Abstract
Fear and anxiety feel different. The different lexical labels attached to these discrete emotions reflect a subjective understanding of their distinction. But emotions are more than just feelings, and this chapter journeys far beyond the subjective experiences of fear versus anxiety. The processes these different emotions evoke are supported by distinct neural substrates and carry divergent consequences for behavior, cognition, and subsequent emotional responding. Their distinction matters. This chapter draws from theoretical and recent experimental work using cutting-edge research methodologies to describe what makes fear different from anxiety and how they uniquely influence different forms of psychopathology.
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References
American Psychiatric Association. (2013). Diagnostic and statistical manual of mental disorders (5th ed.). Arlington, VA: American Psychiatric Publishing.
Bateson, M., Brilot, B., & Nettle, D. (2011). Anxiety: An evolutionary approach. The Canadian Journal of Psychiatry, 56, 707–715.
Beckers, T., Krypotos, A. M., Boddez, Y., Effting, M., & Kindt, M. (2013). What’s wrong with fear conditioning? Biological Psychology, 92, 90–96.
Burnham, J. J. (2005). Fears of children in the United States: An examination of the American Fear Survey Schedule with 20 new contemporary fear items. Measurement and Evaluation in Counseling and Development, 38, 78–91.
Buss, K. A. (2011). Which fearful toddlers should we worry about? Context, fear regulation, and anxiety risk. Developmental Psychology, 47, 804–819.
Buss, K. A., Davidson, R. J., Kalin, N. H., & Goldsmith, H. H. (2004). Context-specific freezing and associated physiological reactivity as a dysregulated fear response. Developmental Psychology, 40, 583–594.
Buss, K. A., Davis, E. L., Kiel, E. J., Brooker, R. J., Beekman, C., & Early, M. C. (2013). Dysregulated fear predicts social wariness and social anxiety symptoms during kindergarten. Journal of Clinical Child & Adolescent Psychology, 42, 603–616.
Buss, K. A., Davis, E. L., Ram, N., & Coccia, M. (2017, March). Dysregulated fear, social inhibition, and respiratory sinus arrhythmia: A replication and extension. Child Development. Online first version retrieved from http://onlinelibrary.wiley.com/doi/10.1111/cdev.12774/full
Buss, K. A., & McDoniel, M. E. (2016). Improving the prediction of risk for anxiety development in temperamentally fearful children. Current Directions in Psychological Science, 25, 14–20.
Chalmers, D. V., Hohf, J. C., & Levine, S. (1974). The effects of prior aversive stimulation on the behavioral and physiological responses to intense acoustic stimuli in the rat. Physiology & Behavior, 12, 711–717.
Chronis-Tuscano, A., Degnan, K. A., Pine, D. S., Perez-Edgar, K., Henderson, H. A., Diaz, Y., … Fox, N. A. (2009). Stable early maternal report of behavioral inhibition predicts lifetime social anxiety disorder in adolescence. Journal of the American Academy of Child & Adolescent Psychiatry, 48, 928–935.
Clark, L. A., & Watson, D. (2006). Distress and fear disorders: An alternative empirically based taxonomy of the “mood” and “anxiety” disorders. The British Journal of Psychiatry, 189, 481–483.
Craig, A. D. (2009). How do you feel-now? The anterior insula and human awareness. Nature Reviews Neuroscience, 10, 59–70.
Craske, M. G. (2003). Origins of phobias and anxiety disorders. Why more women than men? Oxford, UK: Elsevier.
Davis, M., Walker, D. L., & Grillon, C. (2010). Phasic vs. sustained fear in rats and humans: Role of the extended amygdala in fear vs. anxiety. Neuropsychopharmacology, 35, 105–135.
de Jongh, R., Groenink, L., van der Gugten, J., & Olivier, B. (2003). Light-enhanced and fear-potentiated startle: Temporal characteristics and effects of α-helical corticotrophin-releasing hormone. Biological Psychiatry, 54, 1041–1048.
Dias, B. G., Banerjee, S. B., Goodman, J. V., & Ressler, K. J. (2013). Towards new approaches to disorders of fear and anxiety. Current Opinion in Neurobiology, 23, 346–352.
Eaton, N. R., Krueger, R. F., Markon, K. E., Keyes, K. M., Skodol, A. E., Wall, M., … Grant, B. F. (2013). The structure and predictive validity of the internalizing disorders. Journal of Abnormal Psychology, 122, 86–92.
Ginat-Frolich, R., Klein, Z., Katz, O., & Shechner, T. (2017). A novel perceptual discrimination training task: Reducing fear overgeneralization in the context of fear learning. Behaviour Research and Therapy, 93, 29–37.
