Swearingen, 1981; Roberts & Fanurik, 1985; Yeaton & Bailey, 1978) and developmental perspectives in health care (Maddux, Roberts, Sledden, & Wright, 1986) may have contributed to parental concern that children are not afraid of many situations, thus depicting their child(ren) as less fearful on the CFWS. The trend on the CFWS for the parents to report more home-related fears may be related to the amount of time the parent observed the child in the home as compared to other environments. However, time spent with the child was not part of the obtained demographic information. Certainly a parent is more likely to view fear reactions to home and family events than to events occuring outside of the home. In addition, parents are more likely to discuss these events, thus raising their awareness of the child's feelings about these topics. Such areas are highlighted in the Home category of the CFWS and include such content as illness or death of family members, nighttime fears, and fear of parental divorce or separation. Thus, parents may have been more aware of and endorsed more items in this category. In summary, the present results support a previous finding that parental reports on subjective areas (such as fear behaviors) tend to be at variance with the child's self-report. In addition, theoretical 91 concerns about the validity of such reports have been demonstrated, lending further support to suggestions that parental reports be viewed cautiously as trends. It may be a more fruitful prusuit in the future to develop parental checklists that focus on specific, observable behaviors which correspond to more subjective personality and temperamental variables such as fears and worries. Place of Residence Children from rural and urban areas were sampled from the upper, middle, and lower socio-economic classes to reduce any confounding effects between residence and socio-economic factors. It was predicted that children residing in different environments would diverge in the events/stimuli with which they were familiar and be more likely to fear those events deemed possible. Difficulties in obtaining school consent and cooperation as well as in sampling procedures resulted in an unequal distribution of subjects by residence with the urban subjects comprising 74% of the sample (see Tables 1 through 3 for further subject breakdowns). Accordingly, caution is warranted in interpretations due to the unequal distribution of subjects. As predicted, the rural subjects reported slightly more concrete fears than their urban cohorts (see Tables 6 and 17), most specifically in the Nature category. Surprisingly, the subjects from rural areas also reported more abstract fears (see Tables 6 and 19). The urban subjects reported a greater intensity of both concrete and abstract fears (see Tables 7, 18, and 20), most noticeably in the Home, Supernatural, Nature, and Health categories (see Table 26). In 92 general, the trend was for rural subjects to report more fears and for urban subjects to report a greater intensity of fear reaction(s). The interaction between area and socio-economic class in the sampling procedures was most pronounced in the Concrete Frequency analyses. The pattern for children from low socio-economic classes to report more fears than those from middle or upper classes was found for rural subjects in the Health and Animal content areas and for urban class children in the Nature content area. In contrast, lower and upper class children reported more fears of Animals than did middle socio-economic class children in urban areas. Earlier research (Nalven, 1970; Pratt, 1945) had suggested that response patterns are related to exposure to events within the subject's environment. Such a theory is not supported by the present results in that children from rural areas reported a greater number of fears regardless of the category content. This study points out a previously unreported trend in which children in rural areas were more sensitized to dangers, thus reported more fears, yet maintained a degreee of control over their worries by tempering the intensity. In contrast, subjects from urban areas reported fewer yet more stressful and intense concerns. It may have been that the format of the CFWS presented more possible dangers, thus increasing the number of endorsements by rural children and allowed the urban children to reflect upon and discriminate between their fears by indicating varying degrees of intensity on the Likert-type scale. Indeed, young age and a relative lack of cognitive sophistication may have moved the subjects toward a dichotomous response format, indicating only those fears about 93 which they felt strongly. Several non-manipulated factors can also be called upon to account for the findings in regard to place of residence and will be discussed below. It may be that children in rural areas expressed more fears due to the relatively greater strength of the family unit. Although little emphasis has been placed on describing the "healthy" family, it has been said that individuality and autonomy are balanced with family closeness (Bodin, 1981; Kerr, 1981; Whitaker & Keith, 1981). Framo (1981) goes further to say that open, honest and clear communication is the hallmark of healthy, well-integrated families. In addition, the number of skill-acquisition programs used in marital and family therapy (e.g., Blechman & Olson, 1976; Carkhuff, 1973; Garland, 1978; Gottman, Markman, Notarious, & Gonso, 1976; Kieren, Henton, & Marotz, 1975) serve to highlight the importance of communication and problem-solving skills. The rural family continues to display interdependency and closeness through a significantly lower rate of single-parenting, dual-employment families, divorce, and small family size than do urban families (Coward & Smith, 1982), even in the face of severe economic hardships. One may hypothesize that rural children are encouraged to express themselves more freely and receive acceptance and encouragement in dealing with their worries and fears within a more secure and stable family system than urban children. Conversely, the children from the urban areas may have been less willing to express fear because of anticipated rejection by peers or significant adult figures. The differences in expression of fear intensity were striking especially in the categories of Home, Nature, Health, and Supernatural. 94 These findings suggested that although urban children may not report as large a number of fears, they express stronger fear reactions. It is possible that urban children are more sensitive to fears and anxieties than rural children due to harsher environmental conditions which foster fewer but possibly more serious, imposing traumas. If the trend of the present research continues to be demonstrated, it may be that environment maintains a strong influence over intensity, rather than the frequency or number, of childhood fears. Widespread urban education and occupational mobility requires frequent adaptations to new situations and relationships, as well as the concomitant stressors of spatial mobility fostered by relocations (Curtis, 1959) may have contributed to the greater reported intensity of fears in the Home category. Nature and Health concerns may have been inflated by exposure to biological hazards found in urban areas such as air pollution (Butler, 1976, Carr, 1965, Esposito, 1970), and noise pollution (Butler, 1976; Miller, 1971). Furthermore, the negative psychological, social, and biological impact of crowding has been well documented in empirical and observational studies (e.g., Butler, 1976; Freedman, 1975; Levi, 1971; Seeman, 1972; Taviss, 1969). Crowding and rapid population growth may continue to be a very influential factor in increasing the intensity of urban fears and may have produced the new result of greater urban intensities in the present research. Indeed, today 26 metropolitan areas in the world have populations greater than 5 million and the number of such areas is expected to reach 60 by the year 2000 (UNESCO, 1985). 