The Holmes and Rahe Stress Scale
Tuesday, November 26, 2013
People use the word "stress" to describe a wide variety of situations - from your cell phone ringing while you're talking on another phone - to the feelings associated with intense work overload, or the death of a loved-one.
But perhaps the most useful and widely accepted definition of stress (mainly attributed to Richard S. Lazarus) is this: Stress is a condition or feeling experienced when a person perceives that "demands exceed the personal and social resources the individual is able to mobilize." In less formal terms, we feel stressed when we feel that "things are out of control".
Our ability to cope with the demands upon us is key to our experience of stress. For example, starting a new job might be a wholly exciting experience if everything else in your life is stable and positive. But if you start a new job when you've just moved into a new house, or your partner is ill, or you're experiencing money problems, you might find it very hard to cope.
How much of this does it take to push you "over the edge"? Not all unusual events are equally hard to deal with. For example, compare the stress of divorce with that of a change in responsibilities at work. Because of this, you need to be able to rate and measure your total stress score appropriately.
The Social Readjustment Rating Scale (SRRS), more commonly known as the Holmes and Rahe Stress Scale, was created to do just that. This tool helps us measure the stress load we carry, and think about what we should do about it.
This article looks at the Holmes and Rahe Stress Scale, and explains how you can use it to manage the stress in your life.
The Holmes and Rahe Stress Scale
In 1967, psychiatrists Thomas Holmes and Richard Rahe decided to study whether or not stress contributes to illness. They surveyed more than 5,000 medical patients and asked them to say whether they had experience any of a series of 43 life events in the previous two years.
Each event, called a Life Change Unit (LCU), had a different "weight" for stress. The more events the patient added up, the higher the score. The higher the score, and the larger the weight of each event, the more likely the patient was to become ill.
The Stress Scale
To score your stress levels, simply check the box in the right hand column next to all the events that have happened to you in the last year. Your score will automatically update.
This table is taken from "The Social Readjustment Rating Scale", Thomas H. Holmes and Richard H. Rahe, Journal of Psychosomatic Research , Volume 11, Issue 2, August 1967, Pages 213-218, Copyright © 1967 Published by Elsevier Science Inc. All rights reserved. Permission to reproduce granted by the publisher.
This scale must not be used in any way to cause harm to an individual's professional career.
Life Event
Value
Check if this applies
1
Death of spouse
100
2
Divorce
73
3
Marital separation
65
4
Jail term
63
5
Death of close family member
63
6
Personal injury or illness
53
7
Marriage
50
8
Fired at work
47
9
Marital reconciliation
45
10
Retirement
45
11
Change in health of family member
44
12
Pregnancy
40
13
Sex difficulties
39
14
Gain of new family member
39
15
Business readjustment
39
16
Change in financial state
38
17
Death of close friend
37
18
Change to a different line of work
36
19
Change in number of arguments with spouse
35
20
A large mortgage or loan
31
21
Foreclosure of mortgage or loan
30
22
Change in responsibilities at work
29
23
Son or daughter leaving home
29
24
Trouble with in-laws
29
25
Outstanding personal achievement
28
26
Spouse begins or stops work
26
27
Begin or end school/college
26
28
Change in living conditions
25
29
Revision of personal habits
24
30
Trouble with boss
23
31
Change in work hours or conditions
20
32
Change in residence
20
33
Change in school/college
20
34
Change in recreation
19
35
Change in church activities
19
36
Change in social activities
18
37
A moderate loan or mortgage
17
38
Change in sleeping habits
16
39
Change in number of family get-togethers
15
40
Change in eating habits
15
41
Vacation
13
42
Christmas
12
43
Minor violations of the law
11
0
Note: If you experienced the same event more than once, then to gain a more accurate total, add the score again for each extra occurrence of the event.
Score Interpretation
Score
Comment
300+
You have a high or very high risk of becoming ill in the near future.
150-299
You have a moderate to high chance of becoming ill in the near future.
<150
You have only a low to moderate chance of becoming ill in the near future.
What You Can Do About This
If you find that you are at a moderate or high level of risk , then an obvious first thing to do is to try to avoid future life crises.
While this is clearly easier said than done, you can usually avoid moving house, for example, close to when you retire, or when one of your children goes off to college; you can learn conflict resolution skills to minimize conflict with other people; you can avoid taking on new obligations or engaging with new programs of study; and you can take things easy, and look after yourself.
For more on reducing stress, visit the Stress Tools area of Mind Tools.
Note 1:
Some scientists have suggested that the Holmes and Rahe Stress Scale is weak in certain areas. For example, some feel that different cultural groups react differently to different life events.
One study compared scores of Americans with those of Malaysians. Interestingly, Malaysians had different attitudes toward breaking the law and toward relationships than the Americans did, meaning that their experience of stress was different at the same score.
Keep cultural differences in mind as you score your own life events.
Note 2:
While it's useful to know about this idea so that you can take action with it, don't dwell on it, and don't let this knowledge affect your mood. Think positively!
Note 3:
Stress can cause severe health problems and, in extreme cases, can cause death. You should take the advice of a suitably qualified health professional if you have any concerns over stress-related illnesses, or if stress is causing you significant or persistent unhappiness.
Key Points
The Holmes and Rahe Stress Scale is a well-known tool for measuring the amount of stress you’ve experienced within the past year. Taking the test can help you see clearly if you’re at risk of illness due to stress.
Warning: Stress can cause severe health problems and, in extreme cases, can cause death. While these stress management techniques have been shown to have a positive effect on reducing stress, they are for guidance only, and readers should take the advice of suitably qualified health professionals if they have any concerns over stress-related illnesses or if stress is causing significant or persistent unhappiness. Health professionals should also be consulted before any major change in diet or levels of exercise.
