IDEAS home Printed from https://ideas.repec.org/a/eee/labeco/v92y2025ics0927537124001696.html
   My bibliography  Save this article

Impact of the COVID-19 pandemic on mental health management: Evidence from individual-level universal insurance claims data

Author

Listed:
  • Kim, Pyoungsik
  • Kim, Dongyoung

Abstract

The COVID-19 pandemic has led to a prolonged and widespread increase in mental health problems around the world. While receiving diagnosis and treatment plays a critical role in addressing mental health issues, it remains unclear how this process has been affected by the pandemic. Using an individual fixed effects model, this paper studies the effects of the pandemic on mental illness diagnosis and treatment through universal health insurance claims data. We observe a significant rise in mental illness diagnoses during the pandemic, with subjective mental health measures showing a similar negative impact. We find that individuals with pre-existing conditions experienced a decline in follow-up treatments but that there was a significant increase in new diagnoses among those without pre-existing conditions. We observe a particularly pronounced reduction in diagnoses for individuals over 60 but no significant heterogeneous effects by gender or individual income.

Suggested Citation

  • Kim, Pyoungsik & Kim, Dongyoung, 2025. "Impact of the COVID-19 pandemic on mental health management: Evidence from individual-level universal insurance claims data," Labour Economics, Elsevier, vol. 92(C).
  • Handle: RePEc:eee:labeco:v:92:y:2025:i:c:s0927537124001696
    DOI: 10.1016/j.labeco.2024.102673
    as

    Download full text from publisher

    File URL: http://www.sciencedirect.com/science/article/pii/S0927537124001696
    Download Restriction: Full text for ScienceDirect subscribers only

    File URL: https://libkey.io/10.1016/j.labeco.2024.102673?utm_source=ideas
    LibKey link: if access is restricted and if your library uses this service, LibKey will redirect you to where you can use your library subscription to access this item
    ---><---

    As the access to this document is restricted, you may want to search for a different version of it.

