Clinic for Psychosis and Dependence, PZM Psychiatry Center Münsingen AG, Münsingen, Switzerland.
Department of Psychiatry, Psychotherapy and Psychosomatics, Psychiatric University Hospital Zurich, University of Zurich, Zurich, Switzerland.
Praxis (Bern 1994). 2022 Apr;111(6):e339-e344. doi: 10.1024/1661-8157/a003868.
The prevalence of anabolic androgenic steroid (AAS; anabolic steroids) use in recreational sports is underestimated. Due to the influence of social media, an increase in AAS use in recreational sports and in the general population is to be expected. AAS use is associated with significant physical and mental health consequences, and the psychiatric consequences include the risk of developing addictive behaviour. The widespread stigmatization of AAS use also by professionals often undermines users' trust in physicians and drives them into the arms of so-called "gurus." The tightening of anti-doping practices in sports and an exclusively prohibitive stance have so far failed to convincingly curb the problem in recreational sports. Harm reduction strategies could help patients to get the help they need from primary care providers.
在娱乐性运动中，合成代谢雄激素类固醇（AAS；合成代谢类固醇）的使用流行程度被低估了。由于社交媒体的影响，预计在娱乐性运动和一般人群中，AAS 的使用会增加。AAS 的使用与显著的身心健康后果有关，精神健康后果包括发展成瘾行为的风险。AAS 使用的广泛污名化，甚至也来自专业人士，这常常破坏使用者对医生的信任，并促使他们求助于所谓的“大师”。在运动中加强反兴奋剂措施和采取纯粹的禁止立场，迄今为止都未能令人信服地遏制娱乐性运动中的这一问题。减少伤害策略可以帮助患者从初级保健提供者那里获得他们所需的帮助。
