Major Life Events; Some people are lucky enough to avoid major catastrophes. But nobody can completely avoid stress. To some extent, change itself can cause stress by forcing us to adapt to new circumstances. This hypothesis was first proposed by Thomas Holmes and Richard Rahe (1967), who interviewed hospital patients and found that their illnesses had often been preceded by major changes in some aspect of their lives. Some of the changes were negative (getting hurt, divorced, or fired), but others were positive (getting married or promoted or having a baby). To mea- sure life stress, Holmes and Rahe devised the Social Readjustment Rating Scale, a checklist of 43 major life events each assigned a numerical value based on the amount of readjustment it requires. Among the events sampled (and the numerical values they were assigned) were the death of a spouse (100), divorce (73), imprisonment (63), marriage (50), job loss (47), pregnancy (40), school transfer (20), and even vacations (13).
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