Psychometric Properties of the Swedish Version of the Fear of Complications Questionnaire

Olsen, Marie Veisegaard; Anderbro, Therese; Amsberg, Susanne; Leksell, Janeth; Moberg, Erik; Lisspers, Jan; Guðbjörnsdóttir, Soffia; Johansson, Unn‐Britt

doi:10.4236/ojemd.2014.44008

Cited by 2 publications

(6 citation statements)

References 33 publications

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“…This evaluation of the FDCQ using data from four different studies supports excellent measurement properties for both people with T1D and T2D. The findings showed high reliability of both the full and short form, with estimates being consistent with findings for the original scale and other translations (Olsen et al, 2014; Schmitt et al, 2017; Taylor et al, 2005). Validity of the FDCQ measurement was supported by the meaningful and consistent structural results from EFA and CFA, convergent correlations with the corresponding PAID item, and the FDC variable’s placement in a meaningful nomological network of associated variables.…”

Section: Discussionsupporting

confidence: 68%

“…With 15 items, it is sufficiently economic, and its evaluation with people with T1D suggests good reliability and validity (Taylor et al, 2005). Yet, the number of studies that have utilized the FDCQ is still limited (Abate & Gedamu, 2020; Arend et al, 2019; Elliott et al, 2012; Janzen Claude et al, 2014; Kuniss et al, 2019; Olsen et al, 2014).…”

Section: Assessing Fdcmentioning

confidence: 99%

“…Factor structure was evaluated using exploratory factor analysis (EFA) with principal axis factoring and direct oblimin rotation as well as confirmatory factor analysis (CFA) with maximum likelihood estimation. Previous analyses found evidence of a two-factor structure (Olsen et al, 2014;Taylor et al, 2005), one being a general FDC factor and the other regarding fear of specific complications (Olsen et al, 2014). We took a systematic approach with EFA using the large data set of Study 1 and subsequent CFA to verify the factor structure uncovered in the EFA on the data sets of Studies 2 and 3.…”

Section: Statistical Analysesmentioning

confidence: 99%

“…FDC has been associated with lower well-being and quality of life (Arend et al, 2019; Kent & Quinn, 2018; Kuniss et al, 2019), higher depressive symptoms (Herschbach et al, 2005; Olsen et al, 2014; Schmitt et al, 2017; Taylor et al, 2005), higher anxiety symptoms (Janzen Claude et al, 2014; Olsen et al, 2014; Taylor et al, 2005), and higher diabetes distress (Schmitt et al, 2017). It has been suggested that FDC might affect diabetes self-management, as explained by the common sense model of diabetes (Quandt et al, 2013), that is to say, PWD may avoid feelings of fear by avoiding activities where these occur (e.g., blood glucose tests, glycated hemoglobin [HbA 1c ] checks, medical examinations; Fall et al, 2021; Skinner & van der Ven, 2005).…”

Section: Current Evidencementioning

confidence: 99%

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Assessing fear of complications in people with type 1 and type 2 diabetes with the Fear of Diabetes Complications Questionnaire.

Schmitt¹,

Ehrmann²,

Kuniß³

et al. 2023

Health Psychology

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Objective: Fear of diabetes complications (FDC) is a common source of emotional distress in people with diabetes across types and treatments and may affect health outcomes. To assess FDC, the Fear of Diabetes Complications Questionnaire (FDCQ) was developed. This study evaluates the FDCQ's German version in people with type 1 diabetes (T1D) and type 2 diabetes (T2D). Method: A German version of the FDCQ was developed and administered as part of four different studies sampling people with T1D and T2D. Measurement properties were evaluated across studies using factor analyses, reliability estimates, and associations of the measure within a network of variables. A cutoff criterion for elevated FDC was derived. A short form scale was also developed. Results: High reliability and validity were supported. FDC as measured by the FDCQ was independently associated with higher diabetes distress and depressive symptoms. A cutoff score for elevated FDC was set at ≥30 in the 15-item FDCQ. Elevated FDCQ scores were detected in 36% of participants in secondary diabetes care and up to 46% of those in tertiary care. Conclusions: FDC is prevalent in people with T1D and T2D and associated with diabetes distress and depressive symptoms. The FDCQ is a reliable and valid tool for assessing FDC in research and practice. It may help identify persons in need of tailored education and care and monitor effects following treatment. Public Significance StatementAt least 30%-40% of people with diabetes may experience significant fear of long-term complications. Clinically elevated fear of complications is associated with higher distress and mental symptom burden as well as a higher likelihood of concurrent major depression. The Fear of Diabetes Complications Questionnaire can help understand problems and needs around fear of complications to offer more optimal healthcare.

