Mittuniversitetet

miun.sePublikationer
Ändra sökning
RefereraExporteraLänk till posten
Permanent länk

Direktlänk
Referera
Referensformat
  • apa
  • ieee
  • modern-language-association-8th-edition
  • vancouver
  • Annat format
Fler format
Språk
  • de-DE
  • en-GB
  • en-US
  • fi-FI
  • nn-NO
  • nn-NB
  • sv-SE
  • Annat språk
Fler språk
Utmatningsformat
  • html
  • text
  • asciidoc
  • rtf
Fear of hypoglycemia: relationship to hypoglycemic risk and psychological factors
Stockholm Univ, Dept Psychol, S-10691 Stockholm, Sweden.
Univ Virginia, Dept Psychiat & Neurobehav Sci, Charlottesville, VA USA.
Karolinska Inst, Karolinska Univ Hosp, Dept Med, Huddinge, Sweden.
Karolinska Inst, Danderyd Hosp, Dept Clin Sci, Div Med, Stockholm, Sweden.
Visa övriga samt affilieringar
2015 (Engelska)Ingår i: Acta Diabetologica, ISSN 0940-5429, E-ISSN 1432-5233, Vol. 52, nr 3, s. 581-589Artikel i tidskrift (Refereegranskat) Published
Abstract [en]

The major aims of this study were to examine (1) the association between fear of hypoglycemia (FOH) in adults with type 1 diabetes with demographic, psychological (anxiety and depression), and disease-specific clinical factors (hypoglycemia history and unawareness, A(1c)), including severe hypoglycemia (SH), and (2) differences in patient subgroups categorized by level of FOH and risk of SH. Questionnaires were mailed to 764 patients with type 1 diabetes including the Swedish translation of the Hypoglycemia Fear Survey (HFS) and other psychological measures including the Perceived Stress Scale, Hospital Anxiety and Depression Scale, Anxiety Sensitivity Index, Social Phobia Scale, and Fear of Complications Scale. A questionnaire to assess hypoglycemia history was also included and A(1c) measures were obtained from medical records. Statistical analyses included univariate approaches, multiple stepwise linear regressions, Chi-square t tests, and ANOVAs. Regressions showed that several clinical factors (SH history, frequency of nocturnal hypoglycemia, self-monitoring) were significantly associated with FOH but R (2) increased from 16.25 to 39.2 % when anxiety measures were added to the model. When patients were categorized by level of FOH (low, high) and SH risk (low, high), subgroups showed significant differences in non-diabetes-related anxiety, hypoglycemia history, self-monitoring, and glycemic control. There is a strong link between FOH and non-diabetes-related anxiety, as well as hypoglycemia history. Comparison of patient subgroups categorized according to level of FOH and SH risk demonstrated the complexity of FOH and identified important differences in psychological and clinical variables, which have implications for clinical interventions.

Ort, förlag, år, upplaga, sidor
2015. Vol. 52, nr 3, s. 581-589
Nyckelord [en]
Type 1 diabetes, Hypoglycemia, Fear of hypoglycemia, Severe hypoglycemia, Psychological factors
Nationell ämneskategori
Folkhälsovetenskap, global hälsa, socialmedicin och epidemiologi Endokrinologi och diabetes Psykologi
Identifikatorer
URN: urn:nbn:se:miun:diva-25642DOI: 10.1007/s00592-014-0694-8ISI: 000355233500018PubMedID: 25528005Scopus ID: 2-s2.0-84930084883OAI: oai:DiVA.org:miun-25642DiVA, id: diva2:849449
Tillgänglig från: 2015-08-28 Skapad: 2015-08-18 Senast uppdaterad: 2020-08-04Bibliografiskt granskad

Open Access i DiVA

fulltext(380 kB)1082 nedladdningar
Filinformation
Filnamn FULLTEXT01.pdfFilstorlek 380 kBChecksumma SHA-512
8871314134039b96da97624c54f09a93efefa7c96d6f9edb331489bb27fc77f05b63fda52a84d6583d23395e60e0aa63a188cc42f90972f155c8ef00802de13b
Typ fulltextMimetyp application/pdf

Övriga länkar

Förlagets fulltextPubMedScopus

Person

Lisspers, Jan

Sök vidare i DiVA

Av författaren/redaktören
Lisspers, Jan
Av organisationen
Avdelningen för psykologi
I samma tidskrift
Acta Diabetologica
Folkhälsovetenskap, global hälsa, socialmedicin och epidemiologiEndokrinologi och diabetesPsykologi

Sök vidare utanför DiVA

GoogleGoogle Scholar
Totalt: 1082 nedladdningar
Antalet nedladdningar är summan av nedladdningar för alla fulltexter. Det kan inkludera t.ex tidigare versioner som nu inte längre är tillgängliga.

doi
pubmed
urn-nbn

Altmetricpoäng

doi
pubmed
urn-nbn
Totalt: 1098 träffar
RefereraExporteraLänk till posten
Permanent länk

Direktlänk
Referera
Referensformat
  • apa
  • ieee
  • modern-language-association-8th-edition
  • vancouver
  • Annat format
Fler format
Språk
  • de-DE
  • en-GB
  • en-US
  • fi-FI
  • nn-NO
  • nn-NB
  • sv-SE
  • Annat språk
Fler språk
Utmatningsformat
  • html
  • text
  • asciidoc
  • rtf