CORRELATES OF HYPOGLYCEMIC FEAR IN TYPE-I AND TYPE-II DIABETES-MELLITUS

被引:81
作者
POLONSKY, WH [1 ]
DAVIS, CL [1 ]
JACOBSON, AM [1 ]
ANDERSON, BJ [1 ]
机构
[1] HARVARD UNIV,SCH MED,BOSTON,MA 02115
关键词
FEAR OF HYPOGLYCEMIA; DIABETES; ANXIETY; FREQUENCY OF HYPOGLYCEMIA;
D O I
10.1037/0278-6133.11.3.199
中图分类号
B849 [应用心理学];
学科分类号
040203 ;
摘要
We examined whether fear of hypoglycemia in insulin-dependent diabetes mellitus was associated with (a) higher levels of trait anxiety and general fearfulness, (b) difficulty in differentiating symptoms of anxiety and hypoglycemia, and (c) past experience with hypoglycemia. Joslin Diabetes Center outpatients with Type I and Type II diabetes (N = 232), all requiring insulin, were surveyed. Type I patients experienced significantly more fear of hypoglycemia than Type II patients. For the Type I and Type II groups, higher scores on the Worry subscale of the Hypoglycemia Fear Survey (HFS-W) were associated with higher levels of trait anxiety and fear. Higher scores on the Behavior subscale (HFS-B) were associated with higher levels of fear. Among Type I subjects only, HFS-W scores were also positively associated with past hypoglycemic experience and with difficulty in differentiating anxiety and hypoglycemic symptoms. These latter relations remained significant even after the variance resulting from trail anxiety and fear was removed. Other significant associations with HFS-B scores were not observed.
引用
收藏
页码:199 / 202
页数:4
相关论文
共 8 条
[1]   THE DEVELOPMENT OF A SHORT FORM OF THE MANIFEST ANXIETY SCALE [J].
BENDIG, AW .
JOURNAL OF CONSULTING PSYCHOLOGY, 1956, 20 (05) :384-384
[2]   FEAR OF HYPOGLYCEMIA - QUANTIFICATION, VALIDATION, AND UTILIZATION [J].
COX, DJ ;
IRVINE, A ;
GONDERFREDERICK, L ;
NOWACEK, G ;
BUTTERFIELD, J .
DIABETES CARE, 1987, 10 (05) :617-621
[3]   THE DEVELOPMENT OF A SCALE TO MEASURE FEAR [J].
GEER, JH .
BEHAVIOUR RESEARCH AND THERAPY, 1965, 3 (01) :45-53
[4]   MOOD CHANGES ASSOCIATED WITH BLOOD-GLUCOSE FLUCTUATIONS IN INSULIN-DEPENDENT DIABETES-MELLITUS [J].
GONDERFREDERICK, LA ;
COX, DJ ;
BOBBITT, SA ;
PENNEBAKER, JW .
HEALTH PSYCHOLOGY, 1989, 8 (01) :45-59
[5]   DIABETES AND BEHAVIOR - A PARADIGM FOR HEALTH PSYCHOLOGY [J].
SURWIT, RS ;
FEINGLOS, MN ;
SCOVERN, AW .
AMERICAN PSYCHOLOGIST, 1983, 38 (03) :255-262
[6]   A PERSONALITY SCALE OF MANIFEST ANXIETY [J].
TAYLOR, JA .
JOURNAL OF ABNORMAL AND SOCIAL PSYCHOLOGY, 1953, 48 (02) :285-290
[7]   EUGLYCEMIA - PSYCHOLOGICAL-STUDY [J].
WEINER, MF ;
SKIPPER, FP .
INTERNATIONAL JOURNAL OF PSYCHIATRY IN MEDICINE, 1979, 9 (3-4) :281-287
[8]  
[No title captured]