Manifestations Of Fear Research Articles

Fears and Worries at Nighttime in Young Children: Development and Psychometric Validation of a Parent-Report Measure (FAWN-YC).

This paper outlines the development and psychometric evaluation of the Fears and Worries at Nighttime-Young Children (FAWN-YC) scale; a parent-rated measure for children aged 3-5years. Based on previous literature, it was hypothesised that the measure would be represented by a six-factor solution, with four clusters of fear types and two behavioural manifestations of fears. Exploratory factor analysis (EFA; N = 436) and confirmatory factor analysis (CFA; N = 383), resulted in a final 17 items that loaded onto 3 factors: Nighttime Fear Focus (8 items, α = 0.92), Bedtime/Sleep Avoidance and Interference (5 items, α = 0.90), and Dark Fear (4 items, α = 0.88). Evidence of convergent validity was found through strong associations between the total score and subscales of the FAWN-YC with measures of child anxiety, fear, sleep, externalizing and conduct problems. Furthermore, there was support for divergent validity (through a very weak to no relationship with a measure of prosocial behaviours), and evidence for temporal stability was also established with 2-week test-retest reliability. Overall, the results provide strong preliminary evidence for the reliability and validity of the FAWN-YC total score and subscales. Implications for the use of the measure in research and clinical practice are discussed.

A - 27 Case Study Approach to Initial Exploration of Adaptations of Cognitive Behavioral Therapy (CBT) for Non-Epileptic Seizures (NES) in the Context of Cognitive Impairment

Abstract Objective The following case study seeks to review implementation of CBT for NES, discuss psychotherapeutic adaptations and outcomes while balancing treatment fidelity, and offer preliminary recommendations for expansion of psychotherapeutic modalities for individuals with cognitive impairment. Methods 49-year-old Hispanic male with a history of mixed epileptic (non-lesional frontal lobe medically refractory) and non-epileptic events. Neurological workup included video EEG, which captured seven events without EEG correlate and an unremarkable brain MRI. Neuropsychological evaluation indicated mild cognitive impairment due to epilepsy with deficits in processing speed, executive functioning, and confrontation naming with borderline to low average core visual and verbal abilities. The patient participated in manualized CBT for PNES. Results Treatment adaptations included extending treatment sessions from 12–19 sessions and including the patient’s sister. They read the chapters together and practiced strategies outside of session. She participated in helping him notice patterns of manifestations of fear and anger and their influence on somatic symptoms. Omission of treatment elements with higher cognitive demand (i.e., thought chart). Outcomes included increased awareness of emotions, triggers, and warnings but not episode reduction in the context of increased epileptic seizures. Conclusions Feasibility of treatment may be limited for individuals with mixed epileptic and NES episodes, particularly if there is cognitive impairment and difficulty differentiating between the two. Psychotherapeutic techniques that are concrete and behaviorally based will = be beneficial for individuals with cognitive impairment. Episode reduction in isolation is likely reductionistic when considering treatment effectiveness. Ability to self-manage episodes, quality of life, functional status, and self-efficacy are valuable markers of improvement.

Verbalization of Fear in the Buryat Language

The author considers Buryat lexemes naming various manifestations of fear, as well as phraseological units of the corresponding semantic field. The connection between the acoustic-articulatory characteristics of the dominant consonants of the root and the psychological manifestations of fear is revealed. The dominant consonant of the root, being the carrier of the general characteristic, contains basic information about the denotatum. Thus, it has been found that the dominant consonant [g], due to the contact of the back of the tongue with the soft palate, indicates breath delay. The dominant consonant [l] conveys the flow of air, a sharp inhalation, the dominant consonants [r], [ǰ] and [č], causing internal discomfort, serve to actualize trembling in the spoken language. Further research in this direction will reveal the sound-symbolic meanings of lexemes that update information not only on psychological characteristics, but also on the properties of the surface, the shape of the object, dynamic states and other characteristics. Phraseological units characterize such physiological forms of fear manifestation as a chill on the back, trembling, stirring of hair on the head, widening of the eyes, numbness and an attempt to escape. Phraseological units with the component zürhen ‘heart’ are also considered. It has the meanings ‘will, determination, courage’ and is close to the word zorig ‘courage, willpower’. Phraseological units are illustrated with quotations from Buryat fiction, demonstrating the natural functioning of fear emotives in the language. The national-cultural specificity is revealed in the development of the meaning of the Mongolian verb hulchiih ‘to be afraid’ based on the meaning of ‘to press your ears with fear (about a horse or a dog)’. In general, the proverbs with the word morin ‘horse’ in the Mongolian languages depict this animal as a very valuable animal for a nomad; it is not by chance that it is called morin erdeni ‘horse-jewel’, in most cases the component morin has a positive emotional coloring. However, ‘a horse’ can actualize other metaphorical meanings that figuratively characterize a person, namely his cowardice. The components of phraseological units denoting domestic animals, also participating in the interpretation of the surrounding reality, form national and cultural stereotypes, reflect the mentality of the people, their identity and peculiarities of world perception.

