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Chapter 2. All About Stress > Holmes-Rahe Life Readjustment Scale

Holmes-Rahe Life Readjustment Scale

Part A

Instructions: Think back on each possible life event listed, and decide whether it happened to you within the last year. If the event did happen, place a checkmark in the first column.

  Check Here If Event Happened to You Mean Value (Use for Scoring Later)
1. A lot more or a lot less trouble with your boss ____________ ____________
2. A major change in sleeping habits (sleeping a lot more or a lot less, or change in part of day when asleep) ____________ ____________
3. A major change in eating habits (a lot more or a lot less food intake, or very different meal hours or surroundings) ____________ ____________
4. A revision of personal habits (dress, manners, associations, etc.) ____________ ____________
5. Major change in your social activities (clubs, dancing, movies, visiting, etc.) ____________ ____________
6. A major change in your usual type and/or amount of recreation ____________ ____________
7. A major change in church activities (a lot more or a lot less than usual) ____________ ____________
8. A major change in number of family get-togethers ____________ ____________
9. A major change in financial state (for better or worse) ____________ ____________
10. In-law troubles ____________ ____________
11. A major change in number of arguments with your spouse ____________ ____________
12. Sexual difficulties ____________ ____________


Part B

Instructions: In the first column, indicate the number of times that each applicable event happened to you within the last two years.

  Number of Times Mean Value Your Score
13. Major personal injury or illness ____________ ____________ ____________
14. Death of close family member (other than spouse) ____________ ____________ ____________
15. Death of a spouse ____________ ____________ ____________
16. Death of a close friend ____________ ____________ ____________
17. Gaining a new family member (through birth, adoption, oldster moving in, etc.) ____________ ____________ ____________
18. Major change in the health or behavior of a family member ____________ ____________ ____________
19. Change in residence ____________ ____________ ____________
20. Detention in jail or other institution ____________ ____________ ____________
21. Minor violations of the law (traffic tickets, jaywalking, disturbing the peace, etc.) ____________ ____________ ____________
22. Major business readjustment (merger, reorganization, bankruptcy, etc.) ____________ ____________ ____________
23. Marriage ____________ ____________ ____________
24. Divorce ____________ ____________ ____________
25. Marital separation from spouse  ____________ ____________
26. Outstanding personal achievement ____________ ____________ ____________
27. Son or daughter leaving home (marriage, attending college, etc.) ____________ ____________ ____________
28. Retirement from work ____________ ____________ ____________
29. Major change in working hours or conditions ____________ ____________ ____________
30. Major change in responsibilities at work (promotion, demotion, lateral transfer) ____________ ____________ ____________
31. Being fired from work ____________ ____________ ____________
32. Major change in living conditions (building a new home, remodeling, deterioration of home or neighborhood) ____________ ____________ ____________
33. Spouse beginning or ceasing work outside the home ____________ ____________ ____________
34. Taking on a mortgage or loan of less than $25,000 (purchasing a home, business, etc.) ____________ ____________ ____________
35. Taking on a mortgage or loan of more than $ 25,000 (making a large purchase) ____________ ____________ ____________
36. Foreclosure on a mortgage or loan ____________ ____________ ____________
37. Vacation ____________ ____________ ____________
38. Changing to a new school ____________ ____________ ____________
39. Changing to a different line of work ____________ ____________ ____________
40. Beginning or ceasing formal schooling ____________ ____________ ____________
41. Marital reconciliation with mate ____________ ____________ ____________
42. Pregnancy ____________ ____________ ____________
YOUR TOTAL SCORE ____________ ____________ ____________


Scoring

The “mean values” for each life event are listed. Go back to Part A and Part B and write in the mean values for those events that happened to you. For items in Part B, multiply the mean value by the number of times an event happened, and enter the result in the “Your Score” column. Add up the mean values in Part A and the scores in Part B to get your total score.

Life Event Mean Value Life Event Mean Value
1 23 22 39
2 16 23 50
3 15 24 73
4 24 25 65
5 19 26 28
6 18 27 29
7 19 28 45
8 15 29 20
9 38 30 29
10 29 31 47
11 35 32 25
12 39 33 26
13 53 34 31
14 63 35 17
15 100 36 30
16 37 37 13
17 39 38 20
18 44 39 36
19 20 40 26
20 63 41 45
21 11 42 40


Interpreting Your Results

The more change you have, the more likely you are to get sick. Of those people with a score of over 300 for the past year, almost 80 percent get sick in the near future; of those with a score of 200 to 299, about 50 percent get sick in the near future; and of those with a score of 150 to 199, only about 30 percent get sick in the near future. A score of less than 150 indicates that you have a low chance of getting sick. So the higher your score, the harder you should work to stay well. Stress can be cumulative. Events from two years ago many still be affecting you now. If you think this applies to you, repeat this test for the events of the preceding year and compare your scores.



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