Difference between revisions of "Feline Fear Overview"

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==Introduction==
 
==Introduction==
Cats can experience fear and stress as any other animal. General fear and stress can be described as anxiety, panic, fear and phobia.
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'''Fear''' and '''anxiety''' are normal emotions that enable animals to avoid harm. In both states the animal is in a heightened state of arousal in preparation for a negative outcome (e.g. physical harm). The key difference is that in '''anxiety the threat is anticipated but not actually present''', but in '''fear the threat is present or imminent'''. An animal may become anxious in a situation in which harm is anticipated, switching to fear when the threat has been identified.
  
'''Anxiety''' is the apprehensive anticipation of future threat or danger accompanied by somatic signs of tension. Anxiety is very pervasive and the state of anxiety can be persistent and chronic. Owners may report that the cat fatigues easily,is irritable, has a disturbed sleep, is hesitant or has [[Housesoiling - Cat|elimination problems]].
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'''Anxiety''' is the apprehensive anticipation of future threat or danger accompanied by somatic signs of increased arousal and tension. Anxious animals show increased vigilance and an inability to focus their attention on a specific stimulus. This is because the function of anxiety is to maintain arousal in preparation for threat, whilst the animal gathers information about its environment to determine the source of the potential threat and how best to respond when that threat arises. Anxiety is seen in situations in which threat or conflict has previously been experienced, as well as in new situations in which the individual is unable to predict or control what may happen to it. Anxiety can be '''acute''' or '''chronic''', and has a pervasive effect on the animal's behaviour. It interferes with the individual's ability to respond to normal social and environmental cues. When '''functional''', anxiety operates over short periods to enable the individual to prepare for real hazards. Anxiety is '''dysfunctional''' when it is sustained in the absence of real threat, leading to persistently increased adrenergic arousal and cortisol release that depletes energy resources and has effects such as immune suppression.
  
In anxious cats, apprehension overrides the ability to respond to normal social and environmental cues. Anxiety often precedes any actual threat or negative experience. Anxiety also occurs when the animal enters a situation in which it has no reliable rule structure for its interactions and where it has no control. Anxiety is therefore more likely in a situation where the animal is in an environment or situation that is unfamiliar to it, or when it meets a novel stimulus.
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'''Fear''' is the apprehension of a specific object, person or situation. The source of fear is localisable and identifiable, its presentation elicits fear and its removal terminates it. Fear is a '''normal, adaptive''' experience that enables an individual to avoid harm, and is socially communicated between conspecifics. It is also postulated that there is a strong relationship between fear and frustration. Frustration is experienced when an individual does not achieve an expected positive outcome. So, both fear and frustration relate to an expectation of a negative outcome. Experimentally, animals respond with precisely the same escape response both to fear and frustration, so it is assumed that both experiences relate to the same underlying emotional response.  
  
'''Panic''' attacks are discrete episodes of intense anxiety. Panic in animals is assumed from observations as it cannot be described by the individual experiencing the panic. It tends to occur when the cat is trapped in an intensely negative emotional situation (such as being trapped in a room where there are loud noises) and is unable to carry out normal avoidant behaviour. Cats will display absolute avoidance of any context in which panic has previously been experienced and will engage extreme escape responses.
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'''Phobic fear''' and '''panic''' are intense, abnormal and behaviourally disruptive variants of normal fear and anxiety. Panic and phobia are '''maladaptive'''; they lead to a reduction in the animal's ability to cope and perform normal behaviours.  
  
'''Fear''' is the apprehension of a specific object, person or situation. The source of fear is localisable and identifiable. Its presentation elicits fear and its removal terminates it. Fear is a normal, adaptive experience that enables an individual to avoid harm. It is socially communicated between conspecifics. It is also postulated that there is a strong relationship between fear and frustration. The distinction between the two can only be made by humans on the basis of the intensity of the experience combined with an interpretation of the preceding events, so we are able to give the name ‘frustration’ to the experience of not achieving an anticipated outcome. Experimentally animals respond with precisely the same escape response both to fear and conditions of the frustration of not getting a reward that was anticipated so we assume that both experiences produce the same emotional response.
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*'''Phobic fear''' is more intense and longer lasting than normal fear. The animal reacts with a high-level of fear even to low level presentations of the fearful stimulus, and then takes a long time to recover from it. Phobic fears do not naturally extinguish with repeated exposure and in fact tend to worsen over time.
  
'''Phobias''' as experienced by animals are fears that do not naturally extinguish with repeated exposure. There is a sudden ‘all or nothing’ response that lacks the grading seen in other fear responses. A lack of variation in the response is apparent. Phobias can develop as a result from a single aversive event as well as from minor aversive experiences for poorly socialised and habituated cats.  
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*'''Panic''' attacks are discrete episodes of intense anxiety and arousal. In humans, panic is associated with tachycardia and [[Dyspnoea - Cat|dyspnoea]], which the patient may perceive to be severe enough to be life threatening. Animals are unable to report the feelings associated with panic, so it is assumed to occur based on signs. It tends to occur when an animal is unable to avoid or escape from a situation in which it is already anxious.
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Cats will display absolute avoidance of any situation in which panic or phobic fear has previously been experienced and will engage extreme escape responses.
  
