Fear of clowns in hospitalized children: prospective experience
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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.
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.
KeywordsMedical clown Fear of clowns Coulrophobia
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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