Metacognitive beliefs and academic performance in Chinese middle school students: A moderated mediation model of emotional dysregulation and anxiety.

Despite typically exhibiting higher levels of physical fitness, elite-level athletes are just as susceptible to psychiatric disorders as the general population []. Researchers have also identified a proportionally high mental health burden among sporting coaches []. Concurrently, sports psychiatry has evolved as a psychiatric subdiscipline closely aligned with sports medicine, focusing on prevention programmes and mental health promotion in different competitive domains [, ]. Likewise, sports psychiatry accentuates the importance of embedding tailored interventions and targeted services for mental illnesses to serve the needs of elite-level athletes and other stakeholders [, ]. Specifically, in both men’s and women’s elite-level road cycling, a sizeable prevalence of anxiety, depression, eating disorders, addiction, and sleep–wake disorders has been noted [–]; recently, male and female cyclists have begun to discuss their experiences of psychiatric disorders in academic papers and popular media, with some taking temporary or indefinite career breaks owing to mental ill-health [, , , ]. Alongside personal consequences for the rider, psychiatric disorders can have wider implications for their teams due to the substantial resources necessary for developing and managing these athletes []. As in other sports, these psychopathological trends are shaped by distinctive socioenvironmental determinants, such as performance and body weight pressures, travel and fatigue, exposure to interpersonal and online abuse, and additional stressors [–]. Notwithstanding these challenges, psychiatric help-seeking is comparatively low in elite-level road cyclists, in part due to enduring stigma in the peloton and negative perceptions about psychopharmacotherapy, which have been influenced by past doping violations [, , –].