Acquisition of blood and injection phobia and anxiety response patterns in clinical patients
Abstract
The ways in which blood phobics (N = 81) and injection phobics (N = 56) had acquired their phobias were retrospectively investigated. The patients were required to answer a questionnaire concerning: (a) the origin of the phobia, with items relevant for conditioning experiences, vicarious experiences and experiences of negative information/instruction; (b) physiological reactions; (c) anticipatory anxiety; and (d) negative thoughts while in the phobic situation. In addition background data on marital and occupational status, family history of phobia, fainting history, and severity of the phobia were obtained. Furthermore, the patients' behavioral, physiological, and cognitive-subjective reactions during the behavioral test were assessed. The results showed that a majority (52%) of the patients attributed the onset of their phobias to conditioning experiences, while 24% recalled vicarious experiences, 7% instruction/information and 17% could not remember any specific onset circumstances. There was no significant relationship between ways of acquisition and anxiety components, nor did conditioning and indirectly acquired phobias differ in severity.
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Learning and parenting are also critically involved in the development of BII phobia, making it both an inherited and learned disease.
“Still, learning and parenting are also critically involved in the development of BII phobia (39), making it both an inherited and learned disease (49, 50).”
From Combined Fainting and Psychogenic Non-epileptic Seizures as Significant Therapy Hurdles in Blood-Injury-Injection Phobia: A Mini-Review and Case Report (2022) · cites this paper as [49]
Cites
Psychotherapy by reciprocal inhibition
Wolpe, J. (1968) · Pavlovian Journal of Biological Science · doi:10.1007/bf03000093 · Cited by 3,389 · see citing works
Regier, D. A. (1988) · Archives of General Psychiatry · doi:10.1001/archpsyc.1988.01800350011002 · Cited by 1,737 · see citing works
Seligman, M. (1971) · Behavior Therapy · doi:10.1016/s0005-7894(71)80064-3 · Cited by 1,435 · see citing works
Development of a Dental Anxiety Scale
Corah, N. L. (1969) · Journal of Dental Research · doi:10.1177/00220345690480041801 · Cited by 1,299 · see citing works
Hilgard and Marquis' Conditioning and learning
Hilgard, E. R., MARQUIS, D. G., & Kimble, G. A. (1961) · Medical Entomology and Zoology · Cited by 1,297 · see citing works
The conditioning theory of fearacquisition: A critical examination
Rachman, S. (1977) · Behaviour Research and Therapy · doi:10.1016/0005-7967(77)90041-9 · Cited by 1,191 · see citing works
Prakash, R. (2003) · The Journal of Clinical Psychiatry · doi:10.4088/jcp.v64n0318d · Cited by 1,031 · see citing works
A fear survey schedule for use in behaviour therapy
Wolpe, J., & Lang, P. J. (1964) · Behaviour Research and Therapy · doi:10.1016/0005-7967(64)90051-8 · Cited by 1,020 · see citing works
Fear reduction and fear behavior: Problems in treating a construct
Lang, P. J. (1968) · Research in psychotherapy. · doi:10.1037/10546-004 · Cited by 989 · see citing works
Origins and Characteristics of Fear of Dentistry
Kleinknecht, R. A., Klepac, R. K., & Alexander, L. D. (1973) · The Journal of the American Dental Association · doi:10.14219/jada.archive.1973.0165 · Cited by 816 · see citing works
Psychometric description of some specific-fear questionnaires
Klorman, R., Weerts, T. C., Hastings, J. E., Melamed, B. G., & Lang, P. J. (1974) · Behavior Therapy · doi:10.1016/s0005-7894(74)80008-0 · Cited by 763 · see citing works
A stimulus-response analysis of anxiety and its role as a reinforcing agent.
Mowrer, O. H. (1939) · Psychological Review · doi:10.1037/h0054288 · Cited by 728 · see citing works
(1978) · Medical Entomology and Zoology · Cited by 605 · see citing works
Goldstein, A. J., & Chambless, D. L. (1978) · Behavior Therapy · doi:10.1016/s0005-7894(78)80053-7 · Cited by 572 · see citing works
Age of onset in different phobias.
Öst, L. (1987) · Journal of Abnormal Psychology · doi:10.1037//0021-843x.96.3.223 · Cited by 435 · see citing works
The conditioning model of neurosis
Eysenck, H. J. (1979) · Behavioral and Brain Sciences · doi:10.1017/s0140525x00061653 · Cited by 396 · see citing works
Öst, L., Johansson, J., & Jerremalm, A. (1982) · Behaviour Research and Therapy · doi:10.1016/0005-7967(82)90066-3 · Cited by 338 · see citing works
Age of onset in different phobias.
Öst, L. (1987) · Journal of Abnormal Psychology · doi:10.1037/0021-843x.96.3.223 · Cited by 296 · see citing works
Self-citationAcquisition of phobias and anxiety response patterns in clinical patients
Öst, L., & Hugdahl, K. (1981) · Behaviour Research and Therapy · doi:10.1016/0005-7967(81)90134-0 · Cited by 294 · see citing works
Preparedness and phobias: A review.