    References listed on IDEAS

    as
    1. Bruce D. Meyer & Wallace K. C. Mok & James X. Sullivan, 2015. "Household Surveys in Crisis," Journal of Economic Perspectives, American Economic Association, vol. 29(4), pages 199-226, Fall.
    2. Emily Cuddy & Janet Currie, 2020. "Rules vs. Discretion: Treatment of Mental Illness in U.S. Adolescents," NBER Working Papers 27890, National Bureau of Economic Research, Inc.
    3. Bharadwaj, Prashant & Pai, Mallesh M. & Suziedelyte, Agne, 2017. "Mental health stigma," Economics Letters, Elsevier, vol. 159(C), pages 57-60.
    4. Cronin, Christopher J. & Evans, William N., 2022. "Nursing home quality, COVID-19 deaths, and excess mortality," Journal of Health Economics, Elsevier, vol. 82(C).
    5. Carol Propper & George Stoye & Ben Zaranko, 2020. "The Wider Impacts of the Coronavirus Pandemic on the NHS," Fiscal Studies, John Wiley & Sons, vol. 41(2), pages 345-356, June.
    6. Jun Hyung Kim & Yu Kyung Koh & Jinseong Park, 2023. "Mental Health Consequences of Working from Home during the Pandemic," Global Economic Review, Taylor & Francis Journals, vol. 52(1), pages 18-50, January.
    7. Christopher J. Cronin & Matthew P. Forsstrom & Nicholas W. Papageorge, 2020. "What Good Are Treatment Effects without Treatment? Mental Health and the Reluctance to Use Talk Therapy," NBER Working Papers 27711, National Bureau of Economic Research, Inc.
    8. Liang Wang, 2016. "The effect of high-stakes testing on suicidal ideation of teenagers with reference-dependent preferences," Journal of Population Economics, Springer;European Society for Population Economics, vol. 29(2), pages 345-364, April.
    9. Timothy N. Bond & Kevin Lang, 2019. "The Sad Truth about Happiness Scales," Journal of Political Economy, University of Chicago Press, vol. 127(4), pages 1629-1640.
    10. Kim, Bokyung & Jeong, Jinook, 2017. "Dynamics of adolescents’ life satisfaction and effect of class rank percentile: Evidence from Korean panel data," Journal of Economic Psychology, Elsevier, vol. 59(C), pages 8-28.
    11. Manuel Serrano‐Alarcón & Alexander Kentikelenis & Martin Mckee & David Stuckler, 2022. "Impact of COVID‐19 lockdowns on mental health: Evidence from a quasi‐natural experiment in England and Scotland," Health Economics, John Wiley & Sons, Ltd., vol. 31(2), pages 284-296, February.
    12. Deniz Dutz & Michael Greenstone & Ali Hortaçsu & Santiago Lacouture & Magne Mogstad & Danae Roumis & Azeem M. Shaikh & Alexander Torgovitsky & Winnie van Dijk, 2023. "Selection Bias in Voluntary Random Testing: Evidence from a COVID-19 Antibody Study," AEA Papers and Proceedings, American Economic Association, vol. 113, pages 562-566, May.
    13. 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.
    14. Laura Grigolon & Laura Lasio, 2021. "Stigma as a Barrier to Treatment and Adoption of Innovation," CRC TR 224 Discussion Paper Series crctr224_2021_277, University of Bonn and University of Mannheim, Germany.
    15. James Banks & Xiaowei Xu, 2020. "The Mental Health Effects of the First Two Months of Lockdown during the COVID‐19 Pandemic in the UK," Fiscal Studies, John Wiley & Sons, vol. 41(3), pages 685-708, September.
    16. Stefanie Schurer & Kadir Atalay & Nick Glozier & Esperanza Vera-Toscano & Mark Wooden, 2023. "Quantifying the human impact of Melbourne’s 111-day hard lockdown experiment on the adult population," Nature Human Behaviour, Nature, vol. 7(10), pages 1652-1666, October.
    17. Seonghoon Kim & Kanghyock Koh & Xuan Zhang, 2022. "Short‐term impact of COVID‐19 on consumption spending and its underlying mechanisms: Evidence from Singapore," Canadian Journal of Economics/Revue canadienne d'économique, John Wiley & Sons, vol. 55(S1), pages 115-134, February.
    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. Foliano, Francesca & Tonei, Valentina & Sevilla, Almudena, 2024. "Social restrictions, leisure and well-being," Labour Economics, Elsevier, vol. 87(C).
    2. Lena Janys & Bettina Siflinger, 2021. "Mental Health and Abortions among Young Women: Time-varying Unobserved Heterogeneity, Health Behaviors, and Risky Decisions," Papers 2103.12159, arXiv.org, revised May 2022.
    3. Costi, Chiara & Hollingsworth, Bruce & O'Sullivan, Vincent & Zucchelli, Eugenio, 2023. "Does caring for others affect our mental health? Evidence from the COVID-19 pandemic," Social Science & Medicine, Elsevier, vol. 321(C).
    4. Georgios Marios Chrysanthou, 2021. "A Multiple Cohort Study of the Gender Gradient of Life Satisfaction during Adolescence: Longitudinal Evidence from Great Britain," Oxford Bulletin of Economics and Statistics, Department of Economics, University of Oxford, vol. 83(6), pages 1341-1376, December.
    5. David G. Blanchflower & Alex Bryson, 2024. "The female happiness paradox," Journal of Population Economics, Springer;European Society for Population Economics, vol. 37(1), pages 1-27, March.
    6. Jeehoon Han & Caspar Kaiser, 2024. "Time use and happiness: US evidence across three decades," Journal of Population Economics, Springer;European Society for Population Economics, vol. 37(1), pages 1-25, March.
    7. Lena Janys & Bettina Siflinger, 2021. "Mental Health and Abortions among Young Women: Time-Varying Unobserved Heterogeneity, Health Behaviors, and Risky Decisions," ECONtribute Discussion Papers Series 083, University of Bonn and University of Cologne, Germany.
    8. Fawaz, Yarine & Lee, Junhee, 2022. "Rank comparisons amongst teenagers and suicidal ideation," Economics & Human Biology, Elsevier, vol. 44(C).
    9. Rienzo, Cinzia, 2024. "Trick or treat? The Brexit effect on immigrants’ mental health in the United Kingdom," European Economic Review, Elsevier, vol. 162(C).
    10. James Banks & Heidi Karjalainen & Carol Propper, 2020. "Recessions and Health: The Long‐Term Health Consequences of Responses to the Coronavirus," Fiscal Studies, John Wiley & Sons, vol. 41(2), pages 337-344, June.
    11. Mingming Ma & Shun Wang & Fengyu Wu, 2024. "Lockdown, Infection, and Expressed Happiness in China," Journal of Happiness Studies, Springer, vol. 25(4), pages 1-29, April.
    12. Guillaume Gueguen & Claudia Senik, 2023. "Adopting telework: The causal impact of working from home on subjective well‐being," British Journal of Industrial Relations, London School of Economics, vol. 61(4), pages 832-868, December.
    13. Janys, Lena & Siflinger, Bettina, 2024. "Mental health and abortions among young women: time-varying unobserved heterogeneity, health behaviors, and risky decisions," Journal of Econometrics, Elsevier, vol. 238(1).
    14. Anderes, Marc & Pichler, Stefan, 2023. "Mental health effects of social distancing in Switzerland," Economics & Human Biology, Elsevier, vol. 51(C).
    15. Jakub S. Bil & Bartłomiej Buława & Jakub Świerzawski, 2021. "Mental Health and the City in the Post-COVID-19 Era," Sustainability, MDPI, vol. 13(14), pages 1-14, July.
    16. Gordon John Anderson & Teng Wah Leo, 2021. "On Extending Stochastic Dominance Comparisons to Ordinal Variables and Generalising Hammond Dominance," Working Papers tecipa-705, University of Toronto, Department of Economics.
    17. Alvaredo, Facundo & Bourguignon, François & Ferreira, Francisco H. G. & Lustig, Nora, 2023. "Seventy-five Years of Measuring Income Inequality in Latin America," IDB Publications (Working Papers) 13157, Inter-American Development Bank.
    18. Ravallion, Martin, 2019. "Global inequality when unequal countries create unequal people," European Economic Review, Elsevier, vol. 111(C), pages 85-97.
    19. Jung, Haeil & Kim, Jun Hyung & Hong, Gihyeon, 2023. "Impacts of the COVID-19 crisis on single-person households in South Korea," Journal of Asian Economics, Elsevier, vol. 84(C).
    20. John Gibson, 2016. "Poverty Measurement: We Know Less than Policy Makers Realize," Asia and the Pacific Policy Studies, Wiley Blackwell, vol. 3(3), pages 430-442, September.

    More about this item

    Keywords

    Healthcare utilization; COVID-19; Mental health;
    All these keywords.

    JEL classification:

    • I12 - Health, Education, and Welfare - - Health - - - Health Behavior
    • I18 - Health, Education, and Welfare - - Health - - - Government Policy; Regulation; Public Health

    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:eee:labeco:v:92:y:2025:i:c:s0927537124001696. 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: Catherine Liu (email available below). General contact details of provider: http://www.elsevier.com/locate/labeco .

    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.