{"id":13257,"date":"2023-04-18T00:00:00","date_gmt":"2023-04-18T04:00:00","guid":{"rendered":"https:\/\/icesontario.wpengine.com\/news-releases\/physicians-struggled-more-with-mental-health-during-the-pandemic-than-the-general-population\/"},"modified":"2023-06-14T18:13:35","modified_gmt":"2023-06-14T22:13:35","slug":"physicians-struggled-more-with-mental-health-during-the-pandemic-than-the-general-population","status":"publish","type":"news_release","link":"https:\/\/www.ices.on.ca\/fr\/news-releases\/physicians-struggled-more-with-mental-health-during-the-pandemic-than-the-general-population\/","title":{"rendered":"Physicians struggled more with mental health during the pandemic than the general population"},"content":{"rendered":"<p>Outpatient mental health and substance use visits in physicians increased by 23%, compared to only 10% for the general public in the first 18 months of the pandemic, according to a new study from <strong>ICES<\/strong> and The Ottawa Hospital.<\/p>\n<p>\nThis large study of over 12 million Ontarians, including over 40,000 physicians, is the first to compare the use of mental health services by physicians and the general public before and during the COVID-19 pandemic.<\/p>\n<div>\n<div class=\"download-section alignwide infographic-download\" id=\"block_118e398779583d33c89701a0aa08e135\" data-style=\"deep-blue\">\n\t<div class=\"download-section-content\">\n\t\t\t\t<h2>\n\t\t\tInfographic\t\t<\/h2>\n\t\t\n\t\t\t<\/div>\n\t<div class=\"download-section-buttons\">\n\t\t\t\t\t\t<a class=\"download-section-buttons-primary\" href=\"https:\/\/www.ices.on.ca\/wp-content\/uploads\/2023\/05\/Myran-Physician-Mental-Health.png\" target=\"_blank\"\n\t\t\tdownload\t\t\taria-label=\"Download Infographic (opens in a new tab)\"\t\t>\n\t\t\tDownload Infographic\t\t\t<svg width=\"19\" height=\"19\" viewBox=\"0 0 19 19\" fill=\"none\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\" role=\"presentation\">\n<path d=\"M2.78003 18.8301C2.14282 18.8301 1.59713 18.603 1.14297 18.1488C0.688813 17.6947 0.46212 17.1494 0.462893 16.5129V13.0372H2.78003V16.5129H16.6829V13.0372H19V16.5129C19 17.1502 18.7729 17.6958 18.3188 18.15C17.8646 18.6042 17.3193 18.8308 16.6829 18.8301H2.78003ZM9.73145 14.1958L3.9386 8.40295L5.5606 6.72303L8.57288 9.73531V0.292969H10.89V9.73531L13.9023 6.72303L15.5243 8.40295L9.73145 14.1958Z\" fill=\"#151D5D\"\/>\n<\/svg>\n\t\t<\/a>\n\t\t\n\t\t\t\t\t\t\t\t\t\t<button type=\"button\" class=\"download-section-buttons-secondary\" data-infographic-popup-open=\"block_118e398779583d33c89701a0aa08e135-infographic-popup\" aria-haspopup=\"dialog\">\n\t\t\t\tClick to View\t\t\t<\/button>\n\t\t\t\t\t\t<\/div>\n\n\t\t<div class=\"infographic-popup\" id=\"block_118e398779583d33c89701a0aa08e135-infographic-popup\" role=\"dialog\" aria-modal=\"true\" aria-label=\"Infographic\" hidden>\n\t\t<div class=\"infographic-popup-overlay\" data-infographic-popup-close><\/div>\n\t\t<div class=\"infographic-popup-container\">\n\t\t\t<button type=\"button\" class=\"infographic-popup-close\" data-infographic-popup-close aria-label=\"Close infographic\">&times;<\/button>\n\t\t\t<img decoding=\"async\" class=\"infographic-popup-image\" src=\"https:\/\/www.ices.on.ca\/wp-content\/uploads\/2023\/05\/Myran-Physician-Mental-Health.png\" alt=\"Infographic\">\n\t\t<\/div>\n\t<\/div>\n\t<\/div>\n<\/div>\n<p>\n&#x201c;Physicians worldwide have reported large increases in symptoms of depression, anxiety and burnout during the COVID-19 pandemic,&#x201d; says lead author and ICES trainee Daniel Myran, who is also a family physician and Fellow at the Bruy&#xe8;re Research Institute and The Ottawa Hospital. &#x201c;It was unclear if this was because of occupational stressors, general pandemic stressors, or both. Our findings raise concern that the mental health of physicians may have been much more negatively impacted during the pandemic than the general population.&#x201d;<\/p>\n<p>\nPublished in <em>PLOS Medicine<\/em>, the researchers examined medical record data of outpatient and hospital mental health visits in Ontario, Canada. They compared changes in visits for physicians and the general population pre- and post-pandemic (March 2017 to August 2021).