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
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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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