Gorka, S., Klumpp, H., Ajilore, O., Francis, J., Craske, M., Langenecker, S., … Phan, K. L. (2017). Startle reactivity to unpredictable threat as a psychophysiological treatment target for fear-based anxiety disorders. Biological Psychiatry, 81, S134.
Gorka, S. M., Lieberman, L., Shankman, S. A., & Phan, K. L. (2017). Startle potentiation to uncertain threat as a psychophysiological indicator of fear-based psychopathology: An examination across multiple internalizing disorders. Journal of Abnormal Psychology, 126, 8–18.
Greenberg, T., Carlson, J. M., Cha, J., Hajcak, G., & Mujica-Parodi, L. R. (2013). Ventromedial prefrontal cortex reactivity is altered in generalized anxiety disorder during fear generalization. Depression and Anxiety, 30, 242–250.
Grillon, C. (2002). Startle reactivity and anxiety disorders: Aversive conditioning, context, and neurobiology. Biological Psychiatry, 52, 958–975.
Grillon, C., Baas, J. M., Cornwell, B., & Johnson, L. (2006). Context conditioning and behavioral avoidance in a virtual reality environment: Effect of predictability. Biological Psychiatry, 60, 752–759.
Kagan, J., & Fox, N. A. (2006). Biology, culture, and temperamental biases. In N. Eisenberg, W. Damon, & R. M. Lerner (Eds.), Handbook of child psychology: Social, emotional, and personality development (pp. 167–225). Hoboken, NJ: Wiley.
LeDoux, J. E. (1990). Fear pathways in the brain: Implications for a theory of the emotional brain. In P. F. Brain, S. Parmigiani, R. J. Blanchard, & D. Mainardi (Eds.), Fear and defense (pp. 163–177). London: Harwood.
Lee, W. E., Wadsworth, M. E. J., & Hotopf, M. (2006). The protective role of trait anxiety: A longitudinal cohort study. Psychological Medicine, 36, 345–351.
Lissek, S., Kaczkurkin, A. N., Rabin, S., Geraci, M., Pine, D. S., & Grillon, C. (2014). Generalized anxiety disorder is associated with overgeneralization of classically conditioned fear. Biological Psychiatry, 75, 909–915.
LoBue, V. (2014). Deconstructing the snake: The relative roles of perception, cognition, and emotion on threat detection. Emotion, 14, 701–711.
LoBue, V., & DeLoache, J. S. (2008). Detecting the snake in the grass: Attention to fear-relevant stimuli by adults and young children. Psychological Science, 19, 284–289.
McTeague, L. M., & Lang, P. J. (2012). The anxiety spectrum and the reflex physiology of defense: From circumscribed fear to broad distress. Depression and Anxiety, 29, 264–281.
Michiel, W. P., Drewes, M. J., Goedhart, A. W., Siebelink, B. M., & Treffers, P. D. A. (2004). A developmental analysis of self-reported fears in late childhood through mid-adolescence: Social-evaluative fears on the rise? Journal of Child Psychology and Psychiatry, 45, 481–495.
Miltner, W. H., Krieschel, S., Hecht, H., Trippe, R., & Weiss, T. (2004). Eye movements and behavioral responses to threatening and nonthreatening stimuli during visual search in phobic and nonphobic subjects. Emotion, 4, 323–339.
Mobbs, D., Petrovic, P., Marchant, J. L., Hassabis, D., Weiskopf, N., Seymour, B., … Frith, C. D. (2007). When fear is near: Threat imminence elicits prefrontal-periaqueductal gray shifts in humans. Science, 317, 1079–1083.
Muris, P. (2010). Normal and abnormal fear and anxiety in children and adolescents. Burlington, MA: Elsevier.
Muris, P., Merckelbach, H., Gadet, B., & Moulaert, V. (2000). Fears, worries, and scary dreams in 4- to 12-year-old children: Their content, developmental pattern, and origins. Journal of Clinical Child and Adolescent Psychology, 29, 43–52.
Mykletun, A., Bjerkeset, O., Øverland, S., Prince, M., Dewey, M., & Stewart, R. (2009). Levels of anxiety and depression as predictors of mortality: The HUNT study. The British Journal of Psychiatry, 195, 118–125.
National Institute of Mental Health (n.d.). Retrieved from https://www.nimh.nih.gov/research-priorities/rdoc/constructs/negative-valence-systems.shtml
Nesse, R. M., & Ellsworth, P. C. (2009). Evolution, emotions, and emotional disorders. American Psychologist, 64, 129–139.
Nitschke, J. B., Sarinopoulos, I., Mackiewicz, K. L., Schaefer, H. S., & Davidson, R. J. (2006). Functional neuroanatomy of aversion and its anticipation. NeuroImage, 29, 106–116.