 
==Signs of Fear==
 
==Signs of Fear==
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Fear is a normal, adaptive experience that enables an individual to avoid harm.  
 
Fear is a normal, adaptive experience that enables an individual to avoid harm.  
  
'''Normal Fear Response Behaviours observed include:
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'''Normal fear response behaviours observed include:'''
* Facial and postural expressions of fear, directed at fear eliciting stimulus (ear & tail position, piloerection, facial expression, muscular rigidity, posture)
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* Facial and postural expressions of fear, directed at fear eliciting stimuli (ear & tail position, piloerection, facial expression, muscular rigidity, posture)
 
* Sympathetic arousal (graded to threat)
 
* Sympathetic arousal (graded to threat)
* Urination/defecation (often while moving, apparent loss of control)
 
 
* Muscle tremor
 
* Muscle tremor
 
* Flight-escape response (well organised and directed unlike in panic)
 
* Flight-escape response (well organised and directed unlike in panic)
 
* Threat/aggression directed towards stimulus
 
* Threat/aggression directed towards stimulus
 +
* There may be urination or defecation (with an apparent loss of control)
 +
  
 +
'''When frightened, animals engage in a set of Species Specific Defence Reactions (SSDRs), known as "The Four Fs". These include:'''
 +
* Fight
 +
* Flight
 +
* Freezing
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* "Fiddling about" (performing apparently unrelated behaviours such as grooming)
  
The most obvious response to fear is self-defence when there is some prospect of driving the fear-eliciting stimulus away, or when escape is not possible. However, responses to fear are complex and may produce long lasting changes in behaviour. In fearful situations cats can therefore either withdraw from the environment, both social and physical, or show a decreased threshold of reactivity to stimuli leading to reactive behavioural manifestations of the fear.
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The cat's primary response to fear is "flight" (avoidance or escape), but they will resort to [[Feline Aggression|aggression]] when escape is impossible in an attempt to drive the fear-eliciting stimulus away. Freezing tends to occur when either flight or fight are impossible, or as the animal evaluates its best option. A cat that is "frozen" but showing signs of stress can launch a sudden attack. Fiddling about may be a form of "self-distraction" in an otherwise inescapable situation of stress, but it may also have some value in diffusing tension in frustration and intraspecific conflict. Fear also potentiates the startle response, so fearful animals will react suddeny to unexpected stimuli and events.
  
Withdrawal from the environment can lead to:
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==Effects of Fear and Anxiety==
* An increase in withdrawn and secretive behaviour including hiding
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'''Typical signs observed by owners include:'''
* Reluctance to go outdoors or to enter open spaces within the home
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* The cat being withdrawn, secretive and tending to hide
* A desire to get up high onto inaccessible resting places within the home
 
* A decrease in desire for interactive behaviour with familiar humans
 
 
* A decrease in interest in social and object play
 
* A decrease in interest in social and object play
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* Reluctance to cross open spaces (e.g. avoiding outdoors or crossing a room)
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* Hiding under objects, or climbing to inaccessible high places
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* Avoiding contact with familiar people and other animals
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* "Jumpiness" (fear potentiated startle response)
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* Low-threshold flight response
  
More obviously reactive signs of fear in cats can include:
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'''Behavioural problems relating to fear and anxiety include:'''
 
* [[Indoor Marking - Cat|Indoor marking]] behaviours, such as urine spraying
 
* [[Indoor Marking - Cat|Indoor marking]] behaviours, such as urine spraying
 
* [[Housesoiling - Cat|Loss of house training]], due to some fearful association with the latrine location
 
* [[Housesoiling - Cat|Loss of house training]], due to some fearful association with the latrine location
* Low-threshold flight reaction
 
 
* Defensive [[Feline Aggression|aggression]]
 
* Defensive [[Feline Aggression|aggression]]
 
* [[Feline Pica|Wool-eating and other pica]]
 
* [[Feline Pica|Wool-eating and other pica]]
* [[Feline Grooming Disorders|Over-grooming and even self-mutilation]]
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* [[Feline Grooming Disorders|Over-grooming and self-mutilation]]
 
 
Somatic signs of fear may also be evident, including tachycardia (bradycardia in chronic situations), pupillary dilatation, tachypnoea, piloerection, inappetence and vomiting.
 
