Nowadays most of us are familiar with the idea that life events cause stress and that stress can cause illness. The original work in this area was done in 1967 by two US psychiatrists, Drs Holmes and Rahe, whose research led to the establishment of a correlation between the experience of certain life events and the likelihood of someone becoming ill. The tables developed from their work are reproduced below.
When you are looking at these tables please bear in mind that they were produced in USA, about US citizens at a particular time, the late 1960s.
In UK in 2012 the order of significant events is likely to be different, with “Change in residence” coming much higher up, particularly if that change involves selling and buying property.
What is important is the support they give to the idea that if we experience difficult and painful emotional and/or intellectual circumstances, our bodies will reflect our pain and will share our suffering. We are whole, complex and unified organisms, our various parts do not co-exist in separate compartments labelled Mind, Body, Emotions, Spirit/Soul. Our immune systems can and will be depleted when we are more than usually stressed – this can be measured by simple stress tests. We have all heard about heart attacks striking people who are experiencing unusual stress and tensions in their family or their work. And at the same time, as has been stated in another article, (Personal Stress Management Part 1), we all need a certain amount of stress in order to survive. A human without any stress would be like an amoeba without any surface tension. That human would lack the heightened awareness which can be an important survival tool, whether s/he is fleeing from a sabre-toothed tiger or dealing with a recalcitrant teenager or a difficult situation at work.
So what can we do to keep ourselves in good shape, given that it is not possible nor desirable to avoid all stressful situations?
We can try to keep ourselves both fit and healthy, by watching our diet, our weight, how much exercise we take, our work/life balance. Easier said than done, of course, but if we are aware of the potential problems we can all find room for some positive adjustments in one or more areas. For example, walking rather than taking the bus or car for short journeys, snacking on fruit or raw vegetables rather than chocolate or biscuits, having a break at lunchtime by getting out instead of eating sandwiches at our desks – these are now so well known that they are almost clichés, but please don’t discount them because of this. They work.
If you feel that you need help and support while you get to grips with stress related issues, one of the qualified and experienced counsellors at Birmingham Counselling Services could be there to accompany you on your life-changing journey. Get in touch with us by telephoning 0121 314 9903 or via our website: www.BirminghamCounsellingServices.co.uk
The Holmes-Rahe Social Readjustment Scale
|
Life event – Adult |
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 |
| Marital reconciliation |
45 |
| Retirement |
45 |
| Change in health of 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 of 300+: At risk of illness.
Score of 150-299+: Risk of illness is moderate (reduced by 30% from the above risk).
Score 150-: Only have a slight risk of illness.
Life Events – Non Adult |
Life Change Units
|
Unplanned pregnancy/abortion |
100 |
| Unplanned pregnancy of sister |
64 |
| Suspension from school |
50 |
| Serious illness requiring hospitalization |
58 |
| Outstanding personal achievement |
46 |
| Not making an extracurricular activity |
55 |
| Mother or father beginning work |
26 |
| Marriage of parent to stepparent |
63 |
| Marital separation of parents |
69 |
| Loss of job by parent |
46 |
| Jail sentence of parent for over one year |
70 |
| Jail sentence of parent for over 30 days |
53 |
| Increased absence of parent from home |
38 |
| Increase in arguments between parents |
47 |
| Hospitalization of a sibling |
41 |
| Hospitalization of a parent |
55 |
| Having a visible congenital deformity |
62 |
| Getting married |
95 |
| Fathering a child |
70 |
| Failure of a grade in school |
56 |
| Divorce of parents |
90 |
| Discovery of being an adopted child |
63 |
| Decrease in arguments with parents |
26 |
| Decrease in arguments between parents |
27 |
| Death of parent |
100 |
| Death of a close friend |
63 |
| Death of a brother or sister |
68 |
| Change in parent’s financial status |
45 |
| Change in acceptance by peers |
67 |
| Brother or sister leaving home |
37 |
| Breaking up with boyfriend or girlfriend |
53 |
| Birth of a brother or sister |
50 |
| Being a senior in high school |
42 |
| Beginning to date |
51 |
| Becoming involved with drugs or alcohol |
50 |
| Becoming a full fledged member of a church |
31 |
| Addition of third adult to family |
34 |
| Acquiring a visible deformity |
80 |
| Accepted at college of choice |
43 |
Score of 300+: At risk of illness.
Score of 150-299+: Risk of illness is moderate. (reduced by || 30% from the above risk)
Score 150-: Slight risk of illness.
