Stress And Its Relationship To Health And Illness by Linas A Bieliauskas

Author:Linas A Bieliauskas [Bieliauskas, Linas A]
Language: eng
Format: epub
ISBN: 9780367288983
Google: EMvyxgEACAAJ
Publisher: Taylor & Francis Group
Published: 2019-05-07T03:48:04+00:00

Scales of Combined Characteristics of Life Events

Given the criticisms of measuring stressing life-events in a general fashion, several attempts have been made to develop more discriminating scales. Ruch (1977) employed the SRRS in an attempt to measure different aspects of how subjects rated items on the scale. Each subject was asked first to rate SRRS items according to the original directions used by Holmes and Rahe (1967) and then to rate each item with specific attention to the amount of adaptation required and the time that adaptation would take. Their ratings were subjected to an analysis that grouped the rated items along statistical dimensions. Three main dimensions emerged from that analysis: (1) the degree of life change required, (2) the desirability of the life change, and (3) the area of the life change (work versus home, for example). Thus, it is clear that an instrument like the SRRS is also subject to the influence of some of the characteristics we have been discussing. Dohrenwend, Krasnoff, Askenasy, and Dohren-wend (1978) have made probably the most elegant attempt yet to design a scale that takes many of these characteristics into account-the Psychiatric Epidemiology Research Interview Life Events Scale (PERI). The researchers gathered life events in a community by asking a large number of people from differing ethnic and socioeconomic backgrounds which recent events in their lives were most stressing. The scale was designed to control for specific versus general stress effects (that is, whether the life event was important only for a particular individual or group or for a broader range of the population), for the desirability or undesirability of the life events, for the dependence or independence of the life event from an illness process, and for the individual's ability to control the occurrence of the life event. The PERI is only now beginning to be used to further investigate stress-illness relationships, but is clearly a step in the right direction, moving us closer to a full consideration of the many factors affecting such relationships.

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