  
Normal fear and phobia are different from one another both behaviourally and clinically. Normal fear protects the individual without interfering with normal behaviour that is important for survival and self-maintenance. Normal fear only has temporary effects whilst the object of fear is present or perceived to be a threat. A normally fearful animal will naturally habituate to any static stimulus that is presented at relatively low intensity. For example, a cat might initially show fear of a carrier bag, but as the fear subsides then this turns to approach and investigation. Ultimately the bag is accepted as non-threatening. This process of habituation will be slower if the object is moving and slower still if it shows signs of intent [i.e. if it is animate]. Movement delays habituation because the threat posed by the object is constantly changing. Although definitions of phobia are controversial, one definition is that phobic fear limits or interferes with normal behaviour and persists after the object of fear has gone away. Phobic fear does not naturally lessen with the kind of exposure to a stimulus that would otherwise produce habituation. The treatment of phobic fear and normal fear are intrinsically similar, although the duration of treatment of phobia is likely to be longer and there is a greater possibility of the need for psychoactive drug therapy.
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==Potential Causes of Emotional Problems==
  
==Potential Causes of Problematic Fear==
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'''Potential causes of feline fears, phobias and anxiety-related problems include:'''
 
 
Potential causes of feline fears, phobias and anxiety-related problems include:
 
 
* A lack of appropriate socialisation and habituation
 
* A lack of appropriate socialisation and habituation
* Genetic influence on timidity
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* Traumatic experiences
* One-off traumatic incidents
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* Genetic influence on temperament (shyness/boldness)
* Anticipation of unpleasant experiences e.g. anticipation of attack by neighbouring cats can lead to cases of agoraphobia
 
 
* Old age - loss of competence and an increase in general fearfulness in geriatric cats is well recognised
 
* Old age - loss of competence and an increase in general fearfulness in geriatric cats is well recognised
 
* Unintentional owner reinforcement of fearful responses
 
* Unintentional owner reinforcement of fearful responses
  
 
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'''In the veterinary context:'''
In the veterinary context:
 
 
* [[:Category:Cardiac Diseases - Cat|Cardiac]] and [[:Category:Respiratory Diseases - Cat|pulmonary]] disease are recognised as potential maintaining factors for anxiety.
 
* [[:Category:Cardiac Diseases - Cat|Cardiac]] and [[:Category:Respiratory Diseases - Cat|pulmonary]] disease are recognised as potential maintaining factors for anxiety.
 
* [[Hypothyroidism]] has been associated with anxiety and compulsive behaviour.
 
* [[Hypothyroidism]] has been associated with anxiety and compulsive behaviour.
* Pain and fear are associated increased self-defensiveness.
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* Pain and fear are associated with increased self-defensiveness.
 
* [[Hyperthyroidism]] causes many behavioural changes including increased irritability and aggressiveness.
 
* [[Hyperthyroidism]] causes many behavioural changes including increased irritability and aggressiveness.
 
* Any form of debilitation tends to increase self-defensiveness and aggression.
 
* Any form of debilitation tends to increase self-defensiveness and aggression.
 
* Hypoglycaemia is associated with irritability and aggression.
 
* Hypoglycaemia is associated with irritability and aggression.
  
It is therefore wise to consider the possibility that behavioural change is associated with medical disorder.
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Sickness behaviour, which is mediated by the release of the pro-inflammatory cytokines interleukin-1, interleukin-6, and tumor necrosis factor-alpha. Sickness behaviour includes lethargy, depression, anorexia, energy conservation, anhedonia, cognitive impairment, hyperalgesia, decreased social interaction and anxiety. Many of these signs are associated with emotional disorder. It is therefore wise to consider the possibility that behavioural change is associated with medical disorder.
 
 
==Prevention==
 
 
 
As with fear in any species, the rule of prevention being better than cure certainly applies. It is essential to remember that cats need to be taught to live in human society and to accept that all of the signs of human activity are, in fact, normal. To this end, it is paramount that breeders understand the importance of the [[Feline Socialisation|socialisation period]] and ensure that there is sufficient and appropriate socialisation and habituation of very small kittens.
 
 
 
Prevention of feline fear, anxiety and phobia problems
 
* Select kittens that come from bold, sociable parents
 
* Avoid kittens that have been reared in isolation from normal domestic activities
 
* Properly-reared kittens should meet a wide variety of people and other animals
 
* They should also be exposed to a wide range of noises and other everyday events
 
* Confident behaviour can be shaped by reinforcing approach and other bold behaviours using food rewards and play
 
* To encourage confidence, it is important not to pick up and hold cats, but rather to allow them to approach voluntarily
 
* Owners should be taught to understand and appropriately reciprocate normal feline greeting behaviour
 
 
 
Once kittens are living in their new home, there are a variety of potential factors, which can contribute to the establishing of feline fears and new owners need to be advised on how to minimise the risk factors. Owners need to be aware of the risks of unintentional reinforcement of fear-related responses and they should ensure that when the cat is showing signs of fear they do not react in a way which could be misinterpreted. It is important to plan ahead when [[Introducing a Cat to New Environment|introducing a cat to a new environment]].
 