McNally, R. J. (1987) · Psychological Bulletin · doi:10.1037/0033-2909.101.2.283 · Cited by 268 · see citing works
Lautch, H. (1971) · The British Journal of Psychiatry · doi:10.1192/bjp.119.549.151 · Cited by 229 · see citing works
The passing of the two-stage theory of fear and avoidance: fresh possibilities.
Rachman, S. (1976) · Behaviour Research and Therapy · doi:10.1016/0005-7967(76)90066-8 · Cited by 188 · see citing works
Browne, M. A. O., Joyce, P. R., Wells, J. E., Bushnell, J., & Hornblow, A. R. (1989) · Australian & New Zealand Journal of Psychiatry · doi:10.3109/00048678909068290 · Cited by 180 · see citing works
Physiological responses in blood phobics
Öst, L.-G., Sterner, U., & Lindahl, I.-L. (1984) · Behaviour Research and Therapy · doi:10.1016/0005-7967(84)90099-8 · Cited by 177 · see citing works
Self-citationBlood and injection phobia: Background and cognitive, physiological, and behavioral variables.
Öst, L. (1992) · Journal of Abnormal Psychology · doi:10.1037/0021-843x.101.1.68 · Cited by 160 · see citing works
Blood and injection phobia: Background and cognitive, physiological, and behavioral variables.
Öst, L. (1992) · Journal of Abnormal Psychology · doi:10.1037//0021-843x.101.1.68 · Cited by 156 · see citing works
Self-citationThe etiology and maintenance of severe animal phobias
McNally, R. J., & Steketee, G. S. (1985) · Behaviour Research and Therapy · doi:10.1016/0005-7967(85)90171-8 · Cited by 153 · see citing works
Bernstein, D. A., Kleinknecht, R. A., & Alexander, L. D. (1979) · Journal of Public Health Dentistry · doi:10.1111/j.1752-7325.1979.tb02932.x · Cited by 140 · see citing works
Klee, G. D. (1968) · American Journal of Psychotherapy · doi:10.1176/appi.psychotherapy.1968.22.4.674 · Cited by 140 · see citing works
An empirical study of the etiology of dental fears
Shoben, E. J., & Borland, L. R. (1954) · Journal of Clinical Psychology · doi:10.1002/1097-4679(195404)10:2 · Cited by 139 · see citing works
Applied tension, exposure in vivo, and tension-only in the treatment of blood phobia
Öst, L.-G., Fellenius, J., & Sterner, U. (1991) · Behaviour Research and Therapy · doi:10.1016/0005-7967(91)90006-o · Cited by 138 · see citing works
Self-citationThe three-systems-model of fear and emotion—A critical examination
Hugdahl, K. (1981) · Behaviour Research and Therapy · doi:10.1016/0005-7967(81)90114-5 · Cited by 128 · see citing works
The dichotomy between classical conditioned and cognitively learned anxiety
Wolpe, J. (1981) · Journal of Behavior Therapy and Experimental Psychiatry · doi:10.1016/0005-7916(81)90027-6 · Cited by 119 · see citing works
Lightning-strike disaster: Effects on children's fears and worries.
Dollinger, S. J., O’Donnell, J. P., & Staley, A. A. (1984) · Journal of Consulting and Clinical Psychology · doi:10.1037/0022-006x.52.6.1028 · Cited by 113 · see citing works
Acquisition of blood and dental phobia and anxiety response patterns in clinical patients
Öst, L., & Hugdahl, K. (1985) · Behaviour Research and Therapy · doi:10.1016/0005-7967(85)90139-1 · Cited by 109 · see citing works
Exposure in vivo vs applied relaxation in the treatment of blood phobia
Öst, L., Lindahl, I.-L., Sterner, U., & Jerremalm, A. (1984) · Behaviour Research and Therapy · doi:10.1016/0005-7967(84)90001-9 · Cited by 100 · see citing works
Acquisition of agoraphobia, mode of onset and anxiety response patterns
Öst, L., & Hugdahl, K. (1983) · Behaviour Research and Therapy · doi:10.1016/0005-7967(83)90080-3 · Cited by 96 · see citing works
Phobias: Their nature and control
Fox, R. P. (1969) · Comprehensive Psychiatry · doi:10.1016/0010-440x(69)90012-1 · Cited by 96 · see citing works
Murray, E. J., & Foote, F. (1979) · Behaviour Research and Therapy · doi:10.1016/0005-7967(79)90065-2 · Cited by 92 · see citing works
Applied tension, applied relaxation, and the combination in the treatment of blood phobia
Öst, L.-G., Sterner, U., & Fellenius, J. (1989) · Behaviour Research and Therapy · doi:10.1016/0005-7967(89)90069-7 · Cited by 87 · see citing works
An exploratory investigation of the origin and maintenance of phobias
Rimm, D. C., Janda, L. H., Lancaster, D. W., Nahl, M., & Dittmar, K. (1977) · Behaviour Research and Therapy · doi:10.1016/0005-7967(77)90020-1 · Cited by 82 · see citing works
