Volume 29, Number 4, 261-276, DOI: 10.1023/A:1021392931450

The Rituals, Fears and Phobias of Young Children: Insights from Development, Psychopathology and Neurobiology

David W. Evans, F. Lee Gray and James F. Leckman

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Abstract

This study examined the relationship between ritualistic, compulsive-like behaviors and normative fears and phobias in 61 children ranging from 1 to 7 years of age. Parents reported on their children's ritualistic habits, and perfectionistic behaviors that reflect what we have previously called ldquocompulsive-likerdquo behaviors. Parents also reported on their children's fears and phobias. Results indicated that various aspects of children's ritualistic and compulsive-like behaviors are correlated with children's fears and phobias. Developmental differences existed such that younger children's (< 4="" years)="" repetitive,="" compulsive-like="" behaviors="" were="" related="" to="">ldquoprepotentrdquo fears such as stranger and separation anxieties, whereas the compulsive-like behaviors of older children (> 4 years) were correlated with more specific, ldquocontextualrdquo fears such as fears of contamination, death, and fears often associated with concerns of the inner city such as burglars, assault, etc. These findings are discussed in terms of the phenomenologic and possible neurobiological continuities between normative and pathologic rituals, fears and phobias.

Children - Obsessive-Compulsive - Rituals - Fear

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