Personal prerequisites for fear of hypoglycemia in patients with type 1 diabetes mellitus
Abstract
The presence of type 1 diabetes mellitus (T1DM) and a history of acute hypoglycemia is often accompanied by the emergence of a fear of a corresponding condition in the future, in parallel leading to a bias in self-control of eating behavior in favor of sometimes excessive intake of carbohydrate-containing foods, which leads to distant, but poorly understood at the moment adverse consequences. It is assumed that inadequacy in assessing the prospects for deterioration in health can be determined by a complex of personal characteristics that maladaptively enhance such a phenomenon.
The purpose of the article is to clarify the role of psychological qualities in the formation of fear of hypoglycemia.
Research methods: Spielberger – Khanin scale for assessing the level of personal and situational anxiety, five-factor personality questionnaire (version 5FPQ Heijiro Tsuji adapted by A. B. Khromov, "Type of attitude towards illness" (TOBOL) technique, subjective control level questionnaire (USC), technique Hypoglycemia Fear Scale (HFS-II).
Results: high values of fear of hypoglycemia are observed with increased indicators of extraversion, affection, self-control, expressiveness and neuroticism. This is also facilitated by hypochondriacal and anxious types of attitudes towards whiteness. A tendency towards isolation, focus on one’s interests, individualism, independence, low emotionality and reduced empathy are characteristic of lower values of fear of hypoglycemia. Preventive forms of behavior are more typical for patients with a realistic assessment of events.
About the Authors
A. P. Bizyuk
1 Pavlov First Saint Petersburg State Medical University
Russian Federation
Russian Federation
L'va Tolstogo str. 6-8, Saint Petersburg, 197022, Phone: +7 (812) 338-66-00
L. T. Konovalik
1 Pavlov First Saint Petersburg State Medical University
Russian Federation
Russian Federation
L'va Tolstogo str. 6-8, Saint Petersburg, 197022, Phone: +7 (812) 338-66-00
References
1. Maslova O.V., Suntsov Yu.I. Epidemiologiya sakharnogo diabeta i mikro-sosudistykh oslozhnenii. Sakharnyi diabet, 2011, vol. 14, no. 3, pp. 6–11. (In Russ.). doi: 10.14341/2072-0351-6216
2. Yarmolinskaya M.I., Andreeva N.Yu., Abashova E.I., Misharina E.V. Eksperimental'nye modeli sakharnogo diabeta 1-go tipa. Zhurnal akusherstva i zhenskikh boleznei, 2019, vol. 68, no. 2, pp. 109–118. (In Russ.). doi: 10.17816/JOWD682109-118
3. Dedov I.I., Shestakova M.V., Maiorov A.Yu., Shamkhalova M.Sh., Nikonova T.V., Sukhareva O.Yu., et al. Klinicheskie rekomendatsii. Sakharnyi diabet 1 tipa u vzroslykh. Sakharnyi diabet, 2020, vol. 23, no. 1S, pp. 42–114. (In Russ.). doi: 10.14341/DM20201S
4. Shishkova Yu.A., Motovilin O.G., Surkova E.V., Maiorov A.Yu. Glikemicheskii kontrol', kachestvo zhizni i psikhologicheskie kharakteristiki bol'nykh sakharnym diabetom 1 tipa. Sakharnyi diabet, 2013, vol. 16, no. 4, pp. 58–65. (In Russ.). doi: 10.14341/DM2013458-65
5. Anorboev Zh.A., Umirov Sh.T., Salaidinov O.R., Togaeva G.S. Sakharnyi diabet: epidemiya stoletiya. Science and Education, 2023, vol. 4, no. 5, pp. 555–564. (In Russ.). Available at: https://openscience.uz/index.php/sciedu/article/view/5756 (accessed 13 May 2024).
