A Comparison of Competitive Anxiety and Perceived Overtraining in Athletes with and without Anabolic Steroids Consumption

Document Type : Research Paper


1 Professor, Department of Clinical Psychology, Faculty of Psychology and Educational Sciences, University of Tehran, Tehran, Iran

2 . MSc of Psychology, Faculty of Psychology and Educational Sciences, University of Semnan, Semnan, Iran


The aim of the present study was to compare competitive anxiety and perceived overtraining in athletes with and without anabolic steroids consumption. The statistical population included all athletes of team and individual sport fields in Tehran city in 2016. 251 male athletes with and without anabolic steroids consumption were selected using multi-stage cluster sampling method. Athletes had mean age (24 ± 6) years and exercise history (3 ± 1) years. Data were collected using competitive anxiety and perceived overtraining questionnaires. The findings were analyzed by multivariate analysis of variance (MANOVA) and independent t test and showed that athletes without the consumption of anabolic steroids had higher cognitive and physical anxiety than those athletes who consumed anabolic steroids, but there was no significant difference between the two groups in self-confidence. Also, given the perceived overtraining variable, the group who did not use anabolic steroids had a higher level of overtraining. The results indicated that one of the main reasons why athletes use anabolic steroids is their benefits which reduce the negative states and improve the mental and physical performance. That is why these steroids prevail among athletes every day.