95 Clearly, the results of the present study neither reinforce nor discount interventions for fear reduction that focus on the connection between environmental stimulus and response. The unique findings that rural subjects reported more fears and lesser intensities than urban subjects needs to be further explored with different populations. At that point, further exploration into the discriminative characteristics of rual and urban life will be needed to determine the validity of causal factors as suggested above. Reported History of Trauma There is little in the literature which relates history of trauma to the subsequent development of an associated fear. Behavioral interventions such as imagery, flooding, systematic desensitization, and participant modeling are a few examples of approaches which suggest that past events create current fears. The present study explored children's fears with their reported history of traumatic events to further develop the literature in this area. The interpretation is based on child informants who may have inaccurately recalled early experiences. Nonetheless, recollections are what prompt current fears. The actual number of traumatic exposures was not obtained due to incorrect completion of the questionnaires. In essence, the comparison was made between current fears and the child's exposure or perception of exposure to the fear-related events in all-or-none fashion. It was initially hypothesized that children with a high frequency of trauma in a categopry would have a high current fear intensity score for that category. The overall analysis indicated a small correlation 96 between these factors. In all of the categories there was a positive trend between history and intensity. The effect was of a greater magnitude in the School, Home, Nature, Safety, and Animal categories (see Table 22). This relationship may have been due to the children having generally more frequent experiences in these categories (and thus endorsing more history and fear items) than in the Supernatural, Health, and Social categories. The personality variables of locus of control and self efficacy present ideas which may account for the relationships depicted on the CFWS. Research has shown that the individual's assessment of control over the situation or designation of responsibility influences the amount of subjective strain experienced and associated with a stressor (e.g., Husaini & Neff, 1980; McFarlane, Norman, Streiner, Roy, & Scott, 1980; Suls & Mullin, 1981). More specifically, when a situation is perceived as uncontrollable (external locus of control), there is a high correlation with stress, life changes, and illness (McFarlane et al., 1980, Suls & Mullin, 1981). In a similar vein, self efficacy theory suggests that fear acquisition may be related to the indvidual's expectations and mastery cognitions associated with an event, rather than the actual danger involved (Bandura, 1977a, 1977b, 1978; Reiss, 1980; Wagner & Rescorla, 1972). In work conducted with stress reactions, beliefs regarding control and efficacy have been shown to moderate the impact of stress (e.g., Lefcourt, 1982, 1983; Thompson, 1981) as well as coping behaviors (e.g., Anderson, 1977; Cohen,1980; Cromwell, Butterfield, Brayfield, & Curry, 1977; Gilmor & Minton, 1974; 97 Kilpatrick, Dubin, & Marcotte, 1974; Novaco, Stokols, Campbell, & Stokols, 1979). In some content areas of the CFWS, the correlation found between history and current fear may be related to children's real or perceived lack of control over traumatic events involving animals or natural events (e.g., tornado, hurricane, flood, earthquake) as represented in some of the concrete fear categories. Rather than engendering mastery cognitions and a subsequent reduction in fear, exposure (history) in these areas may have produced an avoidance response and maintenance of fears. In a similar fashion, an external locus of control and self efficacy statements related to success in social situations may have served to increase anxiety and maintain fears, as found in the positive relationship between history and current social and home fears on the CFWS. Future research might consider and assess children's statements and locus of control as well as their developmental ability to succeed at tasks when comparing current fears and previous traumatic exposure as a connection between the two has been demonstrated on the CFWS via the present research. Socio-Economic Class Specific differences in intensity, content, and number of fears in children from different socio-economic strata have not been clearly established in the literature and are often confounded with place of residence variables (Berecez, 1968; Graziano et al., 1979). It has been proposed that children who have all of their basic needs met are more likely to be concerned with unstable social factors (Hawkes & 98 Koff, 1970); these children are more likely to come from the middle and upper socio-economic classes. It follows that the children from lower socio-economic classes who do not have their basic needs consistently fulfilled would be more likely to demonstrate concerns over the basic needs posed in the concrete categories of the CFWS. Findings in previous studies (Angelino et al., 1956; Bamber, 1974; Croake, 1969; Croake & Knox, 1973; Jersild et al., 1933; Sidana, 1975) were not clearly replicated by the present study as there were no differences between upper and lower socio-economic subjects on the total number of reported fears or in the intensity of fears (see Table 9). However, there is some agreement with previous research in that in the concrete categories the lower socio-economic groups reported slightly more fears than the upper and middle socio-economic groups (see Tables 8 and 21). More specifically, rural children from low socio-economic homes reported more fears in the Health and Animal categories than did their middle and upper socio-economic class peers. In a similar manner, urban children from low socio-economic class homes reported more fears in the Nature category than did their other socio-economic class peers. The structure of equally sized categories on the CFWS may have provided the lower class children with more personally relevant concerns in the areas of Health and Animals for rural children and Nature and Anaimals for urban children, thereby increasing their total number of fears in these categories. In summary, then, the significant finding in regard to socio-economic class was that children in the lower groups reported a greater number of concrete fears than children from the upper or middle 99 groups, especially in the categories of Health, Animals, and Nature. As Hawkes and Koff (1970) suggested, this may reflect the fact that children from lower socio-economic strata did not have their basic needs met on a consistent basis. It may be said that these children were exposed to unstable environments with regard to health care and animal contact, and therefore focused on these basic needs and concomitant fears on the CFWS. Such causality has been suggested in previous research with different socio-economic groups on fear surveys (Hawkes & Furst, 1971; Hawkes & Koff, 1970). In regard to abstract fears on the CFWS, children in all three socio-economic groups seemed to have similar numbers and intensities of fears. This finding contradicts the stereotype as suggested by Crandall, Katovsky, and Crandall (1965) as well as Rosen (1956), that children from lower socio-economic homes do not aspire to achieve and are not concerned with social factors such as rejection and appearance. The lack of differences between the upper and middle groups in the present study is of interest and may be attributed to various cultural changes a described below. The finding may relate to the upward mobility of the middle class family, nearing the ranks of the present upper class families. questionable. The concept of "middle class" in our society is Is middle class now a synonym for "almost upper class" or "barely lower class"? Rossides (1976) suggests that upper and middle socio-economic classes occupy similar positions in American culture and sociological theory, as well as sharing the strength of the elite power structure of the wealthy and influential. ma In fact, the jority of upward mobility changes can be found in the middle range of 100 United States society (Kahl, 1965). In addition, over the past few decades, shifts from manual to non-manual occupations as well as from lower to higher occupational status within each group can be found (Hauser & Featherman, 1977). Occupational changes may have also influenced findings on the CFWS by promoting educational and employment experiences for the middle socio-economic groups and advancing them toward the upper groups. Indeed, occupational changes are often connected to educational experiences (Blau & Duncan, 1967; Hauser & Featherman, 1977). The bind for the lower class families is that many do not take full advantage of educational opportunities (Sanders, 1977) and thus do not advance in their occupations. Youmans (1959) found that, in some rural areas, one-half of the children from low socio-economic farming families chose to discontinue their education early, as compared to only one-eighth of the children from higher socio-economic standing (Bogue & Beale, 1964; Sanders, 1977). It is clear that education facilitates occupational mobility and secondarily, influences socio-economic mobility. Future research could do well to consider the method of classification of socio-economic status when occupation and education are employed. It appears likely that Hollingshead's (1957) reliance on job and educational attainment to determine class standing is less applicable today in light of changing societal norms. In our present society, the status of occupations is changing, as is the average amount of education. Some low-ranked manual occupations have been replaced by automation, while the remaining holders of manual positions have been raised to managerial and supervisory posts (Hauser & 101 Featherman, 1977). Similarly, other occupations have expanded their field of expertise and raised their prestige (e.g., nursing, medical technology, computer processing and clerical postions, early childhood educators). The trend toward obtaining education beyond high school and/or college has an impact on social class distinctions in that advanced degrees are required for an increasing number of occupations. Classification schemes need to be more flexible to more readily reflect the advancement of society's average educational attainment. In summary, the lack of findings around socio-economic class has several implications. First, it may be that economic concerns have stabilized to some degree and the children in the present study were not exposed to severe environmental or basic need deprivation as in earlier research reports. Second, the various groups in the present study demonstrated remarkably similar fear responses, especially in response to the abstract fear categories. It is possible that place of residence had a stronger impact on fear development than did economic standing, or that the sampling procedure did not sufficiently eliminate confounding these variables. Third, the lack of differences may be due to inaccurate classifications of the socio-economic factor using an outdated scheme. Fourth, the lack of findings on this variable need to be replicated in future research to determine if it can be viewed as a reflection of changing occupational and educational attainments in today's society. 