The phenomenon of objectification: terminology, types, theoretical approaches to analysis

The article is devoted to a theoretical analysis of the phenomenon of attitude towards the Other as an object. The purpose of the article is to compare the terminology used in the scientific literature; identifying the advantages and limitations of the term objectification; identification and grouping of disparate criteria for the classification of objectification, approaches to its understanding. The authors compare narrow and broad approaches to understanding objectification in modern science; a rationale is given for the universality of a broad approach to understanding the phenomenon of objectification as a process of objectification of the Other, which is accompanied by one or more signs: an instrumental attitude towards the other, attitude as property, denial of his autonomy, reduction of subjectivity, lack of consideration of the boundaries of the other. The article identifies criteria for classifying the phenomenon of objectification: by sphere of occurrence; on a philosophical approach to understanding the phenomenon of objectification; according to the criterion of intentionality; according to the criterion of reductionism; by object of comparison. Based on the results of an analysis of modern domestic and foreign research, possible approaches to understanding the phenomenon of objectification are grouped: objectification as a consequence of biological determinism; cultural phenomenon; manifestation of power; response to uncertainty about one’s own competence; response to threat; manifestation of fear of death; a way of abstracting from the unimportant; a consequence of the organization of work activity; coping strategy to help cope with empathic distress; a consequence of the unsatisfactory nature of interpersonal relationships; a consequence of unsatisfaction of basic human needs; a consequence of personal characteristics (egocentrism, ego immaturity). Scientific novelty: lies in the comparison of existing terminology that describes the phenomenon of relating to the Other as an object; in justifying the advantages and limitations of the term objectification; highlighting the criteria for classifying the phenomenon, as well as grouping disparate approaches to understanding the origins of objectification. Scope of application of the results: the theoretical review carried out in the work can be used when teaching courses on the social psychology of interpersonal relationships. The article is part of the dissertation research of one of the authors of the article.

Perception and Attitude among Patients Receiving Local Anaesthesia in Chengalpattu District, Tamil Nadu, India: A Questionnaire-based Cross-sectional Study

Introduction: Dental local anaesthesia serves several purposes, the most common of which is to minimise pain during dental procedures, thereby improving patient comfort and facilitating treatment. It can also have therapeutic effects, such as temporarily relieving pulpitis pain. Patients often experience anxiety before and after receiving local anaesthesia. Aim: To evaluate the perceptions and attitudes of patients receiving local anaesthesia through a self-administered questionnaire. Materials and Methods: This cross-sectional study was conducted among 398 patients, including 218 males and 180 females, between August 2022 and October 2022, who underwent dental extractions at a dental hospital in Chengalpattu district, Tamil Nadu, India. A 15-item questionnaire was administered to the patients. The questionnaire comprised three domains: the first domain included questions before the administration of local anaesthesia, the second domain included questions during the administration of local anaesthesia, and the third domain included questions after the administration of local anaesthesia. Statistical analysis was performed using Statistical Package for the Social Sciences (SPSS) software. Results: Of the participants, 126 (40.20%) were between 46 and 60 years of age. Males constituted 218 (54.8%) and females constituted 180 (45.2%) of the sample. Additionally, 76.38% of the patients were unaware of the preinjection topical anaesthesia. Moreover, 70.35% of patients experienced anxiety before the administration of local anaesthesia. During the administration of local anaesthesia, 300 (75.4%) of patients reported experiencing moderate pain. Many patients exhibited physical manifestations of fear, including sweating in 92 (23.12%), light-headedness in 102 (25.63%), and palpitations after the administration of local anaesthesia in 190 (47.74%). Conclusion: Anxiety was more prevalent among patients prior to the administration of local anaesthesia. Patients were more anxious about the fear of the injection rather than the fear of the extraction itself. The outcomes of anaesthesia may be significantly improved by educating patients about dental treatment processes.

