J . Chrid P s ~ ~ h oPAychiar. l. Vol. 42. No. 8, pp. 1029-1034, 2001 Cambridge Un~vers~ty Press 02001 Association for Chlld Psychology and Psychlatry Printed In Great Britain. All rlghts reserved 0021-9630/01 $15.00+0.00 Fear in Children and Adolescents: Relations with Negative Life Events, Attributional Style, and Avoidant Coping Thomas H. Ollendick, Audra K. Langley, Russell T. Jones, and Christina Kephart Virginia Tech, Blacksburg, U.S.A. In this study, we explored relations among negative life events, negative attributional style, avoidant coping, and level of fear in 99 children who had survived residential fires. Overall, negativelifeevents,negative attributional style, and avoidant coping were found to be predictive of levels of fear. However, the relation between negative life events and fear was moderated by mother’s level of education such that this prediction was obtained only for those children whose mothers were low in education level. Age, ethnicity, and sex did not moderate these relations. In addition, negative attributional style and avoidant coping were related to levels offear in those children whosemothers were high ineducation levels hut not those whose mothers were low in education level. Results are discussed within a stress and coping framework. Keywords: Coping, environmental influences, fears, life events. Abbreviations; CASQ: Children’s Attributional Style Questionnaire;FSSC-R: Revised Fear Survey Schedule for Children; HICUPS: How I Coped Under Pressure Scale. It is generally accepted that childhood fears are relatively (e.g. the child reads a story or hears a news report about commonandthatthenature ofthesefearschanges hurricanes or residential fires). Investigations examining systematically across development (cf. Bauer, 1976; King, theonsetofchildhoodfearshavegenerallyfound Hamilton, & Ollendick, 1988; Marks, 1987; Ollendick, considerable support for Rachman’s theory (cf. Doogan 1979). Forexample,younginfantsare unaffectedby & Thomas,1992;King,Clowes-Hollins, & Ollendick, events that will frighten them at a later time, whereas 1997;Ollendick & King,1991).Inthesestudies,a older children are no longer affected by events such as majority of children (and their parents) report that direct separationorstrangersthatonceresultedinmajor and indirect conditioning of events frequently precede distress for them. Although the exact mechanisms under- fear acquisition. Still, not all children and parents report lying these changes are not fully understood, it is probablesuch events. In fact, a sizable minority (close to one third) that they areinpartrelatedtothegrowingchild’s reports nonconditioning events. Such findings lend supcognitivecapacityforrecognizingandunderstanding porttothenonassociativeDarwiniantheoryoffear potential dangers inherent in such situations. As noted acquisitionputforthmostforcefully byMenzies and early on by H . T. Jones and Jones (1928), many common Clark (1 994). This theory affords much less significance totraumaticevents(whetherexperienceddirectlyor childhood fears emerge because the child is increasingly indirectly); rather, it asserts “most members of the species abletoperceivedangerinthesituation,buthasnot will show fear to a set of evolutionary-relevant stimuli on advanced to the point of fully understanding it, nor able their Jirst encounter” (Menzies & Clark, 1994, p. 500). to exercise control over it. In this respect, fearsbecan said to be adaptive and to possess survival value. They may That is, according to this theory, fear to certain stimuli is constituteaprotectiveresponsetoasituationthat preprogrammed, unlearned, and of direct evolutionary is significance. Moreover, it is further proposed that this neitherfullyunderstoodnorcontrollable(Ollendick, initial fear response will typically diminish across time Hagopian, & King, 1997). due to repeated, nontraumatic exposure to the feared The exact etiology of childhood fearsis poorly understood at this time, however. Associative learning theorists object or situation (i.e., habituation). However, “poor” experiencesafe suggest that significant learning or conditioning events in habituatorsandthosewhodonot the child’s environment explain the onset of specific fears. exposure will remain fearful from their first encounter with the feared stimuli. Ultimately, it is probable that a Rachman (1977), for example, proposed three distinct, thoughfrequentlyoverlapping,pathwaystofearacfull explanation of fear onset requires recognition of both quisition: direct conditioning (e.g. the child is exposed to biological and environmental factors (Ollendick et al., 1997). a traumatic event such as a hurricane or a residential fire), modeling (e.g. the child observes fearful behavior in a In addition to specific associative and nonassociative accounts of fear acquisition, Barlow (1988), Beck (1986), peer,sibling, orparent),andinstruction/information and Ollendick (1979) have proposed that stress and, more generally,negative life eventssetthestageforthe development and onset of a variety of fears and anxieties. Requests for reprints to: Thomas H. Ollendick, PhD, Child That is, repeatedstressfulexperiencesassociatedwith Study Center, Department ofPsychology,VirginiaTech, diverse negative life events serve to make the individual Blacksburg, Virginia 24061, U.S.A. (E-mail: [email protected]). 