Phobias: their nature and control
Rachman, S. J. (1968) · Medical Entomology and Zoology · Cited by 76 · see citing works
Ways of acquiring phobias and outcome of behavioral treatments
Öst, L.-G. (1985) · Behaviour Research and Therapy · doi:10.1016/0005-7967(85)90066-x · Cited by 76 · see citing works
Munjack, D. J. (1984) · Journal of Behavior Therapy and Experimental Psychiatry · doi:10.1016/0005-7916(84)90093-4 · Cited by 67 · see citing works
Etiology and maintenance of dog fears
Nardo, P. A. D., Guzy, L. T., Jenkins, J. A., Bak, R. M., Tomasi, S. F., & Copland, M. (1988) · Behaviour Research and Therapy · doi:10.1016/0005-7967(88)90005-8 · Cited by 59 · see citing works
Conditioning experiences and phobias
Merckelbach, H. L. G. J., van den Hout, M., Hoekstra, R. J., & de Ruiter, C. (1989) · Behaviour Research and Therapy · doi:10.1016/0005-7967(89)90149-6 · Cited by 58 · see citing works
The origins and remission of fear in a group of tarantula enthusiasts
Kleinknecht, R. A. (1982) · Behaviour Research and Therapy · doi:10.1016/0005-7967(82)90065-1 · Cited by 55 · see citing works
Multimodal Behavioral Treatment of Recurrent Injury-Scene-Elicited Fainting (Vasodepressor Syncope)
Kozak, M. J., & Montgomery, G. K. (1981) · Behavioural and Cognitive Psychotherapy · doi:10.1017/s0141347300008053 · Cited by 50 · see citing works
Pre- and postinvasion anxiety in Lebanon
Saigh, P. A. (1984) · Behavior Therapy · doi:10.1016/s0005-7894(84)80019-2 · Cited by 46 · see citing works
Anxiety response patterns and etiological factors in dog-fearful and non-fearful subjects
Nardo, P. A. D., Guzy, L. T., & Bak, R. M. (1988) · Behaviour Research and Therapy · doi:10.1016/0005-7967(88)90006-x · Cited by 42 · see citing works
Liddell, A., & Lyons, M. (1978) · Behaviour Research and Therapy · doi:10.1016/0005-7967(78)90035-9 · Cited by 35 · see citing works
Origins and development of human fear reactions
Hekmat, H. M. (1987) · Journal of Anxiety Disorders · doi:10.1016/0887-6185(87)90026-0 · Cited by 34 · see citing works
The kings cross fire: Psychological reactions
Turner, S. W., Thompson, J., & Rosser, R. (1995) · Journal of Traumatic Stress · doi:10.1007/bf02102967 · Cited by 27 · see citing works
Implosive therapy with semiclinical phobias.
Fazio, A. F. (1972) · Journal of Abnormal Psychology · doi:10.1037/h0033568 · Cited by 24 · see citing works
Yule, W., & Fernando, P. (1980) · Behaviour Research and Therapy · doi:10.1016/0005-7967(80)90052-2 · Cited by 20 · see citing works
Conditioning, stimulus relevance, and cognitive factors in phobic fears
Hugdahl, K. (1977) · Cited by 6 · see citing works
Flagged first, then by citations
Cited by
Sorted by citations
Vulnerability to psychopathology: A biosocial model.
Zuckerman, M. (1999) · American Psychological Association eBooks · doi:10.1037/10316-000 · Cited by 604 · see citing works
Treatment of specific phobia in adults
Choy, Y., Fyer, A. J., & Lipsitz, J. D. (2007) · Clinical Psychology Review · doi:10.1016/j.cpr.2006.10.002 · Cited by 573 · see citing works
Strategies to manage patients with dental anxiety and dental phobia: literature review
Appukuttan, D. (2016) · Clinical, Cosmetic and Investigational Dentistry · doi:10.2147/ccide.s63626 · Cited by 616 · see citing works
Age of onset in different phobias.
Öst, L. (1987) · Journal of Abnormal Psychology · doi:10.1037//0021-843x.96.3.223 · Cited by 435 · see citing works
Age of Onset of Dental Anxiety
Locker, D., Liddell, A., Dempster, L. J., & Shapiro, D. L. (1999) · Journal of Dental Research · doi:10.1177/00220345990780031201 · Cited by 372 · see citing works
McMurtry, C. M., Riddell, R. P., Taddio, A., Racine, N. M., Asmundson, G. J. G., Noel, M. E., Chambers, C. T., & Shah, V. S. (2015) · Clinical Journal of Pain · doi:10.1097/ajp.0000000000000272 · Cited by 355 · see citing works
Injection related anxiety in insulin-treated diabetes
Zambanini, A., Newson, R. B., Maisey, M., & Feher, M. D. (1999) · Diabetes Research and Clinical Practice · doi:10.1016/s0168-8227(99)00099-6 · Cited by 289 · see citing works
“Ost [11] suggested that injection phobia is frequently acquired in childhood as a result of negative conditioning.”