Tags:
Skills, Stress Management
But perhaps the most useful and widely accepted definition of stress (mainly attributed to Richard S. Lazarus) is this: Stress is a condition or feeling experienced when a person perceives that "demands exceed the personal and social resources the individual is able to mobilize." In less formal terms, we feel stressed when we feel that "things are out of control".
Our ability to cope with the demands upon us is key to our experience of stress. For example, starting a new job might be a wholly exciting experience if everything else in your life is stable and positive. But if you start a new job when you've just moved into a new house, or your partner is ill, or you're experiencing money problems, you might find it very hard to cope.
How much of this does it take to push you "over the edge"? Not all unusual events are equally hard to deal with. For example, compare the stress of divorce with that of a change in responsibilities at work. Because of this, you need to be able to rate and measure your total stress score appropriately.
The Social Readjustment Rating Scale (SRRS), more commonly known as the Holmes and Rahe Stress Scale, was created to do just that. This tool helps us measure the stress load we carry, and think about what we should do about it.
This article looks at the Holmes and Rahe Stress Scale, and explains how you can use it to manage the stress in your life.
The Holmes and Rahe Stress Scale
In 1967, psychiatrists Thomas Holmes and Richard Rahe decided to study whether or not stress contributes to illness. They surveyed more than 5,000 medical patients and asked them to say whether they had experience any of a series of 43 life events in the previous two years.
Each event, called a Life Change Unit (LCU), had a different "weight" for stress. The more events the patient added up, the higher the score. The higher the score, and the larger the weight of each event, the more likely the patient was to become ill.
The Stress Scale
To score your stress levels, simply check the box in the right hand column next to all the events that have happened to you in the last year. Your score will automatically update.
This table is taken from "The Social Readjustment Rating Scale", Thomas H. Holmes and Richard H. Rahe, Journal of Psychosomatic Research , Volume 11, Issue 2, August 1967, Pages 213-218, Copyright © 1967 Published by Elsevier Science Inc. All rights reserved. Permission to reproduce granted by the publisher.
This scale must not be used in any way to cause harm to an individual's professional career.
Life Event
Value
Check if this applies
1
Death of spouse
100
2
Divorce
73
3
Marital separation
65
4
Jail term
63
5
Death of close family member
63
6
Personal injury or illness
53
7
Marriage
50
8
Fired at work
47
9
Marital reconciliation
45
10
Retirement
45
11
Change in health of family member
44
12
Pregnancy
40
13
Sex difficulties
39
14
Gain of new family member
39
15
Business readjustment
39
16
Change in financial state
38
17
Death of close friend
37
18
Change to a different line of work
36
19
Change in number of arguments with spouse
35
20
A large mortgage or loan
31
21
Foreclosure of mortgage or loan
30
22
Change in responsibilities at work
29
23
Son or daughter leaving home
29
24
Trouble with in-laws
29
25
Outstanding personal achievement
28
26
Spouse begins or stops work
26
27
Begin or end school/college
26
28
Change in living conditions
25
29
Revision of personal habits
24
30
Trouble with boss
23
31
Change in work hours or conditions
20
32
Change in residence
20
33
Change in school/college
20
34
Change in recreation
19
35
Change in church activities
19
36
Change in social activities
18
37
A moderate loan or mortgage
17
38
Change in sleeping habits
16
39
Change in number of family get-togethers
15
40
Change in eating habits
15
41
Vacation
13
42
Christmas
12
43
Minor violations of the law
11
0
Note: If you experienced the same event more than once, then to gain a more accurate total, add the score again for each extra occurrence of the event.
Score Interpretation
Score
Comment
300+
You have a high or very high risk of becoming ill in the near future.
150-299
You have a moderate to high chance of becoming ill in the near future.
<150
You have only a low to moderate chance of becoming ill in the near future.
What You Can Do About This
If you find that you are at a moderate or high level of risk , then an obvious first thing to do is to try to avoid future life crises.
While this is clearly easier said than done, you can usually avoid moving house, for example, close to when you retire, or when one of your children goes off to college; you can learn conflict resolution skills to minimize conflict with other people; you can avoid taking on new obligations or engaging with new programs of study; and you can take things easy, and look after yourself.
For more on reducing stress, visit the Stress Tools area of Mind Tools.
Note 1:
Some scientists have suggested that the Holmes and Rahe Stress Scale is weak in certain areas. For example, some feel that different cultural groups react differently to different life events.
One study compared scores of Americans with those of Malaysians. Interestingly, Malaysians had different attitudes toward breaking the law and toward relationships than the Americans did, meaning that their experience of stress was different at the same score.
Keep cultural differences in mind as you score your own life events.
Note 2:
While it's useful to know about this idea so that you can take action with it, don't dwell on it, and don't let this knowledge affect your mood. Think positively!
Note 3:
Stress can cause severe health problems and, in extreme cases, can cause death. You should take the advice of a suitably qualified health professional if you have any concerns over stress-related illnesses, or if stress is causing you significant or persistent unhappiness.
Key Points
The Holmes and Rahe Stress Scale is a well-known tool for measuring the amount of stress you’ve experienced within the past year. Taking the test can help you see clearly if you’re at risk of illness due to stress.
Warning: Stress can cause severe health problems and, in extreme cases, can cause death. While these stress management techniques have been shown to have a positive effect on reducing stress, they are for guidance only, and readers should take the advice of suitably qualified health professionals if they have any concerns over stress-related illnesses or if stress is causing significant or persistent unhappiness. Health professionals should also be consulted before any major change in diet or levels of exercise.