1029 1030 T. H. OLLENDICK et al. life more susceptible to, and produce “vulnerability” for, the socioeconomic status and its interaction with negative events in the present study. We did not explore developmentoffearinthepresenceofconditioning mediational models of fear onset inasmuch as an examevents. Thus, negative life events might be viewedas a risk ination of such relations wouldbe premature at this time. factor for the development of heightened levels of fear, muchastheyareforthedevelopmentofdepression (Seligman, 1975). Method As in thedepressionliterature(seeGladstone & Kaslow, 1995, and Joiner & Wagner, 1995, for reviews), Participants the manner in which the individual explains the causes of Participants were 99 children and adolescents who particinegative (and positive)life events is critical in determining patedin a study assessing the impact ofresidentialfire on whethertheeventsproducenegativeorpositiveoutchildren and their families in the southeastern United States (see comes. Not unlike their depressed counterparts, fearful R. T. Jones & Ollendick,inpress). The samplewas 54.5% female, with a mean age of 1 1.76 years( S D = 2.8 1 years, range and anxious individuals (particularly adults) frequently 8-16 years; in those families with more than one child between report a negative attributional style life for events; thatis, 8 and 16 years of age at the time of the fire, the child with the they report internal, stable, and global attributions for birthday closest to the fire was selected, insuring that only one negativeeventsbutexternal,unstable,andspecific childperfamily participated). Of the sample,43.5 YO was attributions for positive events (see Bell-DoIan & Wessler, Caucasian and56.5% wasAfricanAmerican. In termsof 1994, for a review). In this regard, negative attributional family structure, 45 % of the childrenlived in single-parent style cannot be said to be specific to depression; rather, families (mother), 25 O/O in divorced but remarried families, and this cognitive style appears to characterize fearful and 30 % in two-parent,never-divorced families. Given these family anxious adults as well. Whether fearful children report structures, maternal education levelwasused as an index of similar attributional styles is currently unknown, socioeconomic status (SES). Families were paid $75 for their participation. although highly probable (Bell-Dolan & Wessler, 1994). Briefly, the residential fires varied considerably in the extent Thus, in examining the link between negative life events and amountof loss. Approximately 30 YOof the homes and the and heightened levels of fear, it may be important to determine how children explain the cause of such events. possession therein were totally lost; in other homes, however, the loss was more circumscribed, although still significant (at Consistent with the adult literature, it would be least 25 YOloss). Homes ranged in value from about $25.000 to hypothesized that a negative attributional style would be $250,000. Fifty-four per cent ofthe children were at home at the associated with heightened levels of fear in children. time of the fire but 46 YOwere not (they were at school, church, In addition to attributional style,ineffectivecoping a friend’s house, etc.). Approximately 30 YOof those at home at styles might be associated with the development of fear the time of thefire thought they would dieduring the fire; 49 % or, at the least, persistence of fears once they are acquired. of those at home felt “ a lot” of fear and another 27% felt at least “some” fear on a 3-point scale ranging from “no” fear to In particular, an avoidant coping style may be associated “ a lot” of fear. Although 46 YOof the children werenot at home withtheonsetandexpressionoffear.Avoidance, of during the fire, 85% of all children reported they had never course, is the hallmark of fears and phobias as described experienced anything as bad as the fire.Clearly,thiswasa inmajordiagnosticclassificationsystems(American traumatic event for many of the children and their families PsychiatricAssociation,1994;WorldHealthOrgani(R. T. Jones & Ollendick, in press). zation,1992).Inthe DSM-IV, forexample,aphobia is defined asmarkedorpersistentfearthatisunreasonable or excessive, cued by the presence or Procedures anticipation of a specific object or