Department of Dermatology, University Hospitals Leuven, Leuven, Belgium.
Acta Derm Venereol. 2019 Oct 1;99(11):1004-1008. doi: 10.2340/00015555-3220.
Corticophobia is a major problem in adherence to therapy. This study examined corticophobia among healthcare professionals using the Topical Corticosteroid Phobia (TOPICOP) questionnaire. The TOPICOP questionnaire was adapted for use with professionals (TOPICOP-P). Four groups of professionals: pharmacists, paediatricians, general practitioners and dermatologists were observed. The mean global TOPICOP score was 41.9 ± 14.9%. Pharmacists had the highest scores for corticophobia: a global score of 48.5 ± 13.9%, followed by general practitioners, 46.0 ± 13.5%, paediatricians 39.7 ± 14.5%, and dermatologists 32.3 ± 12.1%. Overall, there was a statistically significant difference in the mean score between the 4 groups (p < 0.05). In conclusion, there is prominent corticophobia among healthcare professionals, especially among pharmacists and general practitioners, which is probably based on insufficient knowledge of topical corticosteroids. In order to improve patient compliance, re-education of healthcare providers is suggested.
皮质恐惧症是治疗依从性的一个主要问题。本研究使用皮质恐惧症问卷(TOPICOP)调查了医护人员的皮质恐惧症。TOPICOP 问卷经过改编,适用于专业人员(TOPICOP-P)。观察了四组专业人员:药剂师、儿科医生、全科医生和皮肤科医生。全球 TOPICOP 平均得分为 41.9±14.9%。药剂师的皮质恐惧症得分最高:全球得分 48.5±13.9%,其次是全科医生 46.0±13.5%,儿科医生 39.7±14.5%,皮肤科医生 32.3±12.1%。总体而言,4 组之间的平均评分存在统计学差异(p<0.05)。总之,医护人员中存在明显的皮质恐惧症,尤其是药剂师和全科医生,这可能是由于对局部皮质类固醇的了解不足。为了提高患者的依从性,建议对医护人员进行再教育。