European Journal of Pediatrics

, Volume 176, Issue 2, pp 269–272 | Cite as

Fear of clowns in hospitalized children: prospective experience

  • Noam MeiriEmail author
  • Zeev Schnapp
  • Amichi Ankri
  • Itay Nahmias
  • Amnon Raviv
  • Omer Sagi
  • Mohamad Hamad Saied
  • Muriel Konopnicki
  • Giora Pillar
Short Communication


Medical clowns (MC) have become an integral part of the pediatric staff of hospital wards. While several studies have demonstrated the huge benefits of MC, there are almost no data regarding fear of clowns, a known phenomenon that means an irrational fear of clowns. In the current study, we sought to examine the prevalence of fear of clowns in pediatrics wards, and to characterize the affected children. The clinical work of three certified MCs was prospectively assessed. Every child with fear of clowns was noted, data were retrieved from the medical records, and the parents/child completed a specific questionnaire with a research assistant. Fear of clowns was defined as crying, anxiety response or effort to avoid contact with the MCs in small children, while in older children, it was determined if the child either reported fear of MCs or made actions to avoid clowns’ intervention. A total of 1160 children participated in the study. All were hospitalized in the department of pediatrics or the pediatric emergency medicine department at Carmel Medical Center, and were exposed to a MC intervention session. Of the 1160 children, 14 children experienced fear of clowns (1.2%). The average age of children who experienced fear of clowns was 3.5 years (range 1–15). Interestingly, most of the children demonstrating fear of clowns were girls (12 out of 14, 85.7%). We found no association between fear of clowns and specific diagnosis, fever, clinical appearance, religion, or ethnicity.

Conclusion: The prevalence of fear of clowns in the general pediatric hospitalized population was 1.2%, with a significant predominance of girls (85.7%). Children who experienced significant fear of clowns also experienced significant fear of encountering or thinking about a MC visit. Fear of clowns can affect children at any age (range 1–15), any ethnicity, religion, or degree of illness. Further large scale studies are required to better understand this unique phenomenon of fear of clowns.

What is Known:

Fear of clowns is a phenomenon known for more than several decades and related to the increased use of clowns as negative characters in horror movies and TV shows.

The increased use of medical clowns in hospital wards and corridors increases the significance of defining and characterizing this phenomenon in hospital wards.

What is New:

The study is novel by giving new data related to the extent of fear of clowns in pediatrics wards and giving demographic characteristic of children experiencing fear of clowns.


Medical clown Fear of clowns Coulrophobia 



Emergency department


Medical clowns


Author’s contribution

All authors participated in the study design and manuscript drafting and approval. Data collection and data analyses were performed by N. Meiri and G. Pillar.

Compliance with ethical standards

Disclosure of potential conflicts of interest

The authors declare that they have no conflicts of interest.

Research involving human participants and/or animals

This article does not contain any studies using animals. The study was approved by the Carmel Institutional Review Board (IRB) Committee for Human Subject Studies.

Declaration of originality

This article has not been published previously, and is not being considered for potential publication elsewhere.


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Copyright information

© Springer-Verlag Berlin Heidelberg 2016

Authors and Affiliations

  1. 1.Department of Pediatrics and Pediatric Emergency MedicineCarmel Medical Center and Technion Faculty of MedicineHaifaIsrael

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