6. Wild D., von Maltzahn R., Brohan E., Christensen T., Clauson P., Gonder-Frederick L. A critical review of the literature on fear of hypoglycemia in diabetes: Implications for diabetes management and patient education. Patient Education and Counseling, 2007, vol. 68, no. 1, pp. 10–15. doi: 10.1016/J.PEC.2007.05.003
7. Cox D.J., Irvine A., Gonder-Frederick L., Nowacek G., and Butterfield J. Fear of hypoglycemia: quantification, validation, and utilization. Diabetes Care, 1987, vol. 10, no. 5, pp. 617–621. doi: 10.2337/diacare.10.5.617
8. Surwit R.S., Scovern A.W., Feinglos M.N. The role of behavior in diabetes care. Diabetes Care, 1982, vol. 5, no. 3, pp. 337–342. doi: 10.2337/diacare.5.3.337
9. Emral R., Pathan F., Cortés C.A.Y., El-Hefnawy M.H., Goh S.-Y., Gómez A.M., et. al. Self-reported hypoglycemia in insulin-treated patients with diabetes: Results from an international survey on 7289 patients from nine countries. Diabetes Research and Clinical Practice, 2017, vol. 134, pp. 17–28. doi: 10.1016/j.diabres.2017.07.031
10. Przezak A., Bielka W., Molęda P. Fear of hypoglycemia – an underestimated problem. Brain Behav, 2022, vol. 12, no. 7, p. e2623. doi: 10.1002/brb3.2633
11. Hendrieckx C., Halliday J.A., Beeney L.J., Speight J. Diabetes and emotional health: a practical guide for health professionals supporting adults with type 1 or type 2 diabetes. 2nd edition. Canberra: National Diabetes Services Scheme, 2020. Available at: https://www.ndss.com.au/wp-content/uploads/resources/diabetes-emotional-healthhandbook.pdf (accessed 13 May 2024).
12. Kalra S., Jena B.N., Yeravdekar R. Emotional and psychological needs of people with diabetes. Indian Journal of Endocrinology and Metabolism, 2018, vol. 22, no. 5, pp. 696–704. doi: 10.4103/ijem.IJEM_579_17
13. Smirnova O. M. Perspektivy lecheniya i profilaktiki sakharnogo diabeta 1 tipa. Sakharnyi diabet, 2000, vol. 3, no. 2, pp. 13–16. (In Russ.).
14. Starostina E.G., Antsiferov M.B., Galstyan G.R., Dedov I.I. Effektivnost' programmy intensivnogo lecheniya i obucheniya bol'nykh sakharnym diabetom 1 tipa. Problemy Endokrinologii – Problems of Endocrinology, 1994, vol. 40, no. 3, pp. 15–19. (In Russ.). doi: 10.14341/probl12004
15. Ibragimova L.I., Filippov Yu.I., Maiorov A.Yu. Effektivnost' obucheniya i kachestvo zhizni u bol'nykh sakharnym diabetom one tipa Na pompovoi insulinoterapii. Sakharnyi diabet, 2012, vol. 15, no. 1, pp. 35–40. (In Russ.). doi: 10.14341/2072-0351-5977
16. Il'ina E.I. Otsenka effektivnosti obucheniya v shkole diabeta detei i podrostkov s sakharnym diabetom 1 tipa. Smolenskii meditsinskii al’manakh, 2021, no. 1, pp. 137–139. (In Russ.).
17. Isachenkova O.A., Rol' stressa v patogeneze sakharnogo diabeta i ego oslozhnenii, vozmozhnye mekhanizmy razvitiya i metody korrektsii. Meditsinskii al'manakh, 2008, no. 4, pp. 178–181. (In Russ.).
18. Sharma K., Akre Sc., Chakole Sw., Wanjari M.B. Stress-induced diabetes: a review. Cureus, 2022, vol. 14, no. 9, p. e29142. doi: 10.7759/cureus.29142
19. Khieva E.V., Suplotova L.A., Raeva T.V. Puti povysheniya effektivnosti obucheniya patsientov s sakharnym diabetom 2 tipa v usloviyakh povsednevnoi praktiki vrachaendokrinologa. Ural'skii meditsinskii zhurnal, 2019, no. 14, pp. 44–47. (In Russ.).
