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The Role of Disgust in Childhood Anxiety Disorders

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Abstract

During the past several years, there has been extensive research into the role of disgust in a wide range of psychopathology (Olatunji & McKay, 2007). Most of this research has focused on anxiety disorders where disgust may figure prominently in avoidance. The early work in this area focused on specific phobias and avoidance of contact with disease and contagion (Matchett & Davey, 1991). Since that time, the range and nature of disgust’s involvement in psychopathology has become refined and includes a multifaceted conceptualization, drawing on the postulates of the emotion as described by Rozin and Fallon (1987). This chapter focuses on the conjoint roles of disgust and development in childhood anxiety.

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Notes

  1. 1.

     Otherwise known as disgust sensitivity, disgust propensity is a trait-level construct reflecting the tendency to experience state disgust upon exposure to disgust elicitors (see Olantanji & Cisler, 2009).

References

  • Angyal, A. (1941). Disgust and related aversions. Journal of Abnormal and Social Psychology, 36, 393–412.

    Google Scholar 

  • Barlow, D. H. (2002). Anxiety and its disorders: The nature and treatment of anxiety and panic (2nd ed.). New York: Guilford Press.

    Google Scholar 

  • Barlow, D. H., Allen, L. B., & Choate, M. L. (2004). Toward a unified treatment for emotional disorders. Behavior Therapy, 35, 205–230.

    Google Scholar 

  • Bienvenu, O. J., & Eaten, W. W. (1998). The epidemiology of blood-injection-injury phobia. Psychological Medicine, 28, 1129–1136.

    PubMed  Google Scholar 

  • Bracha, H. S. (2004). Freeze, flight, fight, fright, faint: Adaptationist perspectives on the acute stress response spectrum. CNS Spectrums: The International Journal of Neuropsychiatric Medicine, 9, 679–685.

    Google Scholar 

  • Charash, M., & McKay, D. (2009). Disgust and contamination fear: Attention, memory, and judgment of stimulus situations. International Journal of Cognitive Therapy, 2, 53–65.

    Google Scholar 

  • Cisler, J. M., Olatunji, B. O., & Lohr, J. M. (2009). Disgust, fear, and the anxiety disorders. Clinical Psychology Review, 29, 34–46.

    PubMed  Google Scholar 

  • Curtis, V., & Biran, A. (2001). Dirt, disgust, and disease. Perspectives in Biology and Medicine, 44, 17–31.

    PubMed  Google Scholar 

  • Darwin, C. (1998). The expression of the emotions in man and animals: Definitive edition (3rd ed.). New York: Oxford University Press. (Original work published 1872)

    Google Scholar 

  • de Houwer, J., Thomas, S., & Baeyens, F. (2001). Associa-tive learning of likes and dislikes: A review of 25 years of research on human evaluative conditioning. Psychological Bulletin, 127, 853–869.

    PubMed  Google Scholar 

  • de Jong, P. J., Andrea, H., & Muris, P. (1997). Spider phobia in children: Disgust and fear before and after treatment. Behaviour Research and Therapy, 35, 559–562.

    PubMed  Google Scholar 

  • de Jong, P. J., & Merckelbach, H. (1998). Blood-injection-injury phobia and fear of spiders: Domain specific individual differences in disgust sensitivity. Personality and Individual Differences, 24, 153–158.

    Google Scholar 

  • de Jong, P. J., & Muris, P. (2002). Spider phobia interaction of disgust and perceived likelihood of involuntary physical contact. Anxiety Disorders, 16, 51–65.

    Google Scholar 

  • Deacon, B., & Olatunji, B. O. (2007). Specificity of disgust sensitivity in the prediction of behavioral avoidance in contamination fear. Behaviour Research and Therapy, 45, 2110–2120.

    PubMed  Google Scholar 

  • Driscoll, D. J., Jacobsen, S. J., Porter, C.-B. J., & Wollan, P. C. (1997). Syncope in children and adolescents. Journal of the American College of Cardiology, 29, 1039–1045.

    PubMed  Google Scholar 

  • Ekman, P. (1992). An argument for basic emotions. Cognition & Emotion, 6, 169–200.

