- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT07522333
Psychological Impact of an 120-km Ultra-Endurance Race (PSYTRAIL-120)
A Study of the Psychological Impact of an 120-km Ultra-Endurance Event
Ultra-endurance races (ultra-marathons) take place under extreme environmental conditions, over long distances, involving prolonged physical activity and multiple psychological and physiological challenges.
These extreme conditions expose runners to a wide range of emotions-both pleasant and unpleasant-that can influence their performance, fatigue, and perception of exertion.
Emotional intelligence and emotional regulation appear to be key determinants of emotional trajectories and performance in these contexts. Previous research shows that high levels of emotional intelligence and adaptive emotional regulation strategies are associated with functional emotional trajectories and better performance, whereas maladaptive strategies are linked to dysfunctional emotional trajectories and reduced performance.
Furthermore, defense mechanisms constitute a complementary approach to emotional self-regulation. They can be adaptive or maladaptive and influence how runners cope with emotions and psychological stressors during competition.
Longitudinal studies conducted to date have primarily explored post-race emotional trajectories in relation to emotional intelligence, without examining the impact of defense mechanisms on emotional dynamics during the race. Furthermore, few studies have examined the mediating role of emotional intensity between emotional regulation and perceived performance, and even fewer have adopted an approach that integrates physiological indicators such as heart rate or heart rate variability.
Thus, this study lies at the intersection of sports psychology, emotion, and physiology, and aims to fill these gaps by exploring:
- the influence of defense mechanisms on emotional dynamics and physical and mental fatigue during an ultra-endurance race, and
- the mediating role of emotional intensity on the relationship between emotional regulation and perceived performance.
The objective of this study is to examine how certain psychological mechanisms used to cope with difficult situations influence the evolution of emotions experienced by participants during and after a 120-kilometer ultra-endurance race.
Study Overview
Status
Conditions
Intervention / Treatment
Detailed Description
Study Type
Enrollment (Actual)
Contacts and Locations
Study Locations
-
-
Loiret
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Orléans, Loiret, France, 45100
- Centre Hospitalier Universitaire d'Orléans
-
-
Participation Criteria
Eligibility Criteria
Ages Eligible for Study
- Adult
- Older Adult
Accepts Healthy Volunteers
Sampling Method
Study Population
Description
Inclusion Criteria:
- Individuals who have agreed to participate in the study
- Age ≥ 18 years
- Smartwatch capable of measuring heart rate and transmitting this data
- Subject with no significant medical history (chronic pulmonary disease, heart disease contraindicating Class IIIC exercise according to the Bethesda classification, pharmacologically treated hypertension, or significant chronic inflammatory disease)
- Participation in the "Ecotrail de Paris Ile de France 120 kilometers" ultra trail taking place on March 21, 2026.
Exclusion Criteria:
- Persons under legal guardianship or conservatorship
- Persons under judicial protection
- Persons deprived of liberty
- Persons not enrolled in a social security system
- Women who are pregnant or breastfeeding at the time of enrollment
Study Plan
How is the study designed?
Design Details
Cohorts and Interventions
Group / Cohort |
Intervention / Treatment |
|---|---|
|
Healthy adults participants
|
Completion on a tablet of self-administered questionnaires about their emotions/feelings before, during (kilometers 16, 41, 56, 68, 89, and 112), and at the finish line (120th kilometer) of the "Ecotrail de Paris Ile de France 120 kilometers" ultra-trail race taking place on March 21, 2026.
|
What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
Examination of the influence of defense mechanisms on the emotional dynamics observed during and following an ultra-endurance race
Time Frame: During kilometers 16, 41, 56, 68, 89, and 112 (up to 5 minutes per stop), and at the finish line 120th kilometer (up to 8 minutes)"
|
Defense mechanisms will be assessed before the race using the Defense Style Questionnaire - 26 (DSQ-26).
Scale from 1 to 6, with 1 being "never" and 6 being "always".
|
During kilometers 16, 41, 56, 68, 89, and 112 (up to 5 minutes per stop), and at the finish line 120th kilometer (up to 8 minutes)"
|
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
Evaluation of physical and mental fatigue before, during and after the race
Time Frame: During kilometers 16, 41, 56, 68, 89, and 112 (up to 5 minutes per stop), and at the finish line 120th kilometer (up to 8 minutes)"
|
Physical and mental fatigue will be assessed before the race, during the race using a visual analog scale (VAS).
Scale from 0 to 10, 10 being the worst score.
|
During kilometers 16, 41, 56, 68, 89, and 112 (up to 5 minutes per stop), and at the finish line 120th kilometer (up to 8 minutes)"
|
|
Exploration of the relationships between emotional regulation strategies and runners' perceived performance
Time Frame: During kilometers 16, 41, 56, 68, 89, and 112 (up to 5 minutes per stop), and at the finish line 120th kilometer (up to 8 minutes)"
|
Emotional regulation will be assessed before the race using the Cognitive Emotion Regulation Questionnaire (CERQ).
Scale from 1 to 5, with 1 being "never" and 5 being "always".
|
During kilometers 16, 41, 56, 68, 89, and 112 (up to 5 minutes per stop), and at the finish line 120th kilometer (up to 8 minutes)"
|
|
Exploration of emotion regulation strategies and runners' perceived exertion
Time Frame: During kilometers 16, 41, 56, 68, 89, and 112 (up to 5 minutes per stop), and at the finish line 120th kilometer (up to 8 minutes)"
|
Perceived exertion will be assessed using the perceived exertion scale (Borg CR10 - modified version).
