title: Understanding the construct of fear of hypoglycemia in pediatric type 1 diabetes.
abstract: OBJECTIVE
  Fear of hypoglycemia (FoH) can be a significant barrier to glycemic control in pediatric type 1 diabetes (T1D). This study aimed to explore underlying constructs of the Hypoglycemia Fear Survey (HFS) for parents (PHFS) and children (CHFS).
  
  
  METHODS
  Data were aggregated from five studies of 259 youth with T1D and 250 parents. Exploratory Factor Analysis was used to determine the underlying factors of the CHFS and PHFS.
  
  
  RESULTS
  Similar four-factor solutions were found for the CHFS and PHFS. Both subscales consisted of two factors: Behavior Subscale (1) behaviors used to keep blood glucose (BG) high to prevent hypoglycemia (Maintain High BG) and (2) other actions to avoid hypoglycemia (Avoidance); Worry Subscale (1) concerns about helplessness (Helplessness) and (2) negative social consequences associated with hypoglycemia (Social Consequences).
  
  
  CONCLUSIONS
  These constructs provide a more comprehensive understanding of pediatric FoH and have implications for interventions aimed at reducing FoH in this population.
authors.affiliation: Department of Psychiatry and Neurobehavioral Sciences, University of Virginia, Depression Clinical and Research Program, Department of Psychiatry, Massachusetts General Hospital/Harvard Medical School, and Department of Pediatrics, University of Virginia.
authors.forename: Jaclyn A
authors.initials: JA
authors.lastname: Shepard
authors.affiliation: Department of Psychiatry and Neurobehavioral Sciences, University of Virginia, Depression Clinical and Research Program, Department of Psychiatry, Massachusetts General Hospital/Harvard Medical School, and Department of Pediatrics, University of Virginia.
authors.forename: Karen
authors.initials: K
authors.lastname: Vajda
authors.affiliation: Department of Psychiatry and Neurobehavioral Sciences, University of Virginia, Depression Clinical and Research Program, Department of Psychiatry, Massachusetts General Hospital/Harvard Medical School, and Department of Pediatrics, University of Virginia.
authors.forename: Maren
authors.initials: M
authors.lastname: Nyer
authors.affiliation: Department of Psychiatry and Neurobehavioral Sciences, University of Virginia, Depression Clinical and Research Program, Department of Psychiatry, Massachusetts General Hospital/Harvard Medical School, and Department of Pediatrics, University of Virginia.
authors.forename: William
authors.initials: W
authors.lastname: Clarke
authors.affiliation: Department of Psychiatry and Neurobehavioral Sciences, University of Virginia, Depression Clinical and Research Program, Department of Psychiatry, Massachusetts General Hospital/Harvard Medical School, and Department of Pediatrics, University of Virginia Lag3g@virginia.edu.
authors.forename: Linda
authors.initials: L
authors.lastname: Gonder-Frederick
mesh_terms: D000293:Adolescent; D001007:Anxiety; D001294:Attitude to Health; D001786:Blood Glucose / Q000032:analysis; D002648:Child; D003922:Diabetes Mellitus, Type 1 / Q000097:blood* / Q000150:complications / Q000523:psychology*; D005163:Factor Analysis, Statistical; D005239:Fear / Q000523:psychology*; D005260:Female; D006801:Humans; D007003:Hypoglycemia / Q000097:blood* / Q000150:complications / Q000523:psychology*; D008297:Male; D010290:Parents
chemical_list: D001786:Blood Glucose
keywords: anxiety; diabetes; quality of life