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Protocol - Chronic Stress

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Protocol Name from Source:

The Chronic Stress Scale

Availability:

Publicly available

Description:

The chronic stress scale includes a list of 51 items about common life conditions and situations (e.g., financial issues, work, love and marriage, family and children, social life). The interviewer reads each item aloud and asks the respondent to reply with not true (0), somewhat true (1), or very true (2).

Protocol:

Now, I'll describe some situations that sometimes come up in people's lives. I'd like you to tell me if these things are not true, somewhat true, or very true for you at this time.

1. You're trying to take on too many things at once.

2. There is too much pressure on you to be like other people.

3. Too much is expected of you by others.

4. You don't have enough money to buy the things you or your kids need.

5. You have a long-term debt or loan.

6. Your rent or mortgage is too much.

7. You don't have enough money to take vacations.

8. You don't have enough money to make a down payment on a home.

9. You have more work to do than most people.

10. Your supervisor is always monitoring what you do at work.

11. You want to change jobs or career but don't feel you can.

12. Your job often leaves you feeling both mentally and physically tired.

13. You want to achieve more at work but things get in the way.

14. You don't get paid enough for what you do.

15. Your work is boring and repetitive.

16. You are looking for a job and can't find the one you want.

17. You have a lot of conflict with your partner.

18. Your relationship restricts your freedom.

19. Your partner doesn't understand you.

20. Your partner expects too much of you.

21. You don't get what you deserve out of your relationship.

22. Your partner doesn't show enough affection.

23. Your partner is not committed enough to your relationship.

24. Your sexual needs are not fulfilled by this relationship.

25. Your partner is always threatening to leave or end the relationship.

26. You wonder whether you will ever get married.

27. You find it is too difficult to find someone compatible with you.

28. You have a lot of conflict with your ex-spouse.

29. You don't see your children from a former marriage as much as you would like.

30. You are alone too much.

31. You wish you could have children but you cannot.

32. One of your children seems very unhappy.

33. You feel your children don't listen to you.

34. A child's behavior is a source of serious concern to you.

35. One or more children do not do well enough at school or work.

36. Your children don't help around the house.

37. One of your children spends too much time away from the house.

38. You feel like being a housewife is not appreciated.

39. You have to go to social events alone and you don't want to.

40. Your friends are a bad influence.

41. You don't have enough friends.

42. You don't have time for your favorite leisure time activities.

43. You want to live farther away from your family.

44. You would like to move but you cannot.

45. The place you live is too noisy or too polluted.

46. Your family lives too far away.

47. Someone in your family or a close friend has a long-term illness or handicap.

48. You have a parent, a child, or a spouse or partner who is in very bad health and may die.

49. Someone in your family has an alcohol or drug problem.

50. A long-term health problem prevents you from doing the things you like to do.

51. You take care of an aging parent almost every day.

Scoring:

The 51-item scale may be broken down into 13 subscales as shown in the table below. For each item, a response of not true = 0, somewhat true = 1, and very true = 2. Calculate the score from each individual subscale. Of the two methods to obtain an overall score, the first is to add up all very trues or very trues and somewhat trues. However, if a person does not have a particular role (e.g., parent), then the question is scored with a zero (see subscale table for universal vs. role-specific designations). The other method is to code the items as missing if a respondent is not in the role and therefore was not asked these questions, and then take the average of all subscales. The scores cannot simply be added up because the total is confounded by the number of roles the person is in and that is a proxy for social competence, therefore cutting across the point of the scale.

Subscale

Items

Universal or Role-Specific

General

1–3

All

Money and Finance

4–8

All

Work

9–15

Employed only

Nonemployment

16, 38

Nonemployed only

Love and Marriage

17–25

Relationship or Marriage

Nonrelationship

26–27

Never married/currently single

Divorce or Separation

28–29

Divorced or separated only

Isolation

30

All

Nonparent

31

Without Children

Parental/Family

32–37

Parents

Social Life

39–42

All

Residence

43–46

All

Health

47–51

All

Personnel and Training Required

The interviewer must be trained to conduct personal interviews with individuals from the general population. The interviewer must be trained and found to be competent (i.e., tested by an expert) at the completion of personal interviews. The interviewer should be trained to prompt respondents further if a "don’t know" response is provided.

