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March 10, 2026Dermatology Research and Practice0 citationsOpen Access

Topical Corticosteroid Phobia in Childhood Atopic Dermatitis: A Study Using the TOPICOP Score

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MZMateja Starbek ZorkoVBVid BukovecTFTanja Fantulin

Key Points

  • To assess the prevalence of topical corticosteroid phobia among parents of children with atopic dermatitis and identify contributing factors.
  • Conducted a cross-sectional study from March 2021 to December 2023.
  • Parents completed the TOPICOP questionnaire and the (F)DLQI questionnaire.
  • The SCORAD index assessed the severity of atopic dermatitis in children.
  • Statistical analyses including t-test, ANOVA, and Pearson correlation were performed.
  • Mean TOPICOP score among parents was 48.2% (SD 15.1).
  • Fear was the highest-scoring domain of the TOPICOP questionnaire at 53.7%.
  • CSP was significantly higher in parents of children with severe AD (p = 0.033).
  • Higher (F)DLQI scores correlated with increased CSP (r = 0.311, p = 0.002).
  • Single-parent households reported significantly higher CSP (p = 0.035).

Abstract

Background Topical corticosteroid phobia (CSP) is a significant barrier to the effective treatment of atopic dermatitis (AD). This is the first study to evaluate the CSP prevalence among parents of children with AD in Slovenia and to identify contributing factors. Methods We conducted a cross‐sectional study between March 2021 and December 2023. Parents of children with dermatologist‐confirmed AD, aged 3 months to 18 years, completed the validated TOPICOP questionnaire, supplemental questions and the (F)DLQI questionnaire. The SCORAD index was used to assess the severity of their children’s AD disease. Statistical analyses included the Shapiro–Wilk test, two‐tailed independent t ‐test, ANOVA, followed by Tukey post hoc testing and the Pearson correlation coefficient. Results Among 117 parents (81.2% mothers), the mean TOPICOP score was 48.2% (SD 15.1). Fear was the highest‐scoring TOPICOP domain (53.7%). CSP was significantly higher in parents of children with more severe AD based on SCORAD ( p = 0.033) and in families with higher (F)DLQI scores ( r = 0.311, p = 0.002). Notably, our results suggest that parents of children in single‐parent households had significantly higher CSP ( p = 0.035), a novel finding that warrants cautious interpretation due to the small subgroup size. Information obtained online about the potential dangers of topical corticosteroids (TCS) correlated with higher CSP ( p < 0.001). Conclusion CSP is prevalent among Slovenian parents of children with AD and is particularly pronounced in cases of more severe disease and single‐parent households, a novel and previously undescribed finding. Given that CSP is often influenced by nonmedical information sources, structured education and support by all healthcare providers is essential.

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Cite This Study

Zorko et al. (2026) studied this question.

synapsesocial.com/papers/69af950a70916d39fea4c339https://doi.org/10.1155/drp/7996688
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