 
 
It is important to:
 
* Cease untimely reassurance
 
* Avoid all confrontation and physical punishment
 
* Minimise upheaval in the [[Feline Territorial Behaviour#Core Territory|core territory]] during major renovation or redecoration
 
* Prevent over-attachment by encouraging access to outdoors and enabling the cat to express its full range of natural behaviours
 
 
 
==Treatment==
 
 
 
When dealing with cats who are exhibiting fear-related behaviour problems it is essential for owners to realise that the cat needs to feel in control of the situation and that forcing the cat to confront its fear is unlikely to be effective. Flight is a primary defence strategy for the cat and, therefore, in some cases it may be necessary to block the flight route whilst desensitisation and counterconditioning techniques are applied. Obviously, one of the most important factors in the success of any behavioural treatment for feline fears is the correct application of reinforcement and an understanding of the relative value of resources is essential.
 
 
 
===The role of the environment===
 
The normal feline coping strategy in fearful situations is highly dependent upon familiarity with the environment and the opportunities it provides for escape and avoidance behaviour. In this way, the cat is highly attached and dependent upon its [[Feline Territorial Behaviour|territory]] for security, which also means that success in treating fear-based problems is substantially dependent upon the cat’s environment.
 
 
 
The [[Feline Territorial Behaviour#Core Territory|core zone]] of the cat’s territory is where it expects to be safest. This is where it may meet familiar conspecifics. Recognition of the core territory is partially dependent upon [[Feline Communication Behaviour#Pheromones|pheromone odour signals]]. The cat expends a lot of time and energy placing face and flank marks within the core territory area, not only to identify elements of the environment as familiar but also to create an appeasing environment for itself. From the cat’s perspective, marking of this kind is very efficient. It enables the cat to recognise a safe location from a set of scent mark ‘mementos’ without having to remember details about its appearance and the events that have happened there. This reduces the cognitive burden of processing and memorising the information. In a new home, these personalised signals will be absent and may even be replaced by the odours of other cats that were previously resident. The anxiety caused creates the conditions for establishing problem behaviour.
 
 
 
It is possible, by using synthetic pheromone analogues such as F3 [Feliway, CEVA Animal Health], to recreate or enhance core territory odours. This can increase perceived safety and familiarity in an existing environment, or make a new environment appear familiar and safe.
 
 
 
This attachment to environmental familiarity makes cats very vulnerable to stress when they are relocated through rehoming or when the owners move house. [[Effect of Environment on Feline Behaviour#Introducing a Cat to a New Home/Environment|Proper introduction to a new ‘core territory’]] reduces stress and the likelihood of fear problems. Creating attachment to a new core territory also reduces the risk of the cat straying or trying to return to its original territory after a house move.
 
 
 
Normal exploration of a new environment follows a star-shaped pattern. The animal makes forays into the environment away from an initial safe place. Any fearful event will cause the animal to return briefly to its place of safety. Indeed, successfully learning about a new environment depends upon already having somewhere safe to return to. Without this the animal will experience considerable anxiety and fear, which may create long-term aversions to the stimuli the cat encounters during the first few hours in a new location. For example, a well-socialised cat might enjoy the company of children when they are in an environment that it understands, but the same cat may react fearfully to boisterous children when in a new environment. This kind of encounter can condition fear reactions that continue to plague the cat’s relationship with the children even once it has settled into the new home.  
 
 
 
It is therefore essential that the cat accepts and feels safe in the new environment before encountering any potential stressors.
 
 
 
 
 
Examples of behavioural modification techniques
 
 Habituation
 
 Desensitisation
 
 Counterconditioning
 
 Controlled exposure
 
 
 
Selecting rewards which are of sufficient value to override the fear response can be difficult and, with a high priority for flight as a defence strategy in cats it can be difficult to keep cats in the vicinity of the fear-inducing stimulus during processes such as habituation. Flooding is also a risky approach since the panic induced by the lack of opportunity to escape can potentiate rather than ameliorate the condition. Controlled exposure, desensitisation and counterconditioning can be useful techniques and provided that the fear stimulus is diluted sufficiently it should be possible to over ride the flight response. Introducing a cat to an environment for desensitisation may require leading it in on a body harness and extending lead. The cat should be fully acclimatised to the harness and leash for several weeks before using it in a training situation. For further information on practical aspects of behavioural therapy for fear problems see the problem-specific information below.
 
 
 
Pharmacological intervention
 
There a number of reasons why medication may be indicated in cases of feline fear. Cases involving central nervous system pathology,  in relation to neurotransmitters, may require medication on a long-term basis and, in situations where the fear-inducing stimuli are either unidentifiable or uncontrollable, long-term or recurring medication may also be indicated. In other cases where medication is necessary as an adjunct to behavioural therapy due to the severity of the fear response and the adverse effect that it has on the learning process, the usual aim is to have short-term drug support.
 
As with behavioural therapy, it is important not to simply transfer treatment regimes from the canine world and to consider the differences between cats and dogs in terms of metabolism and potential side effects.
 
