Mental Health Disorders in Ultra Endurance Athletes per ICD-11 Classifications: A Review of an Overlooked Community in Sports Psychiatry.

Colangelo, Jill; Smith, Alexander James; Buadze, Ana; Keay, Nicola; Liebrenz, Michael (2023). Mental Health Disorders in Ultra Endurance Athletes per ICD-11 Classifications: A Review of an Overlooked Community in Sports Psychiatry. Sports, 11(3) MDPI 10.3390/sports11030052

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INTRODUCTION

Although 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.

METHODS

We 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.

RESULTS

We 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.

CONCLUSION

Mental 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.

Item Type:

Journal Article (Review Article)

Division/Institute:

04 Faculty of Medicine > Service Sector > Institute of Legal Medicine > Forensic Psychiatric Services

UniBE Contributor:

Colangelo, Jill, Smith, Alexander James, Liebrenz, Michael

Subjects:

600 Technology > 610 Medicine & health

ISSN:

2075-4663

Publisher:

MDPI

Language:

English

Submitter:

Pubmed Import

Date Deposited:

29 Mar 2023 10:14

Last Modified:

29 Mar 2023 23:28

Publisher DOI:

10.3390/sports11030052

PubMed ID:

36976938

Uncontrolled Keywords:

ICD-11 endocrine dysfunction mental disorders sports psychiatry training volume ultra-endurance athletes

BORIS DOI:

10.48350/180899

URI:

https://boris.unibe.ch/id/eprint/180899

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