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Published in: Substance Abuse Treatment, Prevention, and Policy 1/2007

Open Access 01-12-2007 | Research

Troubled social background of male anabolic-androgenic steroid abusers in treatment

Authors: Kurt Skarberg, Ingemar Engstrom

Published in: Substance Abuse Treatment, Prevention, and Policy | Issue 1/2007

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Abstract

Background

The aim of this study was to investigate the social background and current social situation of male abusers of anabolic-androgenic steroids (AAS).

Methods

We compared thirty-four AAS-abusing patients from an Addiction Centre (AC) with two groups, 18 users and 259 non-users of AAS from a public gym in Orebro, Sweden. The study is based on semi-structured interviews and questionnaires.

Results

Histories of a troubled childhood as well as current social disadvantage were both more frequent among the AAS users. Users also reported poor relationships with their parents and almost half of them had experienced physical or mental abuse. The AC group's experiences from school were mostly negative, and included concentration problems, boredom and learning difficulties. Their current circumstance included abuse of other drugs, battering of spouses and other criminality such as assault, illegal possession of weapons and theft.

Conclusion

In conclusion, this study shows that abusers of AAS often have a troubled social background. This underlines the importance of making a thorough social assessment as a part of the treatment programme. The results of the study may help in directing appropriate questions relevant to the abuse of AAS.
Literature
1.
2.
go back to reference Kashkin KB, Kleber HD: Hooked on hormones? An anabolic steroid addiction hypothesis. JAMA. 1989, 262 (22): 3166-3170. 10.1001/jama.262.22.3166.CrossRefPubMed Kashkin KB, Kleber HD: Hooked on hormones? An anabolic steroid addiction hypothesis. JAMA. 1989, 262 (22): 3166-3170. 10.1001/jama.262.22.3166.CrossRefPubMed
3.
go back to reference Mottram DR, George AJ: Anabolic steroids. Baillieres Best Pract Res Clin Endocrinol Metab. 2000, 14 (1): 55-69. 10.1053/beem.2000.0053.CrossRefPubMed Mottram DR, George AJ: Anabolic steroids. Baillieres Best Pract Res Clin Endocrinol Metab. 2000, 14 (1): 55-69. 10.1053/beem.2000.0053.CrossRefPubMed
4.
go back to reference Handelsman DJ, Gupta L: Prevalence and risk factors for anabolic-androgenic steroid abuse in Australian high school students. Int J Androl. 1997, 20 (3): 159-164. 10.1046/j.1365-2605.1997.d01-285.x.CrossRefPubMed Handelsman DJ, Gupta L: Prevalence and risk factors for anabolic-androgenic steroid abuse in Australian high school students. Int J Androl. 1997, 20 (3): 159-164. 10.1046/j.1365-2605.1997.d01-285.x.CrossRefPubMed
5.
go back to reference Hall RC: Abuse of supraphysiologic doses of anabolic steroids. South Med J. 2005, 98 (5): 550-555. 10.1097/01.SMJ.0000157531.04472.B2.CrossRefPubMed Hall RC: Abuse of supraphysiologic doses of anabolic steroids. South Med J. 2005, 98 (5): 550-555. 10.1097/01.SMJ.0000157531.04472.B2.CrossRefPubMed
6.
go back to reference Evans NA: Current concepts in anabolic-androgenic steroids. Am J Sports Med. 2004, 32 (2): 534-542. 10.1177/0363546503262202.CrossRefPubMed Evans NA: Current concepts in anabolic-androgenic steroids. Am J Sports Med. 2004, 32 (2): 534-542. 10.1177/0363546503262202.CrossRefPubMed
7.
go back to reference Brower KJ: Anabolic steroid abuse and dependence. Curr Psychiatry Rep. 2002, 4 (5): 377-387. 10.1007/s11920-002-0086-6.CrossRefPubMed Brower KJ: Anabolic steroid abuse and dependence. Curr Psychiatry Rep. 2002, 4 (5): 377-387. 10.1007/s11920-002-0086-6.CrossRefPubMed
