IDEAS home Printed from https://ideas.repec.org/p/tin/wpaper/20220079.html
   My bibliography  Save this paper

Mental Health Literacy, Beliefs and Demand for Mental Health Support among University Students

Author

Listed:
  • Michelle Acampora

    (University of Zurich)

  • Francesco Capozza

    (Erasmus University of Rotterdam)

  • Vahid Moghani

    (Erasmus University of Rotterdam)

Abstract

This paper assesses the impact of a mental health literacy intervention on the demand for mental health support among university students. We run a field experiment with 2,978 university students from one of the largest Dutch universities. The literacy intervention provides information on the benefits of care-seeking and its potential returns in terms of academic performance. The intervention increases the willingness-to-pay for a mental health app among male respondents. Moreover, the information increases (decreases) the demand for information about coaching (psychological) services. We document that this substitution is concentrated among students with low to moderate anxiety/depressive symptoms, while the students with severe symptoms increase their demand for coaching without reducing their demand for psychological services. An increased perceived effectiveness of low-intensity therapy is likely to be the mechanisms. In a follow-up survey three weeks later, we find that the treated female respondents have improved their mental health. Finally, a model of mental health investment decisions in the presence of (self-)image concerns rationalizes the results.

Suggested Citation

  • Michelle Acampora & Francesco Capozza & Vahid Moghani, 2022. "Mental Health Literacy, Beliefs and Demand for Mental Health Support among University Students," Tinbergen Institute Discussion Papers 22-079/I, Tinbergen Institute.
  • Handle: RePEc:tin:wpaper:20220079
    as

    Download full text from publisher

    File URL: https://papers.tinbergen.nl/22079.pdf
    Download Restriction: no
    ---><---

