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Table 2 Response to questions on TCS specific fears and on behaviors regarding TCS use

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

Fears and beliefs

Category

I completely disagree

I don’t really agree

I agree to a certain extent

I completely agree

TCS are effective over a short time period

E

12 (4%)

25 (9%)

84 (30%)

155 (56%)

TCS are effective over a long time period

E

81 (30%)

58 (21%)

100 (37%)

33 (12%)

TCS pass into the bloodstream

S

66 (25%)

40 (15%)

92 (35%)

67 (25%)

TCS can lead to infections

S

147 (56%)

55 (21%)

40 (15%)

22 (8%)

TCS make you fat

S

120 (44%)

40 (15%)

69 (25%)

42 (15%)

TCS damage your skin

S

59 (22%)

44 (16%)

104 (38%)

65 (24%)

TCS will affect my future health

S

93 (35%)

51 (19%)

90 (33%)

35 (13%)

There is a dependency risk

S

90 (33%)

35 (13%)

84 (31%)

62 (23%)

I can become resistant to TCS

S

42 (16%)

44 (17%)

107 (40%)

72 (27%)

TCS become inefficient over time

E

31 (12%)

39 (14%)

110 (41%)

89 (33%)

TCS calm symptoms but don’t treat the cause

E

24 (9%)

25 (9%)

67 (24%)

159 (58%)

TCS make eczema worse

E

152 (57%)

58 (22%)

43 (16%)

15 (6%)

TCS stop the eczema from coming up to the surface of the skin

E

33 (12%)

37 (14%)

72 (27%)

129 (48%)

TCS can lead to asthma

S

181 (72%)

36 (14%)

29 (11%)

7 (3%)

I don’t know of any side-effects but I’m still afraid of TCS

S

43 (16%)

43 (16%)

102 (38%)

82 (30%)

TCS are more dangerous than CS in tablet form

S

177 (66%)

37 (14%)

35 (13%)

18 (7%)

TCS treatment takes time and effort

E

89 (32%)

74 (27%)

73 (27%)

38 (14%)

TCS treatment is complicated

Q

157 (58%)

57 (21%)

38 (14%)

19 (7%)

TCS treatment helps me improve my quality of life

Q

26 (9%)

27 (10%)

122 (44%)

100 (36%)

TCS increase my well-being

Q

36 (13%)

31 (11%)

115 (42%)

91 (33%)

The advantages of TCS use outweigh the disadvantages

Q

23 (8%)

44 (16%)

120 (44%)

87 (32%)

Behaviors regarding TCS treatment

Never

Sometimes

Often

Always

I’m afraid of applying too much cream

S

76 (29%)

114 (44%)

58 (22%)

11 (4%)

I’m afraid of using the cream for too long

S

49 (19%)

104 (40%)

77 (30%)

28 (11%)

I’m afraid of putting cream on certain zones like the eyelids, where the skin is thinner

S

47 (18%)

70 (27%)

71 (27%)

73 (28%)

It’s more dangerous to use TCS on children than on adults

S

42 (16%)

72 (28%)

75 (29%)

72 (28%)

If the doctor prescribed TCS then I would apply the prescription

C

31 (12%)

67 (26%)

53 (20%)

109 (42%)

I wait as long as I can before applying the treatment

C

72 (27%)

70 (27%)

64 (24%)

56 (21%)

I stop the treatment as soon as I can

C

34 (13%)

51 (19%)

87 (33%)

90 (34%)

I am careful to rub the cream in well when I apply it

S

11 (4%)

27 (10%)

71 (27%)

151 (58%)

I avoid putting TCS on my child’s hands

S

78 (30%)

46 (18%)

32 (12%)

102 (40%)

I need reassurance about TCS

S

44 (17%)

72 (27%)

61 (23%)

87 (33%)

  1. E efficacy, S safety, Q quality of life, C compliance