Fear of cortisone in bronchial asthma. A parent survey

Autor(en): Burrichter, A.
Von Schlippe, A.
Szczepanski, R.
Stichwörter: attitude towards steroids; child-asthma; fear of steroids; Pediatrics
Erscheinungsdatum: 2006
Herausgeber: SPRINGER
Volumen: 154
Ausgabe: 10
Startseite: 979+
Not much research has been done on the relationship between fear of steroids and acceptance of therapy. Two studies imply that fear of steroids is not widespread among patients. The questionnaire (the ``Deuchert scale''; DS), however, seems to relate mainly to the cognitive component of attitudes to steroids. Therefore we developed a new questionnaire (the ``Osnabrueck scale'', OS), with the intention of finding out more about the affective component. In all, 110 parents of asthmatic children responded to both questionnaires and also answered questions about the sources of information they used. OS showed significantly higher scores for fear of steroids. Factor analysis showed the difference between the two instruments very clearly: the factor ``Fear of and concerns about steroids'' was completely represented by OS, while the factor ``Negative opinion of steroids'' was represented by the DS. It is important to make the distinction between these two components, so as not to underestimate the fear of steroids among patients. The parents of asthmatic children seem to be prey to not inconsiderable fears about steroids. Further important observations were that more than a quarter of the sample had not been given any information by their own doctors and that 6 of the 89 doctors involved had a very negative attitude to steroids, as did the children's and parents' friends and relatives, who were one of the most important source of information.
ISSN: 00269298
DOI: 10.1007/s00112-005-1244-9

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