    Google Scholar 

  • Ekman, P. (1999). Basic emotions. In T. Dalgleish & M. Power (Eds.), Handbook of cognition and emotion (pp. 45–60). Sussex: Wiley.

    Google Scholar 

  • Ekman, P., & Friesen, W. V. (1986). A new pan-cultural facial expression of emotion. Motivation and Emotion, 10, 159–168.

    Google Scholar 

  • Foa, E. B., & Kozak, M. J. (1995). DSM-IV field trial: Obsessive-compulsive disorder. American Journal of Psychiatry, 152, 90–96.

    PubMed  Google Scholar 

  • Foa, E. B., Kozak, M. J., Goodman, W. K., Hollander, E., Jenike, M. A., & Rasmussen, S. A. (1995). “DSM-IV field trial: Obsessive-compulsive disorder”: Correction. American Journal of Psychiatry, 152, 654.

    Google Scholar 

  • Graham, D., Kabler, J. D., & Lunsford, L. (1961). Vasovagal fainting: A diphasic response. Psychosomatic Medicine, 23, 493–507.

    PubMed  Google Scholar 

  • Haidt, J., McCauley, C., & Rozin, P. (1994). Individual differences in sensitivity to disgust: A scale sampling seven domains of disgust elicitors. Personality and Individual Differences, 16, 701–713.

    Google Scholar 

  • Huijding, J., & de Jong, P. J. (2007). Beyond fear and disgust: The role of (automatic) contamination-related associations in spider phobia. Journal of Behavior Therapy and Experimental Psychiatry, 38, 200–211.

    PubMed  Google Scholar 

  • Izard, C. E. (1971). The face of emotion. New York: Appleton-Century-Crofts.

    Google Scholar 

  • Izard, C. E. (1977). Human emotions. New York: Plenum Press.

    Google Scholar 

  • Keltner, D., & Haidt, J. (2001). Social functions of emotions. In T. J. Mayne & G. A. Bonanno (Eds.), Emotions: Current issues and future directions (pp. 192–213). New York: Guilford Press.

    Google Scholar 

  • Kleinknecht, R. A., & Lenz, J. (1989). Blood/injury fear, fainting and avoidance of medically-related situations: A family correspondence study. Behavior Research and Therapy, 27, 537–547.

    Google Scholar 

  • Klieger, D. M., & Siejak, K. K. (1997). Disgust as the source of false positive effects in the measurement of ophidophobia. The Journal of Psychology, 131, 371–382.

    PubMed  Google Scholar 

  • Lapouse, R., & Monk, M. A. (1959). Fears and worries in a representative sample of children. American Journal of Orthopsychiatry, 29, 803–818.

    PubMed  Google Scholar 

  • LeDoux, J. (1996). The emotional brain: The mysterious underpinnings of emotional life. New York: Simon & Schuster.

    Google Scholar 

  • Lindberg, C., (Eds.). (2002). The Oxford American college dictionary. New York: G.P. Putnam’s Sons.

    Google Scholar 

  • Mancini, F., Gragnani, A., & D’Olimpio, F. (2001). The connection between disgust and obsessions and compulsions in a non-clinical sample. Personality and Individual Difference, 31, 1173–1180.

    Google Scholar 

  • Marks, I. (1988). Blood-injury phobia: A review. American Journal of Psychiatry, 145, 1207–1213.

    PubMed  Google Scholar 

  • Matchett, G., & Davey, G. C. L. (1991). A test of a disease-avoidance model of animal phobias. Behaviour Research and Therapy, 29, 91–94.

    PubMed  Google Scholar 

  • McKay, D., & Tsao, S. (2005). A treatment most foul: Handling disgust in cognitive-behavior therapy. Journal of Cognitive Psychotherapy: An International Quarterly, 19, 355–367.

    Google Scholar 

  • McNally, R. J. (2002). Disgust has arrived. Journal of Anxiety Disorders, 16(5), 561–566.

    PubMed  Google Scholar 

  • Menzies, R. G., & Clarke, C. J. (1995). The etiology of phobias: A nonassociative account. Clinical Psychology Review, 15, 23–48.