situation, andavoided Measures for the current study were administered as part of or else endured with intense fear or anxiety. Avoidance a larger interview conducted in the children’s homes, neighboritself can be viewed as a coping strategy that is used to hood churches, libraries, or Red Cross officesbyadvanced escape the conditioned anxiety associated with the feargraduate clinicians. Informed consent was obtainedfrom producing stimuli. In turn, reduction of the aversive state parents of participatingyouth. Moreover, eachchild and adolescent signedan informed assent form prior to initiation of (i.e.negativereinforcement)servestomaintainthe the interview. Each of the measures was self-administered avoidant behaviors over time. In this manner, children following instructions from and continued supervision by the using avoidant coping styles in response to negative life graduate clinician. The larger interview took approximately 3 events might be more likely to develop fears associated hours to complete. with such events (i.e. the normal habituation processes would not occur). Theprimarypurpose ofthepresentstudywasto Measures explore relations among negative life events, attributional Denlographic information. This was obtained via parentstyle, avoidant coping, andlevels of fear in children who report(mother-report, with fewexceptions)ofchild’sage, experienced a residential fire. Residential fires, in comethnicity, gender, and maternal education level. Information bination with other negativelife events, appear to lead to regarding maternal educationwas codedon a scale of1-7 based heightened levels of post-traumatic stress symptoms in on theEducationalFactor classificationofHollingshead’s (1975) Index of Social Status, where 1 = less than 7th grade, 2 some children (R. T. Jones & Ollendick, in press). Here, = junior high school (9th grade), 3 = partial high school (10th we exploreitsrelationstofear.Inasmuchasthese or 1 lth grade), 4 = high school graduate, 5 = partial college (at relations have not been explored systematically in earlier least 1 year) or specialized training, 6 = college or university research with children, we adopted a model in which we graduation, and 7 = graduate degree. On the 7-point scale, the hypothesized that negative life events, negative attribumean was 4.53 ( S D = 1.06), indicating that average maternal tional style, and avoidant coping would all be related education in these families was somewhat higher than a high independently to levels of fear. In addition, based on school education. For moderation analyses(seebelow),mafindings that suggest socioeconomic status might modternal education was dichotomized into low ( N = 42,higherate the effects of negative life events (Werner, 1993; see schooldegree or less) and high ( N = 57, greater than high Johnson & McCutcheon, 1980, for review), we examined school) levels of education. PREDICTORS OF FEAR Negative l$e events. An adapted LifeEventsChecklist (LEC; Johnson & McCutcheon, 1980), a 28-itemself-report measure was utilizedto assess the number and perceived impact of stressful life events that occurred in the children’s life in the year preceding the ,fire. Each event on the LEC is classified as “bad” or “good”and its impact is rated on a scale from 0-3, where 0 = “no effect” and 3 = “great effect”. The LEC yields positive life events and negative life events scores. Acceptable validity (Johnson & McCutcheon, 1980) and reliability for negative, positive, and total life events on the LEC have been reported (Brand & Johnson, 1982). Representative items include “Moving to a new home”, “Mother or father lost job”, and “Increased absence of parents from the home”. For purposes of this study, the impact of negative life events was used. Attributional style. KASTAN Children’s Attributional Style Questionnaire-Revised (KASTAN-R-CASQ; Kaslow, Tanenbaum, & Seligman, 1978) was employed to assess attributional style for children and adolescents in the current sample. The CASQ is a 48-item forced-choice scale measuring causal attributions to 24 positive and 24 negative hypothetical events or situations. The scaleyieldspositive and negative composite scores as well as a total difference score (positivenegativecomposites). For purposes of the current analyses, difference scores were used.Internal consistency reliabilitiesfor negative composite, positive composite, and differencescore were estimated at M = .45, .52, and .43, respectively. Although modest, thesereliabilityestimates are consistent with those reported for this measure in previous studies ( m ranging from .42-.67; see Gladstone & Kaslow, 1995, for review). Coping. The How I Coped Under Pressure Scale(HICUPS; Ayers, Sandler, West, & Roosa, 1996; Sandler, Kim-Bae, & MacKinnon, 2000), a 45-itemself-report inventory in which children report the extent to which