Presumptive stressful life events scale (psles) - a new stressful life events scale for use in India.

Professor and Head, Department of Psychiatry, Government Medical College/Rajendra Hospital, PATIALA.
Indian Journal of Psychiatry 04/1984; 26(2):107-14.
Source: PubMed

ABSTRACT Using an open ended question along with Holme's and Rahe's Social Readjustment Rating Schedule on a sample of two hundred adult subjects, a suitable scale of stressful life events experienced by the Indian population was constructed and standardized for two time spaces, that is, last one year and life time. Analysis of various demographic variables for this population revealed no differences on this scale for age, marital state, education and occupation. However, marked sex differences in the perceived stressfulness were observed for three of the items. The scale items were further divided into desirable, undesirable and ambiguous and also into personal and impersonal Categories. Statistically significant difference were observed between the desirable and undesirable items, the latter being perceived as more stressful. Norms for total number of life events experienced as well as the presumptive stress score were established for each event for this population. The frequency of occurrence of each event in our population was also obtained. It was Calculated that individuals in our society are likely to experience an average of two stressful life events in the past one year and ten events in a life time without suffering any adverse physical or psychological disturbance. The scale is simple to administer to literate and illiterate subjects.

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    Volume 3 issue 2 edited by Uchenna nwagha, 07/2014; Medknow-Wolters Kluwer Health.
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    ABSTRACT: Background: Attempted suicide is a common clinical problem in a general hospital setting. It has a serious clinical and socio-economical impact too. