Psychology Reader

Relationships Between Poverty and Psychopathology: A Natural Experiment

E. Jane Costello, Scott N. Compton, Gordon Keeler, and Adrian Angold · 2003 · JAMA

Role
Landmark empirical study · Methodological contribution
Difficulty
Moderate
Full work length
7 pages
Type
Journal article

Access

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Reading focus

Syllabus: How Do Contexts Shape Developmental Pathways?

Track who received payments, who crossed the poverty threshold, and which symptoms changed.

Why you’re reading it. Assess how a natural experiment addresses selection without assuming that it randomizes every relevant difference.

A question to consider. Does the supervision analysis establish the stress mechanism proposed by Evans and Kim? Explain what it measures and what additional evidence would be needed.

Why this reading

An income change during an ongoing longitudinal study lets Costello and colleagues compare predictions of social causation and social selection. The paper demonstrates both the opportunity and the limits of learning from an unplanned environmental change.

Before you read

A natural experiment uses an external event rather than investigator-assigned treatment. Leaving poverty and receiving an income supplement are not identical exposures. Symptom scores are not interchangeable with diagnoses.

Read for

  1. Track comparisons before and after casino payments and among income groups.
  2. Separate behavioral from emotional symptoms.
  3. Distinguish the income comparison from the proposed pathway through parental supervision.

Consider afterwards

  1. What additional comparison would help separate effects of income payments from other changes accompanying a casino opening?

Editorial context

The study follows a particular rural population, including Eastern Band of Cherokee children. Income supplementation was not individually randomized; crossing the poverty threshold also depended on household circumstances. The findings concern selected symptoms and do not establish one cause of all mental disorders. The mediation analysis does not independently prove the mechanism, and the results do not describe an inherent difference between ethnic groups.