[Anabolic steroid abuse and mental disorder]

Area of Science:

• Psychiatry
• Pharmacology
• Criminology

Background:

• Anabolic steroid (AS) use has surged among adults and adolescents since the 1980s, driven by aesthetic and performance goals.
• AS abuse is recognized as a significant public health issue, with increasing prevalence.
• Illicit, high-dose AS use is associated with adverse somatic and behavioral effects.

Observation:

• Studies indicate AS abusers may exhibit psychological phenomena, including heightened aggression and irritability.
• Case reports, though limited, suggest AS-induced mental disorders, including major mood disturbances.
• Violent crimes have been linked to AS abuse, with aggression, grandiosity, and rage cited as contributing factors.

Findings:

• Empirical data on the psychiatric effects of AS are currently insufficient.
• Evidence suggests long-term AS use may lead to mental disorders meeting criteria for psychoactive substance abuse.
• The addictive potential of AS requires further investigation.

Implications:

• Increased attention is needed to understand the psychiatric consequences of AS abuse.
• Further research should focus on the trends and specific mental health impacts of AS use, including in diverse populations.
• Understanding these effects is crucial for developing effective prevention and treatment strategies.