Approbation of the Methodology for Studying the Frequency and Intensity of Existential Fears in Adolescents 15–17 years’ Old

Introduction. The article deals with the problem of the growth of high-intensity fears among adolescents over the past year, and their identification with the help of its own psychodiagnostic technique. The study fills the lack of scientific works on studying the manifestation of fears in adolescents of the older age group.Purpose. To carry out approbation of the author's questionnaire-questionnaire "Peculiarities of actualization of existential fears of a personality", consisting of closed and open-ended questions, taking into account the difference between this methodology and other methods aimed at studying actual fears of a personality.Materials and Methods. The study was conducted with the involvement of high school students as respondents, a total of 98 people took part in the study. As a result of the study it was found that all boys and girls aged 15-17 have fears, but their distribution in terms of number, frequency and intensity differs in different gender groups. To confirm the adequacy of the integrative indicator "fear intensity", the methods "Life Satisfaction Scale" and "Death Anxiety Scale" were used. The Mann-Whitney U-criterion was used to confirm the reliability of differences between groups.Results. Content analysis of the open questions of the author's questionnaire-questionnaire made it possible to identify factors influencing the emergence and development of fears, their frequency and intensity, ways to overcome fears and understanding of the negative impact of high-intensity frequent fears by adolescents, as well as their need for professional psychological help.Discussion. This technique can be used as a screening tool to identify the frequency and intensity of fears in different gender and age groups, used for different purposes, including the identification of persons in need of further psychologically corrective work, which will prevent the development of existential fears of high intensity or reduce the intensity of these fears, which, in turn, will help to avoid distress associated with pathological fears, leading to possible personality maladaptation.

The phenomenon of fear in Ukrainian literature for children and youth about the events of the Holodomor of 1932-1933

The article considers the forms of manifestation of fear and the specificity of their representation in Ukrainian works for children and youth about the events of the Holodomor of 1932--1933. Its relevance is emphasized, as the state of threat and the appearance of fear as a basic reaction to it have become the modern realities in Ukraine. The state of research of the issue in Ukrainian literary studies is outlined; the principles of classification of forms, functions, and types of fear are taken into account. It is determined that works about the Holodomor take an important place in the sphere of historical prose, which accumulates a complex of historical knowledge, becomes an important factor in the formation of the national identity of the personality. While analyzing the short stories "Kandor" by Y. Zbanatskyi, "Bevka" by M. Mahera, "Velykyi Zlochyn Malenkoho Mykhasia" (Great Crime of Little Mykhas) by Oleksa Kobets, "Chorna Khustka" (Black Shawl) by M. Ponedilok, "Skrynia" (Chest) by K. Yehorushkina, and the story "Try Skhodynky Holodomoru" (Three Steps of the Holodomor) by E. Zarzhytska, it has been found out that the dominant type of fear in the artistic sphere of the works is fear for physical existence, fear of hunger (to be hungry, to see a hungry person, to see a person who died of hunger). It is determined that in Ukrainian fiction on the Holodomor theme real fears (fear of power, fear of being left at home alone, fear of the dark, fear of death, fear of a particular person, fear of being punished) and metaphysical ones (horror, anxiety) are represented by techniques of psychological analysis, reproduction of states of the nature, metaphors, symbols which lay stress on the writer's attitude and style.

VOLCANO TOURISM IN VOLCANIC RISK AREAS: EXPLORATION OF THE HIGHER EXPERIENCE IN MOUNT SEMERU – INDONESIA

Volcano tourism is a part of ecotourism or geotourism in developed and developing countries. The visitors or tourists in this kind of tourism immerse themselves in the bodily enjoyment of feeling and sensing the volcano's high elevation instead of viewing its beauty. The present article aims to explore tourists' subjective experiences of being at a high altitude by taking the case of Mount Semeru tourists. The tourist attraction of Mount Semeru as a volcanic mountain has a selling point and appeal for climbing but with threats and risks. This research explores and reveals the meaning of hiking trips and the manifestation of fear during trips in risky areas. The existential-phenomenological approach examines multifaceted phenomena from an individual’s point of view. Informants were determined by using a purposive sampling technique. In this phenomenological study, researchers look for information (individuals) who have the capability so they can articulate their life experiences related to the phenomenon under study. This study’s results describe the experience of climbers enjoying the journey through struggles and successes by interpreting the phenomena during the ascent and the anticipatory attitude of climbers toward facing the threats and risks of climbing Mount Semeru.

