TY - CHAP M1 - Book, Section TI - Chapter 88. Anxiety A1 - Chavira, Denise A. A2 - Rudolph, Colin D. A2 - Rudolph, Abraham M. A2 - Lister, George E. A2 - First, Lewis R. A2 - Gershon, Anne A. Y1 - 2011 N1 - T2 - Rudolph's Pediatrics, 22e AB - Fear is an emotional response that is a normal part of development and essential to human survival. It is both protective and adaptive. In times of danger or anticipated risk, the sympathetic nervous system is activated and prepares the body to fight or flee the dangerous situation. Fear is short lived, which makes it different from mood states such as anxiety. Anxiety is often thought of as a secondary emotion in response to a primary emotional reaction (eg, fear). For example, people become anxious if they are fearful about a specific event, object, or situation and anticipate negative outcomes. Anxiety requires more cognitive capacities than fear. The fight-flight response may be activated when anxiety and fear appear even when there is no real danger but negative outcomes are anticipated. Such anticipatory fear, when persistent and pervasive, extends beyond normative levels of fear and anxiety and can be debilitating. SN - PB - The McGraw-Hill Companies CY - New York, NY Y2 - 2024/04/18 UR - accesspediatrics.mhmedical.com/content.aspx?aid=6738463 ER -