Irvine A A, Cox D, Gonder-Frederick L
Department of Behavioral Medicine and Psychiatry, University of Virginia Health Sciences Center.
Health Psychol. 1992;11(2):135-8. doi: 10.1037//0278-6133.11.2.135.
Among diabetic patients, experience with hypoglycemia ranges from the unpleasant to the life threatening. The aversiveness of these episodes often results in fear. To examine the impact of hypoglycemia on fear, 69 patients with insulin-dependent diabetes mellitus completed the Behavior and Worry subscales of the Hypoglycemia Fear Survey along with measures of psychological symptoms, perceived stress, risk of future hypoglycemic episodes, and glycosylated hemoglobin. Behavior and Worry scores were positively related to psychological symptoms, perceived stress, and previous experiences with hypoglycemia. Fear was unrelated to glycosylated hemoglobin but was significantly higher for patients who had greater variability and lower mean daily blood glucose.
在糖尿病患者中，低血糖经历的范围从不适到危及生命。这些发作的厌恶性常常导致恐惧。为了研究低血糖对恐惧的影响，69名胰岛素依赖型糖尿病患者完成了低血糖恐惧调查的行为和担忧分量表，同时还进行了心理症状、感知压力、未来低血糖发作风险和糖化血红蛋白的测量。行为和担忧得分与心理症状、感知压力以及既往低血糖经历呈正相关。恐惧与糖化血红蛋白无关，但对于血糖变异性更大且每日平均血糖更低的患者，恐惧程度显著更高。
