Evidence map›Paper›PMID 40890521›Full record

ArticleSports medicine (Auckland, N.Z.)2025

Cultural Context and Mental Health: A Kenyan Elite Athlete's Perspective.

Andrew Kirkland, Anna C Whittaker, Michael Boit, Stephen Chinn, Michael Crawley, David Ndetei, Paul Ochieng, Ewan Stirling, Irene Chesire

Abstract read
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In one paragraph

Article in Sports medicine (Auckland, N.Z.), 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
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

1 citing paper in PubMed.

  1. 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

9 authors.

Andrew KirklandFaculty of Health Sciences and Sport, University of Stirling, Union Street, Stirling, FK9 4LA, Scotland, UK. andrew.kirkland@stir.ac.uk.ORCID 0000-0001-6372-5461
Anna C WhittakerFaculty of Health Sciences and Sport, University of Stirling, Union Street, Stirling, FK9 4LA, Scotland, UK.ORCID 0000-0002-5461-0598
Michael BoitKenyatta University, Nairobi, Kenya.
Stephen ChinnFaculty of Health Sciences and Sport, University of Stirling, Union Street, Stirling, FK9 4LA, Scotland, UK.
Michael CrawleyDepartment of Anthropology, Durham, UK.ORCID 0000-0002-1003-9078
David NdeteiUniversity of Nairobi and Africa Institute of Mental and Brain Health (AFRIMEB), Nairobi, Kenya.ORCID 0000-0001-6891-4990
Paul OchiengStrathmore University, Nairobi, Kenya.
Ewan StirlingFaculty of Health Sciences and Sport, University of Stirling, Union Street, Stirling, FK9 4LA, Scotland, UK.
Irene ChesireDepartment of Behavioural Sciences, Moi University School of Medicine, Eldoret, Kenya.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The causes of mental ill health in elite athletes are complex, influenced by socioeconomic and cultural factors. These factors are important in shaping discussions surrounding the mental health of athletes and the design of subsequent interventions to support them. However, such consideration is rare, particularly when considering the mental health of athletes in low- and middle-income countries. Therefore, this Current Opinion draws on behavioural change science and multi-disciplinary expertise in elite sport, medicine, health, psychology, coaching and anthropology in the context of elite runners in Kenya. The material conditions in this country are reflected in the prevalence of poor mental health and treatment availability. We explore the mental health of elite Kenyan runners within this context and provide recommendations surrounding the treatment of mental health conditions in elite sport globally. We conclude that a consensus on the mental health of elite athletes must be informed by contextual factors, including affordability, appropriateness, availability, and accessibility of mental health services relating to local conditions. This context-specific approach could be expanded to mental health in settings other than sport such as youth organisations.

Indexed as

AthletesCultureMental DisordersMental HealthRunningHealth Services AccessibilityHumansKenyaMental Health Services

Identifiers

PMID40890521
PMCPMC12559114

What OpenQuestion holds

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LicenceCC BY
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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.