Evidence map›Paper›PMID 25214644›Full record

ArticleJournal of pediatric psychology

Understanding the construct of fear of hypoglycemia in pediatric type 1 diabetes.

Jaclyn A Shepard, Karen Vajda, Maren Nyer, William Clarke, Linda Gonder-Frederick

Open access · bronzeAbstract read
In one paragraph

Article in Journal of pediatric psychology. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 40 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
40citing papers in PubMed, 1 pooled it
2.1field-weighted citation impact, top 12% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

40 citing papers in PubMed, 1 synthesis or guideline pooled it, 81 citations in OpenAlex.

  1. Pooled it
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  7. Fear of Nighttime Hypoglycemia: Perspectives of Diabetes Providers and Caregivers.Journal of clinical psychology in medical settings · 2026
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors at 3 institutions in 1 country.

Jaclyn A ShepardDepartment 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.
Karen VajdaDepartment 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.
Maren NyerDepartment 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.
William ClarkeDepartment 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.
Linda Gonder-FrederickDepartment 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.
Massachusetts General Hospital · USUniversity of Virginia · USHarvard University · US

Funding

Fear of Hypoglycemia Survey: Properties, Interpretation and DisseminationR21DK080896 · NIDDK · UNIVERSITY OF VIRGINIA · PI GONDER-FREDERICK, LINDA ANN · 2008 to 2009
$455k
NIDDK NIH HHS R21DK080896
6 · The paper itself

Abstract

objectiveFear 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).

methodsData 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.

resultsSimilar 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).

conclusionsThese constructs provide a more comprehensive understanding of pediatric FoH and have implications for interventions aimed at reducing FoH in this population.

Indexed as

Attitude to HealthAdolescentAnxietyBlood GlucoseChildDiabetes Mellitus, Type 1Factor Analysis, StatisticalFearFemaleHumansHypoglycemiaMaleParentsBlood Glucoseanxietydiabetesquality of life

Identifiers

PMID25214644
PMCPMC4201766
OpenAlexW2167175707

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.