8.
go back to reference Eklof AC, Thurelius AM, Garle M, Rane A, Sjoqvist F: The anti-doping hot-line, a means to capture the abuse of doping agents in the Swedish society and a new service function in clinical pharmacology. Eur J Clin Pharmacol. 2003, 59 (8-9): 571-577. 10.1007/s00228-003-0633-z.CrossRefPubMed Eklof AC, Thurelius AM, Garle M, Rane A, Sjoqvist F: The anti-doping hot-line, a means to capture the abuse of doping agents in the Swedish society and a new service function in clinical pharmacology. Eur J Clin Pharmacol. 2003, 59 (8-9): 571-577. 10.1007/s00228-003-0633-z.CrossRefPubMed
9.
go back to reference Kindlundh AM, Isacson DG, Berglund L, Nyberg F: Factors associated with adolescent use of doping agents: anabolic-androgenic steroids. Addiction. 1999, 94 (4): 543-553. 10.1046/j.1360-0443.1999.9445439.x.CrossRefPubMed Kindlundh AM, Isacson DG, Berglund L, Nyberg F: Factors associated with adolescent use of doping agents: anabolic-androgenic steroids. Addiction. 1999, 94 (4): 543-553. 10.1046/j.1360-0443.1999.9445439.x.CrossRefPubMed
10.
go back to reference Kanayama G, Pope HG, Hudson JI: "Body image" drugs: a growing psychosomatic problem. Psychother Psychosom. 2001, 70 (2): 61-65. 10.1159/000056228.CrossRefPubMed Kanayama G, Pope HG, Hudson JI: "Body image" drugs: a growing psychosomatic problem. Psychother Psychosom. 2001, 70 (2): 61-65. 10.1159/000056228.CrossRefPubMed
11.
go back to reference Franke WW, Berendonk B: Hormonal doping and androgenization of athletes: a secret program of the German Democratic Republic government. Clin Chem. 1997, 43 (7): 1262-1279.PubMed Franke WW, Berendonk B: Hormonal doping and androgenization of athletes: a secret program of the German Democratic Republic government. Clin Chem. 1997, 43 (7): 1262-1279.PubMed
12.
go back to reference Parssinen M, Seppala T: Steroid use and long-term health risks in former athletes. Sports Med. 2002, 32 (2): 83-94. 10.2165/00007256-200232020-00001.CrossRefPubMed Parssinen M, Seppala T: Steroid use and long-term health risks in former athletes. Sports Med. 2002, 32 (2): 83-94. 10.2165/00007256-200232020-00001.CrossRefPubMed
13.
go back to reference Thiblin IB, Fugelstad AB, Leifman AG, Romelsjo AP, Agren GS, Sorimachi Y: Relationships between the deinstitutionalization of healthcare for patients with mental disorder, substance abuse, and isolated death. J Forensic Sci. 2004, 49 (2): 354-360. 10.1520/JFS2003199.CrossRefPubMed Thiblin IB, Fugelstad AB, Leifman AG, Romelsjo AP, Agren GS, Sorimachi Y: Relationships between the deinstitutionalization of healthcare for patients with mental disorder, substance abuse, and isolated death. J Forensic Sci. 2004, 49 (2): 354-360. 10.1520/JFS2003199.CrossRefPubMed
14.
go back to reference Olrich TW, Ewing ME: Life on steroids: Bodybuilders describe their perceptions of the anabolic-androgenic steroid use period. Sport Psychol. 1999, 13: 299-312. Olrich TW, Ewing ME: Life on steroids: Bodybuilders describe their perceptions of the anabolic-androgenic steroid use period. Sport Psychol. 1999, 13: 299-312.
15.
go back to reference Kanayama G, Cohane GH, Weiss RD, Pope HG: Past anabolic-androgenic steroid use among men admitted for substance abuse treatment: an underrecognized problem?. J Clin Psychiatry. 2003, 64 (2): 156-160.CrossRefPubMed Kanayama G, Cohane GH, Weiss RD, Pope HG: Past anabolic-androgenic steroid use among men admitted for substance abuse treatment: an underrecognized problem?. J Clin Psychiatry. 2003, 64 (2): 156-160.CrossRefPubMed
16.
go back to reference Thiblin I, Parlklo T: Anabolic androgenic steroids and violence. Acta Psychiatr Scand Suppl. 2002, 412: 125-128. 10.1034/j.1600-0447.106.s412.27.x.CrossRefPubMed Thiblin I, Parlklo T: Anabolic androgenic steroids and violence. Acta Psychiatr Scand Suppl. 2002, 412: 125-128. 10.1034/j.1600-0447.106.s412.27.x.CrossRefPubMed
17.
go back to reference Thiblin I, Lindquist O, Rajs J: Cause and manner of death among users of anabolic androgenic steroids. J Forensic Sci. 2000, 45 (1): 16-23.CrossRefPubMed Thiblin I, Lindquist O, Rajs J: Cause and manner of death among users of anabolic androgenic steroids. J Forensic Sci. 2000, 45 (1): 16-23.CrossRefPubMed
18.
go back to reference Thiblin I, Kristiansson M, Rajs J: Anabolic androgenic steroids and behavioural patterns among violent offenders. J Forensic Psychiatry. 1997, 8 (2): 299-310.CrossRef Thiblin I, Kristiansson M, Rajs J: Anabolic androgenic steroids and behavioural patterns among violent offenders. J Forensic Psychiatry. 1997, 8 (2): 299-310.CrossRef
19.
go back to reference Bahrke MS, Yesalis CE, Brower KJ: Anabolic-androgenic steroid abuse and performance-enhancing drugs among adolescents. Child Adolesc Psychiatr Clin N Am. 1998, 7 (4): 821-838.PubMed Bahrke MS, Yesalis CE, Brower KJ: Anabolic-androgenic steroid abuse and performance-enhancing drugs among adolescents. Child Adolesc Psychiatr Clin N Am. 1998, 7 (4): 821-838.PubMed
20.
go back to reference Luicidi F, Grano C, Leone L, Lombardo C, Pesce C: Determinants of the intention to use doping substances: an empirical contribution in a sample of Italien adolescents. Int J Sport Psychol. 2004, 35: 333-357. Luicidi F, Grano C, Leone L, Lombardo C, Pesce C: Determinants of the intention to use doping substances: an empirical contribution in a sample of Italien adolescents. Int J Sport Psychol. 2004, 35: 333-357.
21.
go back to reference Nilsson S: Androgenic anabolic steroid use among male adolescents in Falkenberg. Eur J Clin Pharmacol. 1995, 48 (1): 9-11. 10.1007/BF00202164.CrossRefPubMed Nilsson S: Androgenic anabolic steroid use among male adolescents in Falkenberg. Eur J Clin Pharmacol. 1995, 48 (1): 9-11. 10.1007/BF00202164.CrossRefPubMed
22.
go back to reference Kanayama G, Pope HG, Cohane G, Hudson JI: Risk factors for anabolic-androgenic steroid use among weightlifters: a case-control study. Drug Alcohol Depend. 2003, 71 (1): 77-86. 10.1016/S0376-8716(03)00069-3.CrossRefPubMed Kanayama G, Pope HG, Cohane G, Hudson JI: Risk factors for anabolic-androgenic steroid use among weightlifters: a case-control study. Drug Alcohol Depend. 2003, 71 (1): 77-86. 10.1016/S0376-8716(03)00069-3.CrossRefPubMed
23.
go back to reference Thiblin I, Runeson B, Rajs J: Anabolic androgenic steroids and suicide. Ann Clin Psychiatry. 1999, 11 (4): 223-231. 10.1023/A:1022313529794.CrossRefPubMed Thiblin I, Runeson B, Rajs J: Anabolic androgenic steroids and suicide. Ann Clin Psychiatry. 1999, 11 (4): 223-231. 10.1023/A:1022313529794.CrossRefPubMed
24.
go back to reference Lovstakken K, Peterson L, Homer AL: Risk factors for anabolic steroid use in college students and the role of expectancy. Addict Behav. 1999, 24 (3): 425-430. 10.1016/S0306-4603(98)00060-4.CrossRefPubMed Lovstakken K, Peterson L, Homer AL: Risk factors for anabolic steroid use in college students and the role of expectancy. Addict Behav. 1999, 24 (3): 425-430. 10.1016/S0306-4603(98)00060-4.CrossRefPubMed
25.