 
 
Modifying the owner’s reaction
 
The final part of the equation when dealing with feline fears is to modify the owner’s reaction to the cat’s behaviour. Unintentional reinforcement of fears is most likely to occur in cats when they flee and escape the stimulus, but owner interaction, both vocal and tactile, may be seen by some cats as reward for their response. Punishment is always going to be counterproductive and techniques designed to make the animal “confront its fear” such as flooding have limitations which have already been discussed.
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
  
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==The Effect of the Environment==
  
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The first response of cats to [[Feline Fear and Stress|fearful situations]] is to escape, but the ability to do so is dependent upon [[Effect of Environment on Feline Behaviour|familiarity with the environment]] and the opportunities it provides for escape and avoidance behaviour. This is why success in treating fear-based problems is dependent upon improving or modifying the environment to enable the cat to escape more easily and avoid fearful situations.
  
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Anxiety can be reduced by making the environment more '''predictable''' and '''controllable''' for the cat. For example, the owner maintaining a more regular routine and pattern of interaction with the cat, and providing the cat with free access to resources such as food, water, latrine sites and outdoor access.
  
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The [[Feline Territorial Behaviour#Core Territory|core zone]] of the cat’s territory is where it expects to be safe, as this is a place where it would not usually encounter unfamiliar cats. Recognition of the core territory is partially dependent upon [[Feline Communication Behaviour#Pheromones|pheromone odour signals]]. The cat expends a lot of time and energy placing [[Feline Communication Behaviour#Facial and Flank Marks|face and flank marks]] within the core territory area, not only to identify elements of the environment as familiar but also to create an appeasing environment for itself. Manipulation of the pheromone environment may also help to improve the environment for cats. This can be achieved by removing undesirable chemical signals (such as scent from previously resident cats, [[Management of Items Contaminated by Urine or Faeces|urine spray]] and claw marks), and the deposition of additional "facial and flank marks" by the owner. This can be done by harvesting facial and flank odour from the resident cats using a cloth, and then wiping this onto suitable places such as door posts and furniture. Synthetic pheromone analogues such as [[Pheromonotherapy - Cat|F3 (Feliway)]], can also be used to recreate or enhance core territory chemical messages. This can trick the cat into perceiving the environment to be safe and secure.
  
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==Prevention==
  
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As with dogs, the mainstay of prevention of emotional problems in cats is proper [[Feline Socialisation|socialisation]] and habituations to stimuli during the sensitive period of development. However, the [[Feline Socialisation|sensitive socialisation period]] in cats ends at around 6-7 weeks of age, when kittens are typically still with the breeder. It is therefore essential that breeders take primary responsibility for providing appropriate socialisation and habituation of very small kittens. To develop properly, kittens must meet a wide variety of people and other animals, and be exposed to a wide range of noises and everyday events that are typical of what they will experience in a family home. The greater the discrepancy between the rearing environment and the environment the cat will live in as an adult, the greater the risk of a behavioural problem.
  
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'''A common set of guidelines for owners could include:'''
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* Only take kittens that have bold, sociable parents.
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* Avoid kittens that have been reared in isolation from normal domestic activities (such as in a cattery or shed).
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* Let kittens develop in confidence by their normal reinforcing approach and play behaviours with food and play (let them avoid contact if they want to).
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* Don't force contact or handling if a kitten is fearful.
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* Provide free access to food, water, latrine sites, resting places, and objects to climb and scratch.
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* Do not use scolding or physical punishment to deter normal behaviours such as climbing or scratching. Instead, provide outlets for these behaviours and redirect the kitten to them.
  
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The provision of a complex and stimulating environment also reduces the risk of destructiveness and frustration.
  
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==Treatment==
  
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When dealing with cats who are exhibiting fear-related behaviour problems it is essential that the '''cat needs to feel in control of the situation'''; forcing the cat to confront its fear is likely to lead to a worsening of the problem.
  
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However, it is sometimes necessary to repeatedly expose the cat to stimuli that it fears, in order to perform desensitisation and counterconditioning. It may therefore be necessary to prevent the cat from immediately escaping from the place where behavioural therapy takes place, so that the cat can gain appropriate experience. In such cases the cat must be given hiding places in the room, so that it has enough control to feel safe, but is still present to be exposed to the stimuli being used in behavioural therapy.
  