    Google Scholar 

  • Miller, L. C., Barrett, C. L., & Hampe, E. (1974). Phobias in childhood. In A. Davids (Ed.), Child personality and psychopathology: Current topics (Vol. 1, pp. 89–134). New York: Wiley.

    Google Scholar 

  • Moretz, M. W., & McKay, D. (2008). Disgust sensitivity as a predictor of obsessive-compulsive contamination symptoms and associated cognitions. Journal of Anxiety Disorders, 22, 707–715.

    PubMed  Google Scholar 

  • Mowrer, P. (1960). Learning theory and behavior. New York: Wiley.

    Google Scholar 

  • Muris, P. (2006). The pathogenesis of childhood anxiety disorders: Considerations from a developmental psychopathology perspective. International Journal of Behavioral Development, 30, 5–11.

    Google Scholar 

  • Muris, P., Mayer, B., Huijding, J., & Konings, T. (2008). A dirty animal is a scary animal! Effects of disgust-related information on fear beliefs in children. Behavior Research and Therapy, 46, 137–144.

    Google Scholar 

  • Muris, P., Merckelbach, H., Nederkoorn, S., Rassin, E., Candel, I., & Horselenberg, R. (2000). Disgust and psychopathological symptoms in a nonclinical sample. Personality and Individuals Differences, 29, 1163–1167.

    Google Scholar 

  • Muris, P., Merckelbach, H., Schmidt, H., & Tierney, S. (1999). Disgust sensitivity, trait anxiety and anxiety disorders symptoms in normal children. Behaviour Research and Therapy, 37, 953–961.

    PubMed  Google Scholar 

  • Muris, P., van der Heiden, S., & Rassin, E. (2008). Disgust sensitivity and psychopathological symptoms in non-clinical children. Journal of Behavior Therapy and Experimental Psychiatry, 39, 133–146.

    PubMed  Google Scholar 

  • Oaten, M., Stevenson, R. J., & Case, T. I. (2009). Disgust as a disease avoidance mechanism. Psychological Bulletin, 135, 303–321.

    PubMed  Google Scholar 

  • Olantanji, B. O., & Cisler, J. M. (2009). Disgust sensitivity: Psychometric overview and operational definition. In B. O. Olatunji & D. McKay (Eds.), Disgust and its disorders: Theory, assessment, and treatment implications (pp. 31–56). Washington: American Psychological Association.

    Google Scholar 

  • Olantunji, B. O., Cisler, J. M., McKay, D., & Phillips, M. L. (2010). Is disgust associated with psychopathology? Emerging research in the anxiety disorders. Psychiatry Research, 175, 1–10.

    Google Scholar 

  • Olatunji, B. O., Connolly, K. M., & David, B. (2008). Behavioral avoidance and self-reported fainting symptoms in blood/injury fearful individuals: An experimental test of disgust domain specificity. Journal of Anxiety Disorders, 22, 837–848.

    PubMed  Google Scholar 

  • Olatunji, B. O., Haidt, J., McKay, D., & David, B. (2008). Core, animal reminder, and contamination disgust: Three kinds of disgust with distinct personality, behavioral, physiological and clinical correlates. Journal of Research in Personality, 42, 1243–1259.

    Google Scholar 

  • Olatunji, B. O., & McKay, D. (2007). Disgust and psychiatric illness: Have we remembered? British Journal of Psychiatry, 190, 457–459.

    PubMed  Google Scholar 

  • Olatunji, B. O., & McKay, D. (Eds.). (2009). Disgust and its disorders: Theory, assessment, and treatment implications. Washington: American Psychological Association.

    Google Scholar 

  • Olatunji, B. O., Moretz, M. W., McKay, D., Bjorklund, F., de Jong, P. J., Hursti, T. J., et al. (2009). Confirming the three factor structure of the disgust scale-revised in eight countries. Journal of Cross-Cultural Psychology, 40, 234–255.

    Google Scholar 

  • Olatunji, B. O., Sawchuk, C. N., Arrindell, W. A., & Lohr, J. M. (2005). Disgust sensitivity as a mediator of the sex differences in contamination fears. Personality and Individual Differences, 38, 713–722.

