What is the relationship between stressful life experiences and disease?

 

Dr. Holmes and Dr. Rahe developed, the Social Readjustment Rating Scale (SRRS). They had  hypothesized that stressful  events would be  correlated with illness. The SRRS  demonstrated  a positive correlation  between people who reported stressful events and their increased chances of becoming ill.  Be sure to compare the scale in your text to see which one is most appropriate for you to take.


Death of a Spouse 100 Divorce 73
Marital separation 65 Jail term 65
Death of close family member 63 Personal injury or illness 63
Marriage 50 Fired at work 47
Marriage reconciliation 45 Retirement 45
Change in health of family member 44 Pregnancy 40
Sexual dysfunction 39 Gain of a new family member 44
Business readjustment 38 Change in financial status 38
Death of a close friend 37 Change to different line of work 36
Change in number of arguments with spouse 35 Mortgage over $10,000 31
Foreclosure of mortgage or loan 30 Change in responsibilities at work 29
Son or daughter leaving home 29 Trouble with in-laws 29
Outstanding personal achievement 28 Spouse begins or stops work 26
Begin or end school 26 Change in living conditions 25
Revision of personal habits 24 Trouble with boss 23
Change in work hours or conditions 20 Change in residence 20
Change in schools 20 Change in recreation 20
Change in church activities 19 Change in social activities 19
Mortgage or loan less than $10,000 17 Change in sleeping habits 16
Change in number of family get-togethers 15 Change in eating habits 13
Vacation 13 Christmas 12
Minor violation of the law 11

To find your score, check the events applying to you during the past 12 months. Then add up the total value. Your total score______

Some stress is necessary for life, but too much may be harmful according to  the Homes-Rahe scale developed by Dr. Thomas Holmes and Richard H. Rahe at the University of Washington medical school.[1] [2] The scale suggests that a person scoring less than 150 on the scale has only a 50 percent chance of becoming ill during the next two years. A score of 150 and above  raises the odds of illness to 90 percent.



What does this index suggest for you? Does it seem accurate to you?  Why or why not? What do you think that the duration and intensity of the event have to do with stress? What does an individual's perception have to do with the stress? What are the strengths in attempting to develop a stress scale and what are some of the pitfalls? What research questions does the scale raise? (3)

1 Greenberg, Jerrold S. ,Comprehensive Stress Management 8th ed., Boston MA: McGRaw Hill, 2002,  p.84-85
2 Seaward, Brian Luke, Managing Stress Principles and Strategies for Health and Wellbeing 6th ed., Boston, MA: Jones and Bartlett Publishers, 2009, p.14-1
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http://en.wikipedia.org/wiki/Holmes_and_Rahe_stress_scale

Email: rbrehm@msn.com  Telephone: Cell 206-930-4197.
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