The Fears of Compassion in Sport Scale: a short, context-specific measure of fear of self-compassion and receiving compassion from others validated in UK athletes

ABSTRACT Objective Despite the many benefits of compassion, athletes fear being compassionate. To provide a valid and reliable psychometric tool for sport researchers and practitioners, we developed and validated a Fears of Compassion in Sport Scale (FCSS), based on an existing measure of fears of compassion in general life domains. Method We generated FCSS items measuring sport-specific fear of self-compassion (FSC) and receiving compassion from others (FCO). Following a content evaluation of FCSS items, we assessed psychometric properties of the new instrument in three samples of UK athletes (total N = 792). Results The FCSS demonstrated very good factorial, concurrent, discriminant, predictive validity, measurement invariance (especially across sport types and competitive levels), internal consistency, and test-retest reliability. Both FSC and FCO in sport were negatively associated with self-compassion and associated positively with narcissistic vulnerability and psychological distress. Athletes were more fearful of self-compassion but less fearful of receiving compassion in sport compared to in general life. However, it was FCO, not FSC, that predicted psychological distress at three months follow-up. Conclusion The new instrument offers a way to assess fears of compassion in sport. The present research provided new knowledge regarding different manifestations of fears of compassion in sport.

Risk and resilience factors for psychopathology during pregnancy: An application of the Hierarchical Taxonomy of Psychopathology (HiTOP).

Pregnancy is a time of increased vulnerability to psychopathology, yet limited work has investigated the extent to which variation in psychopathology during pregnancy is shared and unshared across syndromes and symptoms. Understanding the structure of psychopathology during pregnancy, including associations with childhood experiences, may elucidate risk and resilience factors that are transdiagnostic and/or specific to particular psychopathology phenotypes. Participants were 292 pregnant individuals assessed using multiple measures of psychopathology. Confirmatory factor analyses found evidence for a structure of psychopathology consistent with the Hierarchical Taxonomy of Psychopathology (HiTOP). A common transdiagnostic factor accounted for most variation in psychopathology, and both adverse and benevolent childhood experiences (ACEs and BCEs) were associated with this transdiagnostic factor. Furthermore, pregnancy-specific anxiety symptoms most closely reflected the dimension of Fear, which may suggest shared variation with manifestations of fear that are not pregnancy-specific. ACEs and BCEs also linked to specific prenatal psychopathology involving thought problems, detachment, and internalizing, externalizing, antagonistic, and antisocial behavior. These findings extend the dimensional and hierarchical HiTOP model to pregnant individuals and show how maternal childhood risk and resilience factors relate to common and specific forms of psychopathology during pregnancy as a period of enhanced vulnerability.

Ängste und Sprechhemmungen bei multikulturellen Schüleraustauschprojekten am Beispiel einer Schülerbegegnung zwischen Berlin und Poznań

In this article, the authors concentrate on the manifestations of fears and speaking anxiety in multicultural student exchange projects. In the first part, numerous facets of speaking anxiety in different contexts are presented, including its potential causes and symptoms. The authors then proceed to discuss student encounters and student exchange projects in an intercultural context. In the empirical part, they present the initial results of the study on (not only) language anxiety experienced during a German-Polish student exchange between Poznań and Berlin in autumn 2018. Finally, some implications for dealing with speaking anxiety experienced in foreign language learning/teaching and during student exchange projects are suggested.