102 Recommendations for Future Research Several recommendations for conceptual and methodological improvements can be made, based on the review of the literature, previous discussion of results, and accomplishments of the present research. Accomplishments of the Present Research The primary goal of the current research was to develop an assessment instrument to measure children's fears which incorporated the strengths and addressed the deficiencies of previous scales. The CFWS was developed so as to obtain both frequency and intensity information on children's fears in eight equally-sized categories. A lie scale was used to detect the subject's defensiveness in responding to the scale. An innovation on the CFWS was to divide the fear categories into abstract and concrete, reflecting the required cognitive processes and basic needs. A secondary goal was to advance the literature in the area of children's fears by obtaining information on trends with regard to various demographic variables. Findings in the literature were replicated on the CFWS in the areas of sex, age, and socio-economic class. The results were that the females reported greater intensities of fear reactions than males, the intensity of fears declined with age, and that children from lower socio-economic families reported a greater number of concrete fears than their peers in upper and middle socio-economic classes. Several trends in the present research were previously unreported in the literature and offer new points to explore 103 in the future. These trends were that the children's total number of reported fears did not vary with regard to the sex of the child, the number of fears remained constant with age, rural children reported more fears than urban children, and that urban children reported a greater intensity of fear than rural children. An additional goal was to examine the relationship between parent and child reports of fears. To do this, a parent form of the CFWS was developed to assess the same fears as the childrens' form. It was found that parents tended to depict their child as having fewer and less intense fears than did the child. This finding adds substance to theoretical comments that parents may not be accurate informants when subjective and personality variables are concerned. Finally, the CFWS was used to compare current fears with the child's exposure to trauma. A "developmental history" form was devised to obtain information on the child's exposure to each of the fears listed on the CFWS. The format of the developmental history questionnaire called for open-ended responses as to number of exposures. The subjects did not respond in the intended fashion, so the data was converted into a yes/no format. Even so, the trend was for a positive relationship between history and current intensity of fears. Conceptual Recommendations The difference between parent and child responses to questions in the Safety category prompts consideration of the impact of personal safety skill instruction. Future research might investigate whether the acquisition of personal safety skills by children serves to reduce 104 fears via enhanced mastery or heighten their awareness of dangerous situations and produce more fears. An additional consideration seems to be the potential for parental concerns (as fostered by the media) to exaggerate emphasis on children's safety and create overprotectiveness in parenting styles. The finding that children living in different environments (rural, urban) exhibit different patterns of fear intensity highlights the need to explore the intrinsic qualities of rural and urban life that determine this distinction. Factors of possible relevance include crowding, work-related stress, relaxation opportunities, and economic pressures. Along similar lines, the stimulus value of a feared object may be related to the opportunity for exposure to it in the child's environment. If the child has had encounters with the feared object or situation, some investigation of his or her self-efficacy statements may provide some indication of the duration and development of the fear. A final conceptual concern focuses on the manner in which social and economic groups are formed. In the present study, no differences were found to exist between children classified as middle class and those in the upper socio-economic strata. A more in-depth exploration of the position of middle class on today's society as well as the impact of the pressure to become upwardly mobile is warranted. Methodological Recommendations The skewed nature of the place of residence factor in the sample hindered interpretations of the results. A similar problem was found 105 when the sample was divided into age groups. It is recommended that future research replicate the present comparisons using balanced samples in these areas. In several instances, the degrees of freedom in the present analyses were quite large and there is the possibility that effects were statistically significant but not clinically so. In future replications, the data from the child and adult subjects could be further compressed into a single data point per subject for each analysis. Although this will result in a separate organization of the data for virtually every analysis, it is likely that some findings in the present research will not be replicated if the error rate is reduced. A detailed item analysis of the CFWS is now needed. In cases where no significant differences were found between groups, it is possible that different response patterns within categories exist. The CFWS also needs to be validated over time to arrive at a test-retest reliability measure. The method used to obtain a developmental history in the present study was not successful. Subjects consistently selected subjective descriptors rather than numerical values to express the amount of past contact with various events. A modification should be made on the history questionnaire to use interval response categories. This change may aid subjects in specifying a range of times thay have experienced traumatic events, and allow an accurate comparison between past history and current fear intensity. 106 The use of a different classification scheme for subjects' socio-economic standing is warranted. The Hollingshead (1957) criteria used in the present study was chosen for its reliance on factors other than income as well as its widespread usage in the empirical literature. It appears that the classification criteria may be outdated as it relies on a 28 year-old system of occupational and educational standing. Differences between socio-economic groups may appear with a restructuring of the classification, especially when the current greater availability of higher education and trend of the middle class to be upwardly mobile is considered. Another recommendation invoves the impact of the media on children's fears. Media-generated stereotypes of sex roles may influence children's abilities to disclose fears, but admitting fears may not coincide with the child's desired self-image. It is suggested that a measure of the self-image and possibly one of masculinity-femininity be incorporated into a comprehensive fear evaluation package. In a similar manner, children's self-efficacy statements may provide information on the connection between history and current intensity as some experiences may engender mastery while others maintain fears. Finally, researchers are encouraged to continue to expand this non-clinical data pool on the severity and content of reported fears as well as to investigate potential influencing factors. The results of the present research have added information on the impact of place of residence and past exposure to trauma on the development and maintenance of children's fears. 