“…Studies that satis ed 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][79][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][112][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.…”