Saxon D Smith, MBChB. Esther Hong, MBBS. Samantha Fearns, PhD. Alex Blaszczynski, PhD. Gayle Fischer, FACD.
Corticosteroid phobia and other confounders in the treatment of childhood atopic dermatitis explored using parent focus groups
Article first published online: 8 APR 2010
© 2010 The Authors. Journal compilation © 2010 The Australasian College of Dermatologists
Australasian Journal of Dermatology
Volume 51, Issue 3, pages 168–174, August 2010
How to Cite
Smith, S. D., Hong, E., Fearns, S., Blaszczynski, A. and Fischer, G. (2010), Corticosteroid phobia and other confounders in the treatment of childhood atopic dermatitis explored using parent focus groups. Australasian Journal of Dermatology, 51: 168–174. doi: 10.1111/j.1440-0960.2010.00636.x
- Issue published online: 2 AUG 2010
- Article first published online: 8 APR 2010
- Submitted 30 November 2009; accepted 1 January 2010.
- atopic dermatitis;
- focus group;
- topical corticosteroid
Background/Objectives: Anxieties associated with corticosteroid treatment and preference for ‘safer natural therapy’ are common in parents of children with atopic dermatitis. We used focus groups to explore the source of these attitudes.
Methods: The study involved 16 parents. Parents expressed difficulties with living with and treating atopic dermatitis which were categorized into themes using qualitative data analysis software.
Results: Themes identified include: emotional impact of atopic dermatitis; difficulty in accepting ‘control’ verses ‘cure’; topical corticosteroid negative perceptions; anxiety and confusion with treatment; preference for ‘natural’ therapy; and attitude-changing positive experiences.
Conclusions: Our findings illustrate the emotional impact of atopic dermatitis and the frustration with the lack of potential cure. ‘Corticosteroid phobia’ was universal among parents in our cohort and is a fear generated by doctors, pharmacists, close acquaintances and information from the internet. Participants expressed high levels of parental guilt linked to a desire for an eradicable ‘cause’ for atopic dermatitis, despite intellectually understanding this is a genetically determined condition. Parents were willing to change attitudes with accurate information from perceived reliable sources, positive hospitalization experiences and a relationship with a trusted dermatologist. Parents' suggestions to improve confidence included the provision of readily available information and better access to doctor- and nurse-led paediatric dermatology services.