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LIBRIS Formathandbok  (Information om MARC21)
FältnamnIndikatorerMetadata
00005528naa a2200649 4500
001oai:DiVA.org:shh-1760
003SwePub
008141222s2014 | |||||||||||000 ||eng|
009oai:DiVA.org:miun-25642
009oai:prod.swepub.kib.ki.se:131326064
009oai:DiVA.org:su-118520
024a https://urn.kb.se/resolve?urn=urn:nbn:se:shh:diva-17602 URI
024a https://doi.org/10.1007/s00592-014-0694-82 DOI
024a https://urn.kb.se/resolve?urn=urn:nbn:se:miun:diva-256422 URI
024a http://kipublications.ki.se/Default.aspx?queryparsed=id:1313260642 URI
024a https://urn.kb.se/resolve?urn=urn:nbn:se:su:diva-1185202 URI
040 a (SwePub)shhd (SwePub)miund (SwePub)kid (SwePub)su
041 a engb eng
042 9 SwePub
072 7a ref2 swepub-contenttype
072 7a art2 swepub-publicationtype
100a Anderbro, Thereseu Stockholms universitet,Psykologiska institutionen,Karolinska Institutet, Sweden4 aut0 (Swepub:su)than0942
2451 0a Fear of hypoglycemia :b relationship to hypoglycemic risk and psychological factors
264 c 2014
264 1b Springer Science and Business Media LLC,c 2014
338 a print2 rdacarrier
520 a OBJECTIVE: The major aims of this study were to examine (1) the association between fear of hypoglycemia (FOH) in adults with type 1 diabetes with demographic, psychological (anxiety and depression), and disease-specific clinical factors (hypoglycemia history and unawareness, A1c), including severe hypoglycemia (SH), and (2) differences in patient subgroups categorized by level of FOH and risk of SH.RESEARCH DESIGN AND METHODS: Questionnaires were mailed to 764 patients with type 1 diabetes including the Swedish translation of the Hypoglycemia Fear Survey (HFS) and other psychological measures including the Perceived Stress Scale, Hospital Anxiety and Depression Scale, Anxiety Sensitivity Index, Social Phobia Scale, and Fear of Complications Scale. A questionnaire to assess hypoglycemia history was also included and A1c measures were obtained from medical records. Statistical analyses included univariate approaches, multiple stepwise linear regressions, Chi-square t tests, and ANOVAs.RESULTS: Regressions showed that several clinical factors (SH history, frequency of nocturnal hypoglycemia, self-monitoring) were significantly associated with FOH but R (2) increased from 16.25 to 39.2 % when anxiety measures were added to the model. When patients were categorized by level of FOH (low, high) and SH risk (low, high), subgroups showed significant differences in non-diabetes-related anxiety, hypoglycemia history, self-monitoring, and glycemic control.CONCLUSION: There is a strong link between FOH and non-diabetes-related anxiety, as well as hypoglycemia history. Comparison of patient subgroups categorized according to level of FOH and SH risk demonstrated the complexity of FOH and identified important differences in psychological and clinical variables, which have implications for clinical interventions.
650 7a MEDICIN OCH HÄLSOVETENSKAPx Hälsovetenskapx Folkhälsovetenskap, global hälsa, socialmedicin och epidemiologi0 (SwePub)303022 hsv//swe
650 7a MEDICAL AND HEALTH SCIENCESx Health Sciencesx Public Health, Global Health, Social Medicine and Epidemiology0 (SwePub)303022 hsv//eng
650 7a MEDICIN OCH HÄLSOVETENSKAPx Klinisk medicinx Endokrinologi och diabetes0 (SwePub)302052 hsv//swe
650 7a MEDICAL AND HEALTH SCIENCESx Clinical Medicinex Endocrinology and Diabetes0 (SwePub)302052 hsv//eng
650 7a SAMHÄLLSVETENSKAPx Psykologi0 (SwePub)5012 hsv//swe
650 7a SOCIAL SCIENCESx Psychology0 (SwePub)5012 hsv//eng
650 7a MEDICIN OCH HÄLSOVETENSKAPx Klinisk medicin0 (SwePub)3022 hsv//swe
650 7a MEDICAL AND HEALTH SCIENCESx Clinical Medicine0 (SwePub)3022 hsv//eng
653 a Type 1 diabetes
653 a Fear of hypoglycemia
653 a Psychometrics
653 a Behavior modification
653 a Cognitive behavior therapy
653 a Behavioral medicine
653 a Glycemic control
700a Gonder-Frederick, Lindau Univ Virginia, Dept Psychiat & Neurobehav Sci, Charlottesville, VA USA4 aut
700a Bolinder, Janu Karolinska Institutet4 aut
700a Lins, Per-Ericu Karolinska Institutet4 aut
700a Wredling, Reginau Sophiahemmet Högskola,Karolinska Inst, Danderyd Hosp, Dept Clin Sci, Div Med, Stockholm, Sweden4 aut0 (Swepub:shh)regina.wredling
700a Moberg, Eriku Karolinska Institutet4 aut
700a Lisspers, Janu Mittuniversitetet,Avdelningen för psykologi,Sophiahemmet Univ Coll, Stockholm, Sweden4 aut0 (Swepub:miun)janlis
700a Johansson, Unn-Brittu Karolinska Institutet,Sophiahemmet Högskola,Sophiahemmet Univ Coll, Stockholm, Sweden4 aut0 (Swepub:shh)unnbrittjo
710a Stockholms universitetb Psykologiska institutionen4 org
773t Acta Diabetologicad : Springer Science and Business Media LLCx 0940-5429x 1432-5233
856u https://miun.diva-portal.org/smash/get/diva2:849449/FULLTEXT01.pdfx primaryx Raw objecty fulltext:print
8564 8u https://urn.kb.se/resolve?urn=urn:nbn:se:shh:diva-1760
8564 8u https://doi.org/10.1007/s00592-014-0694-8
8564 8u https://urn.kb.se/resolve?urn=urn:nbn:se:miun:diva-25642
8564 8u http://kipublications.ki.se/Default.aspx?queryparsed=id:131326064
8564 8u https://urn.kb.se/resolve?urn=urn:nbn:se:su:diva-118520

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