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'''A general approach to the treatment of behavioural problems involving fear would be as follows:'''
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:1) '''Alter the cat's environment''', so that escape and avoidance behaviours are supported, and in all aspects of its life the cat has control over access to resources. This reduces general anxiety and stress, and supports behavioural therapy. In many cases, this is the most important aspect of treatment.
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:2) '''Behaviour modification''' techniques can be used to provide the cat with positive experiences that reduce fear and increase its perception of coping. Examples include desensitisation and counterconditioning. '''Desensitisation''' involves repeated exposure to a previously fearful stimulus below the threshold that elicits a fear response. An example might be exposing the cat to the presence of people beyond its flight distance. Counterconditioning involves the creation of an association between a previously fearful stimulus and an appetitive stimulus (such as food or play). By repeatedly pairing the fearful stimulus with food, for example, the cat's emotional response is changed. Selecting appetitive stimuli that are of sufficient value to override even a mild fear response can be difficult in cats, so it can be difficult to keep cats in the vicinity of the fear-inducing stimulus during processes such as counterconditioning. Both of these methods of controlled exposure must be performed carefully if flooding is to be avoided. '''Flooding''' involves sustained exposure to a fearful stimulus, at a level that elicits fear, until the animal ceases to respond to it. In flooding, responding ceases when the animal becomes physically and psychologically fatigued, which has been shown to intensify emotional responses, potentially leading to phobia and panic. Flooding is no longer a method used in veterinary behavioural therapy. For further information on practical aspects of behavioural therapy for fear problems see the problem-specific information linked below.
 +
:3) '''Psychoactive medication''' may be necessary to reduce anxiety or fear to manageable levels. For cats that show high levels of fear or anxiety, changes to the environment may not be effective as the cat is unable to experience them (it remains hidden or is so inhibited that it does not explore its environment). For some cats, the range of fearful stimuli is very broad or the stimuli are unidentifiable or unavoidable. In these cases, and for the animal's welfare, psychoactive medication is sometimes prescribed to facilitate adaptation to the environment and response to behavioural therapy.
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:4) The '''owner's reaction''' may need to be modified. Owners may unintentionally add to the cat's distress by mishandling it, often by trying to restrain the cat so that it does not escape. This is commonplace when the fear is of unfamiliar people or animals; owners will often hold a cat whilst allowing a visitor to pet it. Cats will appear to tolerate this, because their secondary species defence reaction is to freeze. However, the cat remains intensely fearful, and may attempt to attack the person restraining it, in order to escape. Owners are often surprised that cats handled in this way become less, rather than more, tolerant of visitors. Owner reinforcement of fear and anxiety should also be avoided, but this is a less common problem. However, some owners will use punishment to control a cat's behaviour; scolding a cat for eliminating in an inappropriate location, for example. This merely increases stress for the cat and increases the likelihood that it will become secretive, avoidant and mistrustful of its owners.
  
  
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<big><b>
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Also see:
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::[[Feline Fear of Other Species Except Humans]]
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::[[Feline Fear of People]]
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::[[Feline Fear of Inanimate Stimuli]]
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::[[Feline Attachment Problems]]
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</b></big>
  
  
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{{Jon Bowen written
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|date = June 20, 2014
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}}
  
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{{Ceva}}
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{{OpenPages}}
 
[[Category:Feline Fear and Stress]]
 
[[Category:Feline Fear and Stress]]
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[[Category:To Do - Behaviour References]]

Latest revision as of 09:41, 16 July 2015

Introduction

Fear and anxiety are normal emotions that enable animals to avoid harm. In both states the animal is in a heightened state of arousal in preparation for a negative outcome (e.g. physical harm). The key difference is that in anxiety the threat is anticipated but not actually present, but in fear the threat is present or imminent. An animal may become anxious in a situation in which harm is anticipated, switching to fear when the threat has been identified.

Anxiety is the apprehensive anticipation of future threat or danger accompanied by somatic signs of increased arousal and tension. Anxious animals show increased vigilance and an inability to focus their attention on a specific stimulus. This is because the function of anxiety is to maintain arousal in preparation for threat, whilst the animal gathers information about its environment to determine the source of the potential threat and how best to respond when that threat arises. Anxiety is seen in situations in which threat or conflict has previously been experienced, as well as in new situations in which the individual is unable to predict or control what may happen to it. Anxiety can be acute or chronic, and has a pervasive effect on the animal's behaviour. It interferes with the individual's ability to respond to normal social and environmental cues. When functional, anxiety operates over short periods to enable the individual to prepare for real hazards. Anxiety is dysfunctional when it is sustained in the absence of real threat, leading to persistently increased adrenergic arousal and cortisol release that depletes energy resources and has effects such as immune suppression.

Fear is the apprehension of a specific object, person or situation. The source of fear is localisable and identifiable, its presentation elicits fear and its removal terminates it. Fear is a normal, adaptive experience that enables an individual to avoid harm, and is socially communicated between conspecifics. It is also postulated that there is a strong relationship between fear and frustration. Frustration is experienced when an individual does not achieve an expected positive outcome. So, both fear and frustration relate to an expectation of a negative outcome. Experimentally, animals respond with precisely the same escape response both to fear and frustration, so it is assumed that both experiences relate to the same underlying emotional response.

Phobic fear and panic are intense, abnormal and behaviourally disruptive variants of normal fear and anxiety. Panic and phobia are maladaptive; they lead to a reduction in the animal's ability to cope and perform normal behaviours.

