Overcoming Depression

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Holmes and Rahe Stress Scale

To measure stress according to this stress scale you need to look at the LIFE EVENTS that have affected the individual during the past year. Add together the corresponding LIFE CHANGE UNIT scores. This final score will give a rough estimate of how these stressful life events affect health.

 
 LIFE EVENT   LIFE CHANGE UNITS
 Death of a spouse 100
 Divorce 73
 Marital separation 65
 Imprisonment 63
 Death of a close family member 63
 Personal Injury or illness 53
 Marriage 50
 Dismissal from work 47
 Marriage reconciliation 45
 Retirement 45
 Change in health of a family member 44
 Pregnancy 40
 Sexual Difficulties 39
 Gain a new family member 39
 Business readjustment 39
 Change in financial state 38
 Death of a close friend 37
 Change to different line of work 36
 Change in frequency of arguments 35
 Major mortgage 32
 Foreclosure of mortgage or loan 30
 Change in responsibilities at work 29
 Child leaving home 29
 Trouble with in-laws 29
 Outstanding personal achievement 28
 Spouse starts 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 working 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
 Minor mortgage or loan 17
 Change in sleeping habits 16
 Change in number of family reunions 15
 Change in eating habits 15
 Vacation 13
 Christmas 12
Minor violation of law 11

Score 150 and below: Only have a slight risk of illness.
Score of 150-299:        Moderate risk of illness.
Score of 300 and above: At risk of illness.

A modified scale has also been developed for ‘non-adults’. This is scored the same way as for adults.

MODIFIED HOLMES AND RAHE STRESS SCALE
FOR ‘NON-ADULTS’
LIFE EVENT LIFE CHANGE UNITS
Death of parent 100
Unplanned pregnancy/abortion 100
Getting married 95
Divorce of parents 90
Acquiring a visible deformity 80
Fathering a child 70
Jail sentence of parent for over one year 70
Marital separation of parents 69
Death of a brother or sister 68
Change in acceptance by peers 67
Unplanned pregnancy of sister 64
Discovery of being an adopted child 63
Marriage of parent to stepparent 63
Death of a close friend 63
Having a visible congenital deformity 62
Serious illness requiring hospitalization 58
Failure of a grade in school 56
Not making an extracurricular activity 55
Hospitalization of a parent 55
Jail sentence of parent for over 30 days 53
Breaking up with boyfriend or girlfriend 53
Beginning to date 51
Suspension from school 50
Becoming involved with drugs or alcohol 50
Birth of a brother or sister 50
Increase in arguments between parents 46
Loss of job by parent 46
Outstanding personal achievement 46
Change in parent’s financial status 45
Accepted at college of choice 43
Being a senior in high school 42
Hospitalization of a sibling 41
Increased absence of parent from home 38
Brother or sister leaving home 37
Addition of third adult to family 34
Becoming a full fledged member of a church 31
Decrease in arguments between parents 27
Decrease in arguments with parents 26
Mother or father beginning work 26

Score under 150:  Slight risk of illness
Score of 150-299: Moderate risk of illness
Score of 300+:      At risk of illness.

Assess your stress risk factor of illness and take measures to reduce your stress or learn how to better cope with stress. This is important because stress is always the precursor to depression. Have a look here for the symptoms of depression and assess whether you need professional medical help. My Free Overcoming Depression Course is designed to give tools for learning to change the way we cope with stress and in that way break the downward spiral caused by excessive stress. Please register on the “pop-up” or in the newsletter signup in the sidebar.

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