20. Prodovikova A.G., Imaykina L.R. The relationship between personality traits and compliance in patients with diabetes mellitus. Psikhologicheskie issledovaniya – Psychological Studies, 2023, vol. 16, no. 87, pp. 4. (In Russ.). doi: 10.54359/ps.v16i87.1350
21. Yakunina E.O. Vliyanie emotsii na zabolevanie sakharnyi diabet 1-go tipa. Vestnik nauki, 2021, vol. 3, no. 5, pp. 30–34. (In Russ.).
22. Uchida T., Ueno H., Konagata A., Nakamura T., Taniguchi N., Nabekura H., et al. Association between personality traits and glycemic control after inpatient diabetes education. Metabolism Open, 2023, vol. 18, p. 100244. doi: 10.1016/j.metop.2023.100244
23. Gordon D., Fisher S.G., Wilson M., Fergus E., Paterson K.R., Semple C.G. Psychological factors and their relationship to diabetes control. Diabetic Medicine, 1993, vol. 10, no. 6, pp. 530–534. doi: 10.1111/j.1464-5491.1993.tb00115.x
24. Sidorov P.I., Solovyov A.G., Novikova I.A. Social and psychological aspects of life quality of diabetics. Problemy endokrinologii – Problems of Endocrinology, 2002, vol. 48, no. 1, pp. 9–13. (In Russ.). doi: 10.14341/probl11417
25. Nikolaeva A.A., Khabarova T.Yu. Osobennosti sotsial'noi adaptatsii detei, zabolevshikh sakharnym diabetom. Tsentral'nyi nauchnyi vestnik. (In Russ.). Available at: http://cscb.su/n/010201/010205.htm (accessed 13 May 2024).
26. Safronov D.A., Sur'yaninova T.I., Fetisova A.S. Osobennosti psikhologicheskoi adaptatsii detei, bol'nykh sakharnym diabetom. Mezhdunarodnyi zhurnal prikladnykh i fundamental'nykh issledovanii, 2020. no. 1, pp. 52–57. (In Russ.). Available at: https://applied-research.ru/ru/article/view?id=12996 (accessed 13 May 2024).
27. Gonder-Frederick L.A., Fisher C.D., Ritterband L.M., Cox D.J., Hou L., DasGupta A.A., Clarke W.L. Predictors of fear of hypoglycemia in adolescents with type 1 diabetes and their parents. Pediatric Diabetes, 2006, vol. 7, no. 4, pp. 215–222. doi: 10.1111/j.1399-5448.2006.00182.x
28. Shiu A.T., Wong R.Y. Fear of hypoglycaemia among insulin-treated Hong Kong Chinese patients: implications for diabetes patient education. Patient Educ Couns, 2000, vol. 41, no. 3, pp. 251–261. doi: 10.1016/s0738-3991(99)00084-1
29. Martyn-Nemeth P., Farabi S.S., Mihailescu D., Nemeth J., Quinn L. Fear of hypoglycemia in adults with type 1 diabetes: impact of therapeutic advances and strategies for prevention – a review. Journal of Diabetes and Its Complications, 2016, vol. 30, no. 1, pp. 167– 177. doi: 10.1016/j.jdiacomp.2015.09.003
30. Chuvakov G.I. Features of cognitive processes in children with diabetes. Problemy Endokrinologii – Problems of Endocrinology. 1999, vol. 45, no. 2, pp. 3–6. (In Russ.). doi: 10.14341/probl11726
31. Neuropsychological profiles of children with type 1 diabetes 6 years after disease onset / E.A. Northam, P.J. Anderson, R. Jacobs [et al.] // Diabetes Care. – 2001. – Vol. 24, no. 9. – P. 1541–1546. doi: 10.2337/diacare.24.9.1541
32. Neuropsychological profiles of young people with type 1 diabetes 12 yr after disease onset / A. Lin, E.A. Northam, D. Rankins [et al.] // Pediatric Diabetes. – 2010. – Vol. 11, no. 4. – P. 235–43. doi: 10.1111/j.1399-5448.2009.00588.x
33. Type 1 diabetes-associated cognitive decline: a meta-analysis and update of the current literature / C. Tonoli, E. Heyman, B. Roelands [et al.] // J Diabetes. – 2014. – Vol. 6. – P. 499–513. doi: 10.1111/1753-0407.12193
34. Loskutova E.A. Psychosomatic aspect of anxiety in individuals with diabetes. Vestnik Mariiskogo gosudarstvennogo universiteta – Vestnik of the Mari State University, 2018, vol. 12, no. 2, pp. 92–99. (In Russ.). doi: 10.30914/2072-6783-2018-12-2-92-99
35. Khusnullina E.V. Faktory, vliyayushchie na komplaentnost' podrostkov, poluchayushchikh lechenie po povodu sakharnogo diabeta. Innovatsionnye tekhnologii v endokrinologii. Sbornik tezisov IV (XXVII) Natsional'nogo kongressa endokrinologov s mezhdunarodnym uchastiem (Moskva, 22–25 sentyabrya 2021 goda) [Innovative Technologies in Endocrinology. Collection of abstracts of the IV (XXVII} National Congress of Endocrinologists]. Moscow, Pechatnykh Del Master Publ., 2021, p. 393. (In Russ.).