BackgroundCognitive vulnerability: A model of the etiology of fear
Armfield, J. M. (2006) · Clinical Psychology Review · doi:10.1016/j.cpr.2006.03.007 · Cited by 236 · see citing works
The role of parental fearfulness and modeling in children's fear
Muris, P., Steerneman, P., Merckelbach, H., & Meesters, C. (1996) · Behaviour Research and Therapy · doi:10.1016/0005-7967(95)00067-4 · Cited by 228 · see citing works
(1988) · American Journal of Psychiatry · doi:10.1176/ajp.145.10.1207 · Cited by 213 · see citing works
The etiology of phobias: A nonassociative account
Menzies, R. G., & Clarke, J. C. (1995) · Clinical Psychology Review · doi:10.1016/0272-7358(94)00039-5 · Cited by 207 · see citing works
Pathways of fear and anxiety in dentistry: A review
Carter, A. E. (2014) · World Journal of Clinical Cases · doi:10.12998/wjcc.v2.i11.642 · Cited by 202 · see citing works
The nature and expression of social phobia: Toward a new classification
Hofmann, S. G., Heinrichs, N., & Moscovitch, D. A. (2004) · Clinical Psychology Review · doi:10.1016/j.cpr.2004.07.004 · Cited by 202 · see citing works
Fear of needles and vasovagal reactions among phlebotomy patients
Deacon, B. J., & Abramowitz, J. S. (2006) · Journal of Anxiety Disorders · doi:10.1016/j.janxdis.2006.01.004 · Cited by 197 · see citing works
A clinical study of child dental anxiety
Townend, E., Dimigen, G., & Fung, D. (2000) · Behaviour Research and Therapy · doi:10.1016/s0005-7967(98)00205-8 · Cited by 195 · see citing works
Page, A. C. (1994) · Clinical Psychology Review · doi:10.1016/0272-7358(94)90036-1 · Cited by 195 · see citing works
Fears and Phobias in Children: Phenomenology, Epidemiology, and Aetiology
Ollendick, T. H., King, N. J., & Muris, P. (2002) · Child and Adolescent Mental Health · doi:10.1111/1475-3588.00019 · Cited by 185 · see citing works
Appraisal of dental anxiety and fear questionnaires: a review
Schuurs, A. H. B., & Hoogstraten, J. (1993) · Community Dentistry and Oral Epidemiology · doi:10.1111/j.1600-0528.1993.tb01095.x · Cited by 179 · see citing works
The vicarious learning pathway to fear 40 years on.
Askew, C., & Field, A. (2008) · Clinical Psychology Review · doi:10.1016/j.cpr.2008.05.003 · Cited by 179 · see citing works
Why Are People Afraid of the Dentist? Observations and Explanations
Beaton, L., Freeman, R., & Humphris, G. M. (2013) · Medical Principles and Practice · doi:10.1159/000357223 · Cited by 172 · see citing works
Psychophysiological Correlates of Disgust and Disgust Sensitivity
Stark, R. M., Walter, B., Schienle, A., & Vaitl, D. (2005) · Journal of Psychophysiology · doi:10.1027/0269-8803.19.1.50 · Cited by 164 · see citing works
The etiology of specific phobias: A review
Merckelbach, H. L. G. J. (1996) · Clinical Psychology Review · doi:10.1016/0272-7358(96)00014-1 · Cited by 156 · see citing works
“Several interesting findings have emerged from retrospective studies on phobia origin (see, for reviews, Kleinknecht, 1994; Ost, 1987a, 1987b, 1991).”
BackgroundNeedle Phobia: Etiology, Adverse Consequences, and Patient Management
Sokolowski, C. J., Giovannitti, J. A., & Boynes, S. G. (2010) · Dental Clinics of North America · doi:10.1016/j.cden.2010.06.012 · Cited by 153 · see citing works
de Jongh, A., Muris, P., ter Horst, G., & Duyx, M. P. M. A. (1995) · Behaviour Research and Therapy · doi:10.1016/0005-7967(94)p4442-w · Cited by 152 · see citing works
Adolescent dental fear and control: prevalence and theoretical implications.
