Abstract
Objective: Corticosteroid phobia is an important factor affecting therapy compliance negatively in daily practice. There is no study on the attitudes of the general population and health care workers on this issue in our country. Our objective was to investigate the information and anxiety levels of parents about topical medications containing corticosteroids, and their effects on treatment.
Material and Methods: A total of 300 individuals that consisted of the parents of the patients who were admitted to the pediatric clinics for various health reasons and the health care workers of our hospital were asked to complete a questionnaire on this topic. The items in the questionnaire consisted of questions on whether the parents had previously used cortisone-based ointments on their children, whether they had any concerns regarding the issue, and what side effects, in their opinion, might develop in case the drug was applied on the skin.
Results: The anxiety rates were found to be 20.5% (n=41) in the patient’s parents group, and 54% (n=54) in the health care workers group. Due to anxiety, 40% of the patient’s parents group never applied the treatment, and 24 % of them discontinued the treatment early. As regards the open-ended question on why people felt anxiety about steroids, 79% reported possible side effects, 8.32% hormonal disorder, 4.16% diabetes, 4.16% gaining weight, and 4.16% blemishing of skin.
Conclusion: We detected an unnecessary phobia regarding steroids in the general population and even in health care workers with increasing education level and the anxiety affected the treatment process negatively. Thus, we suggest that physicians consider this fact and provide suffi cient information to parents prior to treatment to affect the results of the treatment positively
Keywords: Phobia, Corticosteroid, Steroid, Topical
References
- Morleya KW, Dinulosb JG. Update on topical glucocorticoid use in children. Curr Opin Pediatr 2012;24:121-8.
- Fraser R, Gower D, Honour J, et al. Analysis of corticosteroids. In: Makin H and Gower D (eds). Steroid analysis. 2nd ed. New York: Springer, 2010: 329-455.
- Nieman L. Consequences of systemic absorption of topical glucocorticoids. J Am Acad Dermatol 2011;65:250–2.
- Tempark T, Phatarakijnirund V, Chatproedprai S, Watcharasindhu S, Supornsilchai V, Wananukul S. Exogenous Cushing’s syndrome due to topical corticosteroid application: Case report and review of literature. Endocrine 2010;38:328–34.
- Hepburn D, Yohn J, Weston W. Topical steroid treatment in infants, children and adolescents. Adv Dermatol 1994;9:225–54.
- Fischer G. Compliance problems in paediatric atopic eczema. Australas J Dermatol 1996;37:10-13.
- David TJ. Steroid scare. Arch Dis Child 1987;62:876–8.
- Patterson R, Walker CL, Greenberger PA, Sheridan EP.
- Prednisone- phobia. Allergy Proc 1989;10:423–8.
- Kojima R, Fujiwara T, Matsuda A, Narita M, Matsubara O, Nonoyama S, et al. Factors associated with steroid phobia in caregivers of children with atopic dermatitis. Pediatr Dermatol 2013;30:29-35.
- Hon KL, Kam WY, Leung TF, Lam MC, Wong KY, Lee KC, et al. Steroid fears in children with eczema. Acta Paediatr 2006;95: 1451–55.
- Charman CR, Morris AD, Williams HC. Topical corticosteroid phobia in patients with atopic eczema. Br J Dermatol 2000;142: 931–6.
- Aubert-Wastiaux H, Moret L, Le Rhun A, Fontenoy AM, Nguyen JM, Leux C, et al. Topical corticosteroid phobia in atopic dermatitis: A study of its nature, origins and frequency. Br J Dermatol 2011; 165:808-14.
- Bewley A. Expert consensus: Time for a change in the way we advise our patients to use topical corticosteroids. Br J Dermatol 2008;158:917–20.
- Beattie PE, Lewis-Jones MS. Parental knowledge of topical therapies in the treatment of childhood atopic dermatitis. Clin Exp Dermatol 2003;28:549–53.
