Iranian Journal of Psychiatry 2017. 12(4):220-225.

Comparison of the Prevalence of Psychiatric Disorders in Performance-Enhancing Drug Users and Nonuser Bodybuilders
Afshin Ostovar, Mohammad Javad Haerinejad, Samad Akbarzadeh, Mojtaba Keshavarz

Abstract


Objective: The present study aimed at comparing the prevalence of major psychiatric disorders including major depressive disorder, bipolar disorder, schizophrenia, and generalized anxiety disorder between performance-enhancing drug users and nonuser bodybuilders. Moreover, the prevalence of major psychiatric disorders in bodybuilders was also reported.

Method: In this study, 453 athletes were recruited from Bushehr bodybuilding gyms from February to May 2015. A structured questionnaire was used to collect the participants’ information, including demographic characteristics, sports’ status and performance-enhancing drug use. According to the condition of performance-enhancing drug use, the participants were divided into current users, non-current users, and nonusers. The psychiatric status of the participants was evaluated using DSM-IV diagnostic criteria for major depressive disorder, bipolar disorder, generalized anxiety disorder, and schizophrenia. We also asked about the acute psychotic disturbances after using performance-enhancing drugs, alcohol use, and history of aggressive behavior in bodybuilders. Data were analyzed using one-way analysis of variance and chi-square tests.

Results: Prevalence of major depressive disorder, bipolar disorder, schizophrenia, generalized anxiety disorder, and the overall prevalence of psychiatric disorders in the bodybuilders was 19.7%, 3.8%, 1.5%, 16.6%, and 26.7%, respectively. After using performance-enhancing drugs, 33% of the bodybuilders had experienced acute psychological disturbances. There were no significant differences between current, non-current, and nonuser bodybuilding athletes in the measured psychiatric disorders.

Conclusion: Prevalence of psychiatric disorders was not significantly different in performance-enhancing drug users and nonusers. Thus, it can be concluded that performance-enhancing drugs do not increase the risk of psychiatric disorders in bodybuilders.


Keywords


Bodybuilding athletes; Mental disorders; Performance-Enhancing Drugs

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References


Pope HG, Kanayama G, Athey A, Ryan E, Hudson JI, Baggish A. The lifetime prevalence of anabolic‐androgenic steroid use and dependence in Americans: Current best estimates. Am J Addict 2014; 23: 371-377.

Kanayama G, Hudson JI, Pope HG. Illicit anabolic–androgenic steroid use. Horm Behav 2010; 58: 111-121.

Hartgens F, Kuipers H. Effects of androgenic-anabolic steroids in athletes. Sports Med 2004; 34: 513-554.

Maravelias C, Dona A, Stefanidou M, Spiliopoulou C. Adverse effects of anabolic steroids in athletes: a constant threat. Toxicol Lett 2005; 168: 167-175.

Pope H, Katz D. Psychiatric effects of exogenous anabolic-androgenic steroids. Psychoneuroendocrinology: The scientific basis of clinical practice. Washington, DC: American Psychiatric Press; 2003.

van Amsterdam J, Hartgens F. Acute and chronic adverse reaction of anabolic–androgenic steroids. Adverse Drug React Bull 2014; 288: 1111-1114.

Perry PJ, Kutscher EC, Lund BC, Yates WR, Holman TL, Demers L. Measures of aggression and mood changes in male weightlifters with and without androgenic anabolic steroid use. J Forensic Sci 2003; 48: 646-651.

Lukas SE. CNS effects and abuse liability of anabolic-androgenic steroids. Annu Rev Pharmacol Toxicol 1996; 36: 333-357

Thiblin I, Runeson B, Rajs J. Anabolic androgenic steroids and suicide. Ann Clin Psychiatry 1999; 11: 223-231.

Kanayama G, Hudson JI, Pope HG Jr. Long-term psychiatric and medical consequences of anabolic–androgenic steroid abuse: A looming public health concern? Drug Alcohol Depend 2008; 98: 1-12.