Milgrom, P., Vignehsa, H., & Weinstein, P. (1992) · Behaviour Research and Therapy · doi:10.1016/0005-7967(92)90048-l · Cited by 154 · see citing works
Frequency, Comorbidity, and Psychosocial Impairment of Specific Phobia in Adolescents
Essau, C. A., Conradt, J., & Petermann, F. (2000) · Journal of Clinical Child Psychology · doi:10.1207/s15374424jccp2902_8 · Cited by 136 · see citing works
The influence of personality on neural mechanisms of observational fear and reward learning
Hooker, C. I., Verosky, S. C., Miyakawa, A., Knight, R. T., & D’Esposito, M. (2008) · Neuropsychologia · doi:10.1016/j.neuropsychologia.2008.05.005 · Cited by 120 · see citing works
Kleinknecht, R. A., & Lenz, J. (1989) · Behaviour Research and Therapy · doi:10.1016/0005-7967(89)90088-0 · Cited by 120 · see citing works
Diagnostic categories of dental anxiety: a population-based study
Locker, D., Liddell, A., & Shapiro, D. L. (1999) · Behaviour Research and Therapy · doi:10.1016/s0005-7967(98)00105-3 · Cited by 119 · see citing works
The etiology of fear of heights and its relationship to severity and individual response patterns
Menzies, R. G., & Clarke, J. (1993) · Behaviour Research and Therapy · doi:10.1016/0005-7967(93)90093-a · Cited by 118 · see citing works
General and specific fears in referred and self-referred adult patients with extreme dental anxiety
Berggren, U. (1992) · Behaviour Research and Therapy · doi:10.1016/0005-7967(92)90051-h · Cited by 118 · see citing works
The etiology of childhood water phobia
Menzies, R. G., & Clarke, J. (1993) · Behaviour Research and Therapy · doi:10.1016/0005-7967(93)90131-d · Cited by 117 · see citing works
Merckelbach, H., de Jong, P. D., Arntz, A., & Schouten, E. (1993) · Advances in Behaviour Research and Therapy · doi:10.1016/0146-6402(93)90011-p · Cited by 105 · see citing works
The Origins of Specific Phobias: Influential Theories and Current Perspectives
Coelho, C. M., & Purkis, H. M. (2009) · Review of General Psychology · doi:10.1037/a0017759 · Cited by 113 · see citing works
Psychological Disorder, Conditioning Experiences, and the Onset of Dental Anxiety in Early Adulthood
Locker, D., Thomson, W. M., & Poulton, R. (2001) · Journal of Dental Research · doi:10.1177/00220345010800062201 · Cited by 109 · see citing works
Ways of acquiring phobias and outcome of behavioral treatments
Öst, L.-G. (1985) · Behaviour Research and Therapy · doi:10.1016/0005-7967(85)90066-x · Cited by 76 · see citing works
Braun, M. M. (1997) · Archives of Pediatrics and Adolescent Medicine · doi:10.1001/archpedi.1997.02170400041007 · Cited by 100 · see citing works
McMurtry, C. M., Noel, M., Taddio, A., Antony, M. M., Asmundson, G. J. G., Riddell, R. P., Chambers, C. T., & Shah, V. (2015) · The Clinical Journal of Pain · doi:10.1097/ajp.0000000000000273 · Cited by 94 · see citing works
“Öst 1991 (1)47 Unclear Unclear No No Yes Yes Yes High Should multiple-session in vivo exposure-based therapy be used (rather than single session) for children Z7 y and adults with high levels of needle fear?”
BackgroundMethodInfluentialAminabadi, N. A., & Farahani, R. M. Z. (2009) · The Journal of Contemporary Dental Practice · doi:10.5005/jcdp-10-3-43 · Cited by 92 · see citing works
Kleinknecht, R. A., Kleinknecht, E., & Thorndike, R. M. (1997) · Behaviour Research and Therapy · doi:10.1016/s0005-7967(97)80002-2 · Cited by 88 · see citing works
Learning and unlearning fear: A clinical and evolutionary perspective
Marks, I. M., & Tobeña, A. (1990) · Neuroscience & Biobehavioral Reviews · doi:10.1016/s0149-7634(05)80059-4 · Cited by 85 · see citing works
Acquisition of blood, injury, and needle fears and phobias
Kleinknecht, R. A. (1994) · Behaviour Research and Therapy · doi:10.1016/0005-7967(94)90161-9 · Cited by 84 · see citing works
Evidence for a non-associative model of the acquisition of a fear of heights
Poulton, R., Davies, S., Menzies, R. G., Langley, J. D., & Silva, P. A. (1998) · Behaviour Research and Therapy · doi:10.1016/s0005-7967(97)10037-7 · Cited by 78 · see citing works
Vika, M. E., Skaret, E., Raadal, M., Öst, L., & Kvale, G. (2008) · International Journal of Paediatric Dentistry · doi:10.1111/j.1365-263x.2007.00904.x · Cited by 76 · see citing works
Economou, G. C. (2003) · Journal of Dental Education · doi:10.1002/j.0022-0337.2003.67.9.tb03695.x · Cited by 70 · see citing works
Locker, D., Shapiro, D. L., & Liddell, A. (1997) · Behaviour Research and Therapy · doi:10.1016/s0005-7967(97)00016-8 · Cited by 68 · see citing works
Milgrom, P., Jie, Z., Yang, Z., & Tay, K. (1994) · Behaviour Research and Therapy · doi:10.1016/0005-7967(94)90094-9 · Cited by 68 · see citing works
Kılıç, A., Brown, A., Aras, I., Hui, R., Hare, J., Hughes, L. D., & McCracken, L. M. (2021) · Annals of Behavioral Medicine · doi:10.1093/abm/kaab016 · Cited by 65 · see citing works
“Studies show that, after the hereditary factors, early traumatic experiences are thought to be the second highest reason for the acquisition of procedural phobias, which is also in line with conditioning theory [67, 68].”
Relationship between caries prevalence at 5 years of age and dental anxiety at 10.