    Google Scholar 

  • Olatunji, B. O., Sawchuk, C. N., de Jong, P. J., & Lohr, J. M. (2006). The structural relation between disgust sensitivity and blood-injection-injury fears: A cross-cultural comparison of US and Dutch data. Journal of Behavior Therapy and Experimental Psychiatry, 37, 16–29.

    PubMed  Google Scholar 

  • Olatunji, B. O., Sawchuk, C. N., Lohr, J. M., & de Jong, P. J. (2004). Disgust domains in the prediction of contamination fear. Behaviour Research and Therapy, 42, 93–104.

    PubMed  Google Scholar 

  • Olatunji, B. O., Williams, N. L., Sawchuk, C. N., & Lohr, J. M. (2006). Disgust, anxiety and fainting symptoms associated with blood-injection-injury fears: A structural model. Journal of Anxiety Disorders, 20, 23–41.

    PubMed  Google Scholar 

  • Olatunji, B. O., Williams, N. L., Tolin, D. F., Abramowitz, J. S., Sawchuk, C. N., Lohr, J. L., et al. (2007). The disgust scale: Item analysis, factor structure, and suggestions for refinement. Psychological Assessment, 19, 281–297.

    PubMed  Google Scholar 

  • Ost, L.-G. (1992). Blood and injection phobia: Background and cognitive, physiological, and behavioral variables. Journal of Abnormal Psychology, 101, 68–74.

    PubMed  Google Scholar 

  • Page, A. C. (1994). Blood-injury phobia. Clinical Psychology Review, 14, 443–461.

    Google Scholar 

  • Page, A. C. (2003). The role of disgust in faintness elicited by blood and injection stimuli. Journal of Anxiety Disorders, 17, 45–58.

    PubMed  Google Scholar 

  • Page, A. C., & Tan, B. J. (2009). Disgust and blood-injection-injury phobia. In B. O. Olatunji & D. McKay (Eds.), Disgust and its disorders: Theory, assessment, and treatment implications (pp. 191–209). Washington: American Psychological Association.

    Google Scholar 

  • Phillips, M. L., Senior, C., Fahy, T., & David, A. S. (1998). Disgust – the forgotten emotion of psychiatry. British Journal of Psychiatry, 172, 373–375.

    PubMed  Google Scholar 

  • Reiss, S. (1991). Expectancy model of fear, anxiety, and panic. Clinical Psychology Review, 11, 141–153.

    Google Scholar 

  • Repacholi, B. M. (1998). Infants use of attentional cues to identify the referent of another person’s emotional expression. Developmental Psychology, 34, 1017–1025.

    PubMed  Google Scholar 

  • Rozin, P., & Fallon, A. E. (1987). A perspective on disgust. Psychological Review, 94, 23–41.

    PubMed  Google Scholar 

  • Rozin, P., Fallon, A. E., & Mandell, R. (1984). Family resemblance in attitudes to foods. Developmental Psychology, 20, 309–314.

    Google Scholar 

  • Rozin, P., Haidt, J., & McCauley, C. R. (2004). Disgust. In M. Lewis & J. M. Haviland-Jones (Eds.), Handbook of emotions (2nd ed., pp. 637–653). New York: Guilford Press.

    Google Scholar 

  • Rozin, P., Haidt, J., & McCauley, C. R. (2009). Disgust: The body and soul emotion in the 21st century. In B. O. Olatunji & D. McKay (Eds.), Disgust and its disorders: Theory, assessment, and treatment implications (pp. 9–29). Washington: American Psychological Association.

    Google Scholar 

  • Rozin, P., Haidt, J., McCauley, C., Dunlop, L., & Ashmore, M. (1999). Individual differences in disgust sensitivity: Comparisons and evaluations of paper-and-pencil versus behavioral measures. Journal of Research in Personality, 33, 330–351.

    Google Scholar 

  • Rozin, P., Hammer, L., Oster, H., Horowitz, T., & Marmora, V. (1986). The child’s conception of food: Differentiation of categories of rejected substances in the 1.4 to 5 year range. Appetite, 7, 141–151.