1. Tashman LS, Cremades JG. The Need for Case Analysis and Reflection in Sport, Exercise, and Performance Psychology L AuREN S. TA ShMAN ANd J. GuA LB ERTO CR EMAdE S. InGlobal Practices and Training in Applied Sport, Exercise, and Performance Psychology 2016 May 20 (pp. 27-34). Routledge.
2. Kanayama, G, Pope, H. G, Cohane, G, & Hudson, J. I. Risk factors for anabolic-androgenic steroid use among weightlifters: a case–control study. Drug and alcohol dependence. (2003); 71(1) Pp: 77-86.
3. Mousavi, SA., Pourhosein, R., Zare_Moghaddam, A., Rahmatnejad, A., & Gomnam, A. Effectiveness of mindfulness-based cognitive therapy (MBCT( on the body image in the male body-building athletes. Quarterly Research Psychological Applied. 2016;7(2), 127-140.
4. Kanayama, G., & Pope, H. G. History and epidemiology of anabolic androgens in athletes and non-athletes. Molecular and Cellular Endocrinology. 2017; 1-10.
5. Petróczi, A., & Aidman, E. Measuring explicit attitude toward doping: Review of the psychometric properties of the Performance Enhancement Attitude Scale. Psychology of Sport and Exercise. 2009;10(3), 390-396.
6. Parent, M. C., & Moradi, B. His biceps become him: a test of objectification theory's application to drive for muscularity and propensity for steroid use in college men. Journal of Counseling Psychology. 2011;58(2); Pp: 246.
7. Goldfield, G. S., & Woodside, D. B. Body image, disordered eating, and anabolic steroids in male bodybuilders: current versus former users. The Physician and sportsmedicine. 2009;37(1), 111-114.
8. Pope Jr, H. G., Wood, R. I., Rogol, A., Nyberg, F., Bowers, L., & Bhasin, S. Adverse health consequences of performance-enhancing drugs: an Endocrine Society scientific statement. Endocrine reviews. 2014;35(3), 341-375.
9. Shahhoseini, M.,GharayaghZandi, H., and HasaniSangani, M. Comparison of public health and profile of mood states Bodybuilding athletes with and without the use of anabolic steroids.tehran;J development and motor learning, 2016; 8(3): 517-530. [in Persian]
10. Coward, R. M., Rajanahally, S., Kovac, J. R., Smith, R. P., Pastuszak, A. W., & Lipshultz, L. I. Anabolic steroid induced hypogonadism in young men. The Journal of urology . 2013;190(6), 2200-2205.
11. Rahnema, C. D., Lipshultz, L. I., Crosnoe, L. E., Kovac, J. R., & Kim, E. D. Anabolic steroid–induced hypogonadism: diagnosis and treatment. Fertility and sterility. 2014;101(5), 1271-1279.
12. Nieschlag, E., & Nieschlag, S.. Testosterone deficiency: a historical perspective. Asian journal of andrology. 2014;16(2), 161.
13. Pope, H. G., Khalsa, J. H., & Bhasin, S. Body Image Disorders and Abuse of Anabolic-Androgenic Steroids Among Men. JAMA 2017;317(1), 23-24.
14. Shahhosseni, M, Noury Ghasemabadi R.Comparison of body image, self-esteem and gender role in athletes with and without the use of anabolic substances. J Behavioral and Sports Psychology. 2016; 1(1): 19-29. [in Persian]
15. Hildebrandt, T., Yehuda, R., & Alfano, L. What can allostasis tell us about anabolic–androgenic steroid addiction?. Development and psychopathology. 2011; 23(03), 907-919.
16. Ip, E. J., Lu, D. H., Barnett, M. J., Tenerowicz, M. J., Vo, J. C., & Perry, P. J. Psychological and Physical Impact of Anabolic‐Androgenic Steroid Dependence. Pharmacotherapy: The Journal of Human Pharmacology and Drug Therapy. 2012; 32(10), 910-919.
17. Lindqvist, A. S., Moberg, T., Eriksson, B. O., Ehrenburg, C., Rosén, T., & Fahlke, C. A retrospective 30-year follow-up study of former Swedish-elite male athletes in power sports with a past anabolic androgenic steroids use: a focus on mental health. British journal of sports medicine. 2013;47(15), 965-969.
18. WADA (2011). World Anti-Doping Code. Retrieved January 10th, 2011. http://www.wada-ama.org/en/World-Anti- Doping-Program/Sports-and-Anti-Doping-Organizations. 2011.
19. Robazza, C., & Bortoli, L. Perceived impact of anger and anxiety on sporting performance in rugby players. Psychology of Sport and Exercise. 2007;8(6), 875-896.
20. Mellalieu, S. D., Hanton, S., & O'brien, M. Intensity and direction of competitive anxiety as a function of sport type and experience. Scandinavian journal of medicine & science in sports.v 2004;14(5), 326-334.
21. Ceballos Gurrola, O., Pineda Espejel, H. A., López Walle, J. M., Rodríguez, T., Leandro, J., & Medina Villanueva, M. Pre-competitive anxiety and self-confidence in pan american gymnasts. Science of Gymnastics Journal. 2013;5(1), 39-48.
22. Schaefer, J., Vella, S. A., Allen, M. S., & Magee, C. A. Competition anxiety, motivation, and mental toughness in golf. Journal of Applied Sport Psychology. 2016;28(3), 309-320.
23. Martens, R., Vealey, R. S., and Burton, D. Competitive anxiety in sport. Champaign, IL. Human Kinetics. 1990;3, 211-226.