they used various coping strategies to deal with a specificevent, in this casethe fire, based on a 4-point Likert-type scale (1 = “not at all”,2 = “ a little”, 3 = “some”, 4 = “ a lot”), was used to assess coping. The items form 11 subscales of 3-5 items each, which are grouped into four factors of coping style: Active, Avoidant, Distraction, and Support Seeking. For the current sample, coefficientalphas for each of the factors were as follows: Active 3 9 , Avoidant .77, Distraction .79, and Support Seeking .79. Only the Avoidant Coping Scale was used in the current study. This scale consists of eight items, comprising behavioral and cognitive avoidance strategies: Avoidant Actions and Cognitive Avoidance. Representative items include “Tried to stay away from things that made mefeelupset about the fire” and “Tried to put it (thoughts of the fire) out of my mind”, respectively. Fear. The Revised Fear Survey Schedule for Children (FSSC-R; Ollendick, 1983) was used to measure level of fear. The FSSC-R is a fear inventory consisting of 80 items, designed to assess the frequency, intensity, andcontent ofchildren’s fears. Level of fear for each item is self-rated on a scale of 1-3, where 1 = “none”, 2 = “some”, and 3 = “ a lot”. Beyond a total score, the FSSC-Ryields fivesubscales,derivedfrom factor analyses: Fear of the Unknown, Fear of Minor Injury and Small Animals, Fear of Death and Danger,Medical Fears, and Fear of Failure and Criticism.These factors havebeen shown to have satisfactory internal consistency and to be stable across cultures. Likewise, the FSSC-R has been shown to have acceptable test-retest reliability and validity estimates (King & Ollendick,1992;Ollendick,1983;Ollendick, King, & Frary, 1989). Thetotal score was usedin the present analyses to arrive at anoverall measure of level of fear. Internal consistency in the current sample was M = .97. Results Descriptive Statistics As can be seen in Table 1, the means and standard deviations for this sample were similar to those reported in other studies. For negative life events, our findings were similar to those reported by Johnson and 1031 McCutcheon (1980) in their normative research. Similarly, our findings paralleled those reported by Kaslow et al. (1978) for the CASQ. However, the avoidant coping score was greater than that reported by Ayres et al. (1996) for theHICUPS. The mean score for avoidant coping fell between “ a little” and “some” on the 4-point HICUPS. The avoidant coping items most frequently endorsed by youth in response to thefire were “Tried to put it outof my mind” and “Tried to stay away from the problem”. Finally, our findings on the FSSC-R were similar to those reported by Ollendick and colleagues in their normative research. The most frequently reported fears, based on those rated with the highest intensity for this sample, were obtained on the danger and death factor and included items such as “Fire-getting burned” (Mean = 2.23, SD = 0.77), “Death-dead people” (Mean = 2.06, SD = 0.82), “Falling from a high place” (Mean = 2.06, SD = 0.86), “ N o t being able to breathe” (Mean = 2.04, SD = 0.90), and “Getting lost” (Mean= 2.01, SD = 0.82). As is evident, although our means and standard deviations did not vary substantially from those obtained in normativestudies(exceptforhigheravoidancecoping scores),ourchildrenreportedfears,copingstrategies, attributions, and negative life events reflective of their experiences and, in particular, events associated with the residential fire itself. Regression Analyses T o assessforpossiblemoderationofoursociodemographic variables (gender, ethnicity, age of child, maternal education) on the relations between negative life events and fear, four separate hierarchical multiple regressionanalyseswereconducted.Ineachofthese analyses, the negative life events impact score was entered inthe first step;inthesecondstep,thedemographic variablewasentered(e.g.gender,ethnicity,age,or maternaleducation);finally,inthethirdstep,the interaction between the negative life events impact score andthe respective moderatorvariablewasentered. According to Baron and Kenney (1986) and Holmbeck (1997),a moderation effect wouldbeevident if the interaction effect were found to be a significant predictor of fear when the main effects of negative life events and the moderator variable(s) were controlled for. No significantinteraction effects withnegative life events were foundforgender,ethnicity,orage.However,a significant interaction effect was found for negative life eventsandmaternaleducation(standardizedBeta = -0.832, t = -2.194, p < .OS). Lower levels of maternal education were associated with higher levels of fear, as evidenced by the negative sign of the standardized Beta (also see Table l for mean differences). In addition to this interaction effect, asignificant main effect