36. Lane J.D., McCaskill C.C., Williams P.G., Parekh P.I., Feinglos M.N., Surwit R.S. Personality correlates of glycemic control in type 2 diabetes. Diabetes care, 2000, vol. 23, no. 9, pp. 1321–1325. doi: 10.2337/diacare.23.9.1321
37. Lane J.D., Stabler B., Ross S.L., Morris M.A., Litton J.C., Surwit R.S. Psychological predictors of glucose control in patients with IDDM. Diabetes Care, 1988, vol. 11, no. 10, pp. 798–800. doi: 10.2337/diacare.11.10.798
38. Friedman S., Vila G., Timsit J., Boitard C., Mouren-Simeoni M.C. Anxiety and depressive disorders in an adult insulin-dependent diabetic mellitus (IDDM) population: relationships with glycaemic control and somatic complications, European Psychiatry, 1998, vol. 13, no. 6, pp. 295–302. doi:10.1016/s0924-9338(98)80047-3
39. Rouland A., Chauvet-Gelinier J-C., Sberna A-L., Crevisy E., Buffier P., Mouillot T., et al. Personality types in individuals with type 1 and type 2 diabetes. Endocr Connect, 2020, vol. 9, no. 3, pp. 254–260. doi: 10.1530/EC-19-0499
40. Kalra S., Jena B.N., Yeravdekar R. Emotional and psychological needs of people with diabetes. Indian Journal of Endocrinology and Metabolism, 2018, vol. 22, no. 5, pp. 696–704. doi: 10.4103/ijem.IJEM_579_17
41. Lustman P.J., Anderson R.J., Freedland K.E., de Groot M., Carney R.M., Clouse R.E. Depression and poor glycemic control: a meta-analytic review of the literature. Diabetes Care, 2000, vol. 23, no. 7, pp. 934–942. doi: 10.2337/diacare.23.7.934
42. Schram M.T., Baan C.A., Pouwer F. Depression and quality of life in patients with diabetes: a systematic review from the European depression in diabetes (EDID) research consortium. Current Diabetes Reviews, 2009, vol. 5, no. 2, pp. 112–119. doi: 10.2174/157339909788166828
43. Valieva D.A. Psikhoemotsional'nye osobennosti patsientov s sakharnym diabetom. Vestnik sovremennoi klinicheskoi meditsiny, 2014, vol. 7, no. 1, pp. 69–77. (In Russ.).
