Anabolic steroid abuse and dependence

@article{Brower2002AnabolicSA,
  title={Anabolic steroid abuse and dependence},
  author={Kirk J. Brower},
  journal={Current Psychiatry Reports},
  year={2002},
  volume={4},
  pages={377-387}
}
  • K. Brower
  • Published 2002
  • Psychology, Medicine
  • Current Psychiatry Reports
Anabolic-androgenic steroids (AAS) are mainly used to treat androgen deficiency syndromes and, more recently, catabolic states such as AIDS-associated wasting. There is no evidence in the reviewed literature that AAS abuse or dependence develops from the therapeutic use of AAS. Conversely, 165 instances of AAS dependence have been reported among weightlifters and bodybuilders who, as part of their weight training regimens, chronically administered supraphysiologic doses, often including… 
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  • 2008
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TLDR
The accumulating human and animal evidence showing that AAS may cause a distinct dependence syndrome is reviewed, and standard diagnostic criteria for substance dependence must be adapted slightly for cumulatively acting drugs such as AAS.
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    The Physician and sportsmedicine
  • 2009
TLDR
All physicians who treat nonmedical AAS users will benefit from an understanding of these psychological variables, including the potential for AAS to cause dependence, and guidelines are suggested for assessment and treatment.
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TLDR
The level of evidence for treating anabolic-androgenic steroid dependence is currently based on case reports and series as well as expert opinion, and knowledge of the psychiatric, physical, and laboratory findings aids detection.
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TLDR
Most of the current AAS users who have been admitted to a treatment programme are multiple drug users with polysubstance dependence, and the most common reason given for taking AAS and other hormones was to increase muscle mass and strength, but some participants also used insulin as a means of losing fat.
Reinforcing aspects of androgens
  • R. Wood
  • Biology, Psychology
    Physiology & Behavior
  • 2004
Current Concepts in Anabolic-Androgenic Steroids
  • N. Evans
  • Medicine, Biology
    The American journal of sports medicine
  • 2004
TLDR
Clinical studies have discovered novel therapeutic uses for physiologic doses of AAS, without any significant adverse effects in the short term, and guidelines for the clinical evaluation of Aas users will be presented for sports medicine practitioners.
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References

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TLDR
In conclusion, single doses of testosterone are devoid of the usual pharmacologic effects that are associated with abuse.
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TLDR
Dedicated women athletes exhibit not only AAS abuse, but use of many other ergogenic drugs, sometimes associated with significant morbidity, and frequently display several psychiatric syndromes which have not previously been well described.
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TLDR
Clinicians should be alerted to the possibility of dependence when asked to prescribe anabolic or androgenic steroids and should suspect steroid use among athlete patients who have mood or psychosocial disturbances.
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TLDR
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TLDR
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TLDR
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TLDR
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TLDR
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TLDR
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