Beléndez Marina, Hernández-Mijares Antonio
Department of Communication & Social Psychology, University of Alicante, Spain.
Chronic Illn. 2009 Dec;5(4):250-6. doi: 10.1177/1742395309346464. Epub 2009 Nov 19.
The present study extends previous research by exploring the predictive value of beliefs about insulin therapy in fear of hypoglycaemia (FoH). Data were collected on 81 Spanish adults (aged 18-58 years) with type 1 diabetes. Participants completed a survey questionnaire containing the following measures: state-trait anxiety inventory, beliefs about medicines questionnaire (specific scale), a modified version of the FoH Survey (worry scale) and different questions about demographic and clinical information (duration of diabetes, daily shots of insulin, severe hypoglycaemic episodes, metabolic control). Regression analyses showed that history of severe hypoglycaemic episodes and concerns about insulin therapy had the most predictive influence on FoH. Treatment perceptions, particularly concerns about insulin, were related to reported FoH. However, FoH is a complex phenomenon and more research is needed in order to gain a better understanding of its predictors and correlates.
本研究通过探讨对胰岛素治疗的信念在低血糖恐惧（FoH）中的预测价值，扩展了先前的研究。收集了81名18至58岁的西班牙1型糖尿病成年患者的数据。参与者完成了一份调查问卷，其中包括以下测量指标：状态-特质焦虑量表、药物信念问卷（特定量表）、FoH调查的修订版（担忧量表）以及关于人口统计学和临床信息的不同问题（糖尿病病程、每日胰岛素注射次数、严重低血糖发作、代谢控制）。回归分析表明，严重低血糖发作史和对胰岛素治疗的担忧对FoH具有最大的预测影响。治疗认知，特别是对胰岛素的担忧，与报告的FoH相关。然而，FoH是一个复杂的现象，需要更多的研究以更好地理解其预测因素和相关因素。
