Behavioural Manifestations of Anabolic Steroid Use

  title={Behavioural Manifestations of Anabolic Steroid Use},
  author={Adam J. Trenton and Glenn Currier},
  journal={CNS Drugs},
The use of anabolic androgenic steroids (AAS) for gains in strength and muscle mass is relatively common among certain subpopulations, including athletes, bodybuilders, adolescents and young adults.Adverse physical effects associated with steroid abuse are well documented, but more recently, increased attention has been given to the adverse psychiatric effects of these compounds. Steroids may be used in oral, 17α-alkylated, or intramuscular, 17β-esterified, preparations. Commonly, steroid users… 

Anabolic androgenic steroid abuse and mood disorder: a case report.

The abuse of AAS has been associated with various psychiatric manifestations: sleep disorders, anxiety, labile mood, mania, depression, irritability, aggression, violence, suicidal and homicidal ideation and behaviour, psychosis, confusion and delirium.

Anabolic Steroid Abuse and Dependence in Clinical Practice

  • K. Brower
  • Medicine, Psychology
    The Physician and sportsmedicine
  • 2009
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.

Illicit anabolic–androgenic steroid use

Treatment of anabolic-androgenic steroid dependence: Emerging evidence and its implications.

Anabolic-Androgenic Steroids

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.

Anabolic steroids-induced delirium

The case of a young gentleman who was managed as a case of androgenic steroid induced delirium is described to emphasize on the neuropsychiatric effects and management of anabolic steroids manifested bydelirium, increased aggression, hostility, and destructive impulses.

Interdisciplinary and Psychiatric Treatment of Anabolic Androgenic Steroids Users.

The prevalence of anabolic androgenic steroid (AAS; anabolic steroids) use in recreational sports is underestimated. Due to the influence of social media, an increase in AAS use in recreational

Neuropsychiatric and Behavioral Involvement in AAS Abusers. A Literature Review

This review clarifies the major aspects of the side effects related to AAS use/abuse highlighting the complex mechanisms on neuropsychiatric and cognitive pathological alterations and also the emotional and behavioral dysfunctions.



Psychiatric and medical effects of anabolic-androgenic steroid use. A controlled study of 160 athletes.

  • H. PopeD. Katz
  • Medicine, Psychology
    Archives of general psychiatry
  • 1994
Major mood disturbances associated with anabolic-androgenic steroids may represent an important public health problem for athletes using steroids and sometimes for the victims of their irritability and aggression.

Psychiatric and Medical Effects of Anabolic-Androgenic Steroid Use in Women

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.

Psychological treatment of anabolic-androgenic steroid-dependent individuals.

Hooked on hormones? An anabolic steroid addiction hypothesis.

It is concluded that a proportion of anabolic steroid abusers may develop a previously unrecognized sex steroid hormone-dependence disorder and that treatment should be based on research into steroid effects on opioid and aminergic neurotransmission systems and relapse prevention.

Past anabolic-androgenic steroid use among men admitted for substance abuse treatment: an underrecognized problem?

Prior AAS use appears to be common but underrecognized among men entering inpatient substance abuse treatment, especially those with opioid dependence and may serve as a "gateway" to opioid abuse in some cases and may also cause morbidity in its own right.

Anabolic steroid abuse

Education alone is probably not the answer to stopping anabolic steroid abuse but is an essential first step in combating this problem, physicians should avoid condemning individuals who choose to use anabolic steroids and encourage discussion of use with their health providers.

Anabolic steroids--a review of the clinical toxicology and diagnostic screening.

The toxicities and representative clinical profiles of steroid users are presented, and the methods available for diagnostic screening using psychological testing and urine analysis are also reviewed.

Psychiatric effects and psychoactive substance use in anabolic-androgenic steroid users.

In conclusion, AAS use may lead to psychiatric disorders in certain individuals and concurrent use of psychoactive drugs other than AAS does not appear to be common in intensively training weight lifters and bodybuilders.

Symptoms and correlates of anabolic-androgenic steroid dependence.

The data support the notion that AASs are addicting, and suggest that dissatisfaction with body size may lead to dependent patterns of use.

Anabolic-androgenic steroid dependence.

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.