Gonder-Frederick Linda, Nyer Maren, Shepard Jaclyn A, Vajda Karen, Clarke William
Department of Psychiatry & Neurobehavioral Sciences, University of Virginia, VA, USA.
Diabetes Manag (Lond). 2011;1(6):627-639. doi: 10.2217/DMT.11.60.
This article summarizes the literature on fear of hypoglycemia in pediatric Type 1 diabetes and the assessment of this fear in both children with Type 1 diabetes and their parents. The most common instrument for assessing fear of hypoglycemia in this population is the children's and parent's versions of the Hypoglycemia Fear Survey (HFS), although studies using other assessment measures are also reviewed. Studies using this survey have identified variables contributing to fear of hypoglycemia in children with Type 1 diabetes and their parents, such as history of frequent or traumatic hypoglycemia, as well as trait anxiety. In addition to this summary of the literature, new data are presented supporting the reliability of hypoglycemic fear assessment in younger children and comparing fear of hypoglycemia in children in different age groups (6-18 years old) and their parents. Also reviewed are studies investigating the relationship between fear of hypoglycemia and diabetes control, which have yielded inconsistent results. Given the potential importance of fear of hypoglycemia in pediatric diabetes, there has been limited research in this area.
本文总结了关于1型糖尿病患儿低血糖恐惧以及对1型糖尿病患儿及其父母的这种恐惧评估的文献。在这一人群中，评估低血糖恐惧最常用的工具是儿童版和家长版的低血糖恐惧调查问卷（HFS），不过也对使用其他评估方法的研究进行了综述。使用该调查问卷的研究已经确定了导致1型糖尿病患儿及其父母低血糖恐惧的变量，如频繁或严重低血糖病史以及特质焦虑。除了对文献的总结之外，还给出了新的数据，支持对年幼儿童低血糖恐惧评估的可靠性，并比较了不同年龄组（6 - 18岁）儿童及其父母的低血糖恐惧情况。还综述了研究低血糖恐惧与糖尿病控制之间关系的研究，这些研究结果并不一致。鉴于低血糖恐惧在儿童糖尿病中的潜在重要性，该领域的研究有限。
