This Social Readjustment Rating Scale was created by Thomas Holmes & Richard
Rahe, University of Washington School of Medicine to provide a standardized
measure of the impact of a wide range of common stressors. Using the
Scale
To use the scale, simply add up the values for all of the listed life events
that have occurred to you within the past year. If a particular event has
happened to you more than once within the last 12 months, multiply the value by
the number of occurrences. Enter your value total at the end of the list.
The Scale
Each life event is assigned a value in arbitrary “life changing units” chosen to reflect the
relative amount of stress the event causes in the population studied. Stress is
cumulative, so to estimate the total stress you are experiencing, add up the
values corresponding to the events that have occurred in your life over the past
year.
|
Life Event
|
Value
|
|
Death of Spouse |
100 |
|
Divorce |
73 |
|
Marital separation |
65 |
|
Jail term |
63 |
|
Death of close family member |
63 |
|
Personal injury or illness |
53 |
|
Marriage |
50 |
|
Fired at work |
47 |
|
Marital reconciliation |
45 |
|
Retirement |
45 |
|
Change in health of family member |
44 |
|
Pregnancy |
40 |
|
Sex difficulties |
39 |
|
Gain of new family member |
39 |
|
Business readjustment |
39 |
|
Change in financial state |
38 |
|
Death of close friend |
37 |
|
Change to a different line of work |
36 |
|
Change in number of arguments with spouse |
35 |
|
Home
Mortgage over $100,000* |
31 |
|
Foreclosure or 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
|
19 |
|
Change in church activities |
19 |
|
Change in social activities |
18 |
|
Mortgage or loan of less than $100,000* |
17 |
|
Change in sleeping habits |
16 |
|
Change in number of family get-togethers |
15 |
|
Change in eating habits |
15 |
|
Single person living alone |
** |
|
Other- describe |
** |
|
Total: |
|
* the mortgage figure was updated from the original figure of $10,000 to
reflect inflation.
** Estimate the impact on yourself
Interpretation
Interpretation of the overall score is difficult because of the large
differences in each person's ability to cope and their particular reactions to
stress, but here are some general guidelines.
A total of 150 or less is good, suggesting a low level of stress in your life
and a low probability of developing a stress-related disorder. If your score is
300 or more, statistically you stand an almost 80% chance of getting sick in the
near future. If your score is 150 to 299, the chances are about 50%. At less
than 150, about 30%. This scale seems to suggest that change in ones life
requires an effort to adapt and then an effort to regain stability.
About the Scale
The scale is based on the observation that important life changes, whether
positive such as marriage or negative, such as death of a close friend all
induce stress. Thomas Holmes and Richard Rahe developed the scale by listing
common stressful events and arbitrarily assigning a value of 50 “life-changing
units” to the stress caused by marriage. They then had a large number of men
rate the stress caused by the other events in comparison to marriage. The
results were combined to create the scale. Studies show a modest correlation
between the number of life-changing units experienced in the previous year with
a person's health in the present year. Specifically correlations have been
shown between SRRS scores and heart attacks, broken bones, diabetes, multiple
sclerosis, tuberculosis, complications of pregnancy and birth, decline in
academic performance, employee absenteeism, and other difficulties. Although the
scale was originally developed and validated using only male subjects it
provides useful results with both male and female subjects and it has been
validated in Japanese, Latin American, European, and Malaysian populations.
Inherent Variation
The stress caused by a particular stressor varies
greatly from one person to the next because of the variability in the
circumstances, interpretation, goals,
personality, values,
coping strategy, and resources from one person to the
next. Therefore, although this scale is well-researched, the values are only a
rough approximation at best.
References
Psychology: Core Concepts, by Phillip G. Zimbardo, Ann L. Weber, Robert
L. Johnson
The social readjustment rating scale, Holmes, T. H. and Rahe, R. H.
1967, Journal of Psychosomatic research, 11(2), 213-21.
Stressful Life Events: Their Nature and Effects ,
by Barbara Snell Dohrenwend, Bruce P. Dohrenwend
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