Polonsky W H, Davis C L, Jacobson A M, Anderson B J
Psychosocial Unit, Joslin Diabetes Center, Boston, MA 02215.
Health Psychol. 1992;11(3):199-202. doi: 10.1037//0278-6133.11.3.199.
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 trait anxiety and fear was removed. Other significant associations with HFS-B scores were not observed.
(a) 更高水平的特质焦虑和总体恐惧，(b) 难以区分焦虑症状和低血糖症状，以及 (c) 过去的低血糖经历。我们对 Joslin 糖尿病中心的 232 名 I 型和 II 型糖尿病门诊患者进行了调查，这些患者均需要胰岛素治疗。I 型患者对低血糖的恐惧明显高于 II 型患者。对于 I 型和 II 型患者组，低血糖恐惧调查（HFS-W）担忧分量表得分越高，特质焦虑和恐惧水平越高。行为分量表（HFS-B）得分越高，恐惧水平越高。仅在 I 型受试者中，HFS-W 得分也与过去的低血糖经历以及难以区分焦虑和低血糖症状呈正相关。即使去除特质焦虑和恐惧导致的方差后，这些后一种关系仍然显著。未观察到与 HFS-B 得分的其他显著关联。