    PubMed  Google Scholar 

  • Rozin, P, Millman, L., & Nemeroff, C. (1986). Operation of the laws of sympathetic magic in disgust and other domains. Journal of Personality and Social Psychology, 50, 703–712.

    PubMed  Google Scholar 

  • Rozin, P., & Millman, L. (1987). Family environment, not heredity, accounts for family resemblances in food preferences and attitudes: A twin study. Appetite, 8, 125–134.

    PubMed  Google Scholar 

  • Salkovskis, P. M. (1985). Obsessive-compulsive problems: A cognitive-behavioural analysis. Behaviour Research and Therapy, 23, 571–583.

    PubMed  Google Scholar 

  • Sawchuk, C. N. (2009). The acquisition and maintenance of disgust: Developmental and learning perspectives. In B. O. Olatunji & D. McKay (Eds.), Disgust and its disorders: Theory, assessment, and treatment implications (pp. 77–97). Washington: American Psychological Association.

    Google Scholar 

  • Sawchuk, C. N., Lohr, J. M., Lee, T. C., & Tolin, D. F. (1999). Exposure to disgust-evoking imagery and information processing biases in blood-injection-injury phobia. Behaviour Research and Therapy, 37, 249–257.

    PubMed  Google Scholar 

  • Sawchuk, C. N., Lohr, J. M., Westendorf, D. A., Meunier, S. A., & Tolin, D. F. (2002). Emotional responding to fearful and disgusting stimuli in specific phobia. Behaviour Research and Therapy, 40, 1031–1046.

    PubMed  Google Scholar 

  • Schienle, A., Schäfer, A., Stark, R., Walter, B., & Vaitl, D. (2005). Gender differences in the processing of disgust- and fear-inducing pictures: An fMRI study. NeuroReport, 16, 277–280.

    PubMed  Google Scholar 

  • Schienle, A., Stark, R., & Vaitl, D. (2001). Evaluative conditioning: A possible explanation for the acquisition of disgust responses? Learning and Motivation, 32, 65–83.

    Google Scholar 

  • Schienle, A., Stark, R., Walter, B., & Vaitl, D. (2003). The connection between disgust sensitivity and blood-related fears, faintness symptoms, and obsessive-compulsiveness in a non-clinical sample. Anxiety, Stress, and Coping, 16, 185–193.

    Google Scholar 

  • Silverman, W. K., & Weems, C. F. (1999). Anxiety sensitivity in children. In S. Taylor (Ed.), Anxiety sensitivity: Theory, research, and treatment of the fear of anxiety (pp. 239–268). Mahwah: Erlbaum.

    Google Scholar 

  • Stark, R., Walter, B., Schienle, A., & Vaitl, D. (2005). Psychophysiological correlates of disgust and disgust sensitivity. Journal of Psychophysiology, 19, 50–60.

    Google Scholar 

  • Stein, M., Ottenberg, P., & Roulet, N. (1958). A study of the development of olfactory preferences. American Medical Association Archives of Neurology and Psychiatry, 80, 264–266.

    Google Scholar 

  • Steiner, J. E. (1979). Human facial expressions in response to taste and smell stimulation. In H. W. Reese & L. P. Lipsitt (Eds.), Advances in child development and behavior (Vol. 13, pp. 257–295). New York: Academic Press.

    Google Scholar 

  • Taylor, S. (1999). Anxiety sensitivity: Theory, research, and treatment of the fear of anxiety. Mahwah: Erlbaum.

    Google Scholar 

  • Teachman, B. A. (2006). Pathological disgust: In the thoughts, not the eye, of the beholder. Anxiety, Stress, and Coping, 19, 335–351.

    Google Scholar 

  • Teachman, B. A., Gregg, A. P., & Woody, S. R. (2001). Implicit associations for fear-relevant stimuli among individuals with snake and spider fears. Journal of Abnormal Psychology, 110, 226–235.

    PubMed  Google Scholar 

  • Thorpe, S. J., Patel, S. P., & Simonds, L. M. (2003). The relationship between disgust sensitivity, anxiety, and obsessions. Behaviour Research and Therapy, 41, 1397–1409.