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Section: Discussionsupporting

confidence: 68%

Section: Assessing Fdcmentioning

confidence: 99%

Section: Statistical Analysesmentioning

confidence: 99%

Section: Current Evidencementioning

confidence: 99%

See 2 more Smart Citations

Assessing fear of complications in people with type 1 and type 2 diabetes with the Fear of Diabetes Complications Questionnaire.

Schmitt¹,

Ehrmann²,

Kuniß³

et al. 2023

Health Psychology

View full text Add to dashboard Cite

show abstract

“…Studies have also found that targeting psychological aspects related to diabetes can improve self-management, metabolic control, and also quality of life [6,7]. For many patients with diabetes, fear of complications is a significant aspect of their psychological distress [8,9] with fear of hypoglycemia (FOH) being common [10][11][12] and together with fear of vascular complications rated as the most feared complications [13]. FOH may not only negatively influence quality of life (QoL) but also self-management and health outcomes [12], resulting in increased risk of poor metabolic control and long-term complications.…”

mentioning

confidence: 99%

Fear of hypoglycemia: relationship to hypoglycemic risk and psychological factors

et al. 2014

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Objective The major aims of this study were to examine (1) the association between fear of hypoglycemia (FOH) in adults with type 1 diabetes with demographic, psychological (anxiety and depression), and disease-specific clinical factors (hypoglycemia history and unawareness, A 1c), including severe hypoglycemia (SH), and (2) differences in patient subgroups categorized by level of FOH and risk of SH. Research design and methods Questionnaires were mailed to 764 patients with type 1 diabetes including the Swedish translation of the Hypoglycemia Fear Survey (HFS) and other psychological measures including the Perceived Stress Scale, Hospital Anxiety and Depression Scale, Anxiety Sensitivity Index, Social Phobia Scale, and Fear of Complications Scale. A questionnaire to assess hypoglycemia history was also included and A 1c measures were obtained from medical records. Statistical analyses included univariate approaches, multiple stepwise linear regressions, Chi-square t tests, and ANOVAs. Results Regressions showed that several clinical factors (SH history, frequency of nocturnal hypoglycemia, selfmonitoring) were significantly associated with FOH but R 2 increased from 16.25 to 39.2 % when anxiety measures were added to the model. When patients were categorized by level of FOH (low, high) and SH risk (low, high), subgroups showed significant differences in non-diabetesrelated anxiety, hypoglycemia history, self-monitoring, and glycemic control. Conclusion There is a strong link between FOH and nondiabetes-related anxiety, as well as hypoglycemia history. Comparison of patient subgroups categorized according to level of FOH and SH risk demonstrated the complexity of FOH and identified important differences in psychological and clinical variables, which have implications for clinical interventions. Keywords Type 1 diabetes Á Hypoglycemia Á Fear of hypoglycemia Á Severe hypoglycemia Á Psychological factors It is well known that depression and anxiety are more prevalent in patients with type 1 diabetes compared to subject without diabetes [1-3] and that psychological Managed by Antonio Secchi.

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Psychometric Properties of the Swedish Version of the Fear of Complications Questionnaire

Abstract: 70minant subdomain may be considered. We suggest, however a one-factor model covering all the items as a relevant basis to assess fear of complications among people with Type 1 diabetes.

Cited by 2 publications

References 33 publications

Assessing fear of complications in people with type 1 and type 2 diabetes with the Fear of Diabetes Complications Questionnaire.

Assessing fear of complications in people with type 1 and type 2 diabetes with the Fear of Diabetes Complications Questionnaire.

Fear of hypoglycemia: relationship to hypoglycemic risk and psychological factors

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