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On the Dynamics of Mental Health

Author

Listed:
  • Diego Ascarza-Mendoza

    (School of Government and Public Transformation, Tecnológico de Monterrey)

  • Christian Velasquez

    (Central Reserve Bank of Peru)

Abstract

This paper studies the dynamics of mental health over the life cycle and introduces a parsimonious statistical model suitable for structural economic applications. Using data from the Panel Study of Income Dynamics (PSID), we document new facts on mental health dynamics: mental health generally improves with age, though it has worsened in more recent cohorts. Recovery rates are high and increase with age, and individuals are likely to remain in good mental health, with transitions depending on duration in the current state. Mental health is strongly correlated with fixed labor productivity and with the presence of depression early in life, suggesting that ex-ante conditions play a key role in shaping its evolution. Inequality in mental health remains stable across age. We estimate the model using the Simulated Method of Moments and show it replicates key empirical patterns. We then incorporate the statistical model into a life-cycle framework with endogenous labor supply decisions, calibrated to match observed differences in labor supply—both at the extensive and intensive margins—by mental health status. We find large monetary and welfare losses from depression symptoms, with significant heterogeneity by ex-ante conditions

Suggested Citation

  • Diego Ascarza-Mendoza & Christian Velasquez, 2025. "On the Dynamics of Mental Health," Working Paper Series of the School of Government and Public Transformation 7, School of Government and Public Transformation, Tecnológico de Monterrey.
    • Handle: RePEc:gnt:wpaper:7
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    References listed on IDEAS

    as
    1. Eric French, 2005. "The Effects of Health, Wealth, and Wages on Labour Supply and Retirement Behaviour," The Review of Economic Studies, Review of Economic Studies Ltd, vol. 72(2), pages 395-427.
    2. David G. Blanchflower & Alex Bryson & Anthony Lepinteur & Alan Piper, 2024. "Further Evidence on the Global Decline in the Mental Health of the Young," NBER Working Papers 32500, National Bureau of Economic Research, Inc.
    3. Fatih Guvenen & Luigi Pistaferri & Giovanni L. Violante, 2022. "Global trends in income inequality and income dynamics: New insights from GRID," Quantitative Economics, Econometric Society, vol. 13(4), pages 1321-1360, November.
    4. Mariacristina De Nardi & Eric French & John B. Jones, 2010. "Why Do the Elderly Save? The Role of Medical Expenses," Journal of Political Economy, University of Chicago Press, vol. 118(1), pages 39-75, February.
    5. Mark L. Bryan & Andrew M. Bryce & Jennifer Roberts, 2022. "Dysfunctional presenteeism: Effects of physical and mental health on work performance," Manchester School, University of Manchester, vol. 90(4), pages 409-438, July.
    6. David G. Blanchflower & Alex Bryson, 2024. "The Mental Health of the Young in Latin America," NBER Working Papers 33111, National Bureau of Economic Research, Inc.
    7. Richard Blundell & Jack Britton & Monica Costa Dias & Eric French, 2023. "The Impact of Health on Labor Supply near Retirement," Journal of Human Resources, University of Wisconsin Press, vol. 58(1), pages 282-334.
    8. Deaton, Angus S & Paxson, Christina H, 1998. "Aging and Inequality in Income and Health," American Economic Review, American Economic Association, vol. 88(2), pages 248-253, May.
    9. Mark L Bryan & Nigel Rice & Jennifer Roberts & Cristina Sechel, 2022. "Mental Health and Employment: A Bounding Approach Using Panel Data," Oxford Bulletin of Economics and Statistics, Department of Economics, University of Oxford, vol. 84(5), pages 1018-1051, October.
    10. Mariacristina De Nardi & Eric French & John Bailey Jones, 2016. "Medicaid Insurance in Old Age," American Economic Review, American Economic Association, vol. 106(11), pages 3480-3520, November.
    11. Boaz Abramson & Job Boerma & Aleh Tsyvinski, 2024. "Macroeconomics of Mental Health," Cowles Foundation Discussion Papers 2387, Cowles Foundation for Research in Economics, Yale University.
    12. Roozbei Hosseini & Karen Kopecky & Kai Zhao, 2022. "The Evolution of Health over the Life Cycle," Review of Economic Dynamics, Elsevier for the Society for Economic Dynamics, vol. 45, pages 237-263, July.
    13. Pinna Pintor, Matteo & Fumagalli, Elena & Suhrcke, Marc, 2024. "The impact of health on labour market outcomes: A rapid systematic review," Health Policy, Elsevier, vol. 143(C).
    14. David G. Blanchflower & Alex Bryson & David N.F. Bell, 2024. "The Declining Mental Health of the Young in the UK," NBER Working Papers 32879, National Bureau of Economic Research, Inc.
    15. John Ameriks & Joseph Briggs & Andrew Caplin & Matthew D. Shapiro & Christopher Tonetti, 2020. "Long-Term-Care Utility and Late-in-Life Saving," Journal of Political Economy, University of Chicago Press, vol. 128(6), pages 2375-2451.
    16. Boaz Abramson & Job Boerma & Aleh Tsyvinski, 2024. "Macroeconomics of Mental Health," NBER Working Papers 32354, National Bureau of Economic Research, Inc.
    17. Ringdal, Charlotte & Rootjes, Frank, 2022. "Depression and labor supply: Evidence from the Netherlands," Economics & Human Biology, Elsevier, vol. 45(C).
    18. Richard Blundell & Jack Britton & Monica Costa Dias & Eric French & Weijian Zou, 2022. "The Dynamic Effects of Health on the Employment of Older Workers: Impacts by Gender, Country, and Race," Working Papers wp451, University of Michigan, Michigan Retirement Research Center.
    19. Roozbei Hosseini & Karen Kopecky & Kai Zhao, 2022. "The Evolution of Health over the Life Cycle," Review of Economic Dynamics, Elsevier for the Society for Economic Dynamics, vol. 45, pages 237-263, July.
    20. Germinario, Giuseppe & Amin, Vikesh & Flores, Carlos A. & Flores-Lagunes, Alfonso, 2022. "What can we learn about the effect of mental health on labor market outcomes under weak assumptions? Evidence from the NLSY79," Labour Economics, Elsevier, vol. 79(C).
    Full references (including those not matched with items on IDEAS)

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    More about this item

    Keywords

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    JEL classification:

    • D91 - Microeconomics - - Micro-Based Behavioral Economics - - - Role and Effects of Psychological, Emotional, Social, and Cognitive Factors on Decision Making
    • E21 - Macroeconomics and Monetary Economics - - Consumption, Saving, Production, Employment, and Investment - - - Consumption; Saving; Wealth
    • I13 - Health, Education, and Welfare - - Health - - - Health Insurance, Public and Private
    • I18 - Health, Education, and Welfare - - Health - - - Government Policy; Regulation; Public Health
    • J22 - Labor and Demographic Economics - - Demand and Supply of Labor - - - Time Allocation and Labor Supply

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