Öhman, A. (2008). Fear and anxiety: Overlaps and dissociations. In M. Lewis, J. M. Haviland-Jones, & L. F. Barrett (Eds.), Handbook of emotions (pp. 709–729). New York, NY: Guilford Press.
Öhman, A., Flykt, A., & Esteves, F. (2001). Emotion drives attention: Detecting the snake in the grass. Journal of Experimental Psychology: General, 130, 466–478.
Öhman, A., & Soares, J. J. (1994). “Unconscious anxiety”: Phobic responses to masked stimuli. Journal of Abnormal Psychology, 103, 231–240.
Paulus, M. P., & Stein, M. B. (2006). An insular view of anxiety. Biological Psychiatry, 60, 383–387.
Pérez-Edgar, K., Bar-Haim, Y., McDermott, J. M., Chronis-Tuscano, A., Pine, D. S., & Fox, N. A. (2010). Attention biases to threat and behavioral inhibition in early childhood shape adolescent social withdrawal. Emotion, 10, 349–357.
Pérez-Edgar, K., Reeb-Sutherland, B. C., McDermott, J. M., White, L. K., Henderson, H. A., Degnan, K. A., … Fox, N. A. (2011). Attention biases to threat link behavioral inhibition to social withdrawal over time in very young children. Journal of Abnormal Child Psychology, 39, 885–895.
Phelps, E. A. (2006). Emotion and cognition: Insights from studies of the human amygdala. Annual Review of Psychology, 57, 27–53.
Plutchik, R. (2003). Emotions and life: Perspectives from psychology, biology, and evolution. Washington, DC: American Psychological Association.
Poulos, A. M., Mehta, N., Lu, B., Amir, D., Livingston, B., Santarelli, A., … Fanselow, M. S. (2016). Conditioning-and time-dependent increases in context fear and generalization. Learning & Memory, 23, 379–385.
Prenoveau, J. M., Zinbarg, R. E., Craske, M. G., Mineka, S., Griffith, J. W., & Epstein, A. M. (2010). Testing a hierarchical model of anxiety and depression in adolescents: A tri-level model. Journal of Anxiety Disorders, 24, 334–344.
Rachman, S. (1998). Anxiety. East Sussex, UK: Psychology Press.
Rinck, M., Reinecke, A., Ellwart, T., Heuer, K., & Becker, E. S. (2005). Speeded detection and increased distraction in fear of spiders: Evidence from eye movements. Journal of Abnormal Psychology, 114, 235–248.
Roest, A. M., de Jonge, P., Lim, C. W. W., Stein, D. J., Al-Hamzawi, A., Alonso, J., … Ciutan, M. (2017). Fear and distress disorders as predictors of heart disease: A temporal perspective. Journal of Psychosomatic Research, 96, 67–75.
Schaefer, H. S., Larson, C. L., Davidson, R. J., & Coan, J. A. (2014). Brain, body, and cognition: Neural, physiological and self-report correlates of phobic and normative fear. Biological Psychology, 98, 59–69.
Schmitz, A., & Grillon, C. (2012). Assessing fear and anxiety in humans using the threat of predictable and unpredictable aversive events (the NPU-threat test). Nature Protocols, 7, 527–532.
Shackman, A. J., & Fox, A. S. (2016). Contributions of the central extended amygdala to fear and anxiety. Journal of Neuroscience, 36, 8050–8063.
Somerville, L. H., Whalen, P. J., & Kelley, W. M. (2010). Human bed nucleus of the stria terminalis indexes hypervigilant threat monitoring. Biological Psychiatry, 68, 416–424.
Straube, T., Mentzel, H. J., & Miltner, W. H. (2007). Waiting for spiders: Brain activation during anticipatory anxiety in spider phobics. NeuroImage, 37, 1427–1436.
Sylvers, P., Lilienfeld, S. O., & LaPrairie, J. L. (2011). Differences between trait fear and trait anxiety: Implications for psychopathology. Clinical Psychology Review, 31, 122–137.
Troy, A. S., Shallcross, A. J., & Mauss, I. B. (2013). A person-by-situation approach to emotion regulation: Cognitive reappraisal can either help or hurt, depending on the context. Psychological Science, 24, 2505–2514.
Waters, A. M., Bradley, B. P., & Mogg, K. (2014). Biased attention to threat in pediatric anxiety disorders (generalized anxiety disorder, social phobia, specific phobia, separation anxiety disorder) as a function of “distress” versus “fear” diagnostic categorization. Psychological Medicine, 44, 607–616.
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Parsafar, P., Davis, E.L. (2018). Fear and Anxiety. In: Lench, H. (eds) The Function of Emotions. Springer, Cham. https://doi.org/10.1007/978-3-319-77619-4_2
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DOI: https://doi.org/10.1007/978-3-319-77619-4_2
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