Raadal, M., Strand, G. V., Amarante, E., & Kvale, G. (2002) · PubMed · Cited by 64 · see citing works
The determinants and treatment of simple phobias
Rachman, S. (1990) · Advances in Behaviour Research and Therapy · doi:10.1016/0146-6402(90)90005-b · Cited by 58 · see citing works
Pathways to fear in spider phobic children
Merckelbach, H., Muris, P., & Schouten, E. (1996) · Behaviour Research and Therapy · doi:10.1016/s0005-7967(96)00052-6 · Cited by 61 · see citing works
Genetics of Fear and Anxiety Disorders
Marks, I. M. (1986) · The British Journal of Psychiatry · doi:10.1192/bjp.149.4.406 · Cited by 61 · see citing works
Trauma‐related phenomena in anxious dental patients
de Jongh, A., Aartman, I. H. A., & Brand, N. (2003) · Community Dentistry And Oral Epidemiology · doi:10.1034/j.1600-0528.2003.00025.x · Cited by 59 · see citing works
Acquisition and severity of driving-related fears
Taylor, J. E., & Deane, F. P. (1999) · Behaviour Research and Therapy · doi:10.1016/s0005-7967(98)00065-5 · Cited by 55 · see citing works
Good teeth, bad teeth and fear of the dentist
Poulton, R., Thomson, W. M., Davies, S., Kruger, E., Brown, R., & Silva, P. J. (1997) · Behaviour Research and Therapy · doi:10.1016/s0005-7967(96)00096-4 · Cited by 54 · see citing works
Assessment of dental fear: A comparison of two psychometric instruments
Johansson, P., & Berggren, U. (1992) · Acta Odontologica Scandinavica · doi:10.3109/00016359209012745 · Cited by 53 · see citing works
Rantavuori, K., Zerman, N., Ferro, R., & Lahti, S. M. (2002) · Acta Odontologica Scandinavica · doi:10.1080/00016350260248274 · Cited by 51 · see citing works
Pharmacists as vaccinators: An analysis of their experiences and perceptions of their new role
Gerges, S., Peter, E. H., Bowles, S. K., Diamond, S. A., Bucci, L. M., Resnick, A., & Taddio, A. (2017) · Human Vaccines & Immunotherapeutics · doi:10.1080/21645515.2017.1403695 · Cited by 50 · see citing works
Davit, C. J., Hundley, R. J., Bacic, J. D., & Hanson, E. M. (2011) · Journal of Developmental & Behavioral Pediatrics · doi:10.1097/dbp.0b013e3182245b09 · Cited by 50 · see citing works
The etiology of acrophobia and its relationship to severity and individual response patterns
Menzies, R. G., & Clarke, J. (1995) · Behaviour Research and Therapy · doi:10.1016/0005-7967(95)00023-q · Cited by 50 · see citing works
Systemic alarms in fear conditioning I: A reappraisal of what is being conditioned
Forsyth, J. P., & Eifert, G. H. (1996) · Behavior Therapy · doi:10.1016/s0005-7894(96)80026-8 · Cited by 49 · see citing works
Mohammed, R., Lalithamma, T., Varma, D., Sudhakar, K. N., Srinivas, B., Krishnamraju, P., & Shaik, A. B. (2014) · Journal of Natural Science Biology and Medicine · doi:10.4103/0976-9668.136210 · Cited by 49 · see citing works
“[8-11] It has been found that Dentist’s communicative styles as well as perceived technical competence were predictive of levels of DA during treatment.”
BackgroundThe Impact of Positioning on Fear During Immunizations: Supine Versus Sitting Up
Lacey, C. M., Finkelstein, M. J., & Thygeson, M. V. (2008) · Journal of Pediatric Nursing · doi:10.1016/j.pedn.2007.09.007 · Cited by 49 · see citing works
“Ost (1991) cited in his study, in which there were 56 adults with needle phobia, that 52% could trace their fear back to a negative childhood event. Low rates of immunization have been attributed to parental fear of not wanting to see their child cry (Abbotts & Osborn, 1993). Nir, Paz, Sabo, and Potasman (2003) report…”
BackgroundFear of flying in agoraphobia and simple phobia: Distinguishing features
McNally, R. J., & Louro, C. E. (1992) · Journal of Anxiety Disorders · doi:10.1016/0887-6185(92)90003-p · Cited by 48 · see citing works
Rapid treatment of blood and injection phobias with eye movement desensitization
Kleinknecht, R. A. (1993) · Journal of Behavior Therapy and Experimental Psychiatry · doi:10.1016/0005-7916(93)90023-p · Cited by 48 · see citing works
de Jongh, A., van der Burg, J., van Overmeir, M., Aartman, I. H. A., & van Zuuren, F. J. (2002) · Behaviour Research and Therapy · doi:10.1016/s0005-7967(01)00081-x · Cited by 46 · see citing works
Genetics of blood‐injury fears and phobias: A population‐based twin study
Neale, M. C., Walters, E. E., Eaves, L. J., Kessler, R. C., Heath, A. C., & Kendler, K. S. (1994) · American Journal of Medical Genetics · doi:10.1002/ajmg.1320540411 · Cited by 47 · see citing works
Eli, I., Uziel, N., Blumensohn, R., & Baht, R. (2004) · BDJ · doi:10.1038/sj.bdj.4811352 · Cited by 46 · see citing works
General self‐efficacy, dental anxiety and multiple fears among 20‐year‐olds in Norway
Skaret, E., Kvale, G., & Raadal, M. (2003) · Scandinavian Journal of Psychology · doi:10.1111/1467-9450.00352 · Cited by 46 · see citing works
Merckelbach, H., Arntz, A., Arrindell, W., & de Jong, P. D. (1992) · Behaviour Research and Therapy · doi:10.1016/0005-7967(92)90039-j · Cited by 39 · see citing works
Reducing injection pain in children and adolescents with diabetes: a review of indwelling catheters
Hanås, R. (2004) · Pediatric Diabetes · doi:10.1111/j.1399-543x.2004.00048.x · Cited by 45 · see citing works
“such negative experiences (conditioning) that had started at a mean age of 8 yr, and 24% had a similar experience of seeing another child (often a sibling) reacting negatively to needles (called vicarious learning) (28).”