go back to reference Midgley SJ, Heather N, Davies JB: Dependence-producing potential of anabolic-androgenic steroids. Addict Res. 1999, 7: 539-550.CrossRef Midgley SJ, Heather N, Davies JB: Dependence-producing potential of anabolic-androgenic steroids. Addict Res. 1999, 7: 539-550.CrossRef
26.
go back to reference Tanner SM, Miller DW, Alongi C: Anabolic steroid use by adolescents: prevalence, motives, and knowledge of risks. Clin J Sport Med. 1995, 5 (2): 108-115. 10.1097/00042752-199504000-00007.CrossRefPubMed Tanner SM, Miller DW, Alongi C: Anabolic steroid use by adolescents: prevalence, motives, and knowledge of risks. Clin J Sport Med. 1995, 5 (2): 108-115. 10.1097/00042752-199504000-00007.CrossRefPubMed
27.
go back to reference Kindlundh AM, Hagekull B, Isacson DG, Nyberg F: Adolescent use of anabolic-androgenic steroids and relations to self-reports of social, personality and health aspects. Eur JPublic Health. 2001, 11 (3): 322-328. 10.1093/eurpub/11.3.322.CrossRef Kindlundh AM, Hagekull B, Isacson DG, Nyberg F: Adolescent use of anabolic-androgenic steroids and relations to self-reports of social, personality and health aspects. Eur JPublic Health. 2001, 11 (3): 322-328. 10.1093/eurpub/11.3.322.CrossRef
28.
go back to reference Saunders JB, Aasland OG, Babor TF, de la Fuente JR, Grant M: Development of the Alcohol Use Disorders Identification Test (AUDIT): WHO Collaborative Project on Early Detection of Persons with Harmful Alcohol Consumption--II. Addiction. 1993, 88 (6): 791-804. 10.1111/j.1360-0443.1993.tb02093.x.CrossRefPubMed Saunders JB, Aasland OG, Babor TF, de la Fuente JR, Grant M: Development of the Alcohol Use Disorders Identification Test (AUDIT): WHO Collaborative Project on Early Detection of Persons with Harmful Alcohol Consumption--II. Addiction. 1993, 88 (6): 791-804. 10.1111/j.1360-0443.1993.tb02093.x.CrossRefPubMed
29.
go back to reference Bergman H, Kallmen H: Alcohol use among Swedes and a psychometric evaluation of the alcohol use disorders identification test. Alcohol Alcohol. 2002, 37 (3): 245-251.CrossRefPubMed Bergman H, Kallmen H: Alcohol use among Swedes and a psychometric evaluation of the alcohol use disorders identification test. Alcohol Alcohol. 2002, 37 (3): 245-251.CrossRefPubMed
30.
go back to reference Garmezy N: Children in poverty: resilience despite risk. Psychiatry. 1993, 56 (1): 127-136.PubMed Garmezy N: Children in poverty: resilience despite risk. Psychiatry. 1993, 56 (1): 127-136.PubMed
31.
go back to reference Moss HB, Panzak GL, Tarter RE: Sexual functioning of male anabolic steroid abusers. Arch Sex Behav. 1993, 22 (1): 1-12. 10.1007/BF01552908.CrossRefPubMed Moss HB, Panzak GL, Tarter RE: Sexual functioning of male anabolic steroid abusers. Arch Sex Behav. 1993, 22 (1): 1-12. 10.1007/BF01552908.CrossRefPubMed
32.
go back to reference Hebert R, Bravo G, Korner-Bitensky N, Voyer L: Refusal and information bias associated with postal questionnaires and face-to-face interviews in very elderly subjects. J Clin Epidemiol. 1996, 49 (3): 373-381. 10.1016/0895-4356(95)00527-7.CrossRefPubMed Hebert R, Bravo G, Korner-Bitensky N, Voyer L: Refusal and information bias associated with postal questionnaires and face-to-face interviews in very elderly subjects. J Clin Epidemiol. 1996, 49 (3): 373-381. 10.1016/0895-4356(95)00527-7.CrossRefPubMed
33.
Metadata
Title
Troubled social background of male anabolic-androgenic steroid abusers in treatment
Authors
Kurt Skarberg
Ingemar Engstrom
Publication date
01-12-2007
Publisher
BioMed Central
Published in
Substance Abuse Treatment, Prevention, and Policy / Issue 1/2007
Electronic ISSN: 1747-597X
DOI
https://doi.org/10.1186/1747-597X-2-20

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