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Contribution to a cross-cultural study of manifest anxiety in children. Human Development, V2^, 178-191. APPENDIX A PILOT STUDY 122 123 PILOT STUDY The purpose of this study was to develop the beginnings of a multi-focal assessment package. The package involved parent and child reports, demographic information, and information on the possible influence of history of related trauma on acquisition and maintenance. The instruments used in this study were compiled from existing scales, integrating the most commonly endorsed items and retaining important methodological innovations in the structure of the questionnaire. Method Subjects The subjects were 44 third-sixth graders and their parents in a private elementary school in an urban area of the Texas Gulf Coast. Subjects included: 27 male children; 17 female children; 36 mothers; 3 fathers; and 5 sets of parents. months to 149 months. The children ranged in age from 90 Subjects were categorized by socio-economic status, with 27 falling in the middle range ($10,000 to $50,000 annually) and 14 falling in the high range (over $50,000 yearly). Three parents refused to provide income information. In the data analysis, one subject was eliminated because the forms were incorrectly completed and six subjects were excluded on the basis of a lie scale score greater than 8 and/or lack of demographic information. For the test-retest analysis, 29 subjects participated. 124 Instruments The Children's Fears and Worries Scales (CFWS). The CFWS had a total of 51 items which represented a 40 item fear scale and an 11 item lie scale. The 40 fear items were chosen as the items which were most often endorsed by subjects in the literature on the following existing fear scales: The Children's Fear Survey Schedule (Ryall & Dietiker, 1979); the Children's Manifest Anxiety Scale (Castanda et al., 1956); the Fear Survey Schedule-For Children (Scherer & Nakamura, 1968); and the General Anxiety Scale for Children (Sarason et al., 1960) The 40 fear items were divided into eight categories, with five items per category. The equal number of items was arranged to insure relatively equal representation of the reports when fear type is considered. In this manner, children fearing one type of situation had the opportunity to express this relative distinction by checking a greater number of items than in the other categories, as suggested by Croake & Hinkle (1976). The categories were divided into "concrete" and "abstract" to reflect the different levels of cognitive skills necessary to process the item and its related fear description (Graziano et al., 1979). The categories were also designed to indicate the amount of basic needs which were met in the child's environment, as indicated by the prevalence of concrete fears suggesting a lack of basic fulfillment. The concrete categories were Nature, Health, Safety, and Animals; the abstract catergories were School, Home, Social, and Supernatural. The 11 item lie scale was taken from the 125 General Anxiety Scale for Children (Sarason et al., 1960) and these items were similar in content and format to the 40 fear items. Responses on the CFWS were in two forms. One indicated the actual intensity/frequency of the fear on a 5-point Likert scale. The labels on the scale were: A Little (1 point). Some (2 points). Much (3 points). Very Much (4 points) and Always (5 points). The other response indicated the actual existence of the fear (yes, no). Demographic Information Sheet. The demographic information sheet asked the parent for the following information: child's date of birth and education; mother's education and occupation; father's education and ocupation; and yearly family income. Only one parent of each child was required to complete the form. Developmental History Questionnaire. This questionnaire listed 25 events and asked the parent(s) to indicate if such an event happened to their child and the nubmer of times they could recall this happening. There was also space for the parents to describe any experience which they felt was "unusual or influential" in the child's development. Procedure The following items were mailed to the principal and school board members: CFWS, developmental history questionnaire; demographic information sheet; consent form; and the Texas Tech University Human Subject Committee Form. Once permission from the school had been granted, a cover letter was sent to parents of third-sixth graders in the school. This letter explained the study and asked the parents to indicate a time when they could participate in the study. Replies were 126 returned to the school by the children and within a week all of the parents were contacted by phone to insure that they had received a letter and to confirm their appointments. The child and parents arrived at the school and were seated in separate sections of a room. following forms: Parents were asked to complete the the consent form; parent CFWS; developmental history questionnaire; and the demographic information sheet. were asked to complete the child CFWS. The children The investigator remained in the room to (1) answer any questions; (2) help the children who had difficulty reading some items; (3) to observe the children's attention spans; and (4) to note the average length of time which was required for both parents and children to complete their respective forms. Two weeks after their initial participation, each parent received a second letter with copies of the CFWS to complete. test-retest portion of the study. This served as a The participants were asked to complete the CFWS and return it to the investigator in a provided pre-paid envelope. Results The data from the children's CFWS was analyzed with respect to age, sex, socio-economic status (high, middle) and the type of fears endorsed (abstract, concrete). Univariate statistics were performed on the children's data and the results are presented in Table 5 in Chapter II. 127 An analysis of variance (ANOVA) was performed on the following factors from the children's CFWS: socio-economic status; fear type (abstract, concrete); and sex (male, female). The only significant factor was on the sex variable (F = 16.43, p. < 0.0001). It is possible that no other significant interactions were found due to the limited nature of the sample. A covariate analysis of variance (ANOVA) was also performed on socio-economic status, fear type, and sex with age as the covariate. Once again, the only significant interaction was on the sex factor (F = 0.39, p. < 0.0001). A point-biserial correlation was done between the children's CFWS data and the mother's to determine their reliability of responding with each other. The results were a mean of 9.27 concrete fears for the children and 6.72 for the mothers, with an R,-, of -0.027. On the abstract fears, the mean for the children was 11.67 and 11.41 for the mothers, with a corresponding R^ of -0.028. A test-retest reliability correlation was computed between the inital and second completion of the CFWS by the parents. A reliability coefficient of 0.60 resulted (p < .0001). Discussion The analyses suggest that there is a distinction in the number of fears reported by males and females, with female children endorsing significantly more fears than their peers. The factor of socio-economic status was not found to be significant, but the result may be due to both the limited number of subjects as well as the lack of subjects in the low socio-economic income bracket. Future studies should include subjects from all socio-economic classes as well as from 128 different urban areas. Similarly, future investigations of differences in the total number of abstract and concrete fears reported may show differences if a more heterogeneous population is sampled. The subjects in this study were not lacking in basic need fulfillment, suggesting a possible explanation of the lack of significant correlations in this particular category. The lack of significant interactions in the covariate analysis is interesting because the literature suggests that fears developmentally appear and disappear. However, the present study suggested that abstract and concrete fears did not change in their frequency with age. Similar investigations with smaller categorical distinctions may reproduce the developmental trends which have been found earlier. The comparison of parental reports with reports of their children indicated that the children endorsed more fears than their mothers. The result suggested that the children may be able to conceal fears from their parents or that parents do not notice many of the child's fear behaviors or statements. Finally, test-retest reliability suggested that the CFWS was valid over at least a short period of time (2 weeks). Further research may evaluate the reliability of the CFWS over longer time periods. This pilot study also demonstrated that children as young as 90 months were able to read and successfully complete the CFWS in a reasonable amount of time, generally between 10 and 15 minutes. Using the data from the pilot study, sample sizes for the larger study were estimated using a bound of 1. The required sizes were as follows: Urban abstract - 55; Urban concrete - 57; Urban middle - 62; Urban high - 45. The largest number for socio-economic class was chosen (62) as 129 well as the largest number for the urban factor (57). These numbers were then raised to 100 to account for subject attrition and the issue of generating a sample size for all populations with only limited pilot data. This resulted in