<\/p>\n<p>\nThe data showed that:<\/p>\n<ul class=\"list-style\">\n<li>Before the pandemic, physicians had comparable rates of outpatient mental health and addictions (MHA) visits as the general public, but physicians had higher rates of visits to psychiatrists and lower rates of visits to family doctors.<\/li>\n<li>During the first 18 months of the COVID-19 pandemic, the rate of outpatient MHA visits increased by 23.2% in physicians compared to 9.8% for the general public.<\/li>\n<li>After the pandemic started, physicians also had a 4 times greater increase in virtual care MHA visits than the general public (4612% versus 1054%).<\/li>\n<\/ul>\n<p>\n&#x201c;The upside of these findings is that we saw large numbers of physicians seeking care for their mental health,&#x201d; says Dr. Myran. &#x201c;Stigma towards physicians accessing mental health services has long been a problem in medicine, and I am hopeful that both increased awareness during COVID-19 and potentially improved access to virtual care have started to break down some of these barriers.&#x201d;<\/p>\n<p>One limitation of the study is that while physicians &#x2013; given that they work within healthcare &#x2013; likely had much greater increases in mental health visits than the general population, it&#x2019;s difficult to tease apart whether this is a specific worsening of physician mental health, differences in changes in access, or both. For example, virtual care may have reduced barriers for physicians to seek care more so than for the general public. This may have also improved access for physicians with pre-pandemic mental health concerns.<\/p>\n<p>\nNevertheless, the researchers say that their findings shed light on mental health challenges that are unique to physicians&#x2019; experiences during the pandemic. Occupational stressors, such as increased workload, social isolation, rapidly changing policies, and a shortage of healthcare workers, may have influenced physician rates of mental health service use.<\/p>\n<p>\n&#x201c;These challenges will likely continue after the pandemic is over, given the residual strain on the healthcare system,&#x201d; says Dr. Myran. &#x201c;There is an urgent need to continue to increase interventions that reduce occupational stressors and improve workplace mental health for physicians.&#x201d;<\/p>\n<p>\nThe study, &#x201c;Outpatient mental health and addiction service use by physicians compared to non-physicians before and during the COVID-19 pandemic: a population-based cohort study&#x201d; was published in <em>PLOS Medicine<\/em>.<\/p>\n<p><em><br \/>\nAuthor block: Myran DT, Roberts R, McArthur E, Jeyakumar N, Hensel JM, Kendall C, Gerin-Lajoie C, McFadden T, Simon C, Garg AX, Sood MM, Tanuseputro P.<\/em><\/p>\n<div><div class=\"about-ices-shortcode\"><p><strong>ICES<\/strong> is an independent, non-profit research institute that uses population-based health information to produce knowledge on a broad range of healthcare issues. Our unbiased evidence provides measures of health system performance, a clearer understanding of the shifting healthcare needs of Ontarians, and a stimulus for discussion of practical solutions to optimize scarce resources. ICES knowledge is highly regarded in Canada and abroad, and is widely used by government, hospitals, planners, and practitioners to make decisions about care delivery and to develop policy. In October 2018, the institute formerly known as the Institute for Clinical Evaluative Sciences formally adopted the initialism ICES as its official name. For the latest ICES news, follow us on Twitter: <a href=\"https:\/\/twitter.com\/ICESOntario\" target=\"_blank\" rel=\"noopener\">@ICESOntario<\/a><\/p>\n<\/div><\/div>\n<p>\nThe Ottawa Hospital (TOH) is one of Canada&#x2019;s top learning and research hospitals where we are guided by our vision to provide the world-class and compassionate care we would all want for our loved ones. Our multi-campus hospital, affiliated with the University of Ottawa, is home to the Regional Trauma Centre and Cancer Centre, and to discoveries that are adopted globally. Backed by generous support from the community, we are focused on reshaping the future of healthcare to improve the health of our diverse population of patients from Eastern Ontario, Western Quebec, and Nunavut. For more information about The Ottawa Hospital, visit <a href=\"http:\/\/OttawaHospital.on.ca\" title=\"opens external link\">OttawaHospital.on.ca<\/a>.