wasfound fornegative life events(standardizedBeta = 1.093, t = 2.865, p < .OOl) butnotformaternaleducation (standardized Beta = 0.01 1, t = 0.084, n.s.). The threevariablemodelaccountedfor17.4%ofthevariance associated with fear scores. Next, to determine the amount of variance accounted for inlevel ofreportedfear(based on FSSC-R total scores), negative life events, maternal education, attributional style, avoidant coping, and the interaction term for maternal education x negative life events were entered simultaneously into the regression analysis. First, zero-order correlations among the measures were com- T. H. OLLENDICK et al. 1032 Table 1 Means (and Standard Deviations) for the Sample (N Total = 99) High MEDU Low MEDU __ Variable Mean (SDI Mean (SD) Mean ( W ~_______ ~ Negative life events Number Impact Attributional style Avoidant coping Fear 2.95 4.45 5.79 2.75 124.67 2.77 (2.10) (2.24) 4.09 (4.61) (4.04) 6.93 (4.36) (4.34) 2.68 (0.70) (0.70) 120.91 (27.40) (23.76) N = 57 for High MEDU (maternal education), N = 42 for low MEDU. 3.19 4.95 4.25 2.84 128.42 (2.41) (5.30) (3.86) (0.70) (31.47) Table 2 Zero-order Correlations between Fear, Impact of Negative Life Events (NLE-I), Maternal Education (MEDU), Attributional Style (CASQ), and Avoidant Coping ( A VC) (N = 99) VariableIMeasure .269** NLE-I MEDU CASQ AVC FEAR .310*** .233* - .282** - NLE-I - .l48 .l60 .l64 MEDU - .322*** .203* CASQ - .095 * p < .05; **p < .01; ***p < ,001. with low maternal education than in families with high puted. As can be seen in Table 2, the impact of negative maternal education. life events was positively associated withlevel of fear, as Whentheimpact ofnegative life events,negative hypothesized. In addition, and as hypothesized, level of attributional style, and avoidant coping were entered into fearwasnegativelyrelatedtotheCASQcomposite asimultaneousregressionanalysisforchildrenwhose attributional style (the more positive the attributional familieswerehighinlevelsofmaternaleducation,it style, the lower thelevel of fear) and positivelyto the use of avoidant coping strategies, as reported on the HICUPSwas revealed that the predictor variables accounted for approximately 21 % of the variance in total fear scores: (the higher the avoidant coping style, the higher the level R e = .211; F(3,53) = 4 . 7 2 0 , ~< .005. However, only the of fear). It can also be seen that maternal education was related negatively to fear and to avoidant coping style but main effect for avoidant coping was significant, t = 3.005, p < .005, andthemain effect forattributionalstyle positively to CASQ attributional style. wasmarginallysignificant, Results of the simultaneous regression performed on t = - 1.624, p = . l 10. Unexpectedly, but consistent with the zero-order correthe total sample revealed the predictor variables accounted for approximately 25 YOof the variance in total lations, the main effect for negativelife events, t = 0.175, p = 362, was not significant. fear scores: R2 = .248; F (5,93) = 6.145, p < ,001. The Resultsofaseparatesimultaneousregressionfor main effects of negative life events, t = 2.949, p < .001, children from families low in levels of maternal education and avoidant coping, t = 2.283, p < .05, were positive revealed thatthepredictorvariablesaccountedfor and significant, whereas attributional style, t = - 1.952, approximately 23 YOof the variance in total fear scores: p = .054, was negative and marginally significant. Moreover,theinteractiontermofnegative life eventsand R' = .234;F(3,38) = 3 . 8 6 1 , ~< .05. Only themaineffect for negativelife events was significant, t = 2 . 6 8 6 , ~< .05 ; maternal education, t = -2.394, p < .001, was negative and significant. unexpectedly, the main effects for avoidant coping, t= Informed by the moderating effect of maternal edu0.487, p = 0.629, and attributional style, t = - 1.076, cation on the relationship between negative life events p = 0.288, were not significant. Thus, negativelife events performed as a significant predictor of fear scores for andfear,simultaneousregressionanalyseswerenext conductedseparatelyformotherswithahigh-school young people from families with low levels of maternal education degree or less (low maternal education) and education but not for young people from families with those with some education in addition to high school highlevelsofmaternaleducation.Incontrast,avoid(high maternal education). Consistent with the observed ant coping styles and negative attributional styles moderation effectsofmaternaleducation,zero-order (marginally) served as predictorsof fear in children from families with high maternal education but not in families correlationsrevealedthattheimpactofnegative life events was significantly and positively related to level of with low levels of maternal education. fear in families with low maternal