the determination of needing 100 subjects for each place of residence factor (urban, rural) and 100 subjects for each socio-economic level if the data were to be used as a fixed, not continuous variable. APPENDIX B MATERIALS USED IN THE STUDY 130 131 COMPOSITION OF THE CHILDREN'S FEARS AND WORRIES SCALES (CFWS) Category 1 - SCHOOL (abstract) Question # Origin of Item 12 pilot study idiographic item 17 CMAS (Castaneda et al., 1956) 21 CMAS (Castaneda et al., 1956) 29 pilot study idiographic item 36 pilot study idiographic item 38 pilot study idiographic item 58 FSSFC (Scherer & Nakamura, 1968) 75 pilot study idiographic item 76 FSSFC (Scherer & Nakamura, 1968) 78 FSSFC (Scherer & Nakamura, 1968) Category 2 - HOME (abstract) 13 pilot study idiographic item 52 CMAS (Castaneda et al., 1956) 55 pilot study idiographic item 63 pilot study idiographic item 67 GASC (Sarason et al., 1960) 73 pilot study idiographic item 77 CMAS (Castaneda et al., 1956) 81 pilot study idiographic item 84 CMAS (Castaneda et al., 1956) 86 CMAS (Castaneda et al., 1956) 132 Category 3 - SOCIAL (abstract) 4 CMAS (Castaneda et al., 1956) 9 CMAS (Castaneda et al., 1956) 22 pilot study idiographic item 23 pilot study idiographic item 41 CMAS (Castaneda et al., 1956) 46 CMAS (Castaneda et al., 1956) 56 pilot study idiographic item 66 CMAS (Castaneda et al., 1956) 69 pilot study idiographic item 71 pilot study idiographic item Category 4 - SUPERNATURAL (abstract) 10 LFS (Miller et al., 1972) 19 CFFS (Ryall & Dietiker, 1979) 20 FSSFC (Scherer & Nakamura, 1968) 25 FSSFC (Scherer & Nakamura, 1968) 26 pilot study idiographic item 27 LFS (Miller et al., 1972) 28 pilot study idiographic item 59 LFS (Miller et al., 1972) 64 GASC (Sarason et al., 1960) 91 FSSFC (Scherer & Nakamura, 1968) 133 Category 5 - NATURAL (concrete) 1 LFS (Miller et al., 1972) 8 FSSFC (Scherer & Nakamura, 1968) 14 pilot study idiographic item 31 pilot study idiographic item 32 LFS (Miller et al., 1972) 47 pilot study idiographic item 48 FSSFC (Scherer & Nakamura, 1968) 60 pilot study idiographic item 72 LFS (Miller et al., 1972) 79 LFS (Miller et al., 1972) Category 6 - HEALTH (concrete) 16 FSSFC (Scherer & Nakamura, 1968) 34 pilot study idiographic item 39 FSSFC (Scherer & Nakamura, 1968) 44 LFS (Miller et al., 1972) 53 FSSFC (Scherer & Nakamura, 1968) 61 FSSFC (Scherer & Nakamura, 1968) 65 FSSFC (Scherer & Nakamura, 1968) 68 LFS (Miller et al., 1972) 80 LFS (Miller et al., 1972) 87 LFS (Miller et al., 1972) 134 Category 7 - SAFETY (concrete) 2 pilot study idiographic item 35 LFS (Miller et al., 1972) 40 GASC (Sarason et al., 1960) 49 pilot study idiographic item 51 LFS (Miller et al., 1972) 54 pilot study idiographic item 57 pilot study idiographic item 74 GASC (Sarason et al., 1960) 83 pilot study idiographic item 85 pilot study idiographic item Category 8 - ANIMALS (concrete) 3 CFSS (Ryall & Dietiker, 1979) 6 pilot study idiographic item 15 FSSFC (Scherer and Nakamura, 1968) 18 pilot study idiographic item 33 pilot study idiographic item 42 LFS (Miller et al., 1972) 50 FSSFC (Scherer & Nakamura, 1968) 70 FSSFC (Scherer & Nakamura, 1968) 80 LFS (Miller et al., 1972) 90 pilot study idiographic item 135 Category 9 - LIE All of the Lie Scale ite.s are taken fro. the GASC (Sarason et al.. 1960) and are contextually similar to the 80 regaining fear ite.s. Question 136 Texas lech University O a i M i M M M Ol PlyctHl4uf r 7 Occobar b3 Ou*r PArttnca: I *m currently wurkin<j on ay Ph.U. OiSM«rt«tion in Clinical Child Psychology •t Texatt Tach University. After discussing ay research with your principal, I have bean allowed permiaaion to contact you about your participation In •y study. Other parochial achools m the GaIveaton/Houston area and in the West Texas region are already cooperating in ay work. Within tlie past few yeara. there has been an increase in the nuai>er of children that school officials, physicians, and psychologists have seen because of •any fears and wories. Hight now we do not know what to consider "noraidi" in either the aiauunt or type of fears of young children. TIIIM IS why 1 •a doing wy research on children's fears and worieu. I hope to aid concerned adults in deciding the severity of a child's fears and if help is needed. In order to do this, I need to gather information from norakal youngsters. I have enclosed a consent fora for you to read and sign if you and your child can help ae. Once It is signed, please return it to your child's teacher the next day. Soon thereafter, yuur child will be coiapleting two questionnaires in his/her classrooa. your child will bring huae a packet of three aiailar questionnaires for you to coaplute and return to lae in Lubbuck via a pre-paid, self-addressed envelope. All answers will be given a nxmbttc for your family so that no identifying inforaat Ion will be used. Once the foras have been Q U I led to ae you may wish to discuss the geneial questions with your chiId, to learn aore about each other. Many tines parents are not aware of all of their child's thoughts and this discussion aay be beneficial. Please reaasure your child that ALL adults and children worry about things. If you have any questions please feel free to contact ae in Lubbock at (HOb) 742-373b or Klixabath Sledden, Texas Tech University, Oepartaent of Psychology, Box 4100, Lubbock, TX 79409. I thank you for your valuable tiae ana interest in ay work. Sincerely, Elizabeth Sledden, B.A. Graduate Student ttu 4)00/iubteci. I»«t ;»«iw/|«»t t*lVV 137 Subject Nuaber CONSENT FORM I hereby give ay coiisenc for ay purtlc Iputloa or ay chUU's partJLluailon 1« the project entitled: Children's Fears and Worries. I understand that the people responsible for this project are Ms. Elizabeth Sledden and Or Bill U c k e , both of whua have agreed to answer any of ay questions about the procedures. 1 aay reach Ms. Sledden or Dr. Locke In Lubbock, Texas at (806)742-3736. I also understand that I may contact the Texas Tech University Instliutlun.il H..vl^wi Hoard for Cho Protect lun uf Human Subjects at the following address: Office of 'Research Sciences. Texas Tech University, Lubbock, Texas 79A09, or by calling (806)7<,2-5279. I understand that all information concerning this experlaent will be coded and that ay oame or Identifying laforwitlon will not be used to Indicate ay participation la the study. 1 understand that I aay not derive therapeutic treatment froa participating In this study and that I aay discontinue ay participation at any time. The experimenter has explained the procedures to be followed and described the possible risks and stresses. The procedure lai I will be asked to complete three questionnaires and ay child will also be asked to coaplete two questloooalres. NOTE: If this research project causes any physical Injurty to the participants of this projact, treataent Is not necessarily available at Texas Tech University or the Student Health Center, nor la there necessarily any insurance carried by the University or its personnel applicable to cover any such Injury. Finanaclal coapensatlon for any such injury must be provided through the participant's uwu Insurance program. Further Inforaailun about theae matters may be obtained from Dr. J. Knux Jones, Jr., Vice President for Hesearch and Graduate STudles, (806)742-2153, Rooa IIB, Administration Building. Texas Tech University, Lubbock, TX 79409. Signatura of Subject Date Signature of Project Director or Authorized Representative: '^*te_ Signature of Witness to Oral Presentation: Date Child's Naae(PLEASE PRINT) Number of Parents Willing to Complete t'orotiii. 138 Subject Nuaber DEMOQRAPHIC INPORMTION Child's Date of Birth Child's Education (Coapleted) Child's Current Grade Plaoeaent Mother's Education (Coapleted) Mother's Occupation .^_____^__ Father's Education (Coapleted) Father's Occupation •••• NOTEi _______^ All of the above InforMtlon Is kept confidential, you are Identified only by your subject nuaber. . . this will keep your responses together with those of your child. 139 These questions are about what YOUR CHILD thinks and the things YOUR CHILD worries about. wrong answers. There are no right or All children and adults worry about things. No one Twill see your answers and connect them with you the subject number is used to keep your responses together with those of your child. Circle no or yea for each question as you think it applies to your child. If ycu circled yes, then please go on and circle one of the numbers from 1 to 5 indicating how much your child worries about that thing. Please circle "mother" or "father" on the top of the form. Please do not discuss your answers with your child or your spouse until all of the forms are completed and in the mail to me. Once this is completed, you may wish to discuss the general questionnaire items with your child, to learn more about each other. Many times, parents are not aware of all their child's thoughts and such a discussion may be helpful. Please reassure your child that what is written on the cover sheet is truei ALL CHILDREN AND £V£N ADULTS WURRY ABOUT THINGS. Tluiiik you fur your tlmo iiinl of fort. I wuy bo rouclioil .iti Elizabeth A. Sledden Texas Tech University Psychology Department Box 4100 Lubbock, TX 79W* (806) 742-3736 140 uiHi.i.