    References listed on IDEAS

    as
    1. Emily Oster & Ira Shoulson & E. Ray Dorsey, 2013. "Optimal Expectations and Limited Medical Testing: Evidence from Huntington Disease," American Economic Review, American Economic Association, vol. 103(2), pages 804-830, April.
    2. Khan, Adnan & Nasim, Sanval & Shaukat, Mahvish & Stegmann, Andreas, 2021. "Building trust in the state with information: Evidence from urban Punjab," Journal of Public Economics, Elsevier, vol. 202(C).
    3. Burchardi, Konrad B. & de Quidt, Jonathan & Gulesci, Selim & Lerva, Benedetta & Tripodi, Stefano, 2021. "Testing willingness to pay elicitation mechanisms in the field: Evidence from Uganda," Journal of Development Economics, Elsevier, vol. 152(C).
    4. Nathan Barker & Gharad T. Bryan & Dean Karlan & Angela Ofori-Atta & Christopher R. Udry, 2021. "Mental Health Therapy as a Core Strategy for Increasing Human Capital: Evidence from Ghana," NBER Working Papers 29407, National Bureau of Economic Research, Inc.
    5. Armin Falk & Thomas Neuber & Philipp Strack, 2021. "Limited Self-Knowledge and Survey Response Behavior," CESifo Working Paper Series 9179, CESifo.
    6. Cullen, Zoë & Perez-Truglia, Ricardo, 2023. "The salary taboo privacy norms and the diffusion of information," Journal of Public Economics, Elsevier, vol. 222(C).
    7. Marieke Bos & Andrew Hertzberg & Andres Liberman, 2021. "Are We Overdiagnosing Mental Illnesses? Evidence from Randomly Assigned Doctors," Working Papers 21-33, Federal Reserve Bank of Philadelphia.
    8. Philipp Lergetporer & Katharina Werner & Ludger Woessmann, 2018. "Does Ignorance of Economic Returns and Costs Explain the Educational Aspiration Gap? Evidence from Representative Survey Experiments," CESifo Working Paper Series 7000, CESifo.
    9. Moser, Petra & Biasi, Barbara & Dahl, Michael S, 2021. "Career Effects of Mental Health," CEPR Discussion Papers 16401, C.E.P.R. Discussion Papers.
    10. Bütikofer, Aline & Ginja, Rita & Landaud, Fanny & Løken, Katrine V., 2020. "School Selectivity, Peers, and Mental Health," Working Papers in Economics 5/20, University of Bergen, Department of Economics.
    11. Roland Bénabou & Jean Tirole, 2011. "Identity, Morals, and Taboos: Beliefs as Assets," The Quarterly Journal of Economics, President and Fellows of Harvard College, vol. 126(2), pages 805-855.
    12. Mark Anderson, D. & Diris, Ron & Montizaan, Raymond & Rees, Daniel I., 2023. "The effects of becoming a physician on prescription drug use and mental health treatment," Journal of Health Economics, Elsevier, vol. 91(C).
    13. Leonardo Bursztyn & Alessandra L. González & David Yanagizawa-Drott, 2020. "Misperceived Social Norms: Women Working Outside the Home in Saudi Arabia," American Economic Review, American Economic Association, vol. 110(10), pages 2997-3029, October.
    14. Francesco Capozza & Ingar Haaland & Christopher Roth & Johannes Wohlfart, 2021. "Studying Information Acquisition in the Field: A Practical Guide and Review," ECONtribute Discussion Papers Series 124, University of Bonn and University of Cologne, Germany.
    15. Janet Currie, 2009. "Healthy, Wealthy, and Wise: Socioeconomic Status, Poor Health in Childhood, and Human Capital Development," Journal of Economic Literature, American Economic Association, vol. 47(1), pages 87-122, March.
    16. Victoria Baranov & Sonia Bhalotra & Pietro Biroli & Joanna Maselko, 2020. "Maternal Depression, Women's Empowerment, and Parental Investment: Evidence from a Randomized Controlled Trial," American Economic Review, American Economic Association, vol. 110(3), pages 824-859, March.
    17. White, Ariel & Strezhnev, Anton & Lucas, Christopher & Kruszewska, Dominika & Huff, Connor, 2018. "Investigator Characteristics and Respondent Behavior in Online Surveys," Journal of Experimental Political Science, Cambridge University Press, vol. 5(1), pages 56-67, April.
    18. Pedro Bordalo & Nicola Gennaioli & Andrei Shleifer, 2012. "Salience Theory of Choice Under Risk," The Quarterly Journal of Economics, President and Fellows of Harvard College, vol. 127(3), pages 1243-1285.
    19. Currie, Janet & Stabile, Mark, 2006. "Child mental health and human capital accumulation: The case of ADHD," Journal of Health Economics, Elsevier, vol. 25(6), pages 1094-1118, November.
    20. Stefan Wager & Susan Athey, 2018. "Estimation and Inference of Heterogeneous Treatment Effects using Random Forests," Journal of the American Statistical Association, Taylor & Francis Journals, vol. 113(523), pages 1228-1242, July.
    21. Hunt Allcott & Luca Braghieri & Sarah Eichmeyer & Matthew Gentzkow, 2020. "The Welfare Effects of Social Media," American Economic Review, American Economic Association, vol. 110(3), pages 629-676, March.
    22. Armin Falk & Anke Becker & Thomas Dohmen & Benjamin Enke & David B. Huffman & Uwe Sunde, 2017. "Global Evidence on Economic Preferences," NBER Working Papers 23943, National Bureau of Economic Research, Inc.
    23. James J. Heckman & Jora Stixrud & Sergio Urzua, 2006. "The Effects of Cognitive and Noncognitive Abilities on Labor Market Outcomes and Social Behavior," Journal of Labor Economics, University of Chicago Press, vol. 24(3), pages 411-482, July.
    24. Matthew W. Ridley & Gautam Rao & Frank Schilbach & Vikram H. Patel, 2020. "Poverty, Depression, and Anxiety: Causal Evidence and Mechanisms," NBER Working Papers 27157, National Bureau of Economic Research, Inc.
    25. Johannes Haushofer & Robert Mudida & Jeremy P. Shapiro, 2020. "The Comparative Impact of Cash Transfers and a Psychotherapy Program on Psychological and Economic Well-being," NBER Working Papers 28106, National Bureau of Economic Research, Inc.
    26. Lopes, Francisca Vargas & Riumallo Herl, Carlos J. & Mackenbach, Johan P. & Van Ourti, Tom, 2022. "Patient cost-sharing, mental health care and inequalities: A population-based natural experiment at the transition to adulthood," Social Science & Medicine, Elsevier, vol. 296(C).
    27. Eisenberg Daniel & Golberstein Ezra & Hunt Justin B, 2009. "Mental Health and Academic Success in College," The B.E. Journal of Economic Analysis & Policy, De Gruyter, vol. 9(1), pages 1-37, September.
    28. Armin Falk & Anke Becker & Thomas Dohmen & Benjamin Enke & David Huffman & Uwe Sunde, 2018. "Global Evidence on Economic Preferences," The Quarterly Journal of Economics, President and Fellows of Harvard College, vol. 133(4), pages 1645-1692.
    29. Jonathan de Quidt & Johannes Haushofer & Christopher Roth, 2018. "Measuring and Bounding Experimenter Demand," American Economic Review, American Economic Association, vol. 108(11), pages 3266-3302, November.
    30. Grossman, Zachary, 2015. "Self-signaling and social-signaling in giving," Journal of Economic Behavior & Organization, Elsevier, vol. 117(C), pages 26-39.
    31. Jonathan de Quidt & Johannes Haushofer, 2016. "Depression for Economists," NBER Working Papers 22973, National Bureau of Economic Research, Inc.
    32. Van de Velde, Sarah & Bracke, Piet & Levecque, Katia, 2010. "Gender differences in depression in 23 European countries. Cross-national variation in the gender gap in depression," Social Science & Medicine, Elsevier, vol. 71(2), pages 305-313, July.
    33. Krishnan, Pramila & Krutikova, Sofya, 2013. "Non-cognitive skill formation in poor neighbourhoods of urban India," Labour Economics, Elsevier, vol. 24(C), pages 68-85.
    34. Rebecca L. Thornton, 2008. "The Demand for, and Impact of, Learning HIV Status," American Economic Review, American Economic Association, vol. 98(5), pages 1829-1863, December.
    35. Yoav Benjamini, 2010. "Discovering the false discovery rate," Journal of the Royal Statistical Society Series B, Royal Statistical Society, vol. 72(4), pages 405-416, September.
    Full references (including those not matched with items on IDEAS)

