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Fear of Hypoglycemia: Quantification, Validation, and Utilization
Abstract
Hypoglycemia can lead to various aversive symptomatic, affective, cognitive, physiological, and social consequences, which in turn can lead to the development of possible phobic avoidance behaviors associated with hypoglycemia. On the other hand, some patients may inappropriately deny or disregard warning signs of hypoglycemia. This study presents preliminary reliability and validity data on a psychometric instrument designed to quantify this fear: the hypoglycemic fear survey. The instrument was found to have internal consistency and test-retest stability, to covary with elevated glycosylated hemoglobin, and to be sensitive to a behavioral treatment program designed to increase awareness of hypoglycemia.
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“Common diabetes-specific concerns include fears related to hyperglycemia (63,64), not meeting blood glucose targets (61), and insulin injections or infusion (65).”
From Psychosocial care for people with diabetes: a position statement of the American Diabetes Association (2016) · cites this paper as [63]
In the citing paper
“A common diabetes-specific concern is fears related to hypoglycemia (375,376), which may explain avoidance of behaviors associated with lowering glucose, such as increasing insulin doses or frequency of monitoring.”
From 5. Facilitating Positive Health Behaviors and Well-being to Improve Health Outcomes:Standards of Care in Diabetes—2023 (2023) · cites this paper as [375]
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Metadata
- Authors
- Cox, D. J., Irvine, A., Gonder-Frederick, L., Nowacek, G., & Butterfield, J.
- Affiliations
- University of Cambridge (GB)
- Venue
- Diabetes Care
- Publisher
- American Diabetes Association
- Published
- 1987-09-01
- Volume
- 10
- Issue
- 5
- Pages
- 617-621
- ISSN
- 0149-5992 (ISSN-L)
- 1935-5548
- OpenAlex
- W1983664900
- Cited by
- 579
- References
- 10
- Citations by year
- 2026: 15 · 2025: 20 · 2024: 31 · 2023: 42 · 2022: 32 · 2021: 20 · 2020: 41 · 2019: 22 · 2018: 21 · 2017: 32 · 2016: 22 · 2015: 22 · 2014: 28 · 2013: 22 · 2012: 16
- FWCI
- 2.40
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Diabetes Care (publishedVersion)
- PubMed (publishedVersion)
- Funders
- National Institutes of Health (AM282880, AM24177)
- National Center for Research Resources (M01RR000847, M01-RR 00847)
- Topics
- Health Sciences › Medicine › Endocrinology, Diabetes and Metabolism › Diabetes Management and Education
- Health Sciences › Medicine › Endocrinology, Diabetes and Metabolism › Diabetes Management and Research
- Social Sciences › Psychology › Experimental and Cognitive Psychology › Anxiety, Depression, Psychometrics, Treatment, Cognitive Processes
- Keywords
- hypoglycemia, fear of hypoglycemia, psychometric validation, internal consistency, test-retest reliability, HbA1c, hypoglycemia awareness, diabetes mellitus
- MeSH terms
- Adolescent, Adult, Aged, Denial, Psychological, Diabetes Mellitus, Type 1, Fear, Humans, Hypoglycemia, Middle Aged, Surveys and Questionnaires
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