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NCHPAD - Building Healthy Inclusive Communities

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Stress Management Assessment


The first step to developing a stress management plan includes a thorough assessment of the stress you are currently experiencing. The following resources include checklists and exercises to help you familiarize yourself with your current stress levels. Choose the exercises that are most applicable to your current circumstances, whether that be work stress or specific symptoms experienced.

A. Quick Stress Management Checklists

1) Quick Stress Assessment:

Check all statements which apply to you:

__ Do you schedule more activities than you can handle into a day's work?
__ Do you worry chronically?
__ Are you addicted to excitement, stimulation?
__ Do you tend to be overly concerned about what people think?
__ Are you a multi-tasker?
__ Are you an over-achiever or perfectionist?
__ Do you neglect to practice self-nurturing activities?

Affirmative responses to any of the above statements indicate a need for improved awareness and management of your current stress levels.

2) Holmes-Rahe Social Readjustment Rating Scale:

The following scale allows you to estimate your general life stress values. A checklist is listed for both adult and youth stress. Circle the scores of the events that relate to you, and add them up for a total score, or you may complete the survey electronically on either of the following websites:  http://www.mindtools.com/pages/article/newTCS_82.htm or http://www.cliving.org/lifestresstestscore.htm

Table X.1. Adult Stress Scale

Death of spouse

100

Foreclosure of mortgage or loan

100

Divorce

60

Sleep less than 8 hours per night

60

Menopause

60

Change in responsibilities at work

25

Separation from living partner

60

Trouble with in-laws, or with children

25

Jail term or probation

60

Outstanding personal achievement

25

Death of close family member other than spouse

60

Spouse begins or stops work

20

Serious personal injury or illness

45

Begin or end school

20

Marriage or establishing life partnership

45

Change in living conditions (visitors in the home, change in roommates, remodeling house)

20

Fired at work

45

Change in personal habits (diet, exercise, smoking, etc.)

20

Marital or relationship reconciliation

40

Chronic allergies

20

Retirement

40

Change in work hours or conditions

15

Change in health of immediate family member

40

Moving to new residence

15

Work more than 40 hours per week

35

Presently in pre-menstrual period

15

Pregnancy or causing pregnancy

35

Change in schools

15

Sex difficulties

35

Change in religious activities

15

Gain of new family member

35

Change in social activities (more or less than before)

15

Business or work role change

35

Minor financial loan

10

Change in financial state

35

Change in frequency of family get-togethers

10

Death of a close friend (not a family member)

30

Vacation

10

Change in number of arguments with spouse or life partner

30

Presently in winter holiday season

10

Mortgage or loan for a major purpose

25

Minor violation of the law

5

Total Score

 

Scoring:
0-149: low stress level
150-199: mild life changes
200-299: moderate stress level
300 +: high stress level

Table X.2. Youth Stress Scale

Death of parent, spouse, boyfriend/girlfriend

100

Change in work responsibilities

35

Divorce (of yourself or your parents)

65

Change in financial state

30

Puberty

65

Death of a close friend (not a family member)

30

Pregnancy (or causing pregnancy)

65

Change to a different kind of work

30

Marital separation or breakup with boyfriend/girlfriend

60

Change in number or arguments with mate, family or friends

30

Jail term or probation

60

Sleep less than 8 hours per night

25

Death of other family member (other than spouse, parent or boyfriend/girlfriend)

60

Trouble with in-laws or boyfriend's or girlfriend's family

25

Broken engagement

55

Outstanding personal achievement (awards, grades, etc.)

