Parental fear of hypoglycemia: young children treated with continuous subcutaneous insulin infusion

被引:96
作者
Patton, Susana R. [1 ]
Dolan, Lawrence M. [2 ,3 ]
Henry, Racquel [4 ]
Powers, Scott W. [3 ,4 ]
机构
[1] CS Mott Childrens Hosp, Div Child Behav Hlth, Dept Pediat & Communicable Dis, Ann Arbor, MI USA
[2] Cincinnati Childrens Hosp, Med Ctr, Div Endocrinol, Dept Pediat, Cincinnati, OH USA
[3] Univ Cincinnati, Coll Med, Dept Pediat, Cincinnati, OH USA
[4] Cincinnati Childrens Hosp, Div Behav Med & Clin Psychol, Dept Pediat, Med Ctr, Cincinnati, OH USA
关键词
assessment; children; hypoglycemia; insulin pump;
D O I
10.1111/j.1399-5448.2007.00242.x
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
Background: The objective of this study was to examine the association between parental fear of hypoglycemia and average daily blood glucose control of young children with type 1 diabetes receiving continuous subcutaneous insulin infusion (CSTI). We hypothesized that parental fear of hypoglycemia would correlate positively with children's average daily blood glucose control. Methods: Twenty-four families of children with type I diabetes who were receiving CSII were recruited from a pediatric hospital. Children had a mean age of 5.7 +/- 1.8 yr (range 2-8 yr) and were evenly split on gender. Parents completed a modified version of the Hypoglycemia Fear Survey Parents of Young Children (HFS-PYC), a measure designed to assess fear and avoidance behaviors associated with hypoglycemia. Blood glucose was assessed for the 2 wk following completion of the HFS-PYC using a standard home blood glucose meter. Results: Parents of young children obtained a mean total HFS-PYC score of 81 +/- 14.1 (possible range 26-130), suggesting a moderate level of fear. The HFS-PYC was found to be internally consistent and had good test-retest reliability. For parents of young children receiving CSII, fear of hypoglycemia correlated positively with children's mean daily blood glucose levels (r = 0.41, p = 0.05). Conclusions: Parents of young children with type I diabetes who are receiving CSII report significant fear of hypoglycemia. Parental fear of hypoglycemia may be a barrier to prevent optimal glycemic control.
引用
收藏
页码:362 / 368
页数:7
相关论文
共 14 条
  • [1] CLARKSON PM, 1998, SPORTS SCI EXCHANGE, V11, P1
  • [2] FEAR OF HYPOGLYCEMIA - QUANTIFICATION, VALIDATION, AND UTILIZATION
    COX, DJ
    IRVINE, A
    GONDERFREDERICK, L
    NOWACEK, G
    BUTTERFIELD, J
    [J]. DIABETES CARE, 1987, 10 (05) : 617 - 621
  • [4] Neurocognitive correlates of type 1 diabetes mellitus in childhood
    Desrocher, M
    Rovet, J
    [J]. CHILD NEUROPSYCHOLOGY, 2004, 10 (01) : 36 - 52
  • [5] A randomized, controlled study of insulin pump therapy in diabetic preschoolers
    DiMeglio, LA
    Pottorff, TM
    Boyd, SR
    France, L
    Fineberg, N
    Eugster, EA
    [J]. JOURNAL OF PEDIATRICS, 2004, 145 (03) : 380 - 384
  • [6] A randomized controlled trial of insulin pump therapy in young children with type 1 diabetes
    Fox, LA
    Wysocki, T
    Buckloh, LM
    Mauras, N
    Smith, SD
    [J]. DIABETES CARE, 2005, 28 (06) : 1277 - 1281
  • [7] MANAGEMENT OF DIABETES-MELLITUS IN CHILDREN YOUNGER THAN 5 YEARS OF AGE
    GOLDEN, MP
    RUSSELL, BP
    INGERSOLL, GM
    GRAY, DL
    HUMMER, KM
    [J]. AMERICAN JOURNAL OF DISEASES OF CHILDREN, 1985, 139 (05): : 448 - 452
  • [8] Irvine A., 1994, Handbook of psychology and diabetes: a guide to psychological measurement and diabetes research and practice, P133
  • [9] FEAR OF HYPOGLYCEMIA - RELATIONSHIP TO PHYSICAL AND PSYCHOLOGICAL SYMPTOMS IN PATIENTS WITH INSULIN-DEPENDENT DIABETES-MELLITUS
    IRVINE, AA
    COX, D
    GONDERFREDERICK, L
    [J]. HEALTH PSYCHOLOGY, 1992, 11 (02) : 135 - 138
  • [10] Jeha George S, 2005, Diabetes Technol Ther, V7, P876, DOI 10.1089/dia.2005.7.876