  • Phobic fear is more intense and longer lasting than normal fear. The animal reacts with a high-level of fear even to low level presentations of the fearful stimulus, and then takes a long time to recover from it. Phobic fears do not naturally extinguish with repeated exposure and in fact tend to worsen over time.
  • Panic attacks are discrete episodes of intense anxiety and arousal. In humans, panic is associated with tachycardia and dyspnoea, which the patient may perceive to be severe enough to be life threatening. Animals are unable to report the feelings associated with panic, so it is assumed to occur based on signs. It tends to occur when an animal is unable to avoid or escape from a situation in which it is already anxious.

Cats will display absolute avoidance of any situation in which panic or phobic fear has previously been experienced and will engage extreme escape responses.

Signs of Fear

Fear is a normal, adaptive experience that enables an individual to avoid harm.

Normal fear response behaviours observed include:

  • Facial and postural expressions of fear, directed at fear eliciting stimuli (ear & tail position, piloerection, facial expression, muscular rigidity, posture)
  • Sympathetic arousal (graded to threat)
  • Muscle tremor
  • Flight-escape response (well organised and directed unlike in panic)
  • Threat/aggression directed towards stimulus
  • There may be urination or defecation (with an apparent loss of control)


When frightened, animals engage in a set of Species Specific Defence Reactions (SSDRs), known as "The Four Fs". These include:

  • Fight
  • Flight
  • Freezing
  • "Fiddling about" (performing apparently unrelated behaviours such as grooming)

The cat's primary response to fear is "flight" (avoidance or escape), but they will resort to aggression when escape is impossible in an attempt to drive the fear-eliciting stimulus away. Freezing tends to occur when either flight or fight are impossible, or as the animal evaluates its best option. A cat that is "frozen" but showing signs of stress can launch a sudden attack. Fiddling about may be a form of "self-distraction" in an otherwise inescapable situation of stress, but it may also have some value in diffusing tension in frustration and intraspecific conflict. Fear also potentiates the startle response, so fearful animals will react suddeny to unexpected stimuli and events.

Effects of Fear and Anxiety

Typical signs observed by owners include:

  • The cat being withdrawn, secretive and tending to hide
  • A decrease in interest in social and object play
  • Reluctance to cross open spaces (e.g. avoiding outdoors or crossing a room)
  • Hiding under objects, or climbing to inaccessible high places
  • Avoiding contact with familiar people and other animals
  • "Jumpiness" (fear potentiated startle response)
  • Low-threshold flight response

Behavioural problems relating to fear and anxiety include:

Potential Causes of Emotional Problems

Potential causes of feline fears, phobias and anxiety-related problems include:

  • A lack of appropriate socialisation and habituation
  • Traumatic experiences
  • Genetic influence on temperament (shyness/boldness)
  • Old age - loss of competence and an increase in general fearfulness in geriatric cats is well recognised
  • Unintentional owner reinforcement of fearful responses

In the veterinary context:

  • Cardiac and pulmonary disease are recognised as potential maintaining factors for anxiety.
  • Hypothyroidism has been associated with anxiety and compulsive behaviour.
  • Pain and fear are associated with increased self-defensiveness.
  • Hyperthyroidism causes many behavioural changes including increased irritability and aggressiveness.
  • Any form of debilitation tends to increase self-defensiveness and aggression.
  • Hypoglycaemia is associated with irritability and aggression.

Sickness behaviour, which is mediated by the release of the pro-inflammatory cytokines interleukin-1, interleukin-6, and tumor necrosis factor-alpha. Sickness behaviour includes lethargy, depression, anorexia, energy conservation, anhedonia, cognitive impairment, hyperalgesia, decreased social interaction and anxiety. Many of these signs are associated with emotional disorder. It is therefore wise to consider the possibility that behavioural change is associated with medical disorder.

The Effect of the Environment

The first response of cats to fearful situations is to escape, but the ability to do so is dependent upon familiarity with the environment and the opportunities it provides for escape and avoidance behaviour. This is why success in treating fear-based problems is dependent upon improving or modifying the environment to enable the cat to escape more easily and avoid fearful situations.

Anxiety can be reduced by making the environment more predictable and controllable for the cat. For example, the owner maintaining a more regular routine and pattern of interaction with the cat, and providing the cat with free access to resources such as food, water, latrine sites and outdoor access.

The core zone of the cat’s territory is where it expects to be safe, as this is a place where it would not usually encounter unfamiliar cats. Recognition of the core territory is partially dependent upon pheromone odour signals. The cat expends a lot of time and energy placing face and flank marks within the core territory area, not only to identify elements of the environment as familiar but also to create an appeasing environment for itself. Manipulation of the pheromone environment may also help to improve the environment for cats. This can be achieved by removing undesirable chemical signals (such as scent from previously resident cats, urine spray and claw marks), and the deposition of additional "facial and flank marks" by the owner. This can be done by harvesting facial and flank odour from the resident cats using a cloth, and then wiping this onto suitable places such as door posts and furniture. Synthetic pheromone analogues such as F3 (Feliway), can also be used to recreate or enhance core territory chemical messages. This can trick the cat into perceiving the environment to be safe and secure.

