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Published on: August 2, 2021
Time Preferences, Mental Health and Treatment Utilization
Daniel Eisenberg1, Benjamin G Druss
1University of Michigan, M3517 SPH II, 1415 Washington Heights, Dept. of Health Management and Policy, School of Public Health, Ann Arbor, MI 48109-2029, USA, daneis@umich.edu.
Mental health treatment seeking is hindered by procrastination and present-oriented time preferences, particularly in individuals with depression. Addressing these behavioral factors may improve access to care.
Area of Science:
- Behavioral Economics
- Mental Health Research
- Health Psychology
Background:
- A significant treatment gap exists for mental health conditions globally, with less than half of individuals receiving care.
- Common barriers include limited knowledge, negative attitudes, financial constraints, and potentially time preferences and procrastination.
Purpose of the Study:
- To explore the conceptual and empirical links between time preferences, procrastination, and mental health help-seeking behaviors.
- To investigate how present-oriented decision-making influences the utilization of mental health services.
Main Methods:
- A conceptual analysis integrating microeconomic theory with mental health treatment utilization.
- An empirical analysis of survey data from 8,806 students across 12 universities, measuring depression, anxiety, discounting, and procrastination.
Main Results:
- Depression was significantly correlated with both procrastination and discounting (present-oriented time preferences).
- Treatment utilization showed a significant association with procrastination but not with discounting.
Conclusions:
- Empirical findings support the hypothesis that depression is linked to increased present orientation, as indicated by discounting and procrastination.
- Future research should focus on longitudinal studies, experimental designs, and intervention trials to address causality and develop strategies for improving mental health help-seeking.
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