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In Reply: Dr Case argues that we were too conservative in interpreting our findings from our study of the effects of an income supplement on children's psychiatric symptoms. However, given a mean difference of 0.4 symptoms in total emotional symptom scores among ex-poor children, we were not comfortable in claiming a clinically significant effect of the intervention in that area. As we collect more data over time, we expect to be able to further clarify these relationships in our sample.

E. Jane Costello, PhD; Scott N. Compton, PhD; Gordon Keeler, MS; Adrian Angold, MRCPsych
Developmental Epidemiology Program
Duke University Medical School
Durham, NC

Letters Section Editor: Stephen J. Lurie, MD, PhD, Senior Editor.

JAMA. 2004;291:424.

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