Affiliation:
1. Department of Forensic Psychiatry, University of Bern, Bern,
Switzerland
2. Department of Psychiatry, Psychotherapy and Psychosomatics, Psychiatric
University Hospital Zurich, Zurich, Switzerland
Abstract
AbstractDespite the public health benefits of cycling in the general population, mental
health issues may be evident in high-performance and elite-level competitive
domains. With prominent riders disclosing their experiences with psychiatric
symptoms, distinctive socioenvironmental factors could exacerbate
psychopathological vulnerabilities. This suggests a need for greater mental
health awareness amongst stakeholders, supplemented by actions from
international and national federations and regulators. To synthesise relevant
observations about psychiatric concerns in high-performance and elite-level
cycling, we conducted a keyword search of articles in APA PsycINFO, PubMed, and
Scopus based on specified exclusion criteria. Thirteen papers were identified
that examined mental health issues in high-performance and/or
elite-level cycling per classifications from the World Health
Organization’s International Classification of Diseases 11th Revision. A
large proportion of articles illustrated eating disorder symptomatology, but
others discussed attention deficit/hyperactivity disorder, anxiety
disorder, depression, sleep wake disorders, and substance use disorder. Existing
literature underlines important considerations for all stakeholders within the
cycling community around mental health initiatives and care provisions, which
are currently lacking across the sport. Such programmes could incorporate
consensus statements, psychiatric screening, psychoeducation, stigma-reducing
policies, and athlete advocacy. These can help mitigate socioenvironmental risk
factors and prioritise athlete wellbeing over performance-centred
motivations.
Subject
Orthopedics and Sports Medicine,Physical Therapy, Sports Therapy and Rehabilitation
Cited by
2 articles.
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