Daly RC1, Su TP, Schmidt PJ, Pagliaro M, Pickar D, Rubinow DR. Neuroendocrine and behavioral effects of high-dose anabolic steroid administration in male normal volunteers. Psychoneuroendocrinology 2003; 28: 317-331.

Clark AS, Henderson LP. Behavioral and physiological responses to anabolic-androgenic steroids. Neurosci Biobehav Rev 2003; 27: 413-436.

Dodge T, Hoagland MF. The use of anabolic androgenic steroids and polypharmacy: a review of the literature. Drug Alcohol Depend 2011; 114: 100-109.

Ip EJ, Barnett MJ, Tenerowicz MJ, Perry PJ. The Anabolic 500 Survey: Characteristics of Male Users versus Nonusers of Anabolic-Androgenic Steroids for Strength Training Pharmacother 2011; 31: 757-766.

Markser VZ. Sport psychiatry and psychotherapy. Mental strains and disorders in professional sports. Challenge and answer to societal changes. Eur Arch Psychiatry Clin Neurosci 2011; Suppl 2: S182-185.

Noorbala AA, Bagheri Yazdi SA, Yasamy MT, Mohammad K. Mental health survey of the adult population in Iran. Br J Psychiatry 2004; 184: 70-73.

Mangweth B, Pope HG Jr, Kemmler G, Ebenbichler C, Hausmann A, De Col C, et al. Body image and psychopathology in male bodybuilders. Psychother Psychosom 2001; 70: 38-43.

Sanjuan PM, Langenbucher JL, Hildebrandt T. Mood symptoms in steroid users: the unexamined role of concurrent stimulant use. J Subst Use 2016; 21: 395-399.

Casavant MJ, Blake K, Griffith J, Yates A, Copley LM. Consequences of use of anabolic androgenic steroids. Pediatr Clin North Am 2007; 54: 677-690.

Angoorani H, Halabchi F. The Misuse of Anabolic-Androgenic Steroids among Iranian Recreational Male Body-Builders and Their Related Psycho-Socio-Demographic factors. Iran J Public Health 2015; 44: 1662-1669.

Lindqvist A, Eriksson B, Ehrnborg C, Fahlke C, Moberg T, Rosén T, eds. AAS abuse in former competitive sport athletes. First Nordic conference on abuse of anabolic steroids and anti-doping work; 2007.

Rubinow DR, Schmidt PJ. Androgens, brain, and behavior. Am J Psychiatry. 1996; 153: 974-984.

Schmidt PJ, Berlin KL, Danaceau MA, Neeren A, Haq NA, Roca CA, et al. The Effects of Pharmacologically Induced Hypogonadism on Mood in HealthyMen. Arch Gen Psychiatry 2004; 61: 997-1004.

Williamson S, Gossop M, Powis B, Griffiths P, Fountain J, Strang J. Adverse effects of stimulant drugs in a community sample of drug users. Drug Alcohol Depend 1997; 44: 87-94.

Pope HG Jr, Wood RI, Rogol A, Nyberg F, Bowers L, Bhasin S. Adverse health consequences of performance-enhancing drugs: an Endocrine Society scientific statement. Endocr Rev 2013; 35: 341-375.

Choi PY, Pope HG Jr. Violence toward women and illicit androgenic-anabolic steroid use. Ann Clin Psychiatry 1994; 6: 21-25.

Oberlander JG, Henderson LP. The Sturm und Drang of anabolic steroid use: angst, anxiety, and aggression. Trends Neurosci 2012; 35: 382-392.

Rejeski WJ, Brubaker PH, Herb RA, Kaplan JR, Koritnik D. Anabolic steroids and aggressive behavior in cynomolgus monkeys. J Behav Med 1988; 11: 95-105.

Johansson P, Lindqvist A, Nyberg F, Fahlke C. Anabolic androgenic steroids affects alcohol intake, defensive behaviors and brain opioid peptides in the rat. Pharmacol Biochem Behav 2000; 67: 271-279.


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