FEAR OF NEEDLES IN CHILDREN WITH TYPE 1 DIABETES MELLITUS ON MULTIPLE DAILY INJECTIONS AND CONTINUOUS SUBCUTANEOUS INSULIN INFUSION

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dc.authoridCan, Argun/0000-0002-3390-0780;
dc.contributor.authorCemeroglu, Ayse Pinar
dc.contributor.authorCan, Argun
dc.contributor.authorDavis, Alan T.
dc.contributor.authorCemeroglu, Ozlem
dc.contributor.authorKleis, Lora
dc.contributor.authorDaniel, Maala S.
dc.contributor.authorBustraan, Jessica
dc.date.accessioned2025-10-24T18:09:58Z
dc.date.available2025-10-24T18:09:58Z
dc.date.issued2015
dc.departmentMalatya Turgut Özal Üniversitesi
dc.description.abstractObjective: To assess the prevalence of fear of needles and its effect on glycemic control in children with type 1 diabetes mellitus (T1DM) on multiple daily injections (MDI) or continuous subcutaneous insulin infusion (CSII). Methods: Patients aged 6 to 17 years with T1DM on MDI or CSII (n = 150) were enrolled. All caregivers and patients aged >= 11 years completed a Diabetes Fear of Injecting and Self-testing Questionnaire (D-FISQ). Needle phobia was defined as a score >= 6 for fear of selftesting (FST), fear of injections (FI), and fear of infusionsite changes (FISC). Results: Positive FST scores were noted in 10.0% and positive FI or FISC scores in 32.7% (caregivers' responses). Patients aged 6 to 10 years on CSII had greater fear (FISC) than those on MDI (FI) (P = .010). FST was inversely related to the number of daily blood sugar checks (P = .003). Patients with positive scores for FI/ FISC or FST had significantly higher glycated hemoglobin (HbA1c) levels than those without. An inverse association was noted between positive FI/FISC scores and age of the patient (P = .029). Based on patient responses, FST severity was directly related to the age of the patient (P = .013). Conclusion: Needle phobia is common in children with T1DM. Although FI/FISC are more common in younger children, especially in those on CSII, FST is more often encountered in older patients. Patients with a more intense fear of needles have higher HbA1c levels and less frequent blood sugar monitoring. Identifying these patients may help improve glycemic control. (Endocr Pract. 2015; 21: 46-53)
dc.description.sponsorshipHelen DeVos Children's Hospital Research Foundation
dc.description.sponsorshipWe thank the Helen DeVos Children's Hospital Research Foundation for financial support of this study. The results of this study were partially presented as a poster at the 2013 Pediatric Academic Society Annual Meeting, May 4-7, in Washington, DC.
dc.identifier.doi10.4158/EP14252.OR
dc.identifier.endpage53
dc.identifier.issn1530-891X
dc.identifier.issn1934-2403
dc.identifier.issue1
dc.identifier.pmid25100395
dc.identifier.scopus2-s2.0-84921857043
dc.identifier.scopusqualityQ1
dc.identifier.startpage46
dc.identifier.urihttps://doi.org/10.4158/EP14252.OR
dc.identifier.urihttps://hdl.handle.net/20.500.12899/3904
dc.identifier.volume21
dc.identifier.wosWOS:000350032700009
dc.identifier.wosqualityQ3
dc.indekslendigikaynakWeb of Science
dc.indekslendigikaynakScopus
dc.indekslendigikaynakPubMed
dc.language.isoen
dc.publisherAmer Assoc Clinical Endocrinologists
dc.relation.ispartofEndocrine Practice
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanı
dc.rightsinfo:eu-repo/semantics/closedAccess
dc.snmzKA_20251023
dc.subjectQuestionnaire; Validation
dc.titleFEAR OF NEEDLES IN CHILDREN WITH TYPE 1 DIABETES MELLITUS ON MULTIPLE DAILY INJECTIONS AND CONTINUOUS SUBCUTANEOUS INSULIN INFUSION
dc.title.alternativeFear of needles in children with type 1 diabetes mellitus on multiple daily injections and continuous subcutaneous insulin infusion
dc.typeArticle

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