Scale from 1 to 10, with 10 being the worst score.
|
During kilometers 16, 41, 56, 68, 89, and 112 (up to 5 minutes per stop), and at the finish line 120th kilometer (up to 8 minutes)"
|
Collaborators and Investigators
Publications and helpful links
General Publications
- Nieman DC, Davis JM, Brown VA, Henson DA, Dumke CL, Utter AC, Vinci DM, Downs MF, Smith JC, Carson J, Brown A, McAnulty SR, McAnulty LS. Influence of carbohydrate ingestion on immune changes after 2 h of intensive resistance training. J Appl Physiol (1985). 2004 Apr;96(4):1292-8. doi: 10.1152/japplphysiol.01064.2003. Epub 2003 Dec 12.
- Parry D, Chinnasamy C, Papadopoulou E, Noakes T, Micklewright D. Cognition and performance: anxiety, mood and perceived exertion among Ironman triathletes. Br J Sports Med. 2011 Nov;45(14):1088-94. doi: 10.1136/bjsm.2010.072637. Epub 2010 Jun 11.
- Terry DP, Brassil M, Iverson GL, Panenka WJ, Silverberg ND. Effect of depression on cognition after mild traumatic brain injury in adults. Clin Neuropsychol. 2019 Jan;33(1):124-136. doi: 10.1080/13854046.2018.1459853. Epub 2018 May 4.
- Alquraini H, Auchus RJ. Strategies that athletes use to avoid detection of androgenic-anabolic steroid doping and sanctions. Mol Cell Endocrinol. 2018 Mar 15;464:28-33. doi: 10.1016/j.mce.2017.01.028. Epub 2017 Jan 24.
- Karlsson EM, Johnstone LT, Carey DP. The depth and breadth of multiple perceptual asymmetries in right handers and non-right handers. Laterality. 2019 Nov;24(6):707-739. doi: 10.1080/1357650X.2019.1652308. Epub 2019 Aug 9.
- Ivarsson A, Andersen MB, Stenling A, Johnson U, Lindwall M. Things we still haven't learned (so far). J Sport Exerc Psychol. 2015 Aug;37(4):449-61. doi: 10.1123/jsep.2015-0015.
- Bowins B. Psychological defense mechanisms: a new perspective. Am J Psychoanal. 2004 Mar;64(1):1-26. doi: 10.1023/B:TAJP.0000017989.72521.26.
- Rauch TM, Tharion WJ, Strowman SR, Shukitt BL. Psychological factors associated with performance in the ultramarathon. J Sports Med Phys Fitness. 1988 Sep;28(3):237-46. No abstract available.
- Vaillant GE, Bond M, Vaillant CO. An empirically validated hierarchy of defense mechanisms. Arch Gen Psychiatry. 1986 Aug;43(8):786-94. doi: 10.1001/archpsyc.1986.01800080072010.
- Bond M. Empirical studies of defense style: relationships with psychopathology and change. Harv Rev Psychiatry. 2004 Sep-Oct;12(5):263-78. doi: 10.1080/10673220490886167.
- Wagstaff CR. Emotion regulation and sport performance. J Sport Exerc Psychol. 2014 Aug;36(4):401-12. doi: 10.1123/jsep.2013-0257.
- Martinent G, Decret JC. Coping profiles of young Athletes in their everyday life: A three-wave two-month study. Eur J Sport Sci. 2015;15(8):736-47. doi: 10.1080/17461391.2015.1051131. Epub 2015 Aug 20.
- Garnefski N, Kraaij V, van Etten M. Specificity of relations between adolescents' cognitive emotion regulation strategies and Internalizing and Externalizing psychopathology. J Adolesc. 2005 Oct;28(5):619-31. doi: 10.1016/j.adolescence.2004.12.009. Epub 2005 Feb 25.
- Levillain G, Martinent G, Nicolas M. Longitudinal trajectories of intensity and direction of emotions among athletes in sports competitions: do defense mechanisms matter? Anxiety Stress Coping. 2025 Jul;38(4):379-393. doi: 10.1080/10615806.2024.2394800. Epub 2024 Aug 30.
- Pearson H. Physiology: freaks of nature? Nature. 2006 Dec 21;444(7122):1000-1. doi: 10.1038/4441000a. No abstract available.
- Noakes TD. The limits of endurance exercise. Basic Res Cardiol. 2006 Sep;101(5):408-17. doi: 10.1007/s00395-006-0607-2. Epub 2006 Aug 18.
Study record dates
Study Major Dates
Study Start (Actual)
Primary Completion (Actual)
Study Completion (Actual)
Study Registration Dates
First Submitted
First Submitted That Met QC Criteria
First Posted (Actual)
Study Record Updates
Last Update Posted (Actual)
Last Update Submitted That Met QC Criteria
Last Verified
More Information
Terms related to this study
Keywords
Additional Relevant MeSH Terms
Other Study ID Numbers
- CHUO-2026-02
Plan for Individual participant data (IPD)
Plan to Share Individual Participant Data (IPD)?
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
Studies a U.S. FDA-regulated device product
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