    PubMed  Google Scholar 

  • Thyer, B. A., & Curtis, G. C. (1985). On the diphasic nature of vasovagal fainting associated with blood-injury-illness phobia. Pavlovian Journal of Biological Science, 20, 84–87.

    PubMed  Google Scholar 

  • Tolin, D. F., Lohr, J. M., Sawchuk, C. N., & Lee, T. C. (1997). Disgust and disgust sensitivity in blood-injection-injury and spider phobia. Behaviour Research and Therapy, 35, 949–953.

    PubMed  Google Scholar 

  • Tolin, D. F., Woods, C. M., & Abramowitz, J. S. (2006). Disgust sensitivity and obsessive-compulsive symptoms in a non-clinical sample. Journal of Behavior Therapy and Experimental Psychiatry, 37, 30–40.

    PubMed  Google Scholar 

  • Tolin, D. F., Worhunsky, P., & Maltby, N. (2004). Sympathetic magic in contamination-related OCD. Journal of Behavior Therapy and Experimental Psychiatry, 35, 193–205.

    PubMed  Google Scholar 

  • Tomkins, S. S. (1982). Affect theory. In P. Ekman (Ed.), Emotion in the human face (pp. 353–396). Cambridge: Cambridge University Press.

    Google Scholar 

  • Tsao, S. D., & McKay, D. (2004). Behavioral avoidance tests and disgust in contamination fears: Distinctions from trait anxiety. Behaviour Research and Therapy, 42, 207–216.

    PubMed  Google Scholar 

  • Vrana, S. R. (1993). The psychophysiology of disgust: Differentiating negative emotional contexts with facial EMG. Psychophysiology, 30, 279–286.

    PubMed  Google Scholar 

  • Vrana, S. R. (1994). Startle reflex response during sensory modality specific disgust, anger, and neutral imagery. Journal of Psychophysiology, 8, 211–218.

    Google Scholar 

  • Vrana, S. R. (2009). The psychophysiology of disgust: Motivation, action, and autonomic support. In B. O. Olatunji & D. McKay (Eds.), Disgust and its disorders: Theory, assessment, and treatment implications (pp. 123–143). Washington: American Psychological Association.

    Google Scholar 

  • Ware, J., Jain, K., Burgess, I., & Davey, G. C. L. (1994). Disease-avoidance model: Factor analysis of common animal fears. Behaviour Research and Therapy, 32, 57–63.

    PubMed  Google Scholar 

  • Webb, K., & Davey, G. C. L. (1992). Disgust sensitivity and fear of animals: Effect of exposure to violent or revulsive material. Anxiety, Stress, & Coping, 5, 329–335.

    Google Scholar 

  • Wiens, S., Peira, N., Golkar, A., & Ohman, A. (2008). Recognizing masked threat: Fear betrays, but disgust you can trust. Emotion, 8, 810–819.

    PubMed  Google Scholar 

  • Williams, N. L., Connolly, K. M., Cisler, J. M., Elwood, L. S., Willems, J. L., & Lohr, J. M. (2009). Disgust: A cognitive approach. In B. O. Olatunji & D. McKay (Eds.), Disgust and its disorders: Theory, assessment, and treatment implications (pp. 57–73). Washington: American Psychological Association.

    Google Scholar 

  • Woody, S. R., McLean, C., & Klassen, T. (2005). Disgust as a motivator of avoidance of spiders. Journal of Anxiety Disorders, 19, 461–475.

    PubMed  Google Scholar 

  • Woody, S. R., & Teachman, B. A. (2000). Intersection of disgust and fear: Normative and pathological views. Clinical Psychology: Science and Practice, 7, 291–311.

    Google Scholar 

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Moretz, M.W., Rogove, J., McKay, D. (2011). The Role of Disgust in Childhood Anxiety Disorders. In: McKay, D., Storch, E. (eds) Handbook of Child and Adolescent Anxiety Disorders. Springer, New York, NY. https://doi.org/10.1007/978-1-4419-7784-7_11

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