Psychosocial correlates of gap time to anabolic-androgenic steroid use.

Psychosocial correlates of gap time to anabolic-androgenic steroid use.
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间隙时间与合成代谢雄激素类固醇使用的心理社会相关性。

DOI:
10.1002/eat.22859
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发表时间:
2018
期刊:
The International journal of eating disorders
影响因子:
--
通讯作者:
Hildebrandt,Tom
Hildebrandt,Tom
中科院分区:
--
文献类型:
--
作者:
Klimek,Patrycja;Hildebrandt,Tom

文献摘要

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ObjectiveTheoretically, legal supplement use precedes and increases the risk for illicit appearance and performance enhancing drug (APED) use—also referred to as the gateway hypothesis. Little is known about associations between the speed of progression, or gap time, from legal to illicit APED use, and psychological risk factors, such as sociocultural influence, eating disorders, body image disturbance, and impulsivity.MethodThe sample taken from two studies included 172 active steroid users (n= 143) and intense‐exercising healthy controls (n= 29) between the ages of 18 and 60 (M= 34.16,SD= 10.43), the majority of whom were male (91.9%). Participants, retrospectively, reported APED use and completed measures assessing psychological and behavioral factors, including eating concern, muscle dysmorphia, and impulsivity. Participants had a gap time from initial APED use to anabolic–androgenic steroid (AAS) use that ranged from 0 to 38 years.ResultsContinuous survival analysis indicated that interactions between self‐ versus other sociocultural influence on APED onset and both higher eating concern and impulsivity are associated with a shorter gap time from initial legal to illicit APED use.DiscussionThe results indicate the potential value in developing different strategies for individuals with other sociocultural versus self‐influence on illicit APED use, and among more impulsive and eating‐concerned APED users. Future research is needed to assess different trajectories of APED use, such that eating‐concerned and impulsive individuals who perceive less other sociocultural influence may be at greatest risk for a speedier progression to AAS use.