Diabetes Care, Vol 10, Issue 5 617-621, Copyright © 1987 by American Diabetes Association

ARTICLES

Fear of hypoglycemia: quantification, validation, and utilization

DJ Cox, A Irvine, L Gonder-Frederick, G Nowacek and J Butterfield
University of Virginia Medical Center, Charlottesville 22901.

Hypoglycemia can lead to various aversive symptomatic, affective, cognitive, physiological, and social consequences, which in turn can lead to the development of possible phobic avoidance behaviors associated with hypoglycemia. On the other hand, some patients may inappropriately deny or disregard warning signs of hypoglycemia. This study presents preliminary reliability and validity data on a psychometric instrument designed to quantify this fear: the hypoglycemic fear survey. The instrument was found to have internal consistency and test-retest stability, to covary with elevated glycosylated hemoglobin, and to be sensitive to a behavioral treatment program designed to increase awareness of hypoglycemia.
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