Document Detail


Anabolic steroid abuse and dependence in clinical practice.
MedLine Citation:
PMID:  20048550     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
The nonmedical use of anabolic-androgenic steroids (AAS) appeals to athletes across several sports, particularly those whose activity makes muscle size and strength advantageous, and in individuals (usually men) with body dysmorphic disorder. Patterns of nonmedical use, including supratherapeutic doses of illicitly obtained drugs, increase the risk for adverse psychiatric and other medical consequences. Although AAS users may be more likely to consult physicians for nonpsychiatric medical consequences than changes in their mental status, it is argued that the motivation for persistent use despite adverse consequences is sustained in large part by psychological variables. Therefore, all physicians who treat nonmedical AAS users will benefit from an understanding of these psychological variables, including the potential for AAS to cause dependence. This article aims to aid such understanding, and guidelines are suggested for assessment and treatment of nonmedical AAS users.
Authors:
Kirk J Brower
Publication Detail:
Type:  Journal Article; Review    
Journal Detail:
Title:  The Physician and sportsmedicine     Volume:  37     ISSN:  0091-3847     ISO Abbreviation:  Phys Sportsmed     Publication Date:  2009 Dec 
Date Detail:
Created Date:  2010-01-05     Completed Date:  2010-03-12     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  0427461     Medline TA:  Phys Sportsmed     Country:  United States    
Other Details:
Languages:  eng     Pagination:  131-40     Citation Subset:  IM    
Affiliation:
University of Michigan Addiction Research Center, Ann Arbor, MI 48109, USA. kbrower@umich.edu
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MeSH Terms
Descriptor/Qualifier:
Anabolic Agents / adverse effects*
Behavior Therapy
Body Dysmorphic Disorders / complications,  epidemiology,  therapy
Humans
Physician's Practice Patterns
Psychotherapy
Risk Factors
Substance Withdrawal Syndrome / prevention & control
Substance-Related Disorders / diagnosis,  epidemiology,  etiology*
United States / epidemiology
Chemical
Reg. No./Substance:
0/Anabolic Agents

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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