BackgroundLeff, D. R., Nortley, M., Dang, V. Q., & Bhutiani, R. P. (2007) · Anaesthesia · doi:10.1111/j.1365-2044.2007.05056.x · Cited by 42 · see citing works
Skaret, E., & Soevdsnes, E. (2005) · International Journal of Dental Hygiene · doi:10.1111/j.1601-5037.2004.00109.x · Cited by 42 · see citing works
The role of imagery in the maintenance and treatment of snake fear
Hunt, M. G., Bylsma, L. M., Brock, J., Fenton, M. C., Goldberg, A., Miller, R., Tran, T. B., & Urgelles, J. (2006) · Journal of Behavior Therapy and Experimental Psychiatry · doi:10.1016/j.jbtep.2005.12.002 · Cited by 42 · see citing works
Dimensions of the Dental Fear Survey among patients with dental phobia
Hakeberg, M., & Berggren, U. (1997) · Acta Odontologica Scandinavica · doi:10.3109/00016359709114970 · Cited by 42 · see citing works
Retrospective studies of the origins of phobias: A review
Menzies, R. G., & Clarke, J. (1994) · Anxiety Stress & Coping · doi:10.1080/10615809408249354 · Cited by 42 · see citing works
Vasovagal syncope and blood/injury fear
Kleinknecht, R. A. (1987) · Behaviour Research and Therapy · doi:10.1016/0005-7967(87)90043-x · Cited by 42 · see citing works
Skaret, E., Raadal, M., Kvale, G., & Berg, E. (2003) · European Journal Of Oral Sciences · doi:10.1034/j.1600-0722.2003.00072.x · Cited by 41 · see citing works
Fear of water in children and adults: Etiology and familial effects
Graham, J., & Gaffan, E. A. (1997) · Behaviour Research and Therapy · doi:10.1016/s0005-7967(96)00086-1 · Cited by 41 · see citing works
Animal phobias versus claustrophobias: Exteroceptive versus interoceptive cues
Craske, M. G., & Sipsas, A. (1992) · Behaviour Research and Therapy · doi:10.1016/0005-7967(92)90002-x · Cited by 40 · see citing works
“The possibility of specific pathways to fear acquisition across different phobias has been investigated to some extent already (e.g. Ost, 1991).”
BackgroundPsychophysiologic effects of applied tension on the emotional fainting response to blood and injury
Vögele, C., Coles, J., Wardle, J., & Steptoe, A. (2003) · Behaviour Research and Therapy · doi:10.1016/s0005-7967(01)00133-4 · Cited by 37 · see citing works
Water trauma and swimming experiences up to age 9 and fear of water at age 18: a longitudinal study
Poulton, R., Menzies, R. G., Craske, M. G., Langley, J. D., & Silva, P. A. (1999) · Behaviour Research and Therapy · doi:10.1016/s0005-7967(98)00103-x · Cited by 38 · see citing works
Kelly, M. M., & Forsyth, J. P. (2007) · Emotion · doi:10.1037/1528-3542.7.2.324 · Cited by 36 · see citing works
Dental anxiety among adolescents in St. Petersburg, Russia
Bergius, M., Berggren, U., Bogdanov, O., & Kakeberg, M. (1997) · European Journal Of Oral Sciences · doi:10.1111/j.1600-0722.1997.tb00189.x · Cited by 36 · see citing works
The etiology of fear of spiders
Jones, M. K., & Menzies, R. G. (1995) · Anxiety Stress & Coping · doi:10.1080/10615809508249375 · Cited by 36 · see citing works
Managing immunization stress-related response: A contributor to sustaining trust in vaccines
McMurtry, C. M. (2020) · Canada Communicable Disease Report · doi:10.14745/ccdr.v46i06a10 · Cited by 34 · see citing works
Origins and development of human fear reactions
Hekmat, H. M. (1987) · Journal of Anxiety Disorders · doi:10.1016/0887-6185(87)90026-0 · Cited by 34 · see citing works
How Can We Reduce Dental Fear in Children? The Importance of the First Dental Visit
Carrillo‐Diaz, M., Migueláñez-Medrán, B. D. C., Nieto-Moraleda, C., Romero‐Maroto, M., & González‐Olmo, M. J. (2021) · Children · doi:10.3390/children8121167 · Cited by 33 · see citing works
Specificity and psychosocial correlates of blood/injury fear and fainting
