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Getting Stuck In The Blues: Persistence Of Mental Health Problems In Australia

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  • John Roy
  • Stefanie Schurer

Abstract

Do episodes of mental health (MH) problems cause future MH problems, and if yes, how strong are these dynamics? We quantify the degree of persistence in MH problems using nationally representative, longitudinal data from Australia and system generalized method of moments (GMM), and correlated random effects approaches are applied to separate true from spurious state dependence. Our results suggest only a moderate degree of persistence in MH problems when assuming that persistence is constant across the MH distribution once individual‐specific heterogeneity is accounted for. However, individuals who fell once below a threshold that indicates an episode of depression are up to five times more likely to experience such a low score again a year later, indicating a strong element of state dependence in depression. Low income is a strong risk factor in state dependence for both men and women, which has important policy implications. Copyright © 2013 John Wiley & Sons, Ltd.

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  • John Roy & Stefanie Schurer, 2013. "Getting Stuck In The Blues: Persistence Of Mental Health Problems In Australia," Health Economics, John Wiley & Sons, Ltd., vol. 22(9), pages 1139-1157, September.
    • Handle: RePEc:wly:hlthec:v:22:y:2013:i:9:p:1139-1157
    DOI: 10.1002/hec.2967
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    1. Ohrnberger, Julius & Fichera, Eleonora & Sutton, Matt, 2017. "The dynamics of physical and mental health in the older population," The Journal of the Economics of Ageing, Elsevier, vol. 9(C), pages 52-62.
    2. Chris Muris & Pedro Raposo & Sotiris Vandoros, 2020. "A dynamic ordered logit model with fixed effects," Papers 2008.05517, arXiv.org.
    3. Bom, Judith & Bakx, Pieter & Schut, Frederik & van Doorslaer, Eddy, 2019. "Health effects of caring for and about parents and spouses," The Journal of the Economics of Ageing, Elsevier, vol. 14(C).
    4. Lu Liu & Wei Nai & Zan Yang, 2022. "Measuring the State Dependence Effect in Hospital Payment Adjustment," IJERPH, MDPI, vol. 19(21), pages 1-17, October.
    5. Paul Contoyannis & Jinhu Li, 2014. "The Dynamics of Depression from Adolescence to Early Adulthood," Department of Economics Working Papers 2014-09, McMaster University.
    6. Bilgrami, A., 2023. "Working from home and mental health: before and during the COVID-19 pandemic," Health, Econometrics and Data Group (HEDG) Working Papers 23/03, HEDG, c/o Department of Economics, University of York.
    7. Mateus Dias & Luiz Felipe Fontes, 2024. "The Effects of a Large-Scale Mental Health Reform: Evidence from Brazil," American Economic Journal: Economic Policy, American Economic Association, vol. 16(3), pages 257-289, August.
    8. Baert, Stijn & De Visschere, Sarah & Schoors, Koen & Vandenberghe, Désirée & Omey, Eddy, 2016. "First depressed, then discriminated against?," Social Science & Medicine, Elsevier, vol. 170(C), pages 247-254.
    9. Stefanie Schurer & Michael Alspach & Jayden MacRae & Gregory Martin, 2016. "The Medical Care Costs of Mood Disorders: A Coarsened Exact Matching Approach," The Economic Record, The Economic Society of Australia, vol. 92(296), pages 81-93, March.
    10. Peter Butterworth & Carmel Poyser & Aino Suomi, 2021. "Mental Health," Australian Economic Review, The University of Melbourne, Melbourne Institute of Applied Economic and Social Research, vol. 54(4), pages 530-541, December.
    11. Paul Contoyannis & Jinhu Li, 2017. "The dynamics of adolescent depression: an instrumental variable quantile regression with fixed effects approach," Journal of the Royal Statistical Society Series A, Royal Statistical Society, vol. 180(3), pages 907-922, June.
    12. Bilgrami, Anam, 2023. "Working from home and mental health: Before and during the COVID-19 pandemic," GLO Discussion Paper Series 1265, Global Labor Organization (GLO).
    13. Bubonya, Melisa & Cobb-Clark, Deborah A. & Ribar, David C., 2017. "The Bilateral Relationship between Depressive Symptoms and Employment Status," IZA Discussion Papers 10653, Institute of Labor Economics (IZA).
    14. David W. Johnston & Olena Stavrunova, 2021. "Subjective Wellbeing Dynamics," Australian Economic Review, The University of Melbourne, Melbourne Institute of Applied Economic and Social Research, vol. 54(4), pages 518-529, December.
    15. Tran, My (Michelle) & Gannon, Brenda, 2021. "The regional effect of the consumer directed care model for older people in Australia," Social Science & Medicine, Elsevier, vol. 280(C).
    16. Daghagh Yazd, Sahar & Wheeler, Sarah Ann & Zuo, Alec, 2020. "Understanding the impacts of water scarcity and socio-economic demographics on farmer mental health in the Murray-Darling Basin," Ecological Economics, Elsevier, vol. 169(C).
    17. Mujcic, Redzo, 2014. "Are fruit and vegetables good for our mental and physical health? Panel data evidence from Australia," MPRA Paper 59149, University Library of Munich, Germany.
    18. Bubonya, Melisa & Cobb-Clark, Deborah A. & Ribar, David C., 2019. "The reciprocal relationship between depressive symptoms and employment status," Economics & Human Biology, Elsevier, vol. 35(C), pages 96-106.
    19. Thi Thao Nguyen & Kim Huong Nguyen & Nicholas Rohde, 2024. "Economic Disparities, Life Events, and the Gender Mental Health Gap," Social Indicators Research: An International and Interdisciplinary Journal for Quality-of-Life Measurement, Springer, vol. 174(3), pages 1053-1100, September.
    20. Sefa Awaworyi Churchill & Lisa Farrell & Russell Smyth, 2019. "Neighbourhood ethnic diversity and mental health in Australia," Health Economics, John Wiley & Sons, Ltd., vol. 28(9), pages 1075-1087, September.
    21. Anam Bilgrami & Kompal Sinha & Henry Cutler, 2020. "The impact of introducing a national scheme for paid parental leave on maternal mental health outcomes," Health Economics, John Wiley & Sons, Ltd., vol. 29(12), pages 1657-1681, December.
    22. Moscone, F. & Tosetti, E. & Vittadini, G., 2016. "The impact of precarious employment on mental health: The case of Italy," Social Science & Medicine, Elsevier, vol. 158(C), pages 86-95.
    23. Danusha Jayawardana & Brenda Gannon & Jenny Doust & Gita D. Mishra, 2023. "Excess healthcare costs of psychological distress in young women: Evidence from linked national Medicare claims data," Health Economics, John Wiley & Sons, Ltd., vol. 32(3), pages 715-734, March.
    24. Peter Butterworth & Sonja C. de New & Chris Schilling & Karinna Saxby & Dennis Petrie & Clement Wong, 2021. "Dynamics of Mental Health and Healthcare Use among Children and Young Adults," Australian Economic Review, The University of Melbourne, Melbourne Institute of Applied Economic and Social Research, vol. 54(1), pages 130-142, March.

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    More about this item

    JEL classification:

    • I14 - Health, Education, and Welfare - - Health - - - Health and Inequality
    • C23 - Mathematical and Quantitative Methods - - Single Equation Models; Single Variables - - - Models with Panel Data; Spatio-temporal Models

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