Equipment Needs

These questions can be administered in a computerized or noncomputerized format (i.e., paper-and-pencil instrument). Computer software is necessary to develop computer-assisted instruments. A laptop computer/handheld computer will be needed to administer a computer-assisted questionnaire.

Requirements

Requirement CategoryRequired
Average time of greater than 15 minutes in an unaffected individualNo
Major equipmentNo
Specialized requirements for biospecimen collectionNo
Specialized trainingNo

Mode of Administration

Self-administered

Life Stage:

Adult

Specific Instructions:

The researcher may want to collect information about other types of stress (e.g., traumatic life events, other life events) to conduct a comprehensive stress assessment.

Research Domain Information

Release Date:

December 13, 2010

Definition

This measure is used to assess a person’s perception of ongoing and enduring sources of stress in his/her life conditions.

Purpose

Chronic or enduring stress is measured through self-reports of whether a set of stressful conditions describe the individual’s situation. Chronic stress, as well as more typical measures of current stress, have been shown to influence physical health, mental health, aging, use of health care services, and recovery outcomes (both for health and health care).

Selection Rationale

The scale was developed to be a comprehensive listing of role-related stressors and long-term life problems tapping chronic stress.

Language

English

Standards

StandardNameIDSource
Common Data Elements (CDE)Chronic Stress Assessment Score3162919CDE Browser
Logical Observation Identifiers Names and Codes (LOINC)Chronic stress proto62942-8LOINC

Process and Review

[link[phenx.org/node/103|Expert Review Panel 4]] (ERP 4) reviewed the measures in the Neurology, Psychiatric, and Psychosocial domains.

Guidance from ERP 4 included the following:

  • No changes

Source

Turner, R. J., Wheaton, B., & Lloyd, D. A. (1995). The epidemiology of social stress. American Sociological Review, 60(1), 104-125.

General References

Wheaton, B. (1994). Sampling the stress universe. In W. Avison & I. Gotlib (Eds.), Stress and mental health: Contemporary issues and prospects for the future (pp. 77-114). New York: Plenum.

Wheaton, B. (1997). The nature of chronic stress. In B. Gottlieb (Ed.), Coping with chronic stress (pp. 43-74). New York: Plenum.

Protocol ID:

181301

Variables:

Export Variables
Variable NameVariable IDVariable DescriptionVersiondbGaP Mapping
PX181301_Too_Many_Things_At_OncePX181301010000You're trying to take on too many things at once.4N/A
PX181301_Pressure_To_Be_Like_OthersPX181301020000There is too much pressure on you to be like other people.4N/A
PX181301_Too_Much_Expected_By_OthersPX181301030000Too much is expected of you by others.4N/A
PX181301_Not_Enough_Money_For_NeedsPX181301040000You don't have enough money to buy the things you or your kids need.4N/A
PX181301_Longterm_Debt_Or_LoanPX181301050000You have a long-term debt or loan.4N/A
PX181301_Rent_Mortgage_Too_MuchPX181301060000Your rent or mortgage is too much.4N/A
PX181301_Not_Enough_Money_For_VacationsPX181301070000You don't have enough money to take vacations.4N/A
PX181301_Not_Enough_Money_For_DownPaymentPX181301080000You don't have enough money to make a down payment on a home.4N/A
PX181301_More_Work_Than_Most_PeoplePX181301090000You have more work to do than most people.4N/A
PX181301_Supervisor_Always_Monitoring_YouPX181301100000Your supervisor is always monitoring what you do at work.4N/A
PX181301_Dont_Feel_Can_Change_JobPX181301110000You want to change jobs or career but don't feel you can.4N/A
PX181301_Job_Often_Leaves_You_TiredPX181301120000Your job often leaves you feeling both mentally and physically tired.4N/A
PX181301_Want_Achieve_More_At_WorkPX181301130000You want to achieve more at work but things get in the way.4N/A
PX181301_Dont_Get_Paid_EnoughPX181301140000You don't get paid enough for what you do.4N/A
PX181301_Work_Is_Boring_And_RepetitivePX181301150000Your work is boring and repetitive.4N/A
PX181301_Cant_Find_Job_You_WantPX181301160000You are looking for a job and can't find the one you want.4N/A
PX181301_Conflict_With_PartnerPX181301170000You have a lot of conflict with your partner.4N/A
PX181301_Relationship_Restricts_Your_FreedomPX181301180000Your relationship restricts your freedom.4N/A
PX181301_Partner_Doesnt_Understand_YouPX181301190000Your partner doesn't understand you.4N/A
PX181301_Partner_Expects_Too_MuchPX181301200000Your partner expects too much of you.4N/A
PX181301_Dont_Get_Needs_From_RelationshipPX181301210000You don't get what you deserve out of your relationship.4N/A
PX181301_Partner_Doesnt_Show_Enough_AffectionPX181301220000Your partner doesn't show enough affection.4N/A
PX181301_Partner_Not_Committed_EnoughPX181301230000Your partner is not committed enough to your relationship.4N/A
PX181301_Sexual_Needs_Not_FulfilledPX181301240000Your sexual needs are not fulfilled by this relationship.4N/A
PX181301_Partner_Always_Threatening_To_LeavePX181301250000Your partner is always threatening to leave or end the relationship.4N/A
PX181301_Wonder_Whether_Ever_Get_MarriedPX181301260000You wonder whether you will ever get married.4N/A
PX181301_Difficult_To_Find_Someone_CompatiblePX181301270000You find it is too difficult to find someone compatible with you.4N/A
PX181301_Conflict_With_Your_ExPX181301280000You have a lot of conflict with your ex-spouse.4N/A
PX181301_Dont_See_Children_From_MarriagePX181301290000You don't see your children from a former marriage as much as you would like.4N/A
PX181301_Alone_Too_MuchPX181301300000You are alone too much.4N/A
PX181301_Wish_You_Could_Have_ChildrenPX181301310000You wish you could have children but you cannot.4N/A
PX181301_One_Of_Children_UnhappyPX181301320000One of your children seems very unhappy.4N/A
PX181301_Children_Dont_Listen_To_YouPX181301330000You feel your children don't listen to you.4N/A
PX181301_Childs_Behavior_Source_Of_ConcernPX181301340000A child's behavior is a source of serious concern to you.4N/A
PX181301_Children_Dont_Do_Well_EnoughPX181301350000One or more children do not do well enough at school or work.4N/A
PX181301_Children_Dont_Help_Around_HousePX181301360000Your children don't help around the house.4N/A
PX181301_Children_Spend_TooMuch_Time_AwayPX181301370000One of your children spends too much time away from the house.4N/A
PX181301_Feel_Housewife_Not_AppreciatedPX181301380000You feel like being a housewife is not appreciated.4N/A
PX181301_Go_To_Social_Events_AlonePX181301390000You have to go to social events alone and you don't want to.4N/A
PX181301_Friends_Are_Bad_InfluencePX181301400000Your friends are a bad influence.4N/A
PX181301_Dont_Have_Enough_FriendsPX181301410000You don't have enough friends.4N/A
PX181301_No_Time_Favorite_Leisure_ActivitiesPX181301420000You don't have time for your favorite leisure time activities.4N/A
PX181301_Want_ToLive_Farther_From_FamilyPX181301430000You want to live farther away from your family.4N/A
PX181301_Want_To_Move_But_CannotPX181301440000You would like to move but you cannot.4N/A
PX181301_Place_You_Live_Noisy_PollutedPX181301450000The place you live is too noisy or too polluted.4N/A
PX181301_Family_Lives_Too_Far_AwayPX181301460000Your family lives too far away.4N/A
PX181301_Family/Friend_Has_Longterm_Illness/HandicapPX181301470000Someone in your family or a close friend has a long-term illness or handicap.4N/A
PX181301_Family_Member_May_DiePX181301480000You have a parent, a child, or a spouse or partner who is in very bad health and may die.4N/A
PX181301_Family_Member_Alcohol/Drug_ProblemPX181301490000Someone in your family has an alcohol or drug problem.4N/A
PX181301_Health_Problem_Prevents_ActivitiesPX181301500000A long- term health problem prevents you from doing the things you like to do.4N/A
PX181301_Take_Care_Aging_ParentPX181301510000You take care of an aging parent almost every day.4N/A