Fear of hypoglycemia in patients with type 2 diabetes: The role of interoceptive accuracy and prior episodes of hypoglycemia
- Publikationstyp:
- Zeitschriftenaufsatz
- Metadaten:
-
- Autoren
- Jennifer Grammes
- Manuela Schaefer
- Andrea Benecke
- Ulrike Loew
- Alena-Lynn Klostermann
- Thomas Kubiak
- Michael Witthoeft
- Autoren-URL
- https://www.webofscience.com/api/gateway?GWVersion=2&SrcApp=fis-test-1&SrcAuth=WosAPI&KeyUT=WOS:000423256000008&DestLinkType=FullRecord&DestApp=WOS_CPL
- DOI
- 10.1016/j.jpsychores.2017.12.010
- eISSN
- 1879-1360
- Externe Identifier
- Clarivate Analytics Document Solution ID: FT6HV
- PubMed Identifier: 29332635
- ISSN
- 0022-3999
- Zeitschrift
- JOURNAL OF PSYCHOSOMATIC RESEARCH
- Schlüsselwörter
- Fear of hypoglycemia
- Heartbeat perception
- Hypoglycemia Fear Survey
- Interoceptive accuracy
- Type 2 diabetes mellitus
- Paginierung
- 58 - 63
- Datum der Veröffentlichung
- 2018
- Status
- Published
- Titel
- Fear of hypoglycemia in patients with type 2 diabetes: The role of interoceptive accuracy and prior episodes of hypoglycemia
- Sub types
- Article
- Ausgabe der Zeitschrift
- 105
Datenquelle: Web of Science (Lite)
- Andere Metadatenquellen:
-
- Autoren
- Jennifer Grammes
- Manuela Schäfer
- Andrea Benecke
- Ulrike Löw
- Alena-Lynn Klostermann
- Thomas Kubiak
- Michael Witthöft
- DOI
- 10.1016/j.jpsychores.2017.12.010
- ISSN
- 0022-3999
- Zeitschrift
- Journal of Psychosomatic Research
- Sprache
- en
- Paginierung
- 58 - 63
- Datum der Veröffentlichung
- 2018
- Status
- Published
- Herausgeber
- Elsevier BV
- Herausgeber URL
- http://dx.doi.org/10.1016/j.jpsychores.2017.12.010
- Datum der Datenerfassung
- 2018
- Titel
- Fear of hypoglycemia in patients with type 2 diabetes: The role of interoceptive accuracy and prior episodes of hypoglycemia
- Ausgabe der Zeitschrift
- 105
Datenquelle: Crossref
- Abstract
- <h4>Objective</h4>Fear of hypoglycemia (FoH) is a limiting factor for diabetes self-management and can have detrimental effects on quality of life. However, relatively little is known about its underlying mechanisms. In line with findings on patients with anxiety disorders, we hypothesized that interoceptive accuracy (IA) might be positively linked to FoH in patients with type 2 diabetes (T2DM).<h4>Methods</h4>133 patients with T2DM were screened according to the extreme quartiles of the Hypoglycemia Fear Survey worry subscale (HFS-W). Overall, 66 participants (HFS-W<4; HFS-W>17) were included in the present study. Participants completed questionnaires on sociodemographic and diabetes-related measures. Accuracy of heartbeat perception was assessed using the mental tracking task.<h4>Results</h4>Contrary to expectations, IA did not differ significantly between patients with low and high FoH. A linear regression analysis demonstrated that the experience of mild hypoglycemia (β=0.32, p≤0.01) and its interaction with IA (β=-0.26, p=0.040) were significant predictors of FoH, indicating that low IA and a history of experiencing mild hypoglycemia are positively associated with FoH.<h4>Conclusion</h4>Our findings suggest a positive association of low IA in combination with prior episodes of hypoglycemia and FoH in patients with T2DM. The results are in line with recent findings on IA in patients with chronic somatic symptom distress more generally and contribute to our understanding of the relations between interoception, body related fears, and physical symptom perception.
- Addresses
- Health Psychology, Johannes Gutenberg University Mainz, Germany. Electronic address: jegramme@uni-mainz.de.