    Most related items

    These are the items that most often cite the same works as this one and are cited by the same works as this one.
    1. Michael Vlassopoulos & Abu Siddique & Tabassum Rahman & Debayan Pakrashi & Asad Islam & Firoz Ahmed, 2021. "Improving Women's Mental Health During a Pandemic," Munich Papers in Political Economy 11, Munich School of Politics and Public Policy and the School of Management at the Technical University of Munich.
    2. Siddique, Abu & Islam, Asad & Mozumder, Tanvir Ahmed & Rahman, Tabassum & Shatil, Tanvir, 2022. "Forced Displacement, Mental Health, and Child Development: Evidence from the Rohingya Refugees," SocArXiv b4fc7, Center for Open Science.
    3. Christopher Roth & Peter Schwardmann & Egon Tripodi, 2024. "Misperceived Effectiveness and the Demand for Psychotherapy," ECONtribute Discussion Papers Series 279, University of Bonn and University of Cologne, Germany.
    4. Christopher Roth & Peter Schwardmann & Egon Tripodi, 2024. "Depression Stigma," ECONtribute Discussion Papers Series 286, University of Bonn and University of Cologne, Germany.
    5. Francesco Capozza & Ingar Haaland & Christopher Roth & Johannes Wohlfart, 2021. "Studying Information Acquisition in the Field: A Practical Guide and Review," CEBI working paper series 21-15, University of Copenhagen. Department of Economics. The Center for Economic Behavior and Inequality (CEBI).
    6. Breitkopf, Laura & Chowdhury, Shyamal K. & Priyam, Shambhavi & Schildberg-Hörisch, Hannah & Sutter, Matthias, 2020. "Do economic preferences of children predict behavior?," DICE Discussion Papers 342, Heinrich Heine University Düsseldorf, Düsseldorf Institute for Competition Economics (DICE).
    7. Getik, Demid & Meier, Armando N., 2022. "Peer gender and mental health⁎," Journal of Economic Behavior & Organization, Elsevier, vol. 197(C), pages 643-659.
    8. Clotilde Mahé & Philipp Hessel, 2022. "School-age exposure to conditional cash transfers and adult mental health: Evidence from Mexico’s Progresa," Documentos de trabajo 20155, Escuela de Gobierno - Universidad de los Andes.
    9. Angelucci, Manuela & Bennett, Daniel M, 2021. "The Economic Impact of Depression Treatment in India," IZA Discussion Papers 14393, Institute of Labor Economics (IZA).
    10. Daniel J. Benjamin, 2018. "Errors in Probabilistic Reasoning and Judgment Biases," NBER Working Papers 25200, National Bureau of Economic Research, Inc.
    11. Juliana Sanchez-Ariza, 2022. "Conflict, parenting, and early childhood mental health in conflict-affected settings: Evidence from Colombia," Documentos CEDE 20639, Universidad de los Andes, Facultad de Economía, CEDE.
    12. Dietmar Fehr & Yannick Reichlin, 2021. "Status, Control Beliefs, and Risk-Taking," CESifo Working Paper Series 9253, CESifo.
    13. Carlos Alós-Ferrer & Michele Garagnani, 2022. "Who likes it more? Using response times to elicit group preferences in surveys," ECON - Working Papers 422, Department of Economics - University of Zurich.
    14. Marta Golin, 2022. "The effect of broadband Internet on the gender gap in mental health: Evidence from Germany," Health Economics, John Wiley & Sons, Ltd., vol. 31(S2), pages 6-21, October.
    15. Katherine O’Connor & Jennifer Seager, 2021. "Displacement, Violence, and Mental Health: Evidence from Rohingya Adolescents in Cox’s Bazar, Bangladesh," IJERPH, MDPI, vol. 18(10), pages 1-11, May.
    16. Jun Wang & Qihui Chen & Gang Chen & Yingxiang Li & Guoshu Kong & Chen Zhu, 2020. "What is creating the height premium? New evidence from a Mendelian randomization analysis in China," PLOS ONE, Public Library of Science, vol. 15(4), pages 1-20, April.
    17. Thijs Brouwer & Fabio Galeotti & Marie Claire Villeval, 2023. "Teaching Norms: Direct Evidence of Parental Transmission," The Economic Journal, Royal Economic Society, vol. 133(650), pages 872-887.
    18. Pagel, Michaela & Olafsson, Arna, 2017. "The Ostrich in Us: Selective Attention to Financial Accounts, Income, Spending, and Liquidity," CEPR Discussion Papers 12259, C.E.P.R. Discussion Papers.
    19. Laura Breitkopf & Shyamal Chowdhury & Shambhavi Priyam & Hannah Schildberg-Hörisch & Matthias Sutter, 2024. "Do economic preferences of children predict behavior?," Discussion Paper Series of the Max Planck Institute for Research on Collective Goods 2024_09, Max Planck Institute for Research on Collective Goods.
    20. Heckman, James J. & Galaty, Bridget & Tian, Haihan, 2023. "The Economic Approach to Personality, Character and Virtue," IZA Discussion Papers 16133, Institute of Labor Economics (IZA).

