Evidence map›Paper›PMID 21115306›Full record

ReviewDrug and alcohol dependence2011

The diagnostic dilemma of pathological appearance and performance enhancing drug use.

Tom Hildebrandt, Justine K Lai, James W Langenbucher, Melanie Schneider, Rachel Yehuda, Donald W Pfaff

Abstract readReview
In one paragraph

Review in Drug and alcohol dependence, 2011. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers.

0numbers the graph read from it
0cells of the map it votes in
17citing papers in PubMed
2.4field-weighted citation impact, top 11% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

17 citing papers in PubMed, 56 citations in OpenAlex.

  1. Article
  2. Review
  3. Review
  4. Review
  5. Psychosocial correlates of gap time to anabolic-androgenic steroid use.The International journal of eating disorders · 2018
    Article
  6. Article
  7. Article
  8. Article
  9. Article
  10. The influence of age of onset and acute anabolic steroid exposure on cognitive performance, impulsivity, and aggression in men.Psychology of addictive behaviors : journal of the Society of Psychologists in Addictive Behaviors · 2014
    Article
  11. Article
  12. Review
  13. Article
  14. Fitness supplements as a gateway substance for anabolic-androgenic steroid use.Psychology of addictive behaviors : journal of the Society of Psychologists in Addictive Behaviors · 2012
    Article
  15. Illicit use of androgens and other hormones: recent advances.Current opinion in endocrinology, diabetes, and obesity · 2012
    Review
  16. Article
  17. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors at 4 institutions in 1 country.

Tom HildebrandtEating and Weight Disorders Program, Mount Sinai School of Medicine, One Gustave L. Levy Place, Box 1230, New York, NY 10029, USA. tom.hildebrandt@mssm.edu
Justine K Lai
James W Langenbucher
Melanie Schneider
Rachel Yehuda
Donald W Pfaff
Icahn School of Medicine at Mount Sinai · USRutgers, The State University of New Jersey · USJames J. Peters VA Medical Center · USRockefeller University · US

Funding

Bio-behavioral Consequences of Appearance and Performance Enhancing Drug UseK23DA024043 · NIDA · ICAHN SCHOOL OF MEDICINE AT MOUNT SINAI · PI HILDEBRANDT, THOMAS B · 2008 to 2012
$885k
NIDA NIH HHS K23 DA024034NIDA NIH HHS K23 DA024043
6 · The paper itself

Abstract

Appearance and performance enhancing drug (APED) use includes the use of a range of pharmacologically distinct substances and concurrent investment in outward appearance or achievement, dietary control, and frequent exercise. A number of existing reviews and conceptual papers have defined pathological forms of APED use within the APED class of anabolic-androgenic steroids (AASs) and using the framework of AAS dependence. We review published data on APED use including human studies of AAS users and identified three defining phenomenological features associated with increased health risk and pathology. These features included (1) polypharmacy or the concurrent use of several pharmacologically distinct substances used to change outward appearance or increase likelihood of personal achievement; (2) significant body image disturbance; (3) rigid practices and preoccupations with diet and exercise. Investigations into the latent structure of APED use suggest these features cluster together in a homogenous group of APED users who have the highest health risk and most psychopathology. These features are discussed in the context of AAS dependence and problems with defining classic tolerance-withdrawal symptoms among APED users. Suggestions for a resolution and outline for future research needed to determine the best system for identifying and diagnosing pathological APED use are discussed.

Indexed as

Body ImageAnabolic AgentsAnimalsHumansHypertrophyHypogonadismPerformance-Enhancing SubstancesSubstance-Related DisordersAnabolic AgentsPerformance-Enhancing Substances

Identifiers

PMID21115306
PMCPMC3039045
OpenAlexW1984700288

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.