The dynamics of physical and mental health in the older population
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Mental and physical aspects are both integral to health but little is known about the dynamic relationship between them. We consider the dynamic relationship between mental and physical health using a sample of 11,203 individuals in six waves (2002-2013) of the English Longitudinal Study of Ageing (ELSA). We estimate conditional linear and non-linear random-effects regression models to identify the effects of past physical health, measured by Activities of Daily Living (ADL), and past mental health, measured by the Centre for Epidemiological Studies Depression (CES-D) scale, on both present physical and mental health. We find that both mental and physical health are moderately state-dependent. Better past mental health increases present physical health significantly. Better past physical health has a larger effect on present mental health. Past mental health has stronger effects on present physical health than physical activity or education. It explains 2.0% of the unobserved heterogeneity in physical health. Past physical health has stronger effects on present mental health than health investments, income or education. It explains 0.4% of the unobserved heterogeneity in mental health. These cross-effects suggest that health policies aimed at specific aspects of health should consider potential spill-over effects.
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Strong cross-effect state-dependence in mental and physical health justifies the use of initial conditions as strong predictors of present physical and mental health.
“The strong cross-effect state-dependence in mental and physical health further justifies the use of the initial conditions as strong predictors of present physical and mental health (Ohrnberger et al., 2017).”
From The relationship between physical and mental health: A mediation analysis (2017) · cites this paper as Ohrnberger et al., 2017
OLS introduces bias into the coefficient estimates by not accounting for heterogeneous effects.
“OLS in- troduces bias into the coefficient estimates by not accounting for heterogeneous effects as has been shown in Ohrnberger et al. (2017).”
From The relationship between physical and mental health: A mediation analysis (2017) · cites this paper as Ohrnberger et al. (2017)
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“These findings support large-scale studies that highlight direct and indirect links between physical and psychological wellness (see Ohrnberger et al., 2017).”
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- Authors
- Ohrnberger, J., Fichera, E., & Sutton, M.
- Affiliations
- University of Manchester (GB)
- Corresponding author
- Ohrnberger, Julius
- Venue
- The Journal of the Economics of Ageing
- Publisher
- Elsevier BV
- Published
- 2017-06
- Volume
- 9
- Pages
- 52-62
- ISSN
- 2212-828X (ISSN-L)
- PMC
- PMC5446314
- OpenAlex
- W2462675471
- Cited by
- 152
- References
- 56
- Citations by year
- 2026: 6 · 2025: 15 · 2024: 31 · 2023: 26 · 2022: 19 · 2021: 22 · 2020: 15 · 2019: 7 · 2018: 10 · 2017: 1
- FWCI
- 5.92
- Type
- journal article
- Language
- en
- Open access
- hybrid
- doi.org
- Locations
- The Journal of the Economics of Ageing (publishedVersion, cc-by)
- Europe PMC (PubMed Central) (publishedVersion, cc-by)
- PubMed Central (publishedVersion, cc-by)
- PubMed (publishedVersion)
- Research Explorer (The University of Manchester) (publishedVersion, cc-by)
- RePEc: Research Papers in Economics (submittedVersion)
- Funders
- National Institute of Aging
- Topics
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Aging, Health, and Disability
- Social Sciences › Health › Health disparities and outcomes
- Social Sciences › Psychology › Neuropsychology and Physiological Psychology › Aging and Gerontology Research
- Keywords
- mental health, physical health, older adults, state dependence, activities of daily living, depression, health dynamics, unobserved heterogeneity, health policy, English Longitudinal Study of Ageing
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