Kleinknecht, R. A. (1988) · Behaviour Research and Therapy · doi:10.1016/0005-7967(88)90082-4 · Cited by 33 · see citing works
Oosterink, F. M. D., de Jongh, A., Hoogstraten, J., & Aartman, I. H. A. (2008) · European Journal Of Oral Sciences · doi:10.1111/j.1600-0722.2008.00542.x · Cited by 33 · see citing works
Applying the Social Learning Theory to Children with Dental Anxiety
Do, C. (2004) · The Journal of Contemporary Dental Practice · doi:10.5005/jcdp-5-1-126 · Cited by 33 · see citing works
Needle Phobia in Children: A Discussion of Aetiology and Treatment Options
Willemsen, H., Chowdhury, U., & Briscall, L. (2002) · Clinical Child Psychology and Psychiatry · doi:10.1177/1359104502007004012 · Cited by 33 · see citing works
Assessment of patients with direct conditioned and indirect cognitive reported origin of dental fear
Berggren, U., Carlsson, S. G., Hägglin, C., Hakeberg, M., & Samsonowitz, V. (1997) · European Journal Of Oral Sciences · doi:10.1111/j.1600-0722.1997.tb00203.x · Cited by 33 · see citing works
Factor analysis and reduction of a Fear Survey Schedule among dental phobic patients
Berggren, U., Carlsson, S. G., Gustafsson, J., & Hakeberg, M. (1995) · European Journal Of Oral Sciences · doi:10.1111/j.1600-0722.1995.tb00035.x · Cited by 32 · see citing works
Tönnies, S., Mehrstedt, M., & Eisentraut, I. (2002) · Zeitschrift für Medizinische Psychologie · doi:10.3233/zmp-2002-11_2_04 · Cited by 31 · see citing works
Types and correlates of blood/injury-related vasovagal syncope
Kleinknecht, R. A., Lenz, J., Ford, G., & DeBerard, S. C. (1990) · Behaviour Research and Therapy · doi:10.1016/0005-7967(90)90080-3 · Cited by 31 · see citing works
Oar, E. L., Farrell, L. J., & Ollendick, T. H. (2015) · Clinical Child and Family Psychology Review · doi:10.1007/s10567-015-0189-3 · Cited by 31 · see citing works
Pathways of fear and anxiety in endodontic patients
Carter, A., Carter, G. L., & George, R. (2014) · International Endodontic Journal · doi:10.1111/iej.12343 · Cited by 29 · see citing works
Medo, ansiedade e controle relacionados ao tratamento odontológico
Singh, K. A., de Moraes, A. B. A., & Ambrosano, G. M. B. (2000) · Brazilian Oral Research · doi:10.1590/s1517-74912000000200007 · Cited by 29 · see citing works
Reducing children's immunization distress in a primary care setting
Bowen, A. M., & Dammeyer, M. M. (1999) · Journal of Pediatric Nursing · doi:10.1016/s0882-5963(99)80029-3 · Cited by 29 · see citing works
- Authors
- Öst, L.-G.
- Affiliations
- Uppsala University (SE)
- Corresponding author
- Öst, Lars-Göran
- ORCID
- Öst, Lars-Göran
- Venue
- Behaviour Research and Therapy
- Publisher
- Elsevier BV
- Published
- 1991
- Volume
- 29
- Issue
- 4
- Pages
- 323-332
- ISSN
- 0005-7967 (ISSN-L)
- OpenAlex
- W1990408770
- Cited by
- 190
- References
- 55
- Citations by year
- 2026: 1 · 2025: 1 · 2024: 2 · 2022: 2 · 2021: 5 · 2020: 5 · 2019: 3 · 2018: 3 · 2017: 3 · 2016: 2 · 2015: 8 · 2014: 6 · 2013: 2 · 2012: 5
- FWCI
- 12.68
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Behaviour Research and Therapy (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Social Sciences › Psychology › Experimental and Cognitive Psychology › Anxiety, Depression, Psychometrics, Treatment, Cognitive Processes
- Health Sciences › Dentistry › Oral Surgery › Dental Anxiety and Anesthesia Techniques
- Life Sciences › Neuroscience › Cognitive Neuroscience › Memory and Neural Mechanisms
- Keywords
- blood phobia, injection phobia, observational learning, anticipatory anxiety, negative thinking
- MeSH terms
- Adolescent, Adult, Anxiety, Arousal, Blood, Conditioning, Classical, Desensitization, Psychologic, Female, Humans, Injections, Male, Middle Aged, Phobic Disorders, Retrospective Studies
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