Profiles

Therese Anderbro, porträtt

Therese Anderbro

Adjungerad lärare

View page in English
Arbetar vid Psykologiska institutionen
Telefon 08-674 79 74
E-post therese.anderbro@psychology.su.se
Besöksadress Frescati hagväg 8
Rum B 406
Postadress Psykologiska institutionen 106 91 Stockholm

Publikationer

I urval från Stockholms universitets publikationsdatabas
  • 2015. Therese Anderbro (et al.).

    Aim

    The aim of this study was to investigate fear of hypoglycemia (FoH) longitudinally in adult patients with type 1 diabetes. Specifically, we investigated two subgroups of patients who over four years either showed a significantly higher or significantly lower level of FoH in order to identify factors associated with changes in FoH.

    Method

    The Swedish version of the Hypoglycemia Fear Survey (HFS) along with a questionnaire to assess hypoglycemia history (mild, moderate, nocturnal and severe hypoglycaemia (SH), unawareness, and daytime/nocturnal self-monitoring of blood glucose (SMBG)) were sent by mail to 764 patients in 2010. The responders in 2010 (n=469) received another set of the same two questionnaires in 2014. A1c, insulin regimen, weight and creatinine from 2010 and 2014 were obtained from medical records. Those with an absolute difference in HFS scores ≥ 75th percentile were included in the subgroup analyses. Statistical analyses included one-sample t-tests and chi-square.

    Results

    The absolute difference in the HFS total score (n=359) between 2010 and 2014 was m=±7.6, SD ±6 (range -29 - +35). In the subgroup with increased FoH 2014 (n=45), more patients reported unawareness (76% vs 58%, Χ2= 5.05, p= 0.025) and a higher frequency of moderate hypoglycemia (52% v s 38%, Χ2= 3.93, p= 0.047) compared to 2010. In the group with decreased FoH (n=43), fewer patients reported going to the emergency department due to hypoglycemia in 2014 compared to 2010 (2% vs 14%, Χ2= 4.84, p= 0.028). There were no differences in the remaining hypoglycemia history variables or medical variables between 2010 and 2014. Between group analyzes show that in the decreased FoH group more patients have a high frequency of daily SMBG compared to the increased FoH group in 2010 (35% vs 17%, Χ2= 12.23, p= 0.00) and in 2014 (33% vs 13%, Χ2= 13.75, p= 0.00). In the increased FoH group more patients report a high level of mild (67% vs 49%,Χ2= 6.4, p= 0.011) and moderate (52% vs 23%,Χ2= 14.00, p= 0.00) hypoglycemic episodes as well as unawareness (76% vs 54%,Χ2= 11.37, p= 0.001) in 2014 compared with the decreased FoH group.

    Discussion

    To our knowledge, this is the first longitudinal study of FoH in patients with type 1 diabetes. Our study shows that FoH is stable across time for most patients although a number of patients show increased or decreased levels of FoH. The patients whose level of FoH increased experienced a higher frequency of moderate hypoglycemic episodes and more hypoglycemic unawareness in 2014.

  • 2015. Therese Anderbro (et al.). Acta Diabetologica 52 (3), 581-589

    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. 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. Regressions showed that several clinical factors (SH history, frequency of nocturnal hypoglycemia, self-monitoring) 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-diabetes-related anxiety, hypoglycemia history, self-monitoring, and glycemic control. There is a strong link between FOH and non-diabetes-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.

  • 2014. Therese Anderbro, Liv Svirsky.

    Att arbeta med par ställer psykoterapeuten inför helt nya utmaningar. Den här boken ger teoretisk kunskap och praktiska instruktioner för att hjälpa par med relationssvårigheter. Metoden som presenteras utgår från den så kallade tredje vågens beteendeterapi och betonar vikten av acceptans. Boken visar hur bedömningen går till och hur behandlingen genomförs. Den ger också fylliga beskrivningar av acceptans- och förändringsstrategier och arbetets olika faser illustreras med hjälp av fallbeskrivningar och dialoger. Par i beteendeterapi är den första boken som presenterar metoden IBCT (Integrative Behavioural Couples Therapy) på svenska. Den vänder sig till KBT-behandlare som vill börja arbeta med par och till behandlare som redan arbetar med parterapi och vill öka sin kunskap om hur man kan göra det ur ett inlärningsteoretiskt perspektiv. Boken är även lämplig som kurslitteratur under utbildning.

Visa alla publikationer av Therese Anderbro vid Stockholms universitet

Senast uppdaterad: 16 maj 2017

Bokmärk och dela Tipsa