“…Thirty-two (76.2%) of the included studies examined themes associated with mental ill-health. Studies that satisfied the inclusion criteria explored symptoms associated with burnout ( n = 21, 50%) [ 45 , 78 – 80 , 83 , 87 – 89 , 93 , 96 – 107 ], anxiety ( n = 10, 23.8%) [ 11 , 12 , 78 – 80 , 82 , 91 , 103 , 108 , 109 ], depression ( n = 8, 19%) [ 11 , 12 , 78 – 80 , 108 , 110 , 111 ], psychological distress ( n = 5, 11.9%) [ 11 , 12 , 78 – 80 ], risky alcohol consumption/disorders ( n = 4, 9.5%) [ 11 , 12 , 108 , 110 ], sleep disturbance/disorders ( n = 3, 7.1%) [ 11 , 12 , 82 ], eating disorders ( n = 2, 4.8%) [ 81 , 108 ], substance abuse ( n = 1, 2.4%) [ 108 ] and gambling disorders ( n = 1, 2.4%) [ 112 ]. Nine studies (21.4%) [ 11 , 12 , 81 , 93 , 96 , 99 , 111 – 113 ] also examined the prevalence of mental ill-health amongst general elite-level coaching populations, and one study (2.4%) [ 108 ] explored the prevalence of psychiatric disorders in a treatment-seeking population.…”