| 来源类型 | Working Paper |
| 规范类型 | 报告 |
| DOI | 10.3386/w27711 |
| 来源ID | Working Paper 27711 |
| What Good Are Treatment Effects without Treatment? Mental Health and the Reluctance to Use Talk Therapy | |
| Christopher J. Cronin; Matthew P. Forsstrom; Nicholas W. Papageorge | |
| 发表日期 | 2020-08-24 |
| 出版年 | 2020 |
| 语种 | 英语 |
| 摘要 | Mounting evidence across disciplines shows that psychotherapy is more curative than antidepressants for mild-to-moderate depression and anxiety. Yet, few patients use it. This paper develops and estimates a structural model of dynamic decision-making to analyze mental health treatment choices in the context of depression and anxiety. The model incorporates myriad costs suggested in previous work as critical impediments to psychotherapy use. We also integrate links between mental health and labor outcomes to more fully capture the benefits of mental health improvements and the costs of psychotherapy. Finally, the model addresses measurement error in widely-used mental health variables. Using the estimated model, we find that mental health improvements are valuable, both directly through increased utility and indirectly through earnings. We also show that even though psychotherapy improves mental health, counterfactual policy changes, e.g., lowering the price or removing other costs, do very little to increase uptake. We highlight two conclusions. As patient reluctance to use psychotherapy is nearly impervious to a host of a priori reasonable policies, we need to look elsewhere to understand it (e.g., biases in beliefs about treatment effects, stigma, or other factors that are as yet unknown). More broadly, large benefits of psychotherapy estimated in randomized trials tell only half the story. If patients do not use the treatment outside of an experimental setting—and we fail to understand why or how to get them to—estimated treatment effects cannot be leveraged to improve population mental health or social welfare. |
| 主题 | Health, Education, and Welfare ; Health ; Labor Economics ; Labor Supply and Demand |
| URL | https://www.nber.org/papers/w27711 |
| 来源智库 | National Bureau of Economic Research (United States) |
| 引用统计 | |
| 资源类型 | 智库出版物 |
| 条目标识符 | http://119.78.100.153/handle/2XGU8XDN/585383 |
| 推荐引用方式 GB/T 7714 | Christopher J. Cronin,Matthew P. Forsstrom,Nicholas W. Papageorge. What Good Are Treatment Effects without Treatment? Mental Health and the Reluctance to Use Talk Therapy. 2020. |
| 条目包含的文件 | ||||||
| 文件名称/大小 | 资源类型 | 版本类型 | 开放类型 | 使用许可 | ||
| w27711.pdf（911KB） | 智库出版物 | 限制开放 | CC BY-NC-SA | 浏览 | ||
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