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“受欢迎的封锁”假说?心理健康和行动限制。

The 'welcomed lockdown' hypothesis? Mental wellbeing and mobility restrictions.

机构信息

Department of Health Policy, London School of Economics and Political Science (LSE), CESIFo & IZA, London, UK.

Department of Health Policy, London School of Economics and Political Science, London, UK.

出版信息

Eur J Health Econ. 2023 Jul;24(5):679-699. doi: 10.1007/s10198-022-01490-6. Epub 2022 Aug 12.

Abstract

The COVID-19 pandemic and its mobility restrictions have been an external shock, influencing mental wellbeing. However, does risk exposure to COVID-19 affect the mental wellbeing effect of lockdowns? This paper examines the 'welcomed lockdown' hypothesis, namely the extent to which there is a level of risk where mobility restrictions are not a hindrance to mental wellbeing. We exploit the differential timing of exposure the pandemic, and the different stringency of lockdown policies across European countries and we focus on the effects on two mental health conditions, namely anxiety and depression. We study whether differences in the individual symptoms of anxiety and depression are explained by the combination of pandemic mortality and stringency of lockdown. We draw on an event study approach, complemented with a Difference-in-Difference (DiD), and Regression Discontinuity Design (RDD). Our estimates suggest an average increase in depression (3.95%) and anxiety (10%) symptoms relative to the mean level on the day that lockdown took effect. However, such effects are wiped out when a country's exhibits high mortality ('pandemic category 5'). Hence, we conclude that in an environment of high mortality, lockdowns no longer give rise to a reduction in mental wellbeing consistent with the 'welcome lockdown' hypothesis.

摘要

新冠疫情及其流动性限制是外部冲击,影响了心理健康。但是,新冠疫情风险暴露是否会影响封锁对心理健康的影响呢?本文检验了“受欢迎的封锁”假说,即在多大程度上存在一个风险水平,即流动性限制不会对心理健康造成阻碍。我们利用疫情暴露的时间差异,以及欧洲国家封锁政策的不同严格程度,重点研究了封锁对两种心理健康状况(即焦虑和抑郁)的影响。我们研究了焦虑和抑郁的个体症状差异是否可以通过疫情死亡率和封锁严格程度的组合来解释。我们采用事件研究法,辅以差分(Difference-in-Difference,DiD)和回归断点设计(Regression Discontinuity Design,RDD)。我们的估计表明,与封锁生效当天的平均水平相比,抑郁(3.95%)和焦虑(10%)症状平均增加。然而,当一个国家的死亡率较高(“疫情类别 5”)时,这些影响就会消失。因此,我们得出结论,在高死亡率的环境下,封锁不再会导致与“受欢迎的封锁”假说一致的心理健康改善。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0ddb/10198852/59d84ea9d6ef/10198_2022_1490_Fig1_HTML.jpg

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