Anarte María Teresa, Carreira Mónica, Machado Alberto, Domínguez Marta, Tapia María José, Valdés Sergio, Ruiz de Adana María Soledad, Soriguer Federico
Department of Personality, Assessment and Psychological Treatment, University of Malaga, Malaga, Spain; Instituto de Investigación Biomédica de Malaga (IBIMA)/Biomedical Research Institute of Malaga (IBIMA), Malaga, Spain.
Scand J Psychol. 2014 Dec;55(6):554-7. doi: 10.1111/sjop.12158. Epub 2014 Sep 24.
Hypoglycemia is one of the main burdens for type I Diabetes Mellitus (DM I) patients. The consequences of hypoglycemia can be quite unpleasant due to the variety of disagreeable physical and psychological symptoms it triggers. The patient's previous experience with hypoglycemia episodes will condition his psychological reaction to future episodes, promoting behavioral modifications that associate with poor glycemic control and worse prognosis, and even with developing psychological disorders, leading to fear of hypoglycemia (FH). To be able to provide tailored prevention and treatment of patients with FH it is necessary to identify the risk factors in DM I patients. We developed and validated the FH-15 scale, a novel instrument to assess FH, which showed good concurrent and predictive validity in DM I patients. In this work we aim to identify the risk factors for suffering FH by detecting DM I patients with FH using the FH-15 scale and then analyzing the association of clinical and sociodemographic variables. We found that age, needing help to resolve an episode of hypoglycemia, and a perceived lack of social support are risk factors for suffering FH.
低血糖是1型糖尿病（DM I）患者的主要负担之一。由于低血糖引发的各种令人不适的身体和心理症状，其后果可能相当令人不快。患者既往的低血糖发作经历会影响其对未来发作的心理反应，促使行为发生改变，而这些改变与血糖控制不佳、预后较差相关，甚至会导致心理障碍，进而引发低血糖恐惧（FH）。为了能够为FH患者提供量身定制的预防和治疗方案，有必要识别DM I患者的风险因素。我们开发并验证了FH - 15量表，这是一种评估FH的新型工具，在DM I患者中显示出良好的同时效度和预测效度。在这项研究中，我们旨在通过使用FH - 15量表检测出患有FH的DM I患者，然后分析临床和社会人口统计学变量之间的关联，从而确定患FH的风险因素。我们发现，年龄、解决低血糖发作时需要他人帮助以及感觉缺乏社会支持是患FH的风险因素。
