Cited by 154Decision-Making and Behavioral EconomicsFinancial Literacy, Pension, Retirement AnalysisIncome, Poverty, and Inequality

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Reducing debt improves psychological functioning and changes decision-making in the poor

Open access
Ong, Qiyan, Theseira, Walter, Ng, Irene Y. H.·2019·Proceedings of the National Academy of Sciences

Abstract

Significance: The impact of chronic debt on the poor is psychological, not just financial. We hypothesize that chronic debt impairs psychological functioning and decision-making, contributing to the poverty trap. This is because debt is not considered fungible and is viewed as costly mental accounts that consume cognitive bandwidth. We test this using quasiexperimental evidence from a one-off, unanticipated debt-relief program worth several months’ household income. Comparing the poor before and after debt relief, those with more debt accounts paid off experienced greater improvements in cognitive functioning, reported less anxiety, and became less present-biased. These findings provide actionable evidence for poverty-alleviation policy.

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Figures

Fig. 1. Psychological functioning measures pre-debt relief (Pre-DR) and post-debt relief (Post-DR). (Upper Left) Flanker task error rate. (Upper Right) Flanker task trial median reaction time. (Lower Left) Flanker task combined score. (Lower Right) Proportion with GAD symptoms. n = 196 participants. See SI Appendix, Table S3 for statistics. Error bars reflect ±1 SEM. Top horizontal bars show statistical significance. ***P < 0.01.
Fig. 1. Psychological functioning measures pre-debt relief (Pre-DR) and post-debt relief (Post-DR). (Upper Left) Flanker task error rate. (Upper Right) Flanker task trial median reaction time. (Lower Left) Flanker task combined score. (Lower Right) Proportion with GAD symptoms. n = 196 participants. See SI Appendix, Table S3 for statistics. Error bars reflect ±1 SEM. Top horizontal bars show statistical significance. ***P < 0.01.CC BY-NC-ND · PubMed Central
Fig. 2. Economic decision-making pre-debt relief (Pre-DR) and post-debt relief (Post-DR). (Left) Proportion making risk choice (196 participants). (Right) Proportion with present bias (149 participants). Error bars reflect ±1 SEM. Top horizontal bars show statistical significance. *P < 0.10.
Fig. 2. Economic decision-making pre-debt relief (Pre-DR) and post-debt relief (Post-DR). (Left) Proportion making risk choice (196 participants). (Right) Proportion with present bias (149 participants). Error bars reflect ±1 SEM. Top horizontal bars show statistical significance. *P < 0.10.CC BY-NC-ND · PubMed Central

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Metadata

Authors
Ong, Q., Theseira, W., & Ng, I. Y. H.
Affiliations
  • National University of Singapore (SG)
  • Singapore University of Social Sciences (SG)
Corresponding author
Ong, Qiyan
Venue
Proceedings of the National Academy of Sciences
Published
2019-03-25
Volume
116
Issue
15
Pages
7244-7249
ISSN
  • 0027-8424 (ISSN-L)
  • 1091-6490
OpenAlex
W2923558166
Cited by
154
References
7
Citations by year
2026: 15 · 2025: 30 · 2024: 27 · 2023: 29 · 2022: 24 · 2021: 19 · 2020: 7 · 2019: 3
FWCI
10.55
Type
journal article
Language
en
Open access
Locations
  • Proceedings of the National Academy of Sciences (publishedVersion, cc-by-nc-nd)
  • Europe PMC (PubMed Central) (publishedVersion, cc-by-nc-nd)
  • PubMed Central (publishedVersion, cc-by-nc-nd)
  • PubMed (publishedVersion)
  • National University of Singapore (submittedVersion)
  • RePEc: Research Papers in Economics (submittedVersion)
  • Radboud Repository (Radboud University) (submittedVersion)
Topics
  • Social Sciences › Decision Sciences › General Decision Sciences › Decision-Making and Behavioral Economics
  • Social Sciences › Economics, Econometrics and Finance › Finance › Financial Literacy, Pension, Retirement Analysis
  • Social Sciences › Sociology and Political Science › Income, Poverty, and Inequality
Keywords
debt relief, mental accounting, cognitive function, anxiety, present bias, decision-making, poverty reduction, low-income households
MeSH terms
Adult, Decision Making, Family Characteristics, Female, Humans, Income, Male, Middle Aged, Poverty, Singapore

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CoChat. (2026). Citation check: Reducing debt improves psychological functioning and changes decision-making in the poor. https://app.cochat.ai/papers/10.1073/pnas.1810901116
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Ong, Q., Theseira, W., & Ng, I. Y. H. (2019). Reducing debt improves psychological functioning and changes decision-making in the poor. Proceedings of the National Academy of Sciences. https://doi.org/10.1073/pnas.1810901116