£ UHL: Father Subjeet Nuaber ru-ent's Queatlcna ft: 1. 1 No Is your cblia- aver afraid of deep watart Yea 1 ] 3 2. No la your child aver afraid of being l a f t alone? alone? Taa 1 2 ) ••"•••I 3. Mo Is your child aver afraid of bucs? tea 1 2 3 k. No k uai k i k i l» 5 2s:: ^SiJigS?"* ""• '"^ **•* •**•*•• *• •»•* ""• "»• - v w . b - 5. No 6. No 7. S. No t t l n g h^alte eonta to do? Toe 1 2 3 !• your cbUd over afraid of eeckroachaa? las I Z J Ooao your c h i l d a v o r worry? »•• 1 2 1 * 5 k Ooaa your child avar worry about being In an oarthquaka? »oe I 2 3 k i 9. Ho 10. No tee I 2 3 k. , 5 la your ehlld avor afraid of the davll? Tea I 2 3 k U . Nhan your Ghlld aaa yoynaar, waa ha/aha aver ocarad of anything? No tea I 12. Ooaa your cblld over worry about not doing bla/har boaaworkt No Xaa 5 1 3 . Oooa your ohild avar worry about you getting a divorooT No Yea U . Ooaa y o u r c b l l d %yi*r worry a b o u t b e i n g In a hurrloanoT No Yaa 1 2 3 % r »5. No 16. •No la your cblld over afraid of anakaaT Yaa 1 2 3 k 5 5 i la your child over afraid of the a U h t of blood? Yea 1 2 3 ^ ^ No la It avar hard for your child to keep higher alitd on higher achooiwerk? Yaa 1 2 3 % 3 18. No layour eblld avar afraid of iungla animals (tigers, liana)? Yaa 1 23 <» 5 19. No la your oblld avor afraid of haunted houaao? Yaa 1 23 k 20. No Doaa your child avor worry about gheata or apooky thlngo? tea 1 2 3 k i 21. No Doaa y o u r c h i l d a v a r worry about hew w e l l h « / a h a Is d o i n g In a c h o o l ? Yaa I 2 3 H 5 22. No Ooaa your c h i l d a v e r worry about t h e way h « / a h a draasaa or a o t a ? Too 1 23 k i 17. i Mother 141 (ill xai 23. Me 2<i. Ooaa your child aver marry about not being aucoaaaful in U f a ? tea I 2 3 H ) Maa anyone avar bean able ta oeara your child? Na 2$. Mb 26. No 27. No Yaa uJlilA 1 4J^ 23 b Ooaa your oblld over worry about death or dead people? Yea 1 23 b Ooaa your c h i l d avar worry about going to b a l l ? Yaa I 23 b i 5 Is your e b i l d avar a f r a i d of hawing nlghtaaraaT Yes I 23 b ) 2B. No Ooaa your c h i l d avar worry about the and of the world? Yaa I 2 3 <> 29. Ooaa your child avor worry about paaslng a grade? No 5 Yaa t 2 3 b i ) 30. No Ooaa your ahlld over worry about not knowing bi^har boaawork? Vos 1 2 3 b 5 31. Ooaa your child over worry about being In a tornado? No 32. Mb Yaa t 2 3 k i Ooaa your child over worry about balna In a storm? Vaa 1 2 3 « S 33. Mo 3b. Mo 3S. Ho 3i. Mo la your oblld ever afraid of aata? Yaa 1 2 3 ^ 5 Ooaa your oblld over worry about getting a dlaaaaa? Yea I 2 3 ^ ) Ooaa your oblld over worry about balnc kidnapped? lea 1 2 3 «^ 5 Ooaa your ahlld avar worry about giving the arang anawar in olaaa? Yea 1 2 3• * 5 37. Ma Ooaa your child avar worry about atkat la going to happen? Yaa 1 2 3 « 5 36. Ma Ooaa your child over worry about plaaalng the taaohar? Yaa I 2 3 b i Do«e your child avar worry about having to go to the heopital? Yea t 2 3 b 5 39. Ma bO. M« Ooaa your c h i l d avar worry that bVd*>« night gat hurt In a car •ccldentT Yaa 1 2 3 b i <•!. »• Ooaa your child avar feel that ba/aha meat ba the boat In avarytblng? Yaa I 2 3 b 5 %2. la your oblld over a f r a i d af apldara? Mo Yaa 1 2 3 b } <i3. Ooao your ohild over worry about wbat other people think of biVbar? Ma Yaa I 2 3 b > bb. Mo '»i, No 1^. No la your child avar afraid of having an operation? Yaa 1 2 3 b i la your child avar unhappyt Yea I 2 3 b } Ooaa your child avar faal that aoaaono will tall hWlker that ha/aha doaa thinga iha wrong way? Yea I 2 3 b i b7. No Ooaa your child avar worry about getting poioon Ivy or polaon oak? Yaa I 2 } b ) 142 Ba. Xu bO. Mo UJdUa Ooaa your ahlld avar worry about g e t t i n g a l a o t r l e a l aback? Yaa I 2 3 b S b9. Ooaa your chUd over worry about g e t t i n g robbed? Mo Yas I 2 3 b iO. la your child over afraid of rata or alee? Mo Yea 1 2 3 b SI. Ooaa your child avar worry about g o t t l M loot? Mo Yea t 2 3 b )2. Mo i Lot 5 $ $ Ooao yaur ohild avar worry about what you w i l l aay to hiVbart Yaa 1 2 3 b i S3. Ma ik. Mo 55. Mb 56. Me 57. Mo SS. Mo 59. Mo 60. Mo 6t. Mo A2. Ho 63. He 6b. No ^S. No 66. No Ooao your child avar worry about garaa or g e t t i n g a aarloua lllnaaa? Yaa 1 2 3 b ) Ooao your ohild over worry about getting In a fight? Yaa 1 2 3 b ) Ooaa your ohild avar worry about being away froa you? Yaa 1 2 3 b i Ooaa your child avar worry about aaking frlenda? Yea I 2 3 b 3 la your oblld avar afraid that ha/ahe will die young? Yea 1 2 3 b J Ooaa T^HT ehlld avar worry about falling a teetT Yea t 2 3 b S la your oblld avar afraid of opaea craaturao? Yaa 1 2 3 b 5 Ooaa your child over worry about being in a flood? Yaa t 2 3 b S Doaa your child over worry about jotting out or hurt? Yea 1 2 3 b S Nao your child avar been aftaid of getting hurt? Yes 1 2 3 b 5 Ooaa ](aur child avar worry about aeaaona in the faaily getting hurt? Yaa I 2 3 •» 5 Oo aoae of the etorloa In the aoviaa or on TV acar* your ohild? Yea 1 2 3 b i Ooaa your child avar worry about not being able to breathe? Yea I 2 3 b i Ooaa your child'a feelInge avar gat hurt aaally whan acoldad? Yae 1 2 3 b ) 67. No Oeea your ehlld avar get scared whan ha/aha baa to go in a dark rooa? Yea 1 2 3 b 5 68. No la your child «vor afraid of getting a ahot? Yea 1 2 3 b 69. No Ooao your child over worry about frlenda not l i k i n g h i g h e r ? Yaa I 2 3 b S 70. No Is your cblld ever afraid of atranga or aaan-looklng doga? Yaa 1 2 3 b 5 71. Mo la your child avar afraid of being laughed at? Yea t 2 3 k i i 143 Ua 111 k i.UiU 4_l^ 72. boaa your ohild avar worry about lightnlnd? Ho Yaa I 2 3 b S 73. la yaur ahlld avar afraid af aaaaUing hiding ««idor Ue bad? No Yaa I 2 3 b 5 7b. Ho 75. la your oblld ever frightened when looking down froa a high place? Yas 1 23 b J la your cMU* aver afcmld whan ba/abo baa ta apeak In olaaa? 76. Mo Ooaa your c h i l d avar worry about being e a U e d on by the teacher? Yaa 1 2 3 b 5 77. No Ooaa yaur o b l l d avar worry about wbat could happen to you? Yea I 23 b J 78. Mo Doaa your c h i l d avor worry about having ta atay a f t e r achool? Yea I 23 b i MO Yaa 1. 2 3 k J 7 9 . Ooao your a h l l d avar worry about being In a f i r e ? Mo Yas 1 2 3 b S 80. la your oblld avar afraid of dootoro? Mo Yea 1 2 3 b S 81. lo your oblld over afraid thet you will die? Mo Yea t 23 b i 8 2 . Ooaa yaur c h i l d avar warry about aoaething bad happening ta aoaaoiM b«/abo baa—? Mo Yea 1 23 b 5 83. Mo la your oblld over afraid of atranga or aaan^laoklng people? Yea t 2 3 ' b ' '^i 8b. No as. Na 66. Na 87. No la your ohild over afraid at the dark? Yea t 2 3 b 3 Doaa your child •vr worry about being abet (by a gun)? Yea 1 2 3 , b 3 Ooea your c h i l d e v e r worry abon ha/oho goaa to bed at night? Yea 1 2 3 ^ 5 le your ohild ever afraid »t having aat«i poiaonad food? Yes 1 23 b 3 8 8 . Maa your child ever bad a aaary draaa? He Yes 1 23 b 3 89. la your child over afraid of froga? No Yaa 1 23 b 3 90. la your cblld over afraid of abarfca or anlaala in the aaa? Mo Yaa 1 2 3 b 3 91. Na 92. Hhat No 93. Hhat No 9*». la your child avar afraid of oaaatarlea (gravayarda)? Yea 1 23 b 3 la there anything alaa your oblld la afraid of7 la it? Yes i I 5 S 5 la there anything alee that your child worriae about? la it? Yea I I 3 S 3 U there anythif« elaat « _ _ _ . ^ _ ^ _ ^ _ ^ _ _ _ _ _ _ _ _ 144 OtVELOPMNTkL HUTONY Hava any af tha following avar happsnad to your child? Indicate boo aany tUaa you can recall thia happening. Igl 1. bean In deep watar and not awlamlng wall. 2. Bean laft alana. tlA MyabT 9/ Tl^.a __ ____ _ _ ^ _ _ _ _ _ _ _ _ _^ _^ ^_____^___^__ 3. Been atung by a bug. _^ b. iaan tald that athere did not i U e the way bV«Ma did •oaetbing. ^_ ______^__ ___ 3. Had ta bill a oaakroaab. 6. been In an earthquake. 7. Not had thinga ga the rigbt way for biVber. 8. bean tola about how bad it Piaaaa __ ___ _________ ___ __ __^_^^______ __ __ ___________ 9. Hot dana hoaawark. ___ ___ ^__^^__^__ 10. Paranta dlvoreing. ___ __ ..^_______ would ba ta neat the devil. 11. bean In a hurrioana. __ 12. lean bitten by a anaba. 13. U e t a lot af blood. lb. Not been able to pay attention to oabooloork. 13. Hat and/or touched a wild aniaal (tlaar. lion, ate.). |6. ^_ _____^^^___ __ _________ __ ,^_ ________^_ __ __ _________ Been In a haunted bouaa. __ __ _^^___^_ 17. Mean tald apaoky atoriad o r ghoet atarles. __ __ ___^__^___ 18. __ __ _________ 19. Mean told b^aba dreaaad or aetod fUmy. __ __ _______.^_ Hot done well In sebool. 20. Boon told ba/abe would not be aueooaaful In U f a . 21. Nad a faaily aaaber or d o a a friend die. 22. Bean tald about boa awful It would ba In ball. 33. Mad nlgbtaarao. 2b. Been told about the and of tha world. 23. Hat paaaad a grade. 26. Been In a tornado. 27. Been In a atora. 28. Bean hurt by a cat. 1^ XlB Ba. __ ___ 31• Olvan a wrong anawar in '^••'* __ ^_ 32. Hot pleaded the taaohar. __ __ 33. Gone ta Uo boapital. __ „_ y». __ __ 33. boon bitten by a apidar. __ _ 36. Nad an oparation. .^ __^ 37. Bean told ba/abe did tbU\ga the wrong way. __ __ __ __ 29. Gotten a aarloua diaeaae. 30. Been kidnapped. 