The relative effectiveness of extinction and counter-conditioning in diminishing children's fear

Behav Res Ther. 2017 Aug:95:42-49. doi: 10.1016/j.brat.2017.05.006. Epub 2017 May 11.

Abstract

Two behavioural strategies for reducing learned fear are extinction and counter-conditioning, and in this study we compared the relative effectiveness of the two procedures at diminishing fear in children. Seventy-three children aged 7-12 years old (M = 9.30, SD = 1.62) were exposed to pictures of two novel animals on a computer screen during the fear acquisition phase. One of these animals was paired with a picture of a scared human face (CS+) while the other was not (CS-). The children were then randomly assigned to one of three conditions: counter-conditioning (animal paired with a happy face), extinction (animal without scared face), or control (no fear reduction procedure). Changes in fear beliefs and behavioural avoidance of the animal were measured. Counter-conditioning was more effective at reducing fear to the CS + than extinction. The findings are discussed in terms of implications for behavioural treatments of childhood anxiety disorders.

Keywords: Anxiety; Child; Counter-conditioning; Extinction; Fear; Vicarious learning.

Publication types

  • Randomized Controlled Trial

MeSH terms

  • Anxiety / psychology
  • Avoidance Learning / physiology*
  • Child
  • Conditioning, Classical / physiology*
  • Extinction, Psychological / physiology*
  • Fear / psychology*
  • Female
  • Humans
  • Learning / physiology
  • Male