{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,12]],"date-time":"2026-03-12T03:29:31Z","timestamp":1773286171349,"version":"3.50.1"},"reference-count":18,"publisher":"Wiley","issue":"8","license":[{"start":{"date-parts":[[2001,12,20]],"date-time":"2001-12-20T00:00:00Z","timestamp":1008806400000},"content-version":"vor","delay-in-days":141,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Diabetic Medicine"],"published-print":{"date-parts":[[2001,8]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p><jats:bold>Aims\u2003<\/jats:bold> To define clinically relevant cut\u2010off points for severe fear of self\u2010injecting (FSI) and self\u2010testing (FST) (phobia) in insulin\u2010treated patients with diabetes, and to estimate the magnitude of these phobias in our research population.<\/jats:p><jats:p><jats:bold>Methods\u2002<\/jats:bold> FSI and FST were assessed in a cross\u2010sectional survey using the Diabetes Fear of Injecting and Self\u2010testing Questionnaire (D\u2010FISQ). A sample of 24 insulin\u2010treated adult diabetic patients was selected from the high\u2010scorers on FSI and\/or FST (\u2265\u200395th percentile). FSI and FST were re\u2010assessed, after which patients participated in a behavioural avoidance test (BAT), thereby determining the current level of avoidance of either self\u2010injecting or self\u2010testing. FSI and FST scores were linked to the outcome of the BATs. Cut\u2010off scores for severe FSI\/FST were determined and extrapolated to the total study population (<jats:italic>n<\/jats:italic>\u2003=\u20031275).<\/jats:p><jats:p><jats:bold>Results\u2002<\/jats:bold> Seven patients participated in the self\u2010injecting BAT: two patients refused to perform an extra injection. In the self\u2010testing BAT (<jats:italic>n<\/jats:italic>\u2003=\u200317) four patients declined to perform the extra blood glucose self\u2010test. Extrapolation of FSI and FST cut\u2010off scores to the total research population showed that 0.2\u20131.3% of the population scored in the severe FSI range. In FST, 0.6\u20130.8% of the total study population obtained scores in the cut\u2010off range.<\/jats:p><jats:p><jats:bold>Conclusions\u2002<\/jats:bold> Severe FSI and FST, characterized by emotional distress and avoidance behaviour, seems to occur in a small group of insulin\u2010treated patients with diabetes. The D\u2010FISQ can be of use to health care professionals (physicians, nurse specialists) in quickly providing valuable information on levels of FSI and FST in diabetes patients.<\/jats:p><jats:p>Diabet. Med. 18, 671\u2013674 (2001)<\/jats:p>","DOI":"10.1046\/j.1464-5491.2001.00547.x","type":"journal-article","created":{"date-parts":[[2003,3,11]],"date-time":"2003-03-11T14:51:43Z","timestamp":1047394303000},"page":"671-674","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":76,"title":["Phobia of self\u2010injecting and self\u2010testing in insulin\u2010treated diabetes patients: opportunities for screening"],"prefix":"10.1111","volume":"18","author":[{"given":"E. D.","family":"Mollema","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"F. J.","family":"Snoek","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"R. J.","family":"Heine","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"H. M.","family":"Van Der Ploeg","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2001,12,20]]},"reference":[{"key":"e_1_2_7_2_2","doi-asserted-by":"publisher","DOI":"10.1002\/(SICI)1096-9136(199710)14:10<871::AID-DIA457>3.0.CO;2-Y"},{"key":"e_1_2_7_3_2","doi-asserted-by":"publisher","DOI":"10.2337\/diacare.23.6.765"},{"key":"e_1_2_7_4_2","doi-asserted-by":"publisher","DOI":"10.2337\/diacare.20.4.568"},{"key":"e_1_2_7_5_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(97)06234-X"},{"key":"e_1_2_7_6_2","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.319.7202.83"},{"key":"e_1_2_7_7_2","doi-asserted-by":"publisher","DOI":"10.2337\/diacare.22.5.832"},{"key":"e_1_2_7_8_2","doi-asserted-by":"publisher","DOI":"10.1037\/0022-006X.60.4.628"},{"key":"e_1_2_7_9_2","doi-asserted-by":"publisher","DOI":"10.1207\/s15327558ijbm0202_2"},{"key":"e_1_2_7_10_2","doi-asserted-by":"publisher","DOI":"10.2337\/diacare.20.2.176"},{"key":"e_1_2_7_11_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0168-8227(99)00099-6"},{"key":"e_1_2_7_12_2","doi-asserted-by":"publisher","DOI":"10.1017\/s0033291798007144"},{"key":"e_1_2_7_13_2","doi-asserted-by":"publisher","DOI":"10.1016\/0005-7916(80)90070-1"},{"key":"e_1_2_7_14_2","doi-asserted-by":"publisher","DOI":"10.1097\/00004045-199605000-00009"},{"key":"e_1_2_7_15_2","doi-asserted-by":"publisher","DOI":"10.1002\/(SICI)1096-9136(199704)14:4<321::AID-DIA356>3.0.CO;2-H"},{"key":"e_1_2_7_16_2","doi-asserted-by":"publisher","DOI":"10.1300\/J019v10n01_03"},{"key":"e_1_2_7_17_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0738-3991(96)00926-3"},{"key":"e_1_2_7_18_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0005-7894(05)80385-5"},{"key":"e_1_2_7_19_2","doi-asserted-by":"publisher","DOI":"10.1016\/0005-7967(95)00069-0"}],"container-title":["Diabetic Medicine"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.wiley.com\/onlinelibrary\/tdm\/v1\/articles\/10.1046%2Fj.1464-5491.2001.00547.x","content-type":"unspecified","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/api.wiley.com\/onlinelibrary\/tdm\/v1\/articles\/10.1046%2Fj.1464-5491.2001.00547.x","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1046\/j.1464-5491.2001.00547.x","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,10,17]],"date-time":"2023-10-17T15:24:15Z","timestamp":1697556255000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1046\/j.1464-5491.2001.00547.x"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2001,8]]},"references-count":18,"journal-issue":{"issue":"8","published-print":{"date-parts":[[2001,8]]}},"alternative-id":["10.1046\/j.1464-5491.2001.00547.x"],"URL":"https:\/\/doi.org\/10.1046\/j.1464-5491.2001.00547.x","archive":["Portico"],"relation":{},"ISSN":["0742-3071","1464-5491"],"issn-type":[{"value":"0742-3071","type":"print"},{"value":"1464-5491","type":"electronic"}],"subject":[],"published":{"date-parts":[[2001,8]]},"assertion":[{"value":"2001-12-20","order":2,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}