AccScience Publishing / HPR / Online First / DOI: 10.36922/HPR026310184
Cite this article
2
Download
123
Views
Related Info Links
More by Authors Links
Journal Browser
Volume | Year
Issue
Search
News and Announcements
View All
RESEARCH ARTICLE

Doping-related attitudes and intentions among Croatian athletes: Examining theory of planned behavior constructs and broader psychosocial correlates

Pero Kuterovac1 ,  Andriana Benčić Kužnar2* ,  Renata Barić3
Show Less
1 Independent researcher, Zagreb , Croatia
2 Department of Sociology, Faculty of Humanities and Social Sciences, University of Zagreb, Zagreb , Croatia
3 Institute for Kinesiological Anthropology and Methodology, Faculty of Kinesiology, University of Zagreb, Zagreb , Croatia
Received: 29 July 2026 | Revised: 11 September 2026 | Accepted: 15 September 2026 | Published online: 24 September 2026
© 2026 by the Author(s). This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution -Noncommercial 4.0 International License (CC-by the license) ( https://creativecommons.org/licenses/by-nc/4.0/ )
Abstract

Bacckground: Doping continues to pose persistent challenges in competitive sport. Although prior studies have investigated Theory of Planned Behavior (TPB) constructs together with a range of psychosocial correlates of doping, evidence from large and heterogeneous athlete samples remains limited.
Objective: This study provides a large-sample contextual replication and extension of previous TPB-based doping research by examining associations among TPB constructs, performance-enhancement attitudes, self-esteem, achievement goal orientation, sport motivation, descriptive norms, and self-reported use of prohibited substances for performance enhancement in 988 Croatian athletes from team and individual sports.
Methods: Analyses included psychometric evaluation, descriptive statistics, bivariate correlations, group comparisons, and hierarchical multiple regression.
Results: Overall, 7.6% of participants reported prohibited substance use at least once during their sporting careers. Male athletes reported more favorable doping-related and performance-enhancement attitudes and stronger behavioral intentions. Individual-sport athletes and athletes in the lower competition-level group more frequently reported lifetime prohibited-substance use. Higher self-esteem, stronger task orientation, and greater intrinsic motivation were associated with less favorable doping-related and performance-enhancement attitudes and weaker behavioral intentions, whereas lower self-esteem, ego orientation, extrinsic motivation, and amotivation were associated with more permissive attitudes and stronger behavioral intentions. Attitudes toward doping showed the strongest unique association with behavioral intention, followed by performance-enhancement attitudes and subjective norms. The findings replicate previously established associations between TPB constructs and doping intention while extending the evidence base by demonstrating systematic associations with a broader set of psychosocial characteristics in a large sample of Croatian athletes.
Conclusion: These findings provide context-specific evidence that may inform future longitudinal research and the development of psychosocially informed anti-doping interventions.

Keywords
Doping
Theory of planned behavior
Behavioral intention
Psychosocial correlates
Croatia
Funding
None.
Conflict of interest
The authors declare they have no competing interests.
References
  1. Abourashed EA, El-Alfy AT, Khan IA, Walker L. Ephedra in perspective: a current review. Phytother Res. 2003;17(7):703-712. doi: 10.1002/ptr.1337
  2. Müller RK. History of doping and doping control. Handb Exp Pharmacol. 2010;(195):1-23. doi: 10.1007/978-3-540-79088-4_1
  3. Lazuras L, Barkoukis V, Rodafinos A, Tsorbatzoudis H. Predictors of doping intentions in elite-level athletes: a social cognition approach. J Sport Exerc Psychol. 2010;32(5):694-710. doi: 10.1123/jsep.32.5.694
  4. Morente-Sánchez J, Zabala M. Doping in sport: a review of elite athletes' attitudes, beliefs, and knowledge. Sports Med. 2013;43(6):395-411. doi: 10.1007/s40279-013-0037-x