25

Engagement

50

Mate or parents start or stop working

20

Serious personal injury or illness

45

Begin or end school

20

Marriage

45

Change in living conditions (visitors in the home, remodeling house, change in roommates)

20

Entering college or beginning next level of school (starting junior high or high school)

45

Change in personal habits (start or stop a habit like smoking or dieting)

20

Change in independence or responsibility

45

Chronic allergies

20

Any drug and/or alcoholic use

45

Trouble with the boss

20

Fired at work or expelled from school

45

Change in work hours

15

Change in alcohol or drug use

45

Change in residence

15

Reconciliation with mate, family or boyfriend/girlfriend (getting back together)

40

Change to a new school (other than graduation)

10

Trouble at school

40

Presently in pre-menstrual period

15

Serious health problem of a family member

40

Change in religious activity

15

Working while attending school

35

Going in debt (you or your family)

10

Working more than 40 hours per week

35

Change in frequency of family gatherings

10

Changing course of study

35

Vacation

10

Change in frequency of dating

35

Presently in winter holiday season

10

Sexual adjustment problems (confusion of sexual identify)

35

Minor violation of the law

5

Gain of new family member (new baby born or parent remarries)

35

 

 

Total Score

 

Scoring:
0-149: low stress level
150-199: mild life changes
200-299: moderate stress level
300 +: high stress level

3) Professional Life Stress Scale:
Professional responsibilities on their own can have a dramatic impact on stress levels in general, both in and out of the workplace. The Mayo Clinic has helpful information on managing work stress levels:  http://www.mayoclinic.org/healthy-lifestyle/stress-management/in-depth/coping-with-stress/art-20048369

B. Listing Problematic Stressors
Using Table X.1 and Table X.2 as guides, write down key stressors in your life that are of concern to you. Make these lists as detailed as possible, as they can serve as a basis for forming a coherent stress management program. This should fall into multiple areas, including:

  • Work
  • Personal relationships or family life
  • Habits, i.e., eating, exercising

C. Recognizing Signs of Stress

Stress unchecked can have an insidious effect physically, mentally, and spiritually. Consider how you feel from physical, emotional, and behavioral standpoints, and write it down. Use the following table from MayoClinic.com as a guide: https://www.mayoclinic.com/health/stress-symptoms/SR00008_D.
Recognition of such symptoms is critical to managing your stress levels. Consider symptoms from physical, emotional, and behavioral sources.

  • Physical symptoms: headache, fatigue, high blood pressure, shortness of breath
  • Emotional symptoms: anxiety, worrying, depression, mood swings, depression
  • Behaviors: increased smoking or alcohol use, overeating

D. The Influence of Personality

Personality must also be factored into the stress equation. The way one interprets and processes stress in one's life has a tremendous impact on the health outcomes realized. While some persons assume a more serious and competitive approach to life, others are more easygoing.

Type A & B Personality Types
Cardiologists Meyer Friedman and Ray Rosenman created the Western Collaborative Group Study epidemiological project in the 1950s and 1960s, where they developed the typology of type A and B personalities. While type A personality qualities include physical and mental acuity, a quick pace, competitiveness, impatience, and difficulty relaxing and waiting, type B personalities exhibit a more relaxed approach to life and its challenges. Not surprisingly, individuals with type B personalities experience less stress and are less likely to develop heart disease than are those with type A personalities (Manning et al., 1999).

Complete one of the following tests on personality type:

http://www.psych.uncc.edu/pagoolka/TypeAB.html

http://psychologytoday.psychtests.com/yahoo/anxiety/type_a_r_access.html

Hardiness/Resilience
Being hardy or resistant to stress typifies a person who can remain healthy and balanced despite an ample work load. Essentially, this person lives in alignment with inner values. Susan Kobasa typified the concept of the hardy personality in 1979, involving the traits of commitment, control, and challenge. Essentially, hardy people live according to their values and commitments to self, family, work, the community, and other goals. They assume responsibility for both personal successes and failures, and believe that they have the power to influence the course of one's destiny. Moreover, obstacles or problems are viewed as challenges and an opportunity for further growth, rather than threats.

Take a personality hardiness test at the following website: http://www.mhhe.com/catalogs/sem/hhp/student/labs/index.mhtml?file=/catalogs/sem/hhp/labs/stress/04


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