&#xa0;<\/p>\n<p>\nThe University of Ottawa is home to over 50,000 students, faculty and staff, who live, work and study in both French and English. Our campus is a crossroads of cultures and ideas, where bold minds come together to inspire game-changing ideas. We are one of Canada&#x2019;s top 10 research universities&#x2014;our professors and researchers explore new approaches to today&#x2019;s challenges. One of a handful of Canadian universities ranked among the top 200 in the world, we attract exceptional thinkers and welcome diverse perspectives from across the globe. <a href=\"http:\/\/www.uottawa.ca\" title=\"opens external link\">www.uottawa.ca<\/a><\/p>\n<h2>\nFOR FURTHER INFORMATION PLEASE CONTACT:<\/h2>\n<p>\nMisty Pratt<br \/>\nSenior Communications Officer, ICES<br \/>\n<a href=\"mailto:Misty.Pratt@ices.on.ca\">Misty.Pratt@ices.on.ca<\/a> 613-882-7065<\/p>\n<p>\nAmelia Buchanan<br \/>\nSenior Communication Specialist<br \/>\nOttawa Hospital Research Institute<br \/>\nCell: 613-297-8315<br \/>\n<a href=\"mailto:ambuchanan@ohri.ca\">ambuchanan@ohri.ca<\/a><\/p>\n","protected":false},"excerpt":{"rendered":"<p>Outpatient mental health and substance use visits in physicians increased by 23%, compared to only 10% for the general public in the first 18 months of the pandemic, according to a new study from ICES and The Ottawa Hospital. This large study of over 12 million Ontarians, including over 40,000 physicians, is the first to [&hellip;]<\/p>\n","protected":false},"template":"","migration-helper-automated":[],"migration-manual":[],"topic":[],"class_list":["post-13257","news_release","type-news_release","status-publish","hentry"],"acf":{"infographic":[13289],"journal_article":[13151],"research_report":[],"atlas":[],"research_program":[],"site":[],"ices_scientist":[],"announce_or_event":[],"video":[],"iitn_type":"Article","iitn_title":"By the numbers: Looking at physician mental health during the pandemic","iitn_short_title":"","iitn_source_link_url":"https:\/\/www.tvo.org\/article\/by-the-numbers-looking-at-physician-mental-health-during-the-pandemic","iitn_source_link_text":"tvo","sitecore_item_id":"C3E67BA6-67F1-45F6-83AA-21A1F5D442A9","sitecore_item_name":"Physicians-struggled-more-with-mental-health-during-the-pandemic-than-the-general-population","sitecore_field_values":"{\n  \"Content\": \"<p>Outpatient mental health and substance use visits in physicians increased by 23%, compared to only 10% for the general public in the first 18 months of the pandemic, according to a new study from <strong>ICES<\/strong> and The Ottawa Hospital.<\/p>n<p>nThis large study of over 12 million Ontarians, including over 40,000 physicians, is the first to compare the use of mental health services by physicians and the general public before and during the COVID-19 pandemic.<\/p>n<p><a href=\"~\/media\/74E653215DF94E34AE5538D61A7BFDB9.ashx\" onclick=\"_gaq.push(['_trackEvent','Download', 'Myran-Physician-Mental-Health-Infographic-April2023', this.href]);\"><img height=\"475\" alt=\"Physicians faced worse mental health during the pandemic than the general population\" width=\"350\" src=\"~\/media\/E82F5E5ABB2F4D8D9AB89C3C1E6E171C.ashx\" \/><\/a><span class=\"grey\" style=\"font-size: 12px; font-weight: bold; display: block; color: #5b5656;\">Click image to enlarge<\/span><\/p>n<p>n&ldquo;Physicians worldwide have reported large increases in symptoms of depression, anxiety and burnout during the COVID-19 pandemic,&rdquo; says lead author and ICES trainee Daniel Myran, who is also a family physician and Fellow at the Bruy&egrave;re Research Institute and The Ottawa Hospital. &ldquo;It was unclear if this was because of occupational stressors, general pandemic stressors, or both. Our findings raise concern that the mental health of physicians may have been much more negatively impacted during the pandemic than the general population.