24. Woodman, T., & Hardy, L. Stress and anxiety. In R. Singer, H. A. Hausenblas, & C. M. Janelle (Eds.), Handbook of research on sport psychology. 2001; (2nd ed., pp. 290-318). New York: Wiley.
25. Sammy, N., Anstiss, P. A., Moore, L. J., Freeman, P., Wilson, M. R., & Vine, S. J.. The effects of arousal reappraisal on stress responses, performance and attention. Anxiety, Stress, & Coping. 2017;1-11.
26. Zadkhosh, M., Gharayagh Zandi, H., & Hemayattalab R. The effects of Neurofeedback on Anxiety decrease and Athletic performance Enhancement. Applied Psychological Research Quarterly. 2016;7(4), 21-37
27. Ehrlenspiel, F., Erlacher, D., & Ziegler, M. Changes in Subjective Sleep Quality Before a Competition and Their Relation to Competitive Anxiety. Behavioral sleep medicine. 2016;1-14.
28. Nieuwenhuys, A., Pijpers, J. R., Oudejans, R. R., & Bakker, F. C. The influence of anxiety on visual attention in climbing. Journal of Sport and Exercise Psychology. 2008;30(2), 171-185.
29. Ibrahim, S., & Almoslim, H. A. State anxiety and self-efficacy among track and field low and high performers. Indian Journal of Science and Technology. 2016; 9(7).
30. Firoozi, M., & Rostami, R. Risking Psychological Factors Causing Health Problems of Professional Athletes. Applied Psychological Research Quarterly. 2014;5(2), 1-15      
31. Millet, G. P., Groslambert, A., Barbier, B., Rouillon, J. D., & Candau, R. B.. Modelling the relationships between training, anxiety, and fatigue in elite athletes. International journal of sports medicine. 2005;26(06), 492-498.
32. Budgett, R. Fatigue and underperformance in athletes: the overtraining syndrome. British journal of sports medicine. 1998;32(2), 107-110.
33. Fry, R. W., Morton, A. R., & Keast, D. Overtraining in athletes. Sports Medicine. 1991;12(1), 32-65.
34. Handziski, Z., Maleska, V., Petrovska, S., Nikolik, S., Mickoska, E., Dalip, M., & Kostova, E. The changes of ACTH, cortisol, testosterone and testosterone/cortisol ratio in professional soccer players during a competition half-season. Bratislavské lekárske listy. 2006;107(6/7), 259.
35. Kreher, J. B. Diagnosis and prevention of overtraining syndrome: an opinion on education strategies. Open access journal of sports medicine. 2016;7, 115.
36. Meeusen, R., Nederhof, E., Buyse, L., Roelands, B., De Schutter, G., & Piacentini, M. F. Diagnosing overtraining in athletes using the two-bout exercise protocol. British journal of sports medicine. 2010;44(9), 642-648.
37. Gould, D., & Whitley, M. A. Sources and consequences of athletic burnout among college athletes. Journal of Intercollegiate Sport. 2009;2(1), 16-30.
38. Uusitalo, A. L. Overtraining: making a difficult diagnosis and implementing targeted treatment. The Physician and Sportsmedicine. 2001;29(5), 35-50.
39. Amiri E, Kargarfard M, Mazandi  M, Faramarzi M, Jalalidehkordi  KH. Relationship between testosterone concentration and salivary cortisol with overtraining psychosocial factors in elite soccer players. J olympic, 2008;17(3):128-137. [in Persian]
40. Saw, A. E., Main, L. C., & Gastin, P. B. (2015). Monitoring the athlete training response: subjective self-reported measures trump commonly used objective measures: a systematic review. Br J Sports Med, bjsports-2015.
41. Oberlander, J. G., & Henderson, L. P. The Sturm und Drang of anabolic steroid use: angst, anxiety, and aggression. Trends in neurosciences. 2012;35(6), 382-392.
42. Tabachnick, Barbara G., and Linda S. Fidell. "Using multivariate statistics, 5th." Needham Height, MA: Allyn & Bacon (2007).
43. Besharat MA. Standardizing a multidimensional questionnaire of competitive anxiety Research Report, University of Tehran, 2008 . [in Persian]
44. Besharat MA. Standardizing a perceived overtraining. Research Report, University of Tehran. 2008;68-79. [in Persian]
45. World Medical Association. World Medical Association Declaration of Helsinki (2013): ethical principles for medical research involving human subjects. JAMA; 310(20):2191–2194.
46. Schwerin, M. J., Corcorn, K. J., Fisher, L., Patterson, D., Askew, W., Olrich, T., & Shanks, S. (1996). Social physique anxiety, body esteem, and social anxiety in bodybuilders and self-reported anabolic steroid users. Addictive Behaviors, 21(1), 1-8
47. Vassallo, M. J., & Olrich, T. W.. Confidence by injection: male users of anabolic steroids speak of increases in perceived confidence through anabolic steroid use. International Journal of Sport and Exercise Psychology. 2010; 8(1), 70-80
48. Pope, H. G., Kanayama, G., & Hudson, J. I.. Risk factors for illicit anabolic-androgenic steroid use in male weightlifters: a cross-sectional cohort study. Biological psychiatry. 2012;71(3), 254-261.