- Autoren
- Jennifer Grammes
- Manuela Schäfer
- Andrea Benecke
- Ulrike Löw
- Alena-Lynn Klostermann
- Thomas Kubiak
- Michael Witthöft
- DOI
- 10.1016/j.jpsychores.2017.12.010
- eISSN
- 1879-1360
- Externe Identifier
- PubMed Identifier: 29332635
- Open access
- false
- ISSN
- 0022-3999
- Zeitschrift
- Journal of psychosomatic research
- Schlüsselwörter
- Humans
- Diabetes Mellitus, Type 2
- Hypoglycemia
- Regression Analysis
- Anxiety
- Fear
- Quality of Life
- Adult
- Middle Aged
- Female
- Male
- Surveys and Questionnaires
- Self-Management
- Sprache
- eng
- Medium
- Print-Electronic
- Online publication date
- 2017
- Paginierung
- 58 - 63
- Datum der Veröffentlichung
- 2018
- Status
- Published
- Datum der Datenerfassung
- 2018
- Titel
- Fear of hypoglycemia in patients with type 2 diabetes: The role of interoceptive accuracy and prior episodes of hypoglycemia.
- Sub types
- Journal Article
- Ausgabe der Zeitschrift
- 105
Datenquelle: Europe PubMed Central
- Abstract
- OBJECTIVE: Fear of hypoglycemia (FoH) is a limiting factor for diabetes self-management and can have detrimental effects on quality of life. However, relatively little is known about its underlying mechanisms. In line with findings on patients with anxiety disorders, we hypothesized that interoceptive accuracy (IA) might be positively linked to FoH in patients with type 2 diabetes (T2DM). METHODS: 133 patients with T2DM were screened according to the extreme quartiles of the Hypoglycemia Fear Survey worry subscale (HFS-W). Overall, 66 participants (HFS-W<4; HFS-W>17) were included in the present study. Participants completed questionnaires on sociodemographic and diabetes-related measures. Accuracy of heartbeat perception was assessed using the mental tracking task. RESULTS: Contrary to expectations, IA did not differ significantly between patients with low and high FoH. A linear regression analysis demonstrated that the experience of mild hypoglycemia (β=0.32, p≤0.01) and its interaction with IA (β=-0.26, p=0.040) were significant predictors of FoH, indicating that low IA and a history of experiencing mild hypoglycemia are positively associated with FoH. CONCLUSION: Our findings suggest a positive association of low IA in combination with prior episodes of hypoglycemia and FoH in patients with T2DM. The results are in line with recent findings on IA in patients with chronic somatic symptom distress more generally and contribute to our understanding of the relations between interoception, body related fears, and physical symptom perception.
- Date of acceptance
- 2017
- Autoren
- Jennifer Grammes
- Manuela Schäfer
- Andrea Benecke
- Ulrike Löw
- Alena-Lynn Klostermann
- Thomas Kubiak
- Michael Witthöft
- Autoren-URL
- https://www.ncbi.nlm.nih.gov/pubmed/29332635
- DOI
- 10.1016/j.jpsychores.2017.12.010
- eISSN
- 1879-1360
- Zeitschrift
- J Psychosom Res
- Schlüsselwörter
- Fear of hypoglycemia
- Heartbeat perception
- Hypoglycemia Fear Survey
- Interoceptive accuracy
- Type 2 diabetes mellitus
- Adult
- Anxiety
- Diabetes Mellitus, Type 2
- Fear
- Female
- Humans
- Hypoglycemia
- Male
- Middle Aged
- Quality of Life
- Regression Analysis
- Self-Management
- Surveys and Questionnaires
- Sprache
- eng
- Country
- England
- Paginierung
- 58 - 63
- PII
- S0022-3999(17)30870-X
- Datum der Veröffentlichung
- 2018
- Status
- Published
- Datum, an dem der Datensatz öffentlich gemacht wurde
- 2019
- Titel
- Fear of hypoglycemia in patients with type 2 diabetes: The role of interoceptive accuracy and prior episodes of hypoglycemia.
- Sub types
- Journal Article
- Ausgabe der Zeitschrift
- 105
Datenquelle: PubMed
- Beziehungen:
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