Topical corticosteroid phobia in parents of pediatric patients with atopic dermatitis: a multicentre survey

Maya El Hachem, Francesco Gesualdo, Giampaolo Ricci, Andrea Diociaiuti, Loredana Giraldi, Orsola Ametrano, Corrado Occella, Anna Belloni Fortina, Mirella Milioto, Fabio Arcangeli, Oriana Simonetti, Simona Giancristoforo, Elisabetta Calamelli, Carlo Mazzatenta, Iria Neri

Research output: Contribution to journalArticle

9 Citations (Scopus)

Abstract

Background: Families of children affected with atopic dermatitis (AD) often report fear and anxiety regarding treatment with topical corticosteroids (TCS), which may lead to reduced compliance. The objective of our study was to measure, through a standardized questionnaire, fear of TCS in families of pediatric patients with AD and to identify items associated with fear. Methods: Families of pediatric patients with AD were enrolled in 9 Italian centers of pediatric dermatology. Enrolled parents were invited to fill in a questionnaire including questions on sociodemographic and clinical characteristics and 3 sets of questions on corticosteroid phobia (general fear, specific fears, behaviours regarding TCS). Determinants of the level of general fear were investigated through multivariable analysis. Results: A total of 300 outpatients with AD were enrolled. Most parents (80%) had a high instruction level. Eighty-one percent reported to have a certain amount of fear of TCS. At the multivariable analysis, fear of TCS was associated with the following items: believing that TCS treatment advantages do not overweight disadvantages (P = 0.011); believing that TCS may be dangerous independently from the specific side effect (P < 0.001). Moreover, TCS fear was associated with fear of applying too much cream (P = 0.001). Conclusion: TCS phobia is widespread among Italian families of children with AD. Fear of TCS is associated with fear of applying too much cream, thus increasing the risk of poor compliance and treatment failure. Therapeutic education of families on the use of TCS should be implemented.

Original languageEnglish
Article number22
JournalItalian Journal of Pediatrics
Volume43
Issue number1
DOIs
Publication statusPublished - Feb 28 2017

Fingerprint

Phobic Disorders
Atopic Dermatitis
Fear
Adrenal Cortex Hormones
Parents
Pediatrics
Surveys and Questionnaires
Dermatology
Treatment Failure
Compliance
Outpatients
Therapeutics
Anxiety

Keywords

  • Atopic dermatitis
  • Children
  • Corticophobia
  • Topical corticosteroids

ASJC Scopus subject areas

  • Pediatrics, Perinatology, and Child Health

Cite this

Topical corticosteroid phobia in parents of pediatric patients with atopic dermatitis : a multicentre survey. / El Hachem, Maya; Gesualdo, Francesco; Ricci, Giampaolo; Diociaiuti, Andrea; Giraldi, Loredana; Ametrano, Orsola; Occella, Corrado; Fortina, Anna Belloni; Milioto, Mirella; Arcangeli, Fabio; Simonetti, Oriana; Giancristoforo, Simona; Calamelli, Elisabetta; Mazzatenta, Carlo; Neri, Iria.

In: Italian Journal of Pediatrics, Vol. 43, No. 1, 22, 28.02.2017.

