title: The tripartite model of fear in children with specific phobias: assessing concordance and discordance using the behavioral approach test.
abstract: Lang's tripartite model posits that three main components characterize a fear response: physiological arousal, cognitive (subjective) distress, and behavioral avoidance. These components may occur in tandem with one another (concordance) or they may vary independently (discordance). The behavioral approach test (BAT) has been used to simultaneously examine the three components of the fear response. In the present study, 73 clinic-referred children and adolescents with a specific phobia participated in a phobia-specific BAT. Results revealed an overall pattern of concordance: correlation analyses revealed the three indices were significantly related to one another in the predicted directions. However, considerable variation was noted such that some children were concordant across the response components while others were not. More specifically, based on levels of physiological arousal and subjective distress, two concordant groups (high arousal-high distress, low arousal-low distress) and one discordant (high arousal-low distress or low arousal-high distress) group of youth were identified. These concordant and discordant groups were then compared on the percentage of behavioral steps completed on the BAT. Analyses revealed that the low arousal-low distress group completed a significantly greater percentage of steps than the high arousal-high distress group, and a marginally greater percentage of steps than the discordant group. Potential group differences associated with age, gender, phobia severity, and phobia type were also explored and no significant differences were detected. Implications for theory and treatment are discussed.
authors: Virginia Polytechnic Institute and State University, Child Study Center, Department of Psychology, Blacksburg, VA 24060, USA. tho@vt.edu
authors: Thomas
authors: T
authors: Ollendick
authors: Ben
authors: B
authors: Allen
authors: Kristy
authors: K
authors: Benoit
authors: Maria
authors: M
authors: Cowart
references: J Behav Ther Exp Psychiatry. 1995 Jun;26(2):153-6
references: 7593688
references: Psychophysiology. 2008 Nov;45(6):1038-45
references: 18823415
references: Dev Psychobiol. 2007 Jul;49(5):485-94
references: 17577232
references: Psychophysiology. 1980 Mar;17(2):87-104
references: 6103567
references: J Am Acad Child Adolesc Psychiatry. 2001 Aug;40(8):937-44
references: 11501694
references: Psychophysiology. 1995 Mar;32(2):162-71
references: 7630981
references: J Pers Soc Psychol. 1998 Mar;74(3):686-703
references: 9523412
references: Psychophysiology. 1979 Nov;16(6):495-512
references: 515293
references: J Behav Assess. 1984 Dec;6(4):369-95
references: 11540862
references: Appl Psychophysiol Biofeedback. 2005 Sep;30(3):217-32
references: 16167187
references: Behav Res Ther. 1974 Nov;12(4):311-8
references: 4155621
references: Behav Res Ther. 1977;15(5):435-8
references: 612345
references: Behav Res Ther. 1997 Dec;35(12):1089-100
references: 9465442
references: J Dairy Sci. 1999 Apr;82(4):720-7
references: 10212458
references: Psychol Aging. 2009 Sep;24(3):703-714
references: 19739926
references: Child Adolesc Ment Health. 2005 May;10(2):50-56
references: 32806813
references: J Abnorm Psychol. 1983 Aug;92(3):276-306
references: 6619405
references: Behav Res Ther. 1996 Feb;34(2):101-12
references: 8741718
references: J Consult Clin Psychol. 2009 Jun;77(3):504-16
references: 19485591
references: J Affect Disord. 2000 Dec;61(3):137-59
references: 11163418
references: Behav Res Ther. 1998 Jan;36(1):17-35
references: 9613014
references: Behav Res Ther. 1974 Nov;12(4):319-26
references: 4155622
references: J Anxiety Disord. 2006;20(6):829-35
references: 16198531
references: J Consult Clin Psychol. 2001 Oct;69(5):814-24
references: 11680558
references: Behav Ther. 2010 Mar;41(1):133-41
references: 20171334
references: Emotion. 2005 Jun;5(2):175-90
references: 15982083
references: Arch Dis Child. 2005 Nov;90(11):1117-21
references: 16049061