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Economic hardship and mental health complaints during COVID-19

Dirk Witteveen () and Eva Velthorst
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Dirk Witteveen: Nuffield College, University of Oxford, Oxford OX1 1NF, United Kingdom
Eva Velthorst: Department of Psychiatry, Icahn School of Medicine at Mount Sinai, New York, NY 10029; Seaver Autism Center for Research and Treatment, Icahn School of Medicine at Mount Sinai, New York, NY 10029

Proceedings of the National Academy of Sciences, 2020, vol. 117, issue 44, 27277-27284

Abstract: The COVID-19 economic crash is idiosyncratic because of its virtual standstill of economic activity. We therefore ask how individual labor market experiences are related to the development of mental health complaints in the spring of 2020. As clinical data collection was compromised during the lockdowns, standardized surveys of the European labor force provide an opportunity to observe mental health complaints as the crisis unfolded. Data are representative of active members of the labor force of six European nations that contained varying levels of COVID-19 burdens in terms of mortality and lockdown measures. We document a steep occupational prestige level gradient on the probability of facing economic hardship during the lockdowns—looming job loss, income loss, and workload decline—which evidently exacerbate socioeconomic inequalities. Analyses indicate a striking positive relationship between instantaneous economic hardships during the COVID-19 lockdown and expressing feelings of depression and health anxiety. Importantly, the magnitude of the association between such hardships and indicators of mental health deterioration is highly dependent on workers’ occupational standing, revealing a second layer of exacerbating inequality.

Keywords: depressive symptoms; health anxiety; COVID-19; recession; labor market inequality (search for similar items in EconPapers)
Date: 2020
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Citations: View citations in EconPapers (25)

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