Prevention

As with dogs, the mainstay of prevention of emotional problems in cats is proper socialisation and habituations to stimuli during the sensitive period of development. However, the sensitive socialisation period in cats ends at around 6-7 weeks of age, when kittens are typically still with the breeder. It is therefore essential that breeders take primary responsibility for providing appropriate socialisation and habituation of very small kittens. To develop properly, kittens must meet a wide variety of people and other animals, and be exposed to a wide range of noises and everyday events that are typical of what they will experience in a family home. The greater the discrepancy between the rearing environment and the environment the cat will live in as an adult, the greater the risk of a behavioural problem.

A common set of guidelines for owners could include:

  • Only take kittens that have bold, sociable parents.
  • Avoid kittens that have been reared in isolation from normal domestic activities (such as in a cattery or shed).
  • Let kittens develop in confidence by their normal reinforcing approach and play behaviours with food and play (let them avoid contact if they want to).
  • Don't force contact or handling if a kitten is fearful.
  • Provide free access to food, water, latrine sites, resting places, and objects to climb and scratch.
  • Do not use scolding or physical punishment to deter normal behaviours such as climbing or scratching. Instead, provide outlets for these behaviours and redirect the kitten to them.

The provision of a complex and stimulating environment also reduces the risk of destructiveness and frustration.

Treatment

When dealing with cats who are exhibiting fear-related behaviour problems it is essential that the cat needs to feel in control of the situation; forcing the cat to confront its fear is likely to lead to a worsening of the problem.

However, it is sometimes necessary to repeatedly expose the cat to stimuli that it fears, in order to perform desensitisation and counterconditioning. It may therefore be necessary to prevent the cat from immediately escaping from the place where behavioural therapy takes place, so that the cat can gain appropriate experience. In such cases the cat must be given hiding places in the room, so that it has enough control to feel safe, but is still present to be exposed to the stimuli being used in behavioural therapy.

A general approach to the treatment of behavioural problems involving fear would be as follows:

1) Alter the cat's environment, so that escape and avoidance behaviours are supported, and in all aspects of its life the cat has control over access to resources. This reduces general anxiety and stress, and supports behavioural therapy. In many cases, this is the most important aspect of treatment.
2) Behaviour modification techniques can be used to provide the cat with positive experiences that reduce fear and increase its perception of coping. Examples include desensitisation and counterconditioning. Desensitisation involves repeated exposure to a previously fearful stimulus below the threshold that elicits a fear response. An example might be exposing the cat to the presence of people beyond its flight distance. Counterconditioning involves the creation of an association between a previously fearful stimulus and an appetitive stimulus (such as food or play). By repeatedly pairing the fearful stimulus with food, for example, the cat's emotional response is changed. Selecting appetitive stimuli that are of sufficient value to override even a mild fear response can be difficult in cats, so it can be difficult to keep cats in the vicinity of the fear-inducing stimulus during processes such as counterconditioning. Both of these methods of controlled exposure must be performed carefully if flooding is to be avoided. Flooding involves sustained exposure to a fearful stimulus, at a level that elicits fear, until the animal ceases to respond to it. In flooding, responding ceases when the animal becomes physically and psychologically fatigued, which has been shown to intensify emotional responses, potentially leading to phobia and panic. Flooding is no longer a method used in veterinary behavioural therapy. For further information on practical aspects of behavioural therapy for fear problems see the problem-specific information linked below.
3) Psychoactive medication may be necessary to reduce anxiety or fear to manageable levels. For cats that show high levels of fear or anxiety, changes to the environment may not be effective as the cat is unable to experience them (it remains hidden or is so inhibited that it does not explore its environment). For some cats, the range of fearful stimuli is very broad or the stimuli are unidentifiable or unavoidable. In these cases, and for the animal's welfare, psychoactive medication is sometimes prescribed to facilitate adaptation to the environment and response to behavioural therapy.
4) The owner's reaction may need to be modified. Owners may unintentionally add to the cat's distress by mishandling it, often by trying to restrain the cat so that it does not escape. This is commonplace when the fear is of unfamiliar people or animals; owners will often hold a cat whilst allowing a visitor to pet it. Cats will appear to tolerate this, because their secondary species defence reaction is to freeze. However, the cat remains intensely fearful, and may attempt to attack the person restraining it, in order to escape. Owners are often surprised that cats handled in this way become less, rather than more, tolerant of visitors. Owner reinforcement of fear and anxiety should also be avoided, but this is a less common problem. However, some owners will use punishment to control a cat's behaviour; scolding a cat for eliminating in an inappropriate location, for example. This merely increases stress for the cat and increases the likelihood that it will become secretive, avoidant and mistrustful of its owners.


Also see:

Feline Fear of Other Species Except Humans
Feline Fear of People
Feline Fear of Inanimate Stimuli
Feline Attachment Problems



The creation of this content was made possible by Ceva Santé Animale as part of the feline behaviour project. Ceva logo.jpg


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