BEHAVIORAL ACTIVITY IN EXPERIMENTAL METABOLIC SYNDROME AND DURING TREATMENT WITH COMPLEX PHYTOADAPTOGENS

The aim of the study was to evaluate behavioral disorders in experimental metabolic syndrome and the possibility of treatment with complex phytoadaptogens (CPhA). The experiment was carried out on 30 male Wistar rats randomly divided into 3 groups: control (Group 1), metabolic syndrome (MS, Group 2), and treatment of metabolic syndrome with CPhA (Group 3). In Groups 2 and 3, the animals were on a diet high in carbohydrates and fats for 16 weeks. Group 3 animals received CPhA for 14 days with drinking water after 16 weeks of the diet. CPhA consist of standard tinctures of Glycyrrhiza glabra, Rhodiola rosea, Acantopanax senticosus in a ratio of 1:2:1. Behavior was analyzed in the open field test (OFT) and the elevated plus maze (EPM), using Realtimer software (OpenScience, Russia). Data were analyzed using GrafPadPrism 8.03 software (USA). The experiment demonstrated that metabolic syndrome is associated with increased anxiety (decrease in horizontal (p=0.017) and vertical (p=0.017) locomotor activity) and fear (increase in immobility time (p=0.011)) in the OFT. Increased anxiety of animals (decreased open arm time (p=0.012) and increased closed arm time (p=0.043)) and emotional stress (increased frequency of defecation (0.017)) relative to control are also confirmed by EPM data. The data obtained in the treatment group (no significant differences with the control), i.e., a decrease in the manifestations of fear and anxiety (increased orientation and exploratory activity), indicate that the complex phytoadaptogens are an effective anxiolytic. The mechanisms that led to this result remain to be explored, highlighting the role of the autonomic nervous system, leptin and ghrelin in behavior and the effect of the complex phytoadaptogens on them.

Theoretical Investigation of the Features of Current Fears of Modern Young People

The relevance of the study is conditioned by the rapid indicators of fear among young people, which has a destructive effect on psychological health, physical condition, social and professional development. The purpose of the study is to analyse the concept of “fear”, investigate its forms and origin, identify current fears among modern youth, and interpret them. Determination of ways to prevent the occurrence of fear, disposal, and its control. To investigate the features of the manifestation of current fears of modern youth, methods are used that are qualitatively combined and form a common concrete result, namely: empirical (quantitative research using an online survey), comparative, introspection, and interpretation. The results of this study are aimed at clearly defining the concept of fear, exploring its varieties, and identifying forms of fear. Theoretically, it is presented how fear can affect the development of personality, influence view of life, values, and self-determination in the professional and social environment. With the help of theoretical analysis, the specific features of the manifestation of fear in young people are compared based on Ukrainian and international experience. The results of an empirical study are demonstrated, and the most common fears of modern youth are identified. The findings are aimed at identifying ways to prevent the occurrence of fear, using corrective techniques for internal control, and determining the physiological and psychological manifestations of fear that can be controlled by willpower. This paper is not only a theoretical explanation of the existence of fear, but also it has preventive significance for those who want to take control of their own emotions and displace those categories of fear that prevent them from living a full life.

Increasing the safety of the transport process by minimizing the professional risk of a dump truck driver

Purpose.The aim of the study is to develop recommendations for reducing the probability of accidents during the transportation of rock by dump trucks based on the analysis of the consequences of changes in the psycho-physiological states of the driver. Methods. The study used the method of “Hazard and operability studies” and the method of “Failure Mode and Effects Analysis” including the organizational, logical and mathematical, and statistical procedures aimed at obtaining the expert assessment of hazards from professional experts based on Grabs’ criteria that affect to change the psychophysiological state of the driver while driving a dump truck, their analysis and generalization of the results in order to prepare reasonable decisions. Findings. It is established that the psychophysiological state of the driver as a manifestation of fear, anxiety, doubt, uncertainty when performing discrete work, which is associated with frequent changes in the beginning of movement and stops of the vehicle (accumulation of a large number of dump trucks, complex route plan, etc.) leads to an increase in the risk of an emergency. It is determined that the highest level of emergency occurs due to emotional manifestations, that are associated with the relationship between employees, the presence of leadership support, psychological assistance, mobbing, conflict resolution and more. Recommendations have been developed to increase the level of transportation safety through the formation of an appropriate organizational culture at the enterprise, which ultimately shapes human social behaviour. Originality. The scientific novelty lies in the establishment of the values of occupational risk of an accident while driving a dump truck by the driver, which depends not only on the probability of a dangerous event and the severity of its consequences, but also on changes in the psychophysiological state of the driver, which results from the organizational culture of occupational safety at the mining enterprise. Practical implications. Consists in the development of a procedure for qualitative assessment of the risk of an accident from the psychophysiological state of the driver during the trucking of rock in the conditions of the mining enterprise. Recommendations for improving the safety of transportation through the formation of an appropriate organizational culture of the transport process are developed. An approach of taking into account the socio-psychological climate in the organization to assess the occurrence of the incident is proposed.

