Eduarda CoelhoCarla LourençoPereira, AntoninoMaria Isabel Mourão-CarvalhalSandra Fonseca2026-04-212026-04-212026-04-17http://hdl.handle.net/10400.19/9887Background: The COVID-19 pandemic posed unprecedented challenges for elite athletes, disrupting training routines and affecting mental health. This study examined the impact of social isolation on training, sleep, motivation, and psychological well-being among Portuguese Paralympic athletes. Methods: Forty-five athletes (31.36 ± 10.81 years) from the Paralympic Preparation Program participated, divided into the Paralympic Preparation Project (PPP; n = 21) and the Paralympic Hopes and Talents Project (PHTP; n = 24). Training routines before and during social isolation were compared. Sleep duration, training motivation, and mental health were assessed using the Mental Health Inventory-5 (MHI-5). The analysis employed paired and independent t-tests and a multiple linear regression (Enter method) to examine predictors of mental health. Results: Daily training duration declined by 34.3% (p < 0.001), though weekly frequency remained stable (p = 0.061). PPP athletes reported higher mental health scores than PHTP athletes (66.24 vs. 60.37; p = 0.048). The regression model explained 42.8% of the variance in mental health (R2 = 0.428). Sleep duration was positively associated with mental health and showed the highest standardized coefficient in the regression (β = 0.351; p = 0.008), followed by PPP status (β = 0.315; p = 0.024) and motivation (β = 0.278; p = 0.041). Conclusions: Maintaining biological routines, particularly sleep and motivation, supports mental health under social isolation. Higher well-being among PPP athletes underscores the need for targeted interventions for less experienced athletes. Sports organizations should prioritize sleep hygiene and psychological support to mitigate vulnerability during crises.engparalympic sportmental healthlinear regressionCOVID-19sleepgroup effectPredictive Factors of Mental Health in Athletes from the Paralympic Preparation Program During Social Isolation: The Role of Sleep, Competitive Status, and Motivationresearch article2026-04-18cv-prod-501877110.3390/sports14040160