A specific fear of clowns has sometimes been discussed in terms of a specific phobia. The term "" is a neologism coined in the context of informal ""-phobia" lists".

The term is not listed in the World Health Organisation's ICD-10 nor in the American Psychiatric Association's DSM-5 categorization of disorders.

In the "Space To Care" study aimed at improving hospital design for children, researchers from the University of Sheffield polled 250 children regarding their opinions on décor for a forthcoming hospital redesign; all 250 children, whose ages ranged between four and sixteen, reported that they disliked clowns as part of hospital décor. Many of them, including some older children, stated in the poll that they, in fact, actively feared clowns. In other studies playing with therapeutic clowns reduced anxiety in children and improved healing in children with respiratory illness.