education, r = .455, p < .001; however, although the relation remained posiDiscussion tive in families with high maternal education, it was not significant, r = .108, n.s. A Fischer'sr to z transformation In the present study, partial support for our hypotheses revealed that the difference between the two correlations was obtained. In our overall analyses, negative life events, negativeattributionalstyle,andavoidantcopingall wassignificant (p < .Ol), indicatingthatnegative life significantlypredictedlevelsoffear, ashypothesized. events was a more powerful predictor of fear in families PREDICTORS O F FEAR 1033 However, we also found that maternal education we might speculate they areless likely to have developed fear in the first place because of the protective effects moderated the relation between negative life events and fear. For those children from families with low levels of associated with high maternal education and the resourcesattendanttosuchstatus.Inthoseinstances maternaleducation,therelationbetweennegative life when such resources do not exert their buffering effect, events and fear was positive and significant. In contrast, for children from families with high levels of maternal however, more psychological adaptations such as avoidantcopingandnegativeattributional style may education, negative life events were not associated come to the foreground and be related to fear outcomes. significantlywith level offear.Forthesechildren, Ofcourse,thesespeculationstooawaitexperimental avoidantcopingandnegativeattributionalstylewere replication and verification. related to level of fear. In contrast, for children from A number of shortcomings associated with the current families with low maternal education, negative study should be noted. First, it is obvious that all of our attributional style and avoidant coping were not associated with level of fear. Thus, different predictors of measures were self-report ones and that our findings are limitedbyproblemsassociatedwithsuchmethodsof fear were evident for children from families with high experimental inquiry. Second, quite obviously, the curversus low levels of maternal education. rent sample is a limited one inasmuch as all children and The moderating effect of maternal education on the their families were survivorsof residential fires. It maybe relation between negativelife events andlevel of fearis an the case that children undergoing other more chronic interesting one. Ineffect, it appears thatlevel of maternal educationserved to buffer orprotectchildrenwho traumatic events (e.g. child sexual abuse) might respond underwentdiversenegative life events(includingthe differently, especially in relation to the role of negative residential fire) from the adverse effects associated freattributional styles and avoidant coping. Finally, given quentlywiththeseevents (see Jones & Ollendick,in the correlational and cross-sectional nature of our study, causal relations among the variables cannot be asserted. press). Although we do not havespecific information on the precise mechanisms involved in this buffering process, Theseshortcomingsnotwithstanding,importantand suggestive findings were obtained which form the basis anecdotalinformationsuggestedthatmotherswith for additional inquiry into the relations and specification highereducation levels had access tomorefinancial, among these variables. psychological, and community resources than mothers with low levels ofeducation. Inline with Hobfoll’s (1989) Conservation of Resource Loss Model, resources may References function as tools to facilitate successful interaction with environmental stressors imposed on a family by negative American Psychiatric Association. (1994). Diagnostic and statisticalmanual of mental disorders (4th ed.). Washington, DC: life events. Those with more resources fare better than Author. those with fewer resources. In effect, parents with higher Ayers, T. S., Sandler, I. N., West, S. G., & Roosa, M. W. levels of education may be able to organize the child’s (1996). A dispositional and situational assessment of recovery environment in such a way that child’s the stress children’s coping: Testing alternative modelsof coping. is recognized and successful recovery is facilitated (see Journal of Personality, 64, 923-958. Shahinfar & Fox, 1997). Thus, consistent with the stress Barlow, D. H.(1988). Anxiety and its disorders: The nature and treatment of anxiety andpanic. New York: Guilford Press. and coping literature more generally, access to coping Baron, R. M., & Kenny, D. A. (1986). Themoderator-mediator resourcesaffordedbyeducationmayhaveserveda protective function in this study. Such a possibility should variable distinction in social psychological research : Conceptual, strategic, and statistical considerations. 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