Clarke W L, Gonder-Frederick A, Snyder A L, Cox D J
Department of Pediatrics, University of Virginia Health Sciences Center, Charlottesville 22908, USA.
J Pediatr Endocrinol Metab. 1998 Mar;11 Suppl 1:189-94. doi: 10.1515/jpem.1998.11.s1.189.
A modified version of the Hypoglycemia Fear Survey (HFS) was used to measure fear of hypoglycemia among mothers of 46 pre-adolescent children with IDDM. Glycosylated hemoglobin (HbA1) levels were measured, and episodes of severe hypoglycemia over the previous year were recorded. The relationships between the child's age, disease duration, HbA1, history of hypoglycemia, and maternal distress concerning hypoglycemia and HFS-P scores were explored. Maternal HFS-P scores were also compared to those of 78 IDDM adults. There was no relationship between children's age, disease duration, number of severe hypoglycemic episodes and maternal HFS-P scores. However, mothers whose children had passed out with hypoglycemia had higher HFS-P scores. Correlations between mothers' responses concerning their children's history of hypoglycemia and HFS-P scores suggested that their degree of distress associated with events which occurred when their child was asleep, or in a social situation was related to their total HFS-P, and Behavior and Worry subscores. Mothers demonstrated significantly greater fear than did adult patients themselves. The HFS-P may be an appropriate instrument for examining the psychological impact of differing treatment regimens on families of children with IDDM.
采用低血糖恐惧调查（HFS）的一个修改版本，来测量46名患有胰岛素依赖型糖尿病（IDDM）的青春期前儿童的母亲对低血糖的恐惧程度。测量糖化血红蛋白（HbA1）水平，并记录前一年严重低血糖发作的次数。探讨了儿童年龄、病程、HbA1、低血糖病史，以及母亲对低血糖的困扰与HFS-P评分之间的关系。还将母亲的HFS-P评分与78名成年IDDM患者的评分进行了比较。儿童年龄、病程、严重低血糖发作次数与母亲的HFS-P评分之间没有关系。然而，孩子曾因低血糖而昏厥的母亲的HFS-P评分更高。母亲对孩子低血糖病史的反应与HFS-P评分之间的相关性表明，她们与孩子在睡眠中或社交场合发生的事件相关的困扰程度，与她们的总HFS-P评分以及行为和担忧子评分有关。母亲表现出的恐惧明显大于成年患者自身。HFS-P可能是一种合适的工具，用于检验不同治疗方案对IDDM儿童家庭的心理影响。