&rdquo;<\/p>n<p>nPublished in <em>PLOS Medicine<\/em>, the researchers examined medical record data of outpatient and hospital mental health visits in Ontario, Canada. They compared changes in visits for physicians and the general population pre- and post-pandemic (March 2017 to August 2021).<\/p>n<p>nThe data showed that:<\/p>n<ul class=\"list-style\">n    <li>Before the pandemic, physicians had comparable rates of outpatient mental health and addictions (MHA) visits as the general public, but physicians had higher rates of visits to psychiatrists and lower rates of visits to family doctors.<\/li>n    <li>During the first 18 months of the COVID-19 pandemic, the rate of outpatient MHA visits increased by 23.2% in physicians compared to 9.8% for the general public.<\/li>n    <li>After the pandemic started, physicians also had a 4 times greater increase in virtual care MHA visits than the general public (4612% versus 1054%).<\/li>n<\/ul>n<p>n&ldquo;The upside of these findings is that we saw large numbers of physicians seeking care for their mental health,&rdquo; says Dr. Myran. &ldquo;Stigma towards physicians accessing mental health services has long been a problem in medicine, and I am hopeful that both increased awareness during COVID-19 and potentially improved access to virtual care have started to break down some of these barriers.&rdquo;<\/p>n<p>One limitation of the study is that while physicians &ndash; given that they work within healthcare &ndash; likely had much greater increases in mental health visits than the general population, it&rsquo;s difficult to tease apart whether this is a specific worsening of physician mental health, differences in changes in access, or both. For example, virtual care may have reduced barriers for physicians to seek care more so than for the general public. This may have also improved access for physicians with pre-pandemic mental health concerns.<\/p>n<p>nNevertheless, the researchers say that their findings shed light on mental health challenges that are unique to physicians&rsquo; experiences during the pandemic. Occupational stressors, such as increased workload, social isolation, rapidly changing policies, and a shortage of healthcare workers, may have influenced physician rates of mental health service use.<\/p>n<p>n&ldquo;These challenges will likely continue after the pandemic is over, given the residual strain on the healthcare system,&rdquo; says Dr. Myran. &ldquo;There is an urgent need to continue to increase interventions that reduce occupational stressors and improve workplace mental health for physicians.&rdquo;<\/p>n<p>nThe study, &ldquo;Outpatient mental health and addiction service use by physicians compared to non-physicians before and during the COVID-19 pandemic: a population-based cohort study&rdquo; was published in <em>PLOS Medicine<\/em>.<\/p>n<p><em>nAuthor block: Myran DT, Roberts R, McArthur E, Jeyakumar N, Hensel JM, Kendall C, Gerin-Lajoie C, McFadden T, Simon C, Garg AX, Sood MM, Tanuseputro P.<\/em><\/p>n<p><em><span style=\"color: #002060;\"><strong>ICES<\/strong> is an independent, non-profit research institute that uses population-based health information to produce knowledge on a broad range of healthcare issues. Our unbiased evidence provides measures of health system performance, a clearer understanding of the shifting healthcare needs of Ontarians, and a stimulus for discussion of practical solutions to optimize scarce resources. ICES knowledge is highly regarded in Canada and abroad, and is widely used by government, hospitals, planners, and practitioners to make decisions about care delivery and to develop policy. In October 2018, the institute formerly known as the Institute for Clinical Evaluative Sciences formally adopted the initialism ICES as its official name. For the latest ICES news, follow us on Twitter:<\/span> <a