44. Esmaeilinasab M., Ebrahimi M., Mokarrar M.H., Rahmati L., Mahjouri M.Y., Arzaghi S.M. Type II diabetes and personality; a study to explore other psychosomatic aspects of diabetes. Journal of Diabetes and Metabolic Disorders, 2016, vol. 15, p. 54. doi: 10.1186/s40200-016-0281-3
45. Trofimova G.I., Gorshkov I.P., Volynkina A.P. Psikhologicheskie osobennosti bol'nykh sakharnym diabetom. Prikladnye informatsionnye aspekty meditsiny, 2014, vol. 17, no. 1, pp. 188–192. (In Russ.). doi: 10.18499/2070-9277-2014-17-1-188-192
46. Hepburn D.A., Langan S.J., Deary I.J., Macleod K.M., Frier B.M. Psychological and demographic correlates of glycaemic control in adult patients with type 1 diabetes. Diabetic Medicine, 1994, vol. 11, no. 6, pp. 578–582. doi: 10.1111/j.1464-5491.1994.tb02039.x
47. Vellanki P., Umpierrez G.E. Iatrogenic hypoglycemia and quality of life in patients with type 2 diabetes mellitus. Rev Clin Esp (Barc), 2014, vol. 215, no. 2, pp. 104–106. doi: 10.1016/j.rce.2014.11.017
48. Motovilin O.G., Shishkova Yu.A., Surkova E.V. Strategii sovladaniya (kopingstrategii) u bol'nykh sakharnym diabetom 1 i 2 tipa na insulinoterapii: svyaz' s emotsional'nym blagopoluchiem i urovnem glikemicheskogo kontrolya. Sakharnyi diabet, 2015, vol. 18, no. 4, pp. 41–47. (In Russ.). doi: 10.14341/DM7550
49. Orlova M.M. The analysis of adaptive mechanisms at different stages of diabetes. Sibirskii psikhologicheskii zhurnal – Siberian Journal of Psychology, 2011, no. 41, pp. 94–104. (In Russ.).
50. Chernaya M.E., Volkova A.R. Fear of hypoglycemia – the barrier to control of type 1 diabetes mellitus. Endokrinologiya: novosti, mneniya, obuchenie – Endocrinology: News, Opinions, Training, 2022, vol. 11, no. 1, pp. 33–38. (In Russ.). doi: 10.33029/2304-9529-2022-11-1-33-38
51. Mel'nikova O.G., Maiorov A.Yu. Klinicheskie i psikhologicheskie aspekty gipoglikemii pri sakharnom diabete. Sakharnyi diabet, 2010, vol. 13, no. 3, pp. 46–50. (In Russ.). doi: 10.14341/2072-0351-5487
52. Patrakeeva E.M., Dunicheva M.N., Zalevskaya A.G. Strakh gipoglikemii u patsientov s sakharnym diabetom 1 tipa. Sakharnyi diabet, 2014, vol. 17, no. 2, pp. 66–75. (In Russ.). doi: 10.14341/DM2014266-75
53. Klimontov V. V. Narushenie raspoznavaniya gipoglikemii pri sakharnom diabete: epidemiologiya, mekhanizmy razvitiya, terapevticheskie podkhody. Sakharnyi diabet, 2018, vol. 21, no. 6, pp. 513–523. (In Russ.). doi: 10.14341/DM9597
54. Khromov A.B. Pyatifaktornyi lichnostnyi oprosnik: test 5FPQ. Metodicheskie ukazaniya [Five-factor personality questionnaire: the 5FPQ test. Methodological guidelines]. Kurgan: Kurganskii gos. universitet Publ., 2010. 50 p. (In Russ.).
55. Bazhin E.F., Golynkina E.A., Etkind A.M. Oprosnik urovnya sub"ektivnogo kontrolya (USK) [The questionnaire of the level of subjective control (USC)]. Moscow, Smysl Publ., 1993. 16 p.
56. Gonder-Frederick L.A., Schmidt K.M., Vajda K.A., Greear M.L., Singh H., Shepard J.A., Cox D.J. Psychometric properties of the hypoglycemia fear survey-II for adults with type 1 diabetes. Diabetes Care, 2011, vol. 34, no. 4, pp. 801–806. doi: 10.2337/dc10-1343
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Bizyuk A.P., Konovalik L.T. Personal prerequisites for fear of hypoglycemia in patients with type 1 diabetes mellitus. Medical Psychology in Russia. 2023;15(3):13-27. (In Russ.)
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