Research output: Contribution to journalArticle

El Hachem, M, Gesualdo, F, Ricci, G, Diociaiuti, A, Giraldi, L, Ametrano, O, Occella, C, Fortina, AB, Milioto, M, Arcangeli, F, Simonetti, O, Giancristoforo, S, Calamelli, E, Mazzatenta, C & Neri, I 2017, 'Topical corticosteroid phobia in parents of pediatric patients with atopic dermatitis: a multicentre survey', Italian Journal of Pediatrics, vol. 43, no. 1, 22. https://doi.org/10.1186/s13052-017-0330-7
El Hachem, Maya ; Gesualdo, Francesco ; Ricci, Giampaolo ; Diociaiuti, Andrea ; Giraldi, Loredana ; Ametrano, Orsola ; Occella, Corrado ; Fortina, Anna Belloni ; Milioto, Mirella ; Arcangeli, Fabio ; Simonetti, Oriana ; Giancristoforo, Simona ; Calamelli, Elisabetta ; Mazzatenta, Carlo ; Neri, Iria. / Topical corticosteroid phobia in parents of pediatric patients with atopic dermatitis : a multicentre survey. In: Italian Journal of Pediatrics. 2017 ; Vol. 43, No. 1.
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abstract = "Background: Families of children affected with atopic dermatitis (AD) often report fear and anxiety regarding treatment with topical corticosteroids (TCS), which may lead to reduced compliance. The objective of our study was to measure, through a standardized questionnaire, fear of TCS in families of pediatric patients with AD and to identify items associated with fear. Methods: Families of pediatric patients with AD were enrolled in 9 Italian centers of pediatric dermatology. Enrolled parents were invited to fill in a questionnaire including questions on sociodemographic and clinical characteristics and 3 sets of questions on corticosteroid phobia (general fear, specific fears, behaviours regarding TCS). Determinants of the level of general fear were investigated through multivariable analysis. Results: A total of 300 outpatients with AD were enrolled. Most parents (80{\%}) had a high instruction level. Eighty-one percent reported to have a certain amount of fear of TCS. At the multivariable analysis, fear of TCS was associated with the following items: believing that TCS treatment advantages do not overweight disadvantages (P = 0.011); believing that TCS may be dangerous independently from the specific side effect (P < 0.001). Moreover, TCS fear was associated with fear of applying too much cream (P = 0.001). Conclusion: TCS phobia is widespread among Italian families of children with AD. Fear of TCS is associated with fear of applying too much cream, thus increasing the risk of poor compliance and treatment failure. Therapeutic education of families on the use of TCS should be implemented.",
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AU - El Hachem, Maya

AU - Gesualdo, Francesco

AU - Ricci, Giampaolo

AU - Diociaiuti, Andrea

AU - Giraldi, Loredana

AU - Ametrano, Orsola

AU - Occella, Corrado

AU - Fortina, Anna Belloni

AU - Milioto, Mirella

AU - Arcangeli, Fabio

AU - Simonetti, Oriana

AU - Giancristoforo, Simona

AU - Calamelli, Elisabetta

AU - Mazzatenta, Carlo

AU - Neri, Iria

PY - 2017/2/28

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N2 - Background: Families of children affected with atopic dermatitis (AD) often report fear and anxiety regarding treatment with topical corticosteroids (TCS), which may lead to reduced compliance. The objective of our study was to measure, through a standardized questionnaire, fear of TCS in families of pediatric patients with AD and to identify items associated with fear. Methods: Families of pediatric patients with AD were enrolled in 9 Italian centers of pediatric dermatology. Enrolled parents were invited to fill in a questionnaire including questions on sociodemographic and clinical characteristics and 3 sets of questions on corticosteroid phobia (general fear, specific fears, behaviours regarding TCS). Determinants of the level of general fear were investigated through multivariable analysis. Results: A total of 300 outpatients with AD were enrolled. Most parents (80%) had a high instruction level. Eighty-one percent reported to have a certain amount of fear of TCS. At the multivariable analysis, fear of TCS was associated with the following items: believing that TCS treatment advantages do not overweight disadvantages (P = 0.011); believing that TCS may be dangerous independently from the specific side effect (P < 0.001). Moreover, TCS fear was associated with fear of applying too much cream (P = 0.001). Conclusion: TCS phobia is widespread among Italian families of children with AD. Fear of TCS is associated with fear of applying too much cream, thus increasing the risk of poor compliance and treatment failure. Therapeutic education of families on the use of TCS should be implemented.

AB - Background: Families of children affected with atopic dermatitis (AD) often report fear and anxiety regarding treatment with topical corticosteroids (TCS), which may lead to reduced compliance. The objective of our study was to measure, through a standardized questionnaire, fear of TCS in families of pediatric patients with AD and to identify items associated with fear. Methods: Families of pediatric patients with AD were enrolled in 9 Italian centers of pediatric dermatology. Enrolled parents were invited to fill in a questionnaire including questions on sociodemographic and clinical characteristics and 3 sets of questions on corticosteroid phobia (general fear, specific fears, behaviours regarding TCS). Determinants of the level of general fear were investigated through multivariable analysis. Results: A total of 300 outpatients with AD were enrolled. Most parents (80%) had a high instruction level. Eighty-one percent reported to have a certain amount of fear of TCS. At the multivariable analysis, fear of TCS was associated with the following items: believing that TCS treatment advantages do not overweight disadvantages (P = 0.011); believing that TCS may be dangerous independently from the specific side effect (P < 0.001). Moreover, TCS fear was associated with fear of applying too much cream (P = 0.001). Conclusion: TCS phobia is widespread among Italian families of children with AD. Fear of TCS is associated with fear of applying too much cream, thus increasing the risk of poor compliance and treatment failure. Therapeutic education of families on the use of TCS should be implemented.

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