href=\"https:\/\/twitter.com\/ICESOntario\">@ICESOntario<\/a><\/em><\/p>n<p>nThe Ottawa Hospital (TOH) is one of Canada&rsquo;s top learning and research hospitals where we are guided by our vision to provide the world-class and compassionate care we would all want for our loved ones. Our multi-campus hospital, affiliated with the University of Ottawa, is home to the Regional Trauma Centre and Cancer Centre, and to discoveries that are adopted globally. Backed by generous support from the community, we are focused on reshaping the future of healthcare to improve the health of our diverse population of patients from Eastern Ontario, Western Quebec, and Nunavut. For more information about The Ottawa Hospital, visit <a href=\"http:\/\/OttawaHospital.on.ca\" title=\"opens external link\">OttawaHospital.on.ca<\/a>.&nbsp;<\/p>n<p>nThe University of Ottawa is home to over 50,000 students, faculty and staff, who live, work and study in both French and English. Our campus is a crossroads of cultures and ideas, where bold minds come together to inspire game-changing ideas. We are one of Canada&rsquo;s top 10 research universities&mdash;our professors and researchers explore new approaches to today&rsquo;s challenges. One of a handful of Canadian universities ranked among the top 200 in the world, we attract exceptional thinkers and welcome diverse perspectives from across the globe. <a href=\"http:\/\/www.uottawa.ca\" title=\"opens external link\">www.uottawa.ca<\/a><\/p>n<h2>nFOR FURTHER INFORMATION PLEASE CONTACT:<\/h2>n<p>nMisty Pratt<br \/>nSenior Communications Officer, ICES<br \/>n<a href=\"mailto:Misty.Pratt@ices.on.ca\">Misty.Pratt@ices.on.ca<\/a> 613-882-7065<\/p>n<p>nAmelia Buchanan<br \/>nSenior Communication Specialist<br \/>nOttawa Hospital Research Institute<br \/>nCell: 613-297-8315<br \/>n<a href=\"mailto:ambuchanan@ohri.ca\">ambuchanan@ohri.ca<\/a><\/p>\",\n  \"Title\": \"Physicians struggled more with mental health during the pandemic than the general population\",\n  \"Short title\": \"Physicians struggled more with\",\n  \"Teaser image\": \"<image mediaid=\"{A322F4BD-074D-4BD9-A21A-A9A358DE2CFF}\" alt=\"&quot;&quot;\" height=\"\" width=\"\" hspace=\"\" vspace=\"\" \/>\",\n  \"Summary\": \"Outpatient mental health and substance use visits in physicians increased by 23%, compared to only 10% for the general public in the first 18 months of the pandemic.\",\n  \"Location\": \"Ottawa\",\n  \"In The News\": \"{52DB8934-DB90-4879-BA0E-FBD1C802EC39}\",\n  \"Posted Date\": \"20230418T000000\",\n  \"Publication Link\": \"<link text=\"Abstract\" linktype=\"internal\" title=\"opens related abstract\" querystring=\"\" target=\"\" id=\"{C363A6A0-39E2-47B5-9D9F-1EC730415550}\" \/>\",\n  \"Related Link\": \"<link text=\"Infographic\" linktype=\"external\" url=\"~\/Publications\/Infographics?year=2023&amp;page=1#Myran-Physician-Mental-Health\" anchor=\"\" title=\"opens related infographic\" target=\"\" \/>\",\n  \"Related Link2\": \"<link text=\"ICES in the News | tvo\" linktype=\"external\" url=\"https:\/\/www.tvo.org\/article\/by-the-numbers-looking-at-physician-mental-health-during-the-pandemic\" anchor=\"\" title=\"opens external link\" target=\"\" \/>\"\n}","previous_url":"https:\/\/www.ices.on.ca\/Newsroom\/News-Releases\/2023\/Physicians-struggled-more-with-mental-health-during-the-pandemic-than-the-general-population"},"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v28.1 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>ICES | Physicians struggled more with mental health during the pandemic than the general population<\/title>\n<meta name=\"description\" content=\"Outpatient mental health and substance use visits in physicians increased by 23%, compared to only 10% for the general public in the first 18 months of\" \/>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/www.ices.on.ca\/fr\/news-releases\/physicians-struggled-more-with-mental-health-during-the-pandemic-than-the-general-population\/\" \/>\n<meta property=\"og:locale\" content=\"fr_FR\" \/>\n<meta property=\"og:type\" 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