Original Article

IJMDC. 2019; 3(7): 570-576

Topical corticosteroid phobia among patients with dermatological diseases

Authors: Ibrahim Al-Omair, Leena Emad Alghamdi, Deema Abdulwahab AlSadoun, Saad Altalhab, Abdulrahman Abdullah Al-Omair, Sara Mohamed Alkassimi.

ABSTRACT

Background: Topical corticosteroids (TCS) are widely prescribed for the treatment of dermatological diseases. Patients concerns and fear regarding the TCS are found to interfere with their compliance towards the treatment, resulting in relapses and poor outcome. The present study aimed to assess the patients’ origin and prevalence of TCS phobia, their knowledge about corticosteroids and their compliance towards the treatment. Methodology: A cross-sectional study was conducted in Light and Derma Clinic in Riyadh, Saudi Arabia during the period between 2018 and 2019. Patients with eczema, psoriasis, alopecia areata and vitiligo were asked to respond to a self-administered questionnaire. The questionnaire included socio-demographic data, data regarding the prevalence of TCS phobia, beliefs and behaviors, and sources of information concerning the safety and risks of TCS. Results: Two hundred and three patients were included in this study. A fear from TCS was expressed by 80.8% of respondents with varying degrees. Multiple regression analysis showed that having eczema or vitiligo was significantly associated with a higher degree of fear. Most TCS–related concerns of the patients were about their safety. Conclusion: TCS phobia was found widespread among patients with dermatological diseases. Most fears were related to safety issues. These fears were found to affect patient’s behaviors and hence their compliance towards the treatment. Providing public awareness and health education programs addressing the adverse effects of TCS and steps to avoid or decrease their usage could play a pivotal role in reducing TCS phobia. The study recommends the dermatologists to dedicate adequate time to provide health education to their patients.

Keywords:
Topical corticosteroids; Atopic dermatitis; Alopecia areata; Psoriasis; Vitiligo.


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Topical corticosteroid phobia among patients with dermatological diseases


Authors
Ibrahim Al-Omair
Department of Dermatology, College of Medicine, Al-Imam Mohammad Ibn Saud Islamic University, Riyadh, Saudi Arabia
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Leena Emad Alghamdi
Princess Nora Bint Abdulrahman University, Riyadh, Saudi Arabia
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Deema Abdulwahab AlSadoun
Princess Nora Bint Abdulrahman University, Riyadh, Saudi Arabia
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Saad Altalhab
Department of Dermatology, College of Medicine, Al-Imam Mohammad Ibn Saud Islamic University, Riyadh, Saudi Arabia
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Abdulrahman Abdullah Al-Omair
King Saud Bin Abdulaziz University for Health Sciences, Ar Rimayah, Saudi Arabia
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Sara Mohamed Alkassimi
King Abdulaziz University, Jeddah, Saudi Arabia.
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Correspondence to:
. Department of Dermatology, College of Medicine, Al-Imam Mohammad Ibn Saud Islamic University, Riyadh, Saudi Arabia; saadaltalhab@gmail.com

Publication history
Published online 01 Jan 1970
Received 10 Jan 2019
Accepted 20 Mar 2019
Published in print 04 Apr 2019

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Pubmed Style

Al-Omair I, Alghamdi LE, AlSadoun DA, Altalhab S, Al-Omair AA, Alkassimi SM. Topical corticosteroid phobia among patients with dermatological diseases. IJMDC. 2019; 3(7): 570-576. doi:10.24911/IJMDC.51-1547136982


Web Style

Al-Omair I, Alghamdi LE, AlSadoun DA, Altalhab S, Al-Omair AA, Alkassimi SM. Topical corticosteroid phobia among patients with dermatological diseases. http://www.ijmdc.com/?mno=25571 [Access: April 22, 2019]. doi:10.24911/IJMDC.51-1547136982


AMA (American Medical Association) Style

Al-Omair I, Alghamdi LE, AlSadoun DA, Altalhab S, Al-Omair AA, Alkassimi SM. Topical corticosteroid phobia among patients with dermatological diseases. IJMDC. 2019; 3(7): 570-576. doi:10.24911/IJMDC.51-1547136982


Vancouver/ICMJE Style

Al-Omair I, Alghamdi LE, AlSadoun DA, Altalhab S, Al-Omair AA, Alkassimi SM. Topical corticosteroid phobia among patients with dermatological diseases. IJMDC. (2019), [cited April 22, 2019]; 3(7): 570-576. doi:10.24911/IJMDC.51-1547136982


Harvard Style

Al-Omair, I., Alghamdi, . L. E., AlSadoun, . D. A., Altalhab, . S., Al-Omair, . A. A. & Alkassimi, . S. M. (2019) Topical corticosteroid phobia among patients with dermatological diseases. IJMDC, 3 (7), 570-576. doi:10.24911/IJMDC.51-1547136982


Turabian Style

Al-Omair, Ibrahim, Leena Emad Alghamdi, Deema Abdulwahab AlSadoun, Saad Altalhab, Abdulrahman Abdullah Al-Omair, and Sara Mohamed Alkassimi. 2019. Topical corticosteroid phobia among patients with dermatological diseases. International Journal of Medicine in Developing Countries, 3 (7), 570-576. doi:10.24911/IJMDC.51-1547136982


Chicago Style

Al-Omair, Ibrahim, Leena Emad Alghamdi, Deema Abdulwahab AlSadoun, Saad Altalhab, Abdulrahman Abdullah Al-Omair, and Sara Mohamed Alkassimi. "Topical corticosteroid phobia among patients with dermatological diseases." International Journal of Medicine in Developing Countries 3 (2019), 570-576. doi:10.24911/IJMDC.51-1547136982


MLA (The Modern Language Association) Style

Al-Omair, Ibrahim, Leena Emad Alghamdi, Deema Abdulwahab AlSadoun, Saad Altalhab, Abdulrahman Abdullah Al-Omair, and Sara Mohamed Alkassimi. "Topical corticosteroid phobia among patients with dermatological diseases." International Journal of Medicine in Developing Countries 3.7 (2019), 570-576. Print. doi:10.24911/IJMDC.51-1547136982


APA (American Psychological Association) Style

Al-Omair, I., Alghamdi, . L. E., AlSadoun, . D. A., Altalhab, . S., Al-Omair, . A. A. & Alkassimi, . S. M. (2019) Topical corticosteroid phobia among patients with dermatological diseases. International Journal of Medicine in Developing Countries, 3 (7), 570-576. doi:10.24911/IJMDC.51-1547136982


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