Adults

To measure stress according to the Holmes and Rahe Stress Scale, the number of "Life Change Units" that apply to events in the past year of an individual's life are added and the final score ill give a rough estimate of ho stress affects health! Life event "eath of a spouse "ivorce 'arital separation *mprisonment "eath of a close family member +ersonal in,ury or illness 'arriage "ismissal from or'arital reconciliation Retirement Change in health of family member +regnancy Se/ual difficulties 1ain a ne family member 2usiness read,ustment Change in financial state "eath of a close friend Change to different line of orChange in fre4uency of arguments 'a,or mortgage 6oreclosure of mortgage or loan Change in responsibilities at orChild leaving home Trouble ith in7la s 8utstanding personal achievement Spouse starts or stops or2egin or end school Change in living conditions Revision of personal habits Trouble ith boss Change in or-ing hours or conditions Change in residence Change in schools Change in recreation Change in church activities Life change units #$$ %& () (& (& )& )$ .% .) .) .. .$ &0 &0 &0 &3 &% &( &) &5 &$ 50 50 50 53 5( 5( 5) 5. 5& 5$ 5$ 5$ #0 #0

Life event Change in social activities 'inor mortgage or loan Change in sleeping habits Change in number of family reunions Change in eating habits 9acation Christmas 'inor violation of la Score of 300+: ;t ris- of illness!

Life change units #3 #% #( #) #) #& #5 ##

Score of 150-299+: Ris- of illness is moderate <reduced by &$= from the above ris->! Score 150-: 8nly have a slight ris- of illness!

Non-adults
; modified scale has also been developed for non7adults! Similar to the adult scale, stress points for life events in the past year are added and compared to the rough estimate of ho stress affects health! Life Event "eath of parent Unplanned pregnancy?abortion 1etting married "ivorce of parents ;c4uiring a visible deformity 6athering a child @ail sentence of parent for over one year 'arital separation of parents "eath of a brother or sister Change in acceptance by peers Unplanned pregnancy of sister "iscovery of being an adopted child 'arriage of parent to stepparent "eath of a close friend Having a visible congenital deformity Serious illness re4uiring hospitaliAation 6ailure of a grade in school Bot ma-ing an e/tracurricular activity HospitaliAation of a parent @ail sentence of parent for over &$ days Life Change nits #$$ #$$ 0) 0$ 3$ %$ %$ (0 (3 (% (. (& (& (& (5 )3 )( )) )) )&

Life Event 2rea-ing up ith boyfriend or girlfriend 2eginning to date Suspension from school 2ecoming involved ith drugs or alcohol 2irth of a brother or sister *ncrease in arguments bet een parents Loss of ,ob by parent 8utstanding personal achievement Change in parent's financial status ;ccepted at college of choice 2eing a senior in high school HospitaliAation of a sibling *ncreased absence of parent from home 2rother or sister leaving home ;ddition of third adult to family 2ecoming a full fledged member of a church "ecrease in arguments bet een parents "ecrease in arguments ith parents 'other or father beginning orScore of 300+: ;t ris- of illness!

Life Change nits )& )# )$ )$ )$ .% .( .( .) .& .5 .# &3 &% &. &# 5% 5( 5(

Score of 150-299+: Ris- of illness is moderate! <reduced by CC &$= from the above ris-> Score 150-: Slight ris- of illness!