{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,18]],"date-time":"2026-07-18T18:34:19Z","timestamp":1784399659982,"version":"3.55.0"},"reference-count":43,"publisher":"Oxford University Press (OUP)","issue":"2","license":[{"start":{"date-parts":[[2021,10,30]],"date-time":"2021-10-30T00:00:00Z","timestamp":1635552000000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/academic.oup.com\/journals\/pages\/open_access\/funder_policies\/chorus\/standard_publication_model"}],"funder":[{"DOI":"10.13039\/100000062","name":"National Institute of Diabetes and Digestive and Kidney Diseases","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100000062","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100000062","name":"NIDDK","doi-asserted-by":"publisher","award":["T32DK0636687"],"award-info":[{"award-number":["T32DK0636687"]}],"id":[{"id":"10.13039\/100000062","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100000062","name":"NIDDK","doi-asserted-by":"publisher","award":["R03DK110459"],"award-info":[{"award-number":["R03DK110459"]}],"id":[{"id":"10.13039\/100000062","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2022,2,14]]},"abstract":"<jats:title>Abstract<\/jats:title>\n               <jats:sec>\n                  <jats:title>Objective<\/jats:title>\n                  <jats:p>A previously published exploratory factor analysis suggested that the Hypoglycemia Fear Survey\u2014Child and Parent Versions, is comprised of three subscales: Maintain High Blood Glucose, Helplessness\/Worry About Low Blood Glucose, and Worry About Negative Social Consequences. The primary aim of this study was to confirm this three-factor model with a clinical population of adolescents with type 1 diabetes (T1D) and their caregivers.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Methods<\/jats:title>\n                  <jats:p>Participants included N\u2009=\u20091,035 youth ages 10\u201317.99\u2009years with T1D, and their female (N\u2009=\u2009835) and\/or male (N\u2009=\u2009326) caregivers who completed the Hypoglycemia Fear Survey independently during a routine medical appointment. We conducted confirmatory factor analysis and examined reliability of the Hypoglycemia Fear Survey and its associations with demographics and clinical outcomes (e.g., mean blood glucose, glycemic control).<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Results<\/jats:title>\n                  <jats:p>Confirmatory factor analysis supported the three-factor model in youth and female and male caregivers. The internal consistencies for Maintain High Blood Glucose, Helplessness\/Worry About Low Blood Glucose, and Worry About Negative Social Consequences were acceptable. The majority of demographic and clinical outcome variables correlated as hypothesized with the three subscales.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Conclusions<\/jats:title>\n                  <jats:p>Using a large clinical sample of adolescents with T1D and their caretakers, we confirmed the three-factor model for the Hypoglycemia Fear Survey, which is sufficiently reliable to be used in a clinical setting. Important areas of future research include examining moderators for the effect of fear of hypoglycemia on clinical outcomes, and possible inclusion of items related to modern diabetes devices.<\/jats:p>\n               <\/jats:sec>","DOI":"10.1093\/jpepsy\/jsab093","type":"journal-article","created":{"date-parts":[[2021,9,8]],"date-time":"2021-09-08T11:29:01Z","timestamp":1631100541000},"page":"195-205","source":"Crossref","is-referenced-by-count":18,"title":["Psychometric Properties of the Hypoglycemia Fear Survey in a Clinical Sample of Adolescents with Type 1 Diabetes and Their Caregivers"],"prefix":"10.1093","volume":"47","author":[{"given":"Holly K","family":"O\u2019Donnell","sequence":"first","affiliation":[{"name":"Department of Pediatrics, Barbara Davis Center for Diabetes, University of Colorado School of Medicine, Aurora, CO, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Suzanne","family":"Bennett Johnson","sequence":"additional","affiliation":[{"name":"Department of Medical Humanities and Social Sciences, Florida State University College of Medicine, Tallahassee, FL, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Deseray","family":"Sileo","sequence":"additional","affiliation":[{"name":"Department of Pediatrics, Barbara Davis Center for Diabetes, University of Colorado School of Medicine, Aurora, CO, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Shideh","family":"Majidi","sequence":"additional","affiliation":[{"name":"Department of Pediatrics, Barbara Davis Center for Diabetes, University of Colorado School of Medicine, Aurora, CO, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Linda","family":"Gonder-Frederick","sequence":"additional","affiliation":[{"name":"Department of Psychiatry and Neurobehavioral Sciences, University of Virginia School of Medicine, Charlottesville, VA, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3006-4633","authenticated-orcid":false,"given":"Kimberly A","family":"Driscoll","sequence":"additional","affiliation":[{"name":"Department of Pediatrics, Barbara Davis Center for Diabetes, University of Colorado School of Medicine, Aurora, CO, USA"},{"name":"Department of Clinical and Health Psychology, University of Florida, Gainesville, FL, USA"},{"name":"University of Florida Diabetes Institute, Gainesville, FL, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"286","published-online":{"date-parts":[[2021,10,30]]},"reference":[{"key":"2022021409053709300_jsab093-B1","doi-asserted-by":"publisher","first-page":"13","DOI":"10.1016\/j.jcte.2016.02.002","article-title":"Fear of hypoglycaemia and self-management in type 1 diabetes","volume":"4","author":"Ahola","year":"2016","journal-title":"Journal of Clinical & Translational Endocrinology"},{"key":"2022021409053709300_jsab093-B2","doi-asserted-by":"publisher","first-page":"222","DOI":"10.1159\/000375306","article-title":"Predictive risk factors for fear of hypoglycemia and anxiety-related emotional disorders among adolescents with type 1 diabetes","volume":"24","author":"Al Hayek","year":"2015","journal-title":"Medical Principles and Practice"},{"issue":"Suppl 1","key":"2022021409053709300_jsab093-B3","doi-asserted-by":"publisher","first-page":"S180","DOI":"10.2337\/dc21-S013","article-title":"13. 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