ReviewSports (Basel, Switzerland)2023
Mental Health Disorders in Ultra Endurance Athletes per ICD-11 Classifications: A Review of an Overlooked Community in Sports Psychiatry.
Review in Sports (Basel, Switzerland), 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers, 1 of them a synthesis that pooled it.
What it found
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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.
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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.
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Who cites it
12 citing papers in PubMed, 1 synthesis or guideline pooled it, 22 citations in OpenAlex.
- Mental Health in Ultra-Endurance Runners: A Systematic Review.Sports medicine (Auckland, N.Z.) · 2023Pooled it
- Mental health in endurance running: Beyond the prevalence of mental health symptoms toward understanding underlying mechanisms.The Journal of international medical research · 2026Article
- Exploring the presentation of REDs in ultra endurance sport: a review.Journal of eating disorders · 2025Review
- Waves of Endurance: A Pilot Study of Beta Brain Wave Signatures Linked to Immune Adaptation in Transatlantic Rowers.Cureus · 2025Article
- Physiological and biomechanical aspects of the first female finisher in the longest triathlon in the world - Triple Deca in Ultra Triathlon Italy 2024.EXCLI journal · 2025Article
- Risks for eating disorder in ultra-endurance athletes and the role of training volume: a cross-sectional study.Frontiers in sports and active living · 2025Article
- Can consumption of finger millet diet improve mental health status in athletes: a possible link with modulation of cortisol levels.Physical activity and nutrition · 2024Article
- Translation, Cross-Cultural Adaptation, and Validation of the Croatian Version of the Athlete Psychological Strain Questionnaire (APSQ).Sports (Basel, Switzerland) · 2024Article
- Article
- Psychiatric risk factors in Formula One and the importance of integrating mental health into driver science.Frontiers in sports and active living · 2024Article
- Beyond a Game: A Narrative Review of Psychopathic Traits in Sporting Environments.Sports (Basel, Switzerland) · 2023Review
- Ultra culture-ultra reality: a content analysis of YouTube depictions of ultra endurance sport and comparisons to scientific literature.Frontiers in sports and active living · 2023Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
5 authors at 3 institutions in 2 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
introductionAlthough research suggests that exercise benefits mental health, psychiatric disorders have been acknowledged in the ultra-endurance-athlete population. At present, the mental-health consequences of high-volume training associated with ultra-endurance sports are not well understood.
methodsWe conducted a narrative review summarizing primary observations about mental disorders per ICD-11 criteria in ultra-endurance athletes using a keyword search in Scopus and PubMed.
resultsWe identified 25 papers discussing ICD-11-classified psychiatric disorders such as depression, anxiety, eating disorders, attention-deficit/hyperactivity disorder, and schizophrenia in ultra-endurance athletes. DISCUSSION: Although evidence is limited, available papers indicate that there is a sizable incidence of mental-health issues and composite psychopathological vulnerabilities in this community. We contend that ultra-endurance athletes may represent a different, though similar, demographic than elite and/or professional athletes, as they often engage in high-volume training with similarly high motivation. This can have regulatory implications, which we also highlight.
conclusionMental illness in ultra-endurance athletes is an underrepresented topic in sports medicine, though psychiatric disorders may be especially prevalent in this population. Further inquiry is necessary to inform athletes and healthcare practitioners about the possible mental-health implications associated with participation in ultra-endurance sports.
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Registered trials
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.