  5. World Anti-Doping Agency. World Anti-Doping Code. Montreal, Canada: World Anti-Doping Agency; 2021.
  6. de Hon O, Kuipers H, van Bottenburg M. Prevalence of doping use in elite sports: a review of numbers and methods. Sports Med. 2015;45(1):57-69. doi: 10.1007/s40279-014-0247-x
  7. Gleaves J, Petróczi A, Folkerts D, et al. Doping prevalence in competitive sport: evidence synthesis with "best practice" recommendations and reporting guidelines from the WADA Working Group on Doping Prevalence. Sports Med. 2021;51(9):1909-1934. doi: 10.1007/s40279-021-01477-y
  8. Petróczi A, Aidman EV. Measuring explicit attitude toward doping: review of the psychometric properties of the Performance Enhancement Attitude Scale. Psychol Sport Exerc. 2009;10(3):390-396. doi: 10.1016/j.psychsport.2008.11.001
  9. Pelletier LG, Tuson KM, Fortier MS, Vallerand RJ, Brière NM, Blais MR. Toward a new measure of intrinsic motivation, extrinsic motivation, and amotivation in sports: the Sport Motivation Scale (SMS). J Sport Exerc Psychol. 1995;17(1):35-53. doi: 10.1123/jsep.17.1.35
  10. Barić R, Horga S. Psychometric properties of the Croatian version of the Task and Ego Orientation in Sport Questionnaire (CTEOSQ). Kinesiology. 2006;38(2):135-142. Accessed September 1, 2026. https://hrcak.srce.hr/file/13864
  11. Sas-Nowosielski K, Swiatkowska L. Goal orientations and attitudes toward doping. Int J Sports Med. 2008;29(7):607-612. doi: 10.1055/s-2007-965817
  12. Lochbaum M, Kazak Çetinkalp Z, Graham KA, Wright T, Zazo R. Task and ego goal orientations in competitive sport: a quantitative review of the literature from 1989 to 2016. Kinesiology. 2016;48(1):3-29. doi: 10.26582/k.48.1.14
  13. Lacković-Grgin K. Samopoimanje mladih [Self-concept of youth]. Jastrebarsko, Croatia: Naklada Slap; 1994. [In Croatian]
  14. Leary MR, Baumeister RF. The nature and function of self-esteem: sociometer theory. Adv Exp Soc Psychol. 2000;32:1-62. doi: 10.1016/S0065-2601(00)80003-9
  15. Fox KR. The effects of exercise on self-perceptions and self-esteem. In: Biddle SJH, Fox KR, Boutcher SH, eds. Physical Activity and Psychological Well-Being. London, UK: Routledge; 2000:88-117.
  16. Heatherton TF, Polivy J. Development and validation of a scale for measuring state self-esteem. J Pers Soc Psychol. 1991;60(6):895-910. doi: 10.1037/0022-3514.60.6.895
  17. Gatterer K, Gumpenberger M, Overbye M, Streicher B, Schobersberger W, Blank C. An evaluation of prevention initiatives by 53 national anti-doping organizations: achievements and limitations. J Sport Health Sci. 2020;9(3):228-239. doi: 10.1016/j.jshs.2019.12.002
  18. Kavussanu M, Barkoukis V, Hurst P, et al. A psychological intervention reduces doping likelihood in British and Greek athletes: a cluster randomized controlled trial. Psychol Sport Exerc. 2022;61:102099. doi: 10.1016/j.psychsport.2021.102099
  19. Petróczi A, Martinelli LA, Thrower SN, et al. Elite athletes' values in action: an important yet complicated aspect in anti-doping education. Int J Sport Exerc Psychol. 2025;23(4):588-614. doi: 10.1080/1612197X.2024.2337302
  20. Gatterer K, Streicher B, Petróczi A, et al. The status quo before the International Standard for Education: elite adolescent athletes' perceptions of anti-doping education. Perform Enhanc Health. 2021;9(3-4):100200. doi: 10.1016/j.peh.2021.100200