Manifestations of fear in anovel"Washam Nasie Albayadh" astudy in the Semiotics of passions

This research is based on the manifestations of the semiotics of emotions in the novel (Washm Nasie Albayadh) which means'' bright white tattoo''. It is written by the Iraqi novelist Ali Lafta Saeed. The aim is to reveal the importance of emotional interaction through the events of the novel. This is especially when any narrative act is only an inevitable result of the feelings and emotions experienced by the character. The novel (Washm Nasie Albayadh) introduces us to the subject of war, its tragedies, its impact on the individual, and the psychological state that it leaves behind. This includes suffering from anxiety, fear, tension, and looking for peace and tranquility. Since the semiotics of emotions investigates emotional states related to the self, we will adopt in our study a plan based on a preface and two sections: The first section: lexical and semantic manifestation, and the second section is characterized by “Emotional Chart” which includes formation, preparation, tropical phrasing, emotion, and moral correctness. After reading the novel and investigating the most prominent emotions in it, we conclude that the writer has intensely embodied the feelings of fear until it became the dominant identity phenomenon. Along with the emergence of emotions, anxiety and anger are the closest feelings that overlap with the emotion of fear. The writer used description and metaphor to express and magnify the passions.

Psychological difficulties of young swimmers at the initial stage of training

At the article, the nutritional training of young swimmers at the cob stage of familiarization with the water medium is considered. The problem of fear of water is being solved, I will become a psychological child for the first time to take swimming, acquaintance with the water medium, with the coach and the team. Children from 5 to 15 years of age took part in the competition, as they participate in the sports section of swimming in the Sportlend sports club, on the basis of the Kiev Engineering Gymnasium, and 20 special students at the high school. In the robot, a questionnaire for the identification of the psychological environment for an hour to take swimming, the method of revealing childish fears of A.I. Zakharov, M. Panfilova, the "Skhodinka" technique (V. Shchur), for equalizing self-esteem with various manifestations of fear. 20% of children were found to be afraid of water. It was revealed the interplay of manifest fear of driving from the low self-esteem of an athlete. At the first lessons, the coach is especially responsible for giving respect to the fear of the drive, training the breath to win the right to "stand out of breath", "viewing the water", the child must call to "seeing the drive in disguise", step-by-step understanding the water middle. Coaches are recommended to form the first groups: small groups with anxious children, large groups with anxious children and children like not fear to the middle of the water. The basis of the technique of cob learning to swim for the minds of hydrophobia is those that the right call to the water is carried out in parallel on the shallow and deep parts of the pool and the stench will be conquered both in the vertical and in the horizontal position.

Особенности качества жизни студентов, в том числе с нарушениями в физическом развитии, в условиях пандемии COVID‑19

In the context of the COVID‑19 pandemic, student youth are facing significant adverse impacts that affect the state of physical and mental health, as well as changes in quality of life indicators. Factors such as the sudden transition of students to online learning, the closure of hostels, limited access to public spaces, an increase in morbidity in the close environment, the manifestation of fears and phobias had a negative impact. Students have irregular meals, limited access to good nutrition, increased time spent in front of the monitor, less opportunities for physical activity and associated significant changes in physical parameters, namely obesity, an increase in body mass index weight. Materials and methods: bibliographic, socio-hygienic, sociological, statistical, analytical methods were used in the work. Findings. Analysis of the results of the study made it possible to establish: a) the average level of the physical component of students’ health is higher than the psychological one; the indicator of the physical component of health, corresponding to the norm, was observed in 70.7% of students; psychological – in 63.4% of students; no statistically significant relationship was found between the physical and psychological components of students’ health; b) in terms of the physical and psychological components of health, the largest percentage of respondents with a norm was noted among students with a lack of body weight; a low level of the physical component of health is much more common in the group of students with excess body weight, compared with the other studied groups.

Can dog appeasing pheromone ameliorate stress behaviours associated with anxiety in mature domestic dogs?

PICO question
 Does use of dog-appeasing pheromone reduce the frequency and/or severity of non-specific stress behaviours associated with anxiety in domestic dogs, older than 6 months, when compared with no treatment?
 