    More about this item

    Keywords

    Mental Health Literacy; Demand for Mental Health Support; Beliefs; Stigma; Survey Experiment;
    All these keywords.

    JEL classification:

    • C93 - Mathematical and Quantitative Methods - - Design of Experiments - - - Field Experiments
    • D83 - Microeconomics - - Information, Knowledge, and Uncertainty - - - Search; Learning; Information and Knowledge; Communication; Belief; Unawareness
    • D91 - Microeconomics - - Micro-Based Behavioral Economics - - - Role and Effects of Psychological, Emotional, Social, and Cognitive Factors on Decision Making
    • I12 - Health, Education, and Welfare - - Health - - - Health Behavior
    • I31 - Health, Education, and Welfare - - Welfare, Well-Being, and Poverty - - - General Welfare, Well-Being

    NEP fields

    This paper has been announced in the following NEP Reports:

    Statistics

    Access and download statistics

    Corrections

    All material on this site has been provided by the respective publishers and authors. You can help correct errors and omissions. When requesting a correction, please mention this item's handle: RePEc:tin:wpaper:20220079. See general information about how to correct material in RePEc.

    If you have authored this item and are not yet registered with RePEc, we encourage you to do it here. This allows to link your profile to this item. It also allows you to accept potential citations to this item that we are uncertain about.

    If CitEc recognized a bibliographic reference but did not link an item in RePEc to it, you can help with this form .

    If you know of missing items citing this one, you can help us creating those links by adding the relevant references in the same way as above, for each refering item. If you are a registered author of this item, you may also want to check the "citations" tab in your RePEc Author Service profile, as there may be some citations waiting for confirmation.

    For technical questions regarding this item, or to correct its authors, title, abstract, bibliographic or download information, contact: Tinbergen Office +31 (0)10-4088900 (email available below). General contact details of provider: https://edirc.repec.org/data/tinbenl.html .

    Please note that corrections may take a couple of weeks to filter through the various RePEc services.

    IDEAS is a RePEc service. RePEc uses bibliographic data supplied by the respective publishers.