Beliefs about insulin as a predictor of fear of hypoglycaemia

Vázquez, Marina Beléndez; Hernández‐Mijares, Antonio

doi:10.1177/1742395309346464

Cited by 31 publications

(30 citation statements)

References 10 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…No gender differences were found on the beliefs of insulin necessity. A previous study which investigated the BMQ in adults with T1D (aged 18–58 years, mean age 30 years)40 found much lower scores than our study. Specifically, they reported mean scores of 2.5 (SD 0.8) for insulin concerns and 4.3 (SD 0.6) for insulin necessity.…”

Section: Discussioncontrasting

confidence: 99%

Psychological barriers to optimal insulin therapy: more concerns in adolescent females than males

Wisting

Bang

Skrivarhaug

et al. 2016

BMJ Open Diab Res Care

View full text Add to dashboard Cite

ObjectiveThe aim of this study is to investigate psychological barriers (illness perceptions, insulin beliefs, and coping strategies) to optimal insulin therapy among adolescents with type 1 diabetes (T1D), with a specific focus on gender differences and mode of treatment (insulin pump vs pen).MethodsA total of 105 males and females (12–20 years) participated in this study. The Brief Illness Perception Questionnaire, the Beliefs about Medicines Questionnaire, and the Adolescent Coping Orientation for Problem Experiences were completed. Additionally, diabetes clinical data were collected by the Norwegian Childhood Diabetes Registry.ResultsFemales had significantly more negative illness perceptions than males on all dimensions (p<0.05), with moderate-to-large effect sizes. Regarding insulin beliefs, females scored significantly higher than males on insulin concern (p<0.001), indicating more concerns about insulin. There were no significant gender differences on perceptions of insulin necessity. Finally, females scored significantly higher on the coping strategies being social and solving family problems (p<0.01), indicating more positive coping among females than males for these subscales. In terms of treatment mode, the only statistically significant difference in the psychological aspects was for the illness perception treatment control, with patients using insulin pen reporting more negative perceptions on this dimension than patients using insulin pump.ConclusionsAddressing psychological aspects may be a clinically important supplement to standard somatic T1D care. The consistent finding of gender differences across the psychological measures implies that a tailored treatment approach for males and females with T1D may be warranted.

show abstract

Section: Discussioncontrasting

confidence: 99%

Psychological barriers to optimal insulin therapy: more concerns in adolescent females than males

Wisting

Bang

Skrivarhaug

et al. 2016

BMJ Open Diab Res Care

View full text Add to dashboard Cite

show abstract

“…The repercussions of FH on both the evolution of the disease and the psychosocial status of DM I patients have been clearly shown in previous works. However, the risk factors for suffering such fear remain unclear (Andebro, Amsberg, Adamson et al ., ; Beléndez & Hernández‐Mijares, ). This study considered two main objectives with the aim of following up on those works: to find empirical evidence of the association between FH and some sociodemographic and clinical variables, and to identify the risk factors for FH in DM I patients.…”

Section: Discussionmentioning

confidence: 99%

Identification of risk factors for suffering fear of hypoglycemia in type 1 Diabetes Mellitus patients

Anarte

Carreira

Machado

et al. 2014

Scandinavian J Psychology

View full text Add to dashboard Cite

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.

show abstract

“…The collected data were analyzed in SPSS V. 24. The independent t-test and one-way ANOVA were used to study hypoglycemia fear based on demographic factors, and multiple linear regression for examining the effect of other factors.…”

Section: Methodsmentioning

confidence: 99%

Factors Affecting Hypoglycemia Fear in Patients With Type 2 Diabetes

Fallah

Talebi

Ghorbani

et al. 2019

J. Qazvin Univ. Med. Sci.

View full text Add to dashboard Cite

Background Diabetes mellitus has many complications; hypoglycemia is one of them that is associated with severe signs and symptoms such as anxiety, psychosocial problems, and poor metabolic control. Objective This study aimed to investigate the factors affecting hypoglycemia fear in patients with type 2 diabetes. Methods The present descriptive-analytic study was conducted on 360 patients with type 2 diabetes referred to Velayat Hospital in Qazvin City, Iran, in 2017. The eligible samples were recruited through a convenience sampling method. The data collection instruments were a demographic checklist and the Hypoglycemia Fear Survey-II scale. The collected data were analyzed using descriptive tests, t-test, oneway ANOVA, the Pearson correlation, and regression analysis. Findings The Mean±SD age of the patients was 58.5±14.3 years, and the majority of them were women (65.3%). The Mean±SD score of hypoglycemia fear was 22.07±8.6 which was significant in terms of gender (P=0.002), type of treatment (P<0.001), employment (P=0.05), and educational status (P=0.05). The results of single-variable regression showed that the type of treatment (P<0.001), long-term complications (P=0.002), and gender (P=0.002) were associated with hypoglycemia fear. Also, the results of simultaneous regression showed that the type of treatment was associated with hypoglycemia fear (P<0.001). Conclusion The results of this study showed that the type of treatment was the most effective factor in hypoglycemia fear. Using insulin to treat diabetes strongly affect the hypoglycemia fear; therefore, it is possible to reduce the hypoglycemia fear by appropriate patients' instructions on how to inject and monitor insulin.

show abstract

Beliefs about insulin as a predictor of fear of hypoglycaemia

Cited by 31 publications

References 10 publications

Psychological barriers to optimal insulin therapy: more concerns in adolescent females than males

Psychological barriers to optimal insulin therapy: more concerns in adolescent females than males

Identification of risk factors for suffering fear of hypoglycemia in type 1 Diabetes Mellitus patients

Factors Affecting Hypoglycemia Fear in Patients With Type 2 Diabetes

Contact Info

Product

Resources

About