38. Bean hurt in a car accident. Gotten poioon ivy or poioon oak. 39. Gotten ahockad by electricity bO. Bean robbed. bl. Bean hurt by a rat/aouae. b2. Bean l a a t . b3. Bean a r i t i o i i a d b y paranto. bb. Mot aada friande a a a l l y . b3. Nad a friand die young. b«. PaUad a t a e t . ___ ,___ __ __ b7. Saan a mavli craaturao. bS. Been in a flood. __ b9. Been cut or hurt. __ 30. Pbally aaaber hurt. __ 31. Seen aeary aoviaa or TV. __ 32. Hat boon able ta breathe. 33. felt bad when aooldad. S**. Cone into a dark, aoary 33. Cotton e obot. 36. Upaat hla/hor friends. 37. Bean hurt by a dog. 3S. Been laughed at. 39. Bean outalda wbila It was lightning. 60. Had soaetbing bide under the bod. _ __ Nuabar ol T l — 14 Xaa B a . •"•"•'• "' X'"*' 6|, Bean in a high plaae. __ __ .^_____^_ 62. Had td apeak la olabb. _^ __ ____^___ 8}. loan Obllad on by tb« tadcbaf __ ______^__ 6b. Mad aaMtblng bad happen ta __ _ _ _ _ _ _ _ pnranta. __ 63. Mad t« atay after sabMi. __ 66. Been in a fire. __ __ ^_^______^ 67. Bean ta a dactar. __ ^__ ,^__________ 68. Had one parent die. __ __ 69. Bean appraaabad by a btnngar. TO. Bean alana In Ua dark. 71. Been abet by • <un. 72. Horriad in bad. __ __ __ __ __ 73. latan bad or peiaonad faod. __ 7b. Been hurt tg a frog.. __ ^__ 73. Been hurt by a aaa aniaal. __ __ 76. Been 1« a oeaetory( graveyard)__ __ 77. Not been the beat In everything. 78. Gotten a aarloua lllnaaa. 79. Been Ui a figbt. __ __ __ __ 80. Been aeparatad hroa paranta. __ __ 147 These questions are about what YOU think and the things YOU worry about. There are no right or wrong answers. We all worry about things. No one will find out your answers -> there are no names on these questions. Circle no or yes for each question. If you say yea, then circle one of the numbers to say how much you worry about that thing. If you have any questions while you are doing this, please ask. 148 Subject Nuaber Cbiid'd Ouoatlena K to 2 "^-^ 3 aa& b I. Are you ewer afraid af deep watar? Mo Yaa I S 3 If being loft alane? 3 « Yea 3. Are you ever afraid af huge? Ma «ee t 2 b b b. Oa you over feel that atbara de net like the way you do thinga? Me Yee 1 2 3 b 3. Oa you owor warry that you won't bo able ta da aeaeUing want ta daf Ma Yea I 2 3 b 6. are you ewer afraid »t eoekroaabaof Ha 7. Ha Yaa t 8 3 b Oo yau avar warryl lab I 2 3 b 8. Pa yau aver warry about being In an aartbauaka? Ma tab t 2 3 b 9. Be yaa avar gat warrlad wban tblnga da net ga the rUht way for youT He lea 1 2 3 b 10. Are y Ha taa 11. bhan yau ware youngs Ho Yes t rUing? 1 2 . Oo yau avar warry about n a t doing your baaeoork? Ha l e a 1 2 3 . b 13. be you avar worry about yaur paranta getting a divarca? Ma lea 1 2 3 ^ tb. Oa yau avar warry about beli^ la a hurrioana? Ho lea t * 3 *> 15. Are yau avor a f r a i d of eaafcae? He Tea 1 > 3 <> 16. are you ever afraid 9t the eight of blood? Ha taa t > 3 * 17. Mb la it ever hard far yau ta beep your aind on your achao warfc? lee 1 2 3 *• 18. are you ever afraid af Jungle anlaala (tlgara. liana)? Ma lea I 2 3 ^ 19. Are you over afraid af haunted baueae? He Yae i 2 3 20. Ha 21. He * Oo yau avar warry about gheata or spooky U l n g a ? taa i 2 3 *> Oo you e v e r warry abaut saw wall you are delng In acbae Yaa I 2 3 " 22. Oo you avar worry about the way you draaa ar act? Ha Ita t 2 3 *• 23. Oo you ever worry about not being auccaaafut in Ufa? Ha Yaa 1 2 3 " Copyright 1986 Elizabeth Sledden Oybell 149 B8 lag Alot A Little 2b. Has anyano avar been able to soara yau? Ha Yaa 1 2 3 <» 23. Oo you avar warry about death or dead people? Ho Yea 1. 2 3 b 26. HO De you ever worry abaut going to hell? Yea I 2 • ' 3 27. Are you over afraid af having nlgbtaaraa? Ha taa 1 2 3 28. He * ^ Do you ever worry abaut the end of the world? too i 2 3 ^ 29. Do you avor worry about not paaaing a grade? Ho Yee 1 2 3 b ya. Ho Oo you ever worry about not knowing your boaawerk? Yee i 2 3 b 31. Oo you ever worry about being in a tornado? Mo Yeo 1 2 3 <> )2. Do you ever worry about being in a atorw? Mo Voo 1 2 3 33. Are you aver afraid of eats? Ho Yea 1 2 3 *> >* No Do you ever worry about getting a dloaaaa? Yaa I 2 3 « 35. Ma Oo you ever worry about being kidnapped? Yes i 2 3 ' *» 36. No Do you avar worry about giving the wrong anawar in olaaa? Yaa 1 2 3 b ' 37. Mo Do you aver worry about wbat la going to happen? Yea 1 2 3 b 38. Mb Do you ever worry about pleasing your taaobart Yaa 1 2 1 b 39. Mo Oo you avar worry about having to go to the hoapitalT Yaa 1 2 3 *> bO. No Oo you avar worry that you night gat hurt in a ear aoe Yaa i 2 3 ^ <•!. He Do you over feel that yau have to be the boot in everything? Yea ant? I No Are you ever afraid af apldara? Yea 1 2 3 b3. No Do you over worry about what ether people think of you? Yea 1 2 3 • bb. Na Are you avar afraid af having an operation? Yaa I 2 3 ^ bs. No b6. Are you ever unhappy? . Yaa I 2 3 *• Do you avar faoi that aoaaono will tall you that you da thinga the wrong way? . Yaa 1 2 3 « No 150 BA 11' Nb laa LJJiiia ilai S* '•^ •**r •*^'» • ^ ^ I aettlng polaon ivy or polaon oak? taa I 2 3 b 3 bB. He b9. No SO. Ma Si. Ho 32, Ha Do you over worry about olootrlaal ahook? Yeo I . 2 3 b Oo you ever worry abaut getting robbed? Yea I 2 3 b Ara you ever aft-aid af rata ar alee? tea 1 2 3 b Do you ever worry about getting loatT tea 1 2 3 b De you ever worry about wbat your paranta will aay to Yae I 2 3 b 3 3 3 3 you? 3 S3. Oo you ever worry about ger«a or getting a aarloua lllnaaa? Ha Yea I S 3 b 3 Sb. Oo you over worry about getting in a fight? He Yaa 55. Ho 56. Ho 37. Ho 58. Ho 59. Mo 60. No 61. No 62. Ha 63. Ho Do you ever worry about being away from your paranta? Yeo I 2 3 b 3 De you aver worry about aaking friande? Yeo I 2 3 b 3 Ara you ever afraid that you will die yoeng? tea I 2 3 b 3 Do you ever worry about falling a taet? Yea 1 2 3 . b 3 Are you aver afraid of apaoa oraaturea? Yaa I 2 3 *» i Do you aver worry about being in a flaod? Yaa I 2 3 b 3 Oo you avar worry about getting out or hurt? Yea I 2 3 <• i Have you ever boon afraid of getting hurt? Yea 1 2 3 *> i Oo you over worry about aamaona in your faaily getting hurt? Yea I 2 3 '> i 1 2 3 b 3 6b. De aoae of the atorloa in tha navies or on TV ocara you? Ho Yaa I 2 3 ** i 65. Do you aver worry about not being able to breathe? Ho Yea I 2 3 *> > 66. Oo yaur faoilnga ever fot hurt aaally when you ar* sdoldadt Ha Yaa t I 3 •• > 67. Ha 68. NO 69. No Oo yau aver get eoarod when you hava ta ga Inla a dark Yaa I 2 3 *• Ara you e.ar afraid at getting a abet? Yaa 1 2 3 •» Oo you ever worry about your friande nat liking you? Yaa i 2 3 * rooa? > i ' Ga aa 4 L U t U 70. Ar. you ever afraid of atranga or aaan-laoking doga? He • 3 b 71. Are you ever afraid of being laughed at? No tee I 2 3 ^ 72. Oo^you over worry about lightning? No 73. No Are you avar afraid of tea 1 2 AiQt thing hiding under your bed? 7b. Are you evar frightened whM< looking dowi froa a high p ace? No 75. Are yau ever afraid when you hava «a apeak in elaae? He 76. Oo^you ever worry'abaut being c a l l e d on by the taaohar? Ho 77. Ho 78. Oo^you evar worry abaut what aould happen to your paranta? Do you evar worry about having ta atay after oobool? »•• I 2 3 If 79. Oo you ever worry about being in a fire? 80. No tea I 2 * 3 Are you ever afraid af doetora? tea I 2 3 81. No Are you ever afY>ald of your paranta dying? taa 1 2 3 " b b 82. Do yeu avar worry about aoaatbing ba<' happening to ooaeene you know? too I 2 3 b 03. Are you evar afraid of atranga «r aaan-looking people? tea I 2 3 b No 8b. Ara you ever afraid af the dark? Yaa i 23 b you as. Do taa No 86. No 87. aver worry about being ahot? (by a gun) 1 2 3 b Oo you avar worry wban you go to bad at night? Yaa I 2 3 b Are you ever afraid of having eaten polaoned food? Yea I 2 ] b 88. No Have you ever bad a acary draaa? Yea 1 23 89. Ara yeu avar afraid »t froge? No Yea 1 2 3 b 90. Mo Ara you aver afraid of aharka er anlaala in the eea? b 91. No Are you avar afraid of oeaetorlaa (graveyarda)? Yaa .. I 2 3 b 92. la there anything alee you ara afraid of? Hhat la it? _ _ _ _ _ _ _ _ _ _ _ _ _ ^ ^ _ ^ _ _ _ . ^ _ _ _ Y*a I 1 3 5 No Yea 1 2 3 93. la there anything alee you worry about? No Nhat la it? Yea 1 9*. Is there anything aloe? _ _ _ _ ^ T 3 b Subloat Nuaber TMUMiS TMAT NAVE MAPPUtkU TO UK Have any af ihaaa Uln«a happened to you? baa aany tlaaa yeu think it baa aappenad. Piaaaa write deem XAB Ba. BMamr Bf Tista 1. bean In deep water and not awiaaing wail. 2. bean lart aiama. ). ___ _ _ _ _ ^ _ _ _ _ _ _ _ ___ ___ ^ ^ _ ^ _ ^ ^ ^ ^ ^ ^ Been atung by a bug. __ ___________ __ __ __________ __ ___ b. bean tald by atbara that tbay did not iibo tno aay yeu did aaaatbii«. 3. Had ta h i l l a eaakreaob. 4. aeon t a M oartb^uaba. 7. Hat bad talAga ga the rigM» wv far you. ^__^_______ 8. Been tald about Ua d«vll. __ __ _^________ 9. Hal dene your beaework. __ __ ______^___ le. I^enta been divorood. __ ___ ___________ 11. Bean ta a burr loans. ^_ __ __^_^______ 12. Bean bitten by a anaba. __ __ _________ 13. - U a t a let af blood. ___ __ __________ lb. Hal been able ta pay attaatioa tb your sobaaiaarb. __ IS. Hat or touchad a wild __ __^.^__^_ anlMl (tiger. Ilea). |6. 17. Been In a haunted bouee. __ __ __^___^____ bean tald appoky atarlaa ar gheet otorleo. 18. Hot done well In aabool. 