 Clinical bottom line
 Category of research question
 Treatment
 The number and type of study designs reviewed
 Eight controlled trials were appraised. Four were randomised and four were either non-randomised or did not clearly describe the method of allocating subjects into treatment groups.
 Strength of evidence
 Weak
 Outcomes reported
 There was no evidence that any dog appeasing pheromone (DAP) formulation (spray, diffuser, or collar) was superior. There was moderate evidence that DAP could reduce some behavioural manifestations of fear and/or anxiety stemming from thunderstorm noise and weak evidence that it could ameliorate some non-specific stress behaviours in hospitalised patients. In shelter dogs, there was mild evidence that DAP could reduce barking intensity and increase some behaviours associated with relaxation. When behavioural changes occurred, most were observed during exposure to DAP and there were minimal residual effects post-treatment.
 Conclusion
 The evidence for using DAP to manage stress behaviours associated with anxiety in dogs over six months of age remains weak. Until there is a stronger evidentiary basis, clinicians should be aware that a true clinical benefit is undetermined. Nevertheless, DAP is unlikely to cause harm and may still provide some therapeutic benefit. Therefore, DAP may still be employed in a multimodal management plan for some behaviour cases and may exert a placebo effect. However, if an owner’s financial resources are restrictive, clinicians should not prioritise pheromone therapy at the omission of other therapies that have established clinical effects
 
 How to apply this evidence in practice
 The application of evidence into practice should take into account multiple factors, not limited to: individual clinical expertise, patient’s circumstances and owners’ values, country, location or clinic where you work, the individual case in front of you, the availability of therapies and resources.
 Knowledge Summaries are a resource to help reinforce or inform decision making. They do not override the responsibility or judgement of the practitioner to do what is best for the animal in their care.
 

Fear in the fantastic narrative IT: a literary and cinematographic analysis

The present study aims to analyze the manifestation of fear in the fantastic narrative It, in both literature and cinema. Supernatural themes are a constant in fictional prose, providing an increase in studies on the relationship between fear and fantastic narratives. As theoretical support, we build on the literary scholarship of Yi-Fu Tuan (2005), Stephen King (2013), David Roas (2014), Marcel Martin (2003) and Jacques Aumont (2013). As for methodology, a content analysis model is adopted in a bibliographic, exploratory and qualitative approach. It, A novel, as a fantastic narrative, destabilizes our sources of security by questioning the validity of the systems and beliefs created by and imposed upon on humanity. The results illustrate how the fantastic genre has been characterized as presenting us phenomena and situations that signal a transgression of our reality. This rupture with the real is, therefore, a fundamen- tal effect of fantastic narratives which have also been explored in cinematic narratives.

The reflection of the fear of falls and risk of falling in walking activity spaces of older adults in various urban environments

Participation of older adults in daily activities has a major positive impact on health and contributes to a sense of accomplishment, satisfaction, self-efficacy, and well-being. Walking is considered to be one of the most influential activities promoting health and active living. Older adults are particularly vulnerable to their immediate local environment where age- related declined capabilities combined with barriers in the home neighborhood pose a risk of falling and fear of falls. Most research focusing on the built environment role in incidents of older adults' outdoor falls and fear of falls is focused on identifying the environmental features' risk factors. Effort is made to develop audit checklist tools to assess out-door falls risk. In contrast, this study focuses on the manifestation of fear of falls in older adults' walking activity spaces. We identify spatial walking patterns of outdoor daily activities in public urban spaces and examine the relations between fear of falls, risk of falling status, previous occurrence of fall incidents and number of medical diagnoses and walking activity spaces among older adults in different urban environments.The analysis included 271 older adults (age 60+ with 70% females and 30% males), and 483 walking routes in three cities. A psychological measure related to mobility self-efficacy was evaluated by the Falls Efficacy Scale examining the fear of falling through a functional perspective. Motor evaluation was conducted by functional mobility evaluation through the Timed Up and Go (TUG) screening test which assesses the level of risk of falling. GIS analysis was conducted for mapping and identifying walking activity spaces. The analysis shows different walking activity spaces of people with high risk of falling and fear of falls in comparison to those with no risk and no fear of falling across gender and age groups (60–65, 66–74, and 75+). In this approach we show the outcome reflection of barriers and enablers and their revealed cumulative effect through walking activity spaces among older adults.