A qualitative exploration of the motivations underlying anabolic-androgenic steroid use from adolescence into adulthood
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Cardiff Metropolitan University, United Kingdom
Submission date: 2016-06-08
Final revision date: 2016-07-11
Acceptance date: 2016-07-12
Online publication date: 2016-08-05
Publication date: 2016-08-11
Health Psychology Report 2016;4(4):315-320
This study explored the direct experience of anabolic androgenic steroid (AAS) use by young men, with an emphasis on how motivations progressed from adolescent initiation to more entrenched usage.

Participants and procedure
Nine semi-structured interviews were conducted with individuals ranging in experience of AAS use, from novice to experienced users.

The results indicated that the young adult men progressed through a clear transition whereby their motives for using these substances changed from a mere desire to compete with other men to more internalised body image problems.

The findings presented suggest a more complex relationship between AAS use and body image pathology than previously suggested.
Adlaf, E. M., & Smart, R. G. (1992). Characteristics of steroid users in an adolescent school population. Journal of Alcohol and Drug Education, 38, 43–49.
Angell, M. P., Chester, N., Green, D., Somauroo, J., Whyte, G., & George, K. (2012). Anabolic steroids and cardiovascular risk. Sports Medicine, 42, 119–134. doi: 10.2165/11598060-000000000-00000.
Baggish, A. L., Weiner, R. B., Kanayama, G., Hudson, J. I., Picard, M. H., Hutter, A. M., & Pope, H. G. (2010). Long term anabolic-androgenic steroid use is associated with left ventricular dysfunction. Circulation: Heart Failure, 3, 472–476. doi: 10.1161/CIRCHEARTFAILURE.109.931063.
Blouin, A. G., & Goldfield, M. A. (1995). Body image and steroid use in male bodybuilders. International Journal of Eating Disorders, 18, 159–165. doi: 10.1002/1098-108X(199509)18:23.0.CO;2-3.
Braun, V., & Clarke, V. (2006). Using thematic analysis in psychology. Qualitative Research in Psychology, 3, 77–101. doi: 10.1191/1478088706qp063oa.
British Medical Association Board of Science and Education. (2002). Drugs in Sport: The Pressure to Perform. London: BMA.
Crime Survey for England and Wales. (2015). Drug Misuse [online]. Available from: https://www.gov.uk/government/... [Accessed on 11th July 2016].
Dandoy, C., & Gereige, R. S. (2012). Performance-enhancing drugs. Paediatrics in Review, 33, 265–272. doi: 10.1542/pir.33-6-265.
Dodge, T., & Hoagland, M. F. (2011). The use of anabolic androgenic steroids and polypharmacy: A review of the literature. Drug and Alcohol Dependence, 114, 100–109. doi: 10.1016/j.drugalcdep.2010.11.011.
Galduroz, J. C., Noto, A. R., Nappo, S. A., & Carlini, E. A. (2005). Household survey on drug abuse in Brazil: study involving the 107 major cities of the country. Journal of Addictive Behaviours, 30, 545–556. doi: 10.1016/j.addbeh.2004.08.004.
Harmer, P. A. (2010). Anabolic-androgenic steroid use among young male and female athletes: is the game to blame? British Journal of Sports Medicine, 44, 26–31. doi: 10.1136/bjsm.2009.068924.
Hoare, J., & Flatley, J. (2008). Drug misuse declared: Findings from the 2007/2008 British Crime Survey England and Wales. London: Home Office.
Kanayama, G., Barry, S., Hudson, J. I., & Pope, H. G. (2006). Body image and attitudes toward male roles in anabolic-androgenic steroid users. American Journal of Psychiatry, 163, 697–703.
Kanayama, G., Hudson, J. I., & Pope, H. G. (2010). Illicit anabolic–androgenic steroid use. Hormones and Behaviour, 58, 111–121. doi: 10.1016/j.yhbeh.2009.09.006.
Kanayama, G., Pope, H. G., Cohane, G., & Hudson, J. I. (2003). Risk factors for anabolic-androgenic steroid use among weightlifters: a case-control study. Drug and Alcohol Dependence, 71, 77–86. doi: 10.1016/S0376-8716(03)00069-3.
Kimergård, A., & McVeigh, J. (2014). Environments, risk and health harms: a qualitative investigation into the illicit use of anabolic steroids among people using harm reduction services in the UK. BMJ Open, 4, e005275. doi: 10.1136/bmjopen-2014-005275.
Kindlundh, A., Isacson, D., Berglund, L., & Nyberg, F. (1999). Factors associated with adolescent use of doping agents: anabolic-androgenic steroids. Addiction, 94, 543–553. doi: 10.1046/j.1360-0443.1999.9445439.x.
Lambert, M. I., Titlestad, S. D., & Schwellnus, M. P. (1998). Prevalence of androgenic-anabolic steroid use in adolescents in two regions of South Africa. Journal of South African Medicine, 88, 876–880.
Miller, K. E., Barnes, G. M., Sabo, D. F., Melnick, M. J., & Farrell, M. P. (2002). Anabolic-androgenic steroid use and other adolescent problem behaviors: Rethinking the male athlete assumption. Sociological Perspectives, 45, 467–489. doi: 10.1525/sop.2002.45.4.467.
Nilsson, S., Baigi, A., Marklund, B., & Fridlund, B. (2001). The prevalence of the use of androgenic anabolic steroids by adolescents in a county of Sweden. Public Health, 11, 195–197.
Olivardia, R., Pope, H. G., Borowiecki, J. J., & Cohane, G. H. (2004). Biceps and body image: The relationship between muscularity and self-esteem, depression and eating disorder symptoms. Psychology of Men and Masculinity, 5, 112–120. doi: 10.1037/1524-9220.5.2.112.
Pope Jr, H. G., Wood, R. I., Rogol, A., Nyberg, F., Bowers, L., & Bhasin, S. (2013). Adverse health consequences of performance-enhancing drugs: An Endocrine Society scientific statement. Endocrine Reviews, 35, 341–375. doi: 10.1210/er.2013-1058.
Pope, H. G., Gruber, A. J., Choi, P., Olivardia, R., & Phillips, K. A. (1997). Muscle dysmorphia: An under recognised form of body dysmorphic disorder. Psychosomatics, 38, 548–557.
Pope, H. G., Kanayama, G., & Hudson, J. I. (2012). Risk factors for illicit anabolic-androgenic steroid use in male weightlifters: a cross-sectional cohort study. Biological Psychiatry, 71, 254–261. doi: 10.1016/j.biopsych.2011.06.024.
Pope, H. G., Katz, D. L., & Hudson, J. I. (1993). Anorexia nervosa and “reverse anorexia” among 108 male bodybuilders. Comprehensive Psychiatry, 34, 406–409. doi: 10.1016/0010-440X(93)90066-D.
Thiblin, I., & Pärlklo, T. (2002). Anabolic androgenic steroids and violence. Acta Psychiatrica Scandinavica, 106, 125–128. doi: 10.1034/j.1600-0447.106.s412.27.x.
Wichstrøm, L., & Pedersen, W. (2001). Use of anabolic-androgenic steroids in adolescence: winning, looking good or being bad? Alcohol and Drugs, 62, 5–13.
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