19. _ Been tald you dreaaad ar aetod 20. Been told you would aot ba buaaooafwi U life. 2|. Had a faaily aaaber er oloae friend die. 22. Bean told abaut bell. __ __ __ _ __ bf the aarld. __ __ 3). Hot paaaaa a grada. ^ __ 24. Bean in a tamada. __ __ 27. Seen in a atora. __ 2a. Been hurt by a cat. __ 23. Had nlgbti^as. 2b. Been tald about the end __ Copyright 19B6 Elizabeth Sledden Oybell Xaa Ba. WuaOar of Ttaea 29. Gotten a aarloue dleeaaa. ___ ,___ 30. Bean kidnapped. __ ___ 31. Given a wrong anawar in claaa. 32. Not ploaaad tha teacher. 33. Gone to the b o a p i t a l . ___ ___ 3b. Baan hurt in a oar aoeident. ___ ___ 35. Been bitten by a apidar. __ ___ 36. Mad an operation. ___ __ 37. Bean told you did thlngo ___ __ the wrong way. 38. Gotten polaon ivy or poioon oak. __ 39. Oottan ahockad by electricity ___ bO. Bean robbed. bl. Bean hurt by a ra^mouae __ ___ b2. Baan l o a t . __ ___ b3. Baan c r l t i o U a d by paranto. bb. Not Mda friande a a a l l y . ^_ __ bS. Had a friend die young. b6. Palled a t e a t . b?. Saan a movie about apace craaturaa. __ __ __ __ ___ __ __ ___ __ __ ___ rooa. __ __ 55. Gotten a ahot. __ __ 56. Upaat your fflenda. „__ __ 57. Baan hurt by a dog. __ __ b8. Bean In a flood. b9. Been cut or hurt. 30. Paaily aeaber been hurt. 51. Sean acary aovleo or TV ahewa. 52. Not boon able to breathe. 53. Felt bad when ecolded. $b. Cons into a dark, acary 58. Baan laughed at. 59. Baan outside while it waa lightning. 60. Had aeaethlng hid under your bed. ___ __ __ Xsa 61, baan In a high placa. 62. Had to apeak In claaa. !!a_ __ 6 ] . Bean called on by the taaohar 6b. Had aoaethlng bad happen to your paranta. 65. Had to atay after achool. 66. Baan In a flra. 67. Bean to e doctor. 68. Had a parent die. 69. Baan followed by a atrangar. 70. Baan alone in the dark. 71. Bean ahot by a gun. 72. Horriad in bed. 73. Eatan bad or poleoned food. 7b. Baan hurt by a frog. 75. Baan hurt by a aaa aniaal. 76. Bean in a graveyard. 77. Not baan the beet in everything. 78. Gotten a aarloue lllneee. 79. Baan In a fight. 00. Baan away froa your paranta. __ __ - Nuaber of Tleea 155 ,S t l , . Texas Tech University Oap«(Un«nl ol Ptychotugy Elizabwth Sledden 242lA 22nd Place Lubbock, TX 79411 IS tfebruary 1964 A few weeka ego you to cuaiplete history. These my dissertation your child brouijlit huma a packet of queationnairea for about your child's fears and his or her developoantal items ara very ia^Mctant for me to be able to complete raaaarch. 1 would like to remind you to plttase coaplete these forms and return th«a to me via Che ataaped, addreeaed envelope that waa sent home with the forma. If you have misplaced the forms or did not receive them, pleabd concacc me and I will quickly aupply you with replacements. These forms ehuuld not take more than 1S-20 minutes for you to coaplete and all information is kept strictly confidential. I'lease feel free to contact ue at wurk (742-3737) or at home in tliu eveninqs (747-SnS) If I need to qive you new forms or if there are any questions you wiah to ask. 1 am eaqer to receive your information and very grateful for your time, energy and intereet in my work. Sincerely, Elizabeth Sledden, B.A. Graduate Student in Clinical Psychology Teiuts Tech University bu«4IUU/luUMM.i. U . M ; M I N / | M » | 74^ Ui? APPENDIX C SUPPLEMENTARY DATA TABLES 156 157 Table 17 ANOVA Summary Table of Concrete Fear Frequency Rural vs. Urban Children Source Main Effects SS DF 33.202 1 Residual 7596.844 1030 Total 7630.046 1031 4.502 .034 158 Table 18 ANOVA Summary Table of Concrete Fear Intensity: Rural vs. Urban Children Source Main Effects SS DF 20.061 1 Resi dual 922.220 1030 Total 942.283 1031 22.406 .001 159 Table 19 ANOVA Summary Table of Abstract Fear Frequency Rural vs. Urban Children Source Main Effects SS DF 6.765 46.861 Residual 7134.952 1030 Total 7181.813 1031 .009 160 Table 20 ANOVA Summary of Abstract Fear Intensity Rural vs. Urban Children Source Main Effects SS 33.282 Resi dual 1132.605 Total 1165.887 DF 30.267 .001 161 Table 21 ANOVA Summary Table of Conrete Fear Frequency Socio-Economic Groups Source Main Effects SS DF 46.564 3. 159 Resi dual 7583.482 1029 Total 7630.046 1031 .043 162 Table 22 Correlations Between History of Trauma and Mean Intensity Scores Category Point-Biserial 1 School .17017 .0031 2 Home .20321 .0005 3 Social .09591 .0622 4 Supernatural .12141 .0257 5 Nature .14787 .0087 6 Health .12582 .0217 7 Safety .17307 .0027' 8 Animals .13007 .0184 Note. These computations were done using one data point per category for each child subjects. The asterisks indicate significant correlations. 163 Table 23 Pairwise Comparison Between Category Mean Intensity Score for Upper and Lower Socio-Economic Class Category 1 School 0.02 987 2 Home •0.32 749 3 Social 0.29 771 4 Supernatural •1.51 135 5 Natural -1.75 083 6 Health -0.53 595 7 Safety -0.42 676 8 Animals -0.69 489 Note. The degrees of freedom for these comparisons were (1, 88) for a total of 90 subjects Negative values indicate that the upper group reported a greater intensity than the lower group. 164 Table 24 Pairwise Comparison Between Category Mean Intensity Score for Upper and Middle Socio-Economic Class Category 1 School 0.55 585 2 Home 0.06 950 3 Social 0 . 18 857 4 Supernatural •1.32 187 5 Nature •0.45 656 6 Health •0.33 745 7 Safety 0.51 610 8 Animals 0.59 554 Note. The degrees of freedom for these comparisons were (1, 220) for a total of 222 subjects. Negative values indicate that the upper group reported a greater intensity than the middle group. 165 Table 25 Pairwise Comparison Between Category Mean Intensity Score for Middle and Lower Socio-Economic Class Category 1 School •0.45 651 2 Home •0.42 674 3 Social 0.20 843 4 Supernatural •0.78 435 5 Nature •1.68 095 6 Health •0.42 676 7 Safety •0.95 342 8 Animals •1.30 196 Note. The degrees of freedom for all of the comparisons were (1, 202) for a total of 204 subjects. Negative values indicate that the middle group reported greater intensity than the lower group. 166 Table 26 Pairwise Comparison Between Category Mean Intensity Score for Rural and Urban Groups Category 1 School 2.34 .020 2 Home 3.55 .0001 3 Social 2. 15 .032 4 Supernatural 3.08 .002 5 Nature 3.46 .OOl" 6 Health 2.44 .015""' 7 Safety 1.77 .078 8 Animals 2.13 .034 Note. The degrees of freedom for these comparisons were (1, 256) for a total of 258 subjects. The asterisks indicate a significant result, with the urban group reporting a greater intensity than the rural group. 167 Table 27 ANOVA Summary Table of Total Number of Fears Mothers vs. Children Source Main Effects SS DF 264.074 1 Residual 3031.112 16924 Total 4195.186 16925 1136.877 .001 168 Table 28 ANOVA Summary Table of Total Number of Fears Fathers vs. Children Source Main Effects SS DF 428.472 102.543 Residual 2569.128 10735 Total 2671.671 10736 .001 169 Table 29 ANOVA Summary Table of Average Fear Intensity Mothers vs. Children Source Main Effects SS DF 3481.99 260.1 Resi dual 45300.983 16920 Total 48782.973 16925 .001 170 Table 30 ANOVA Summary Table of Average Fear Intensity Fathers vs. Children Source Main Effects SS DF 204.936 1024.678 Resi dual 27683.937 10731 Total 28708.615 10736 .001 171 Table 31 ANOVA Summary Table of Average Fear Intensity Male vs. Female Children Source SS Main Effects 8.417 DF 7.762 Resi dual 2515.744 2320 Total 2524.161 2321 .005 172 Table 32 ANOVA Summary Table of Average Fear Intensity Children's Age Groups Source SS Main Effects 7.271 4 Resi dual 154.522 253 Total 161.793 257 DF 2.976 .02 173 Table 33 Differences Between Mean Intensity Scores by Age Group Age in Months 1. 78-102 = 2.6170 2. 103-126 = 2.4846 3. 127-150 = 2.3634 4. 151-174 = 2.0595 5. 175-198 = 1.4835 103-126 .1261 127-150 151-174 175-198 2536 .5575 1.1335 1212 .4251 1.0011 3039 .8799 .5760 174 Table 34 ANOVA Summary Table of Concrete Fear Frequency: vs. Socio-Economic Class vs. Category Source Area Socio-Economic Class Area-"-Socio-Economic Error Category Area-Category Socio-Economic Category Area-"-SES-"-Category Error Area SS DF F p 9.401 1 .484 .4872 34.036 2 .876 .4176 7.610 2 .196 .8222 4894.081 252 304.838 3 36.814 .0001 35.089 3 4.237 .0055 7.686 6 .464 .8351 45.829 6 2.767 .0115 2086.700 756 175 Table 35 ANOVA Summary Table of Concrete Fear Intensity: vs. Socio-Economic Class vs. Category Source Area Socio-Economic Class Ar ea""'Socio-Economic Class Error Area SS DF 13.809 1 5.433 .0206 1.042 2 .205 .8149 . 133 .8757 .675 640.557 252 Category 0.320 3 21.833 .0001 Area'" Category 1.573 3 1.690 .1678 .754 6 .405 .8758 2.615 6 1.405 .2100 Socio-Economic'"Category Area^"-SES-"'Category Error 234.544 756 176 Table 36 ANOVA Summary Table of Abstract Fear Frequency vs. Socio-Economic Class vs. Category Source Area SS DF 6.791 1 .395 .5300 Socio-Economic Class 27.993 2 .815 .4438 Area'"'Socio-Economic 77.391 2 2.254 . 1071 Area Error 4327.159 252 183.721 3 19.462 .0001 Area'"'Category 12.822 3 1.358 .2544 Socio-Economic'"Category 12.907 6 .684 .6629 Area-"-SES'"'Category 20.726 6 1.098 .3619 Category Error 2378.885 756 177 Table 37 ANOVA Summary Table of Abstract Fear Intensity vs. Socio-Economic Class vs. Category Source SS Area DF 19.551 1 6.318 .0126 .266 2 .043 .9579 4.547 2 .735 .4807 779.804 252 12.850 3 10.223 .0001 Area'""Cat egor y 1.511 3 1.202 .3081 Socio-Economic ""'Category 3.403 6 1.354 .2309 Area'-SES'-Category 4.178 6 1.662 .1275 316.761 756 Area Socio-Economic Class Area*Socio-Economic Error Category Error
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