{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,20]],"date-time":"2026-08-20T13:31:50Z","timestamp":1787232710580,"version":"build-2736575974"},"reference-count":14,"publisher":"SAGE Publications","issue":"8","license":[{"start":{"date-parts":[[2026,8,1]],"date-time":"2026-08-01T00:00:00Z","timestamp":1785542400000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"},{"start":{"date-parts":[[2026,8,1]],"date-time":"2026-08-01T00:00:00Z","timestamp":1785542400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["J Int Med Res"],"published-print":{"date-parts":[[2026,8]]},"abstract":"<jats:p>Endurance runners appear to experience a higher prevalence of several mental health symptoms, including anxiety, exercise addiction, sleep disorders, and suicidal ideation. Existing evidence suggests that this pattern is multifactorial and cannot be explained by a single mechanism. In this commentary, we highlight the complex interplay among self-selection processes, sport-specific demands, and broader biopsychosocial factors that may contribute to these outcomes. We also emphasize that demographic characteristics may interact with training-related and psychological factors to shape mental health. To advance the field, we outline key priorities for future research, including longitudinal studies, clinical diagnostic assessments, investigations of pre-existing mental health conditions, and qualitative approaches to better understand athletes\u2019 lived experiences and the role of endurance running in mental health.<\/jats:p>","DOI":"10.1177\/03000605261476814","type":"journal-article","created":{"date-parts":[[2026,8,18]],"date-time":"2026-08-18T18:12:06Z","timestamp":1787076726000},"update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":0,"title":["Mental health in endurance running: Beyond the prevalence of mental health symptoms toward understanding underlying mechanisms"],"prefix":"10.1177","volume":"54","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-6858-1871","authenticated-orcid":false,"given":"Mabliny","family":"Thuany","sequence":"first","affiliation":[{"name":"State University of Par\u00e1"},{"name":"Ultra Sports Science Foundation, France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Beat","family":"Knechtle","sequence":"additional","affiliation":[{"name":"Medbase St. Gallen Am Vadianplatz, Switzerland"},{"name":"Institute of Primary Care, University of Zurich, Switzerland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0074-3624","authenticated-orcid":false,"given":"Volker","family":"Scheer","sequence":"additional","affiliation":[{"name":"Ultra Sports Science Foundation, France"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2026,8,18]]},"reference":[{"key":"e_1_3_2_2_2","doi-asserted-by":"publisher","DOI":"10.1007\/s40279-025-02277-4"},{"key":"e_1_3_2_3_2","doi-asserted-by":"publisher","DOI":"10.3389\/fpsyg.2023.1118144"},{"key":"e_1_3_2_4_2","doi-asserted-by":"publisher","DOI":"10.9734\/indj\/2025\/v22i1463"},{"key":"e_1_3_2_5_2","doi-asserted-by":"publisher","DOI":"10.1007\/s40279-023-01890-5"},{"key":"e_1_3_2_6_2","doi-asserted-by":"crossref","unstructured":"Scheer V Valero D Knechtle B et al. Screening for suicidal thoughts attempts and associated factors in endurance and ultra-endurance runners. J Sports Med Phys Fitness 2025b; 65: 1670\u20131679.","DOI":"10.23736\/S0022-4707.25.16998-3"},{"key":"e_1_3_2_7_2","doi-asserted-by":"publisher","DOI":"10.1007\/s40279-023-01936-8"},{"key":"e_1_3_2_8_2","doi-asserted-by":"publisher","DOI":"10.1080\/1750984X.2026.2632052"},{"key":"e_1_3_2_9_2","doi-asserted-by":"publisher","DOI":"10.1080\/01490400.2026.2638571"},{"key":"e_1_3_2_10_2","doi-asserted-by":"publisher","DOI":"10.1002\/wps.21160"},{"key":"e_1_3_2_11_2","doi-asserted-by":"publisher","DOI":"10.3389\/fpsyg.2025.1619220"},{"key":"e_1_3_2_12_2","doi-asserted-by":"publisher","DOI":"10.3389\/fspor.2023.1192401"},{"key":"e_1_3_2_13_2","article-title":"Mental health disorders in ultra endurance athletes per ICD-11 classifications: a review of an overlooked community in sports psychiatry","volume":"11","author":"Colangelo J","unstructured":"Colangelo J, Smith A, Buadze A,, et al. Mental health disorders in ultra endurance athletes per ICD-11 classifications: a review of an overlooked community in sports psychiatry. Sports 2023a; 11: 52.","journal-title":"Sports"},{"key":"e_1_3_2_14_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.injury.2024.111790"},{"key":"e_1_3_2_15_2","doi-asserted-by":"publisher","DOI":"10.1080\/1612197X.2026.2628579"}],"container-title":["Journal of International Medical Research"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/03000605261476814","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/03000605261476814","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/03000605261476814","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,8,20]],"date-time":"2026-08-20T13:17:21Z","timestamp":1787231841000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/03000605261476814"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,8]]},"references-count":14,"journal-issue":{"issue":"8","published-print":{"date-parts":[[2026,8]]}},"alternative-id":["10.1177\/03000605261476814"],"URL":"https:\/\/doi.org\/10.1177\/03000605261476814","relation":{},"ISSN":["0300-0605","1473-2300"],"issn-type":[{"value":"0300-0605","type":"print"},{"value":"1473-2300","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,8]]},"article-number":"03000605261476814"}}