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Table 3 Description of AAS dependence symptoms and prevalence of each symptom among women who used AAS (n = 14)

From: Psychological traits associated with anabolic androgenic steroid use and dependence: an exploratory cross-sectional study among female athletes

Symptom

Level

N (%)

Tolerance

A need for markedly increasing amounts of the substance to achieve desired effect, or markedly diminished effect with continued use of the same amount of the substance

Absent

6 (42.9)

Subthreshold

5 (35.7)

Present

3 (21.4)

Withdrawal

As manifested by either of the following: the characteristic withdrawal syndrome: depressed mood, fatigue, insomnia. AAS are used to relieve or avoid withdrawal symptoms

Absent

10 (71.4)

Subthreshold

2 (14.3)

Present

2 (14.3)

Use longer than planned

The substance is often taken in larger amounts or over a longer period than was intended

Absent

6 (42.9)

Subthreshold

2 (14.3)

Present

6 (42.9)

Unable to stop

Persistent desire or unsuccessful efforts to cut down or control substance use

Absent

8 (57.1)

Subthreshold

3 (21.4)

Present

3 (21.4)

Time spent

A great deal of time is spent in activities necessary to obtain the substance, use the substance, or recover from its effects

Absent

3 (21.4)

Subthreshold

4 (28.6)

Present

7 (50.0)

Interferes with work/life

Important social, occupational, or recreational activities are given up or reduced because of substance use

Absent

7 (50.0)

Subthreshold

2 (14.3)

Present

5 (35.7)

Physical/mental problems

The substance use is continued despite knowledge of having a persistent or recurrent physical or psychological problem that is likely to have been caused or exacerbated by the substance

Absent

3 (21.4)

Subthreshold

6 (42.9)

Present

5 (35.7)