The structural relation between disgust sensitivity and blood–injection–injury fears: A cross-cultural comparison of US and Dutch data

A growing body of literature has implicated the role of disgust sensitivity in blood–injection–injury (BII) phobia. The present study sought to extend this line of research by investigating the structural relation between Rozin et al.'s [(2000). Disgust. In M. Lewis, J.M. Haviland (Eds.), Handbook of emotions. New York: Guilford Publications.] theoretical model of core and animal reminder disgust as they relate to BII fears in US ( N = 162 ) and Dutch ( N = 260 ) samples. Using confirmatory factor analysis (CFA), the hypothesized relation between the theoretical model of disgust and BII fears demonstrated good model fit in both samples. Consistent with previous findings on the differential relation between core and animal reminder disgust and BII fears [de Jong, P. J., & Merckelbach H. (1998). Blood–injection–injury phobia and fear of spiders: Domain specific individual differences in disgust sensitivity. Personality and Individual Differences, 24, 153–158], structural equation modeling (SEM) provided support for a domain specific relationship in both samples: animal reminder disgust was specifically related to the BII latent factor, whereas core disgust was not. The clinical and research implications regarding the relationships between disgust and BII fears across cultures are discussed.