  21. Chan DKC, Dimmock JA, Donovan RJ, Hardcastle SJ, Lentillon-Kaestner V, Hagger MS. Self-determined motivation in sport predicts anti-doping motivation and intention: a perspective from the trans-contextual model. J Sci Med Sport. 2015;18(3):315-322. doi: 10.1016/j.jsams.2014.04.001
  22. Lazuras L, Barkoukis V, Tsorbatzoudis H. Toward an integrative model of doping use: an empirical study with adolescent athletes. J Sport Exerc Psychol. 2015;37(1):37-50. doi: 10.1123/jsep.2013-0232
  23. Mallia L, Lazuras L, Barkoukis V, et al. Doping use in sport teams: the development and validation of measures of team-based efficacy beliefs and moral disengagement from a cross-national perspective. Psychol Sport Exerc. 2016;25:78-88. doi: 10.1016/j.psychsport.2016.04.005
  24. Ntoumanis N, Ng JYY, Barkoukis V, Backhouse S. Personal and psychosocial predictors of doping use in physical activity settings: a meta-analysis. Sports Med. 2014;44(11):1603-1624. doi: 10.1007/s40279-014-0240-4
  25. Ntoumanis N, Dølven S, Barkoukis V, et al. Psychosocial predictors of doping intentions and use in sport and exercise: a systematic review and meta-analysis. Br J Sports Med. 2024;58(19):1145-1156. doi: 10.1136/bjsports-2023-107910
  26. Goulet C, Valois P, Buist A, Côté M. Predictors of the use of performance-enhancing substances by young athletes. Clin J Sport Med. 2010;20(4):243-248. doi: 10.1097/JSM.0b013e3181e0b935
  27. Allen J, Taylor J, Dimeo P, Dixon S, Robinson L. Predicting elite Scottish athletes' attitudes toward doping: examining the contribution of achievement goals and motivational climate. J Sports Sci. 2015;33(9):899-906. doi: 10.1080/02640414.2014.976588
  28. Hurst P, Kavussanu M, Yukhymenko-Lescroart M, et al. Athletes from Great Britain report greater doping likelihood than Greek and Italian athletes: a cross-sectional survey of over 4,000 athletes. Perform Enhanc Health. 2025;13(2):100309. doi: 10.1016/j.peh.2024.100309
  29. García-Grimau E, De la Vega R, De Arce R, Casado A. Attitudes toward and Susceptibility to Doping in Spanish Elite and National-Standard Track and Field Athletes: an Examination of the Sport Drug Control Model. Front Psychol. 2021;12:679001. doi: 10.3389/fpsyg.2021.679001
  30. Davoren AK, Rulison K, Milroy J, et al. Doping prevalence among U.S. elite athletes subject to drug testing under the World Anti-Doping Code. Sports Med Open. 2024;10:57. doi: 10.1186/s40798-024-00721-9
  31. Barkoukis V, Lazuras L, Tsorbatzoudis H, Rodafinos A. Motivational and sportspersonship profiles of elite athletes in relation to doping behavior. Psychol Sport Exerc. 2011;12(3):205-212. doi: 10.1016/j.psychsport.2010.10.003
  32. Barkoukis V, Lazuras L, Tsorbatzoudis H. Beliefs about the causes of success in sports and susceptibility for doping use in adolescent athletes. J Sports Sci. 2014;32(3):212-219. doi: 10.1080/02640414.2013.819521
  33. Psouni S, Zourbanos N, Theodorakis Y. Attitudes and intentions of Greek athletes and coaches regarding doping. Health. 2015;7:1224-1233. doi: 10.4236/health.2015.79137
  34. Rosenberg M. Society and the Adolescent Self-Image. Princeton, NJ: Princeton University Press; 1965.
  35. R Core Team. R: A Language and Environment for Statistical Computing. Vienna, Austria: R Foundation for Statistical Computing; 2020.
  36. Revelle W. psych: Procedures for Personality and Psychological Research. R package version 2.0.8. Evanston, IL: Northwestern University; 2020.
  37. Rosseel Y. lavaan: an R package for structural equation modeling. J Stat Softw. 2012;48(2):1-36. doi: 10.18637/jss.v048.i02
  38. Derrick B, White P. Why Welch's test is Type I error robust. Quant Methods Psychol. 2016;12(1):30-38. doi: 10.20982/tqmp.12.1.p030
  39. Efron B, Tibshirani R. Bootstrap methods for standard errors, confidence intervals, and other measures of statistical accuracy. Stat Sci. 1986;1(1):54-75. doi: 10.1214/ss/1177013815
  40. Pek J, Wong O, Wong ACM. How to address non-normality: a taxonomy of approaches, reviewed, and illustrated. Front Psychol. 2018;9:2104. doi: 10.3389/fpsyg.2018.02104
  41. Laure P, Lecerf T, Friser A, Binsinger C. Drugs, recreational drug use and attitudes toward doping of high school athletes. Int J Sports Med. 2004;25(2):133-138. doi: 10.1055/s-2004-819946
  42. Zabala M, Morente-Sánchez J, Mateo-March M, Sanabria D. Relationship between self-reported doping behavior and psychosocial factors in adult amateur cyclists. Sport Psychol. 2016;30(1):68-75. doi: 10.1123/tsp.2014-0168
  43. Blouin AG, Goldfield GS. Body image and steroid use in male bodybuilders. Int J Eat Disord. 1995;18(2):159-165. doi: 10.1002/1098-108X(199509)18:2<159::AID-EAT2260180208>3.0.CO;2-3
  44. Backhouse SH, Whitaker L, Petróczi A. Gateway to doping? Supplement use in the context of preferred competitive situations, doping attitude, beliefs, and norms. Scand J Med Sci Sports. 2013;23(2):244-252. doi: 10.1111/j.1600-0838.2011.01374.x
  45. Pedersen IK. Doping and the perfect body expert: social and cultural indicators of performance-enhancing drug use in Danish gyms. Sport Soc. 2010;13(3):503-516. doi: 10.1080/17430431003588184
  46. Blank C, Kopp M, Niedermeier M, Schnitzer M, Schobersberger W. Predictors of doping intentions, susceptibility, and behaviour of elite athletes: a meta-analytic review. SpringerPlus. 2016;5:1333. doi: 10.1186/s40064-016-3000-0
  47. Alaranta A, Alaranta H, Holmila J, Palmu P, Pietilä K, Helenius I. Self-reported attitudes of elite athletes toward doping: differences between type of sport. Int J Sports Med. 2006;27(10):842-846. doi: 10.1055/s-2005-872969
  48. Whitaker L, Long J, Petróczi A, Backhouse SH. Using the prototype willingness model to predict doping in sport. Scand J Med Sci Sports. 2014;24(5):e398-e405. doi: 10.1111/sms.12148
  49. Lucidi F, Grano C, Leone L, Lombardo C, Pesce C. Determinants of the intention to use doping substances: an empirical contribution in a sample of Italian adolescents. Int J Sport Psychol. 2004;35(2):133-148.
  50. Lucidi F, Zelli A, Mallia L, Grano C, Russo PM, Violani C. The social-cognitive mechanisms regulating adolescents' use of doping substances. J Sports Sci. 2008;26(5):447-456. doi: 10.1080/02640410701579370
  51. Kirby K, Guerin S, Moran AP, Matthews J. Doping in elite sport: linking behavior, attitudes and psychological theory. In: Barkoukis V, Lazuras L, Tsorbatzoudis H, eds. The Psychology of Doping in Sport. London, UK: Routledge; 2015:1-17.
  52. Zelli A, Mallia L, Lucidi F. The contribution of interpersonal appraisals to a social-cognitive analysis of adolescents' doping use. Psychol Sport Exerc. 2010;11(4):304-311. doi: 10.1016/j.psychsport.2010.02.008
  53. Ward MK, Meade AW. Dealing with careless responding in survey data: prevention, identification, and recommended best practices. Annu Rev Psychol. 2023;74:577-596. doi: 10.1146/annurev-psych-040422-045007
  54. Deshmukh N, Hussain I, Barker J, Petróczi A, Naughton DP. Analysis of anabolic steroids in human hair using LC-MS/MS. Steroids. 2010;75(10):710-714. doi: 10.1016/j.steroids.2010.04.007
  55. Hung SH, Kan HL, Tung CW, et al. Probing the hair detectability of prohibited substances in sports: an in vivo-in silico-clinical approach and analytical implications compared with plasma, urine, and faeces. Arch Toxicol. 2024;98(3):779-790. doi: 10.1007/s00204-023-03667-1
  56. Petróczi A, Thrower SN, Blank C. Introducing SPARK: a pilot study of a sport-specific, pragmatic, and athlete-centred values-based anti-doping education workshop. Perform Enhanc Health. 2025;13(2):100330. doi: 10.1016/j.peh.2025.100330
  57. Barkoukis V, Lazuras L, Ourda D, Tsorbatzoudis H. Are nutritional supplements a gateway to doping use in competitive team sports? The roles of achievement goals and motivational regulations. J Sci Med Sport. 2020;23(6):625-632. doi: 10.1016/j.jsams.2019.12.021
  58. Dodge T, Jaccard JJ. Is abstinence an alternative? Predicting adolescent athletes' intentions to use performance-enhancing substances. J Health Psychol. 2008;13(5):703-711. doi: 10.1177/1359105307082460
Share
Back to top
Health Psychology Research, Electronic ISSN: 2420-8124 Published by AccScience Publishing