Hypoglycemia Fear and Psychological Resilience: Effects on Disease Acceptance in Type II Diabetes

Year 2025, Volume: 19 Issue: 1, 83 - 90

Saliha Bozdoğan Yeşilot , Pınar Yeşil Demirci , Zehra Eskimez

https://doi.org/10.21763/tjfmpc.1553367

Abstract

Aim: This study aimed to evaluate the effects of fear of hypoglycemia and psychological resilience on disease acceptance and action in individuals with type II diabetes.
Methods: This research was conducted as a cross-sectional study online from January 1 to June 30, 2023, involving 105 participants. Data were collected using a Personal Information Form, the Fear of Hypoglycemia Scale (FOH), the Brief Resilience Scale (BRS), and the Acceptance and Action Diabetes Questionnaire (AADQ). Ethical approval was obtained for the study.
Results: The mean age of participants was 49.71±16.21 years, with 53.3% being female. Among the participants, 49.5% used oral diabetic medications, 67.6% had regular medical checkups, and 54.3% had at least one additional chronic condition. Neuropathy was reported by 24.8% of the participants. The mean scores were: FOH 27.93±22.16, BRS 16.63±4.14, and AADQ 45.21±10.98. Multiple regression analysis indicated that factors such as income being less than expenses (p=0.064), regular doctor checkups (p=0.001), and worries about hypoglycemia (p=0.001) predicted 22.6% of the variance in AADQ scores.
Conclusion: The study found a weak, negative relationship between fear of hypoglycemia, psychological resilience, and disease acceptance in individuals with type II diabetes. These findings underscore the need to assess psychological factors during routine checkups to enhance disease management.

Keywords

Hypoglisemia, Resilience, Diabetes

Ethical Statement

The Non-Interventional Clinical Research Ethics Committee of X University granted ethical approval ( 2022-127/45) for the research. Participants were informed about the confidentiality and privacy of the study and were assured they could withdraw at any time. Written informed consent was obtained from all participants prior to the commencement of the study.

Supporting Institution

The authors did not receive any funding for the research, writing, or publication of this article.

Hipoglisemi Korkusu ve Psikolojik Dayanıklılık: Tip II Diyabette Hastalığı Kabul Etme Üzerine Etkileri

Abstract

Amaç: Bu çalışma, hipoglisemi korkusu ve psikolojik dayanıklılığın Tip II diyabetli bireylerin hastalığı kabul ve eylem durumları üzerindeki etkisini değerlendirmeyi amaçlamıştır.
Yöntem: Bu araştırma kesitsel bir çalışmadır. Çalışma 1 Ocak- 30 Haziran 2023 tarihleri arasında çevrimiçi olarak yürütülmüştür. Çalışma 105 kişiyle tamamlanmıştır. Veriler; Kişisel Bilgi Formu, Hipoglisemi Korkusu Ölçeği (HKÖ), Kısa Dayanıklılık Ölçeği (KDÖ) ve Diyabetliler/Şeker Hastaları için Kabul ve Eylem Formu (DHKEF) kullanılarak toplanmıştır. Bu çalışmayı gerçekleştirmek için etik izin alınmıştır.
Bulgular: Katılımcıların ortalama yaşı 49,71±16,21'dir. %53,3'ü kadındır. %49,5'i oral diyabet ilacı kullanmaktadır. %67,6'sı rutin sağlık kontrollerine gitmektedir. %54,3'ü ek kronik bir hastalığa sahiptir. %24,8'i nöropatiye sahiptir. HKÖ'nün toplam puanı 27,93±22,16, KDÖ 16,63±4,14 ve DHKEF 45,21±10,98’dir. Geriye doğru eleme yöntemiyle yapılan Çoklu Regresyon Analizinde, gelirin giderden az olması, düzenli doktor kontrolleri ve endişeler katılımcıların DHKEF'nin %22,6'sını açıklamaktadır.
Sonuç: Çalışma, tip II diyabetli bireylerde hipoglisemi korkusu, psikolojik dayanıklılık ve hastalığı kabul etme arasında zayıf, negatif bir ilişki buldu. Bu bulgular, hastalık yönetimini geliştirmek için rutin kontroller sırasında psikolojik faktörleri değerlendirme ihtiyacının altını çizmektedir.

Keywords

Hipoglisemi, Dayanıklılık, Diabet

Ethical Statement

The Non-Interventional Clinical Research Ethics Committee of X University granted ethical approval ( 2022-127/45) for the research. Participants were informed about the confidentiality and privacy of the study and were assured they could withdraw at any time. Written informed consent was obtained from all participants prior to the commencement of the study.

Supporting Institution

The authors did not receive any funding for the research, writing, or publication of this article.

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