Representation of Topical Corticosteroid Withdrawal and Steroid Phobia on TikTok and YouTube Shorts: A Mixed-Methods Content Analysis.

BACKGROUND

Short-form video platforms such as TikTok and YouTube Shorts have become influential sources of health information. Among dermatology topics, topical steroid withdrawal (TSW) and corticosteroid phobia ('corticophobia') are frequently discussed.

OBJECTIVES

To examine quantitative engagement patterns and qualitatively characterise representations of TSW and corticosteroid phobia on TikTok and YouTube Shorts.

METHODS

A qualitative reflexive thematic analysis was conducted on publicly available TikTok and YouTube Shorts videos identified using predefined hashtags. Sampling was restricted to a consecutive two-day period to minimise algorithmic drift. Seventy-six publicly-accessible videos met inclusion criteria. Videos were coded inductively using NVivo, and thematic saturation was assessed through analytic redundancy and code recurrence.

RESULTS

TikTok videos were shorter and more interactive than YouTube Shorts. Sentiment was negative or neutral in most (78.9%, 60/76) videos. Five themes emerged: (1) Visually-dramatic embodiment of TSW; (2) Protest and mistrust; (3) Alternative healing; (4) Identity and hope; (5) Platform-shaped performance.

CONCLUSIONS

Short-form platforms amplify emotionally intense and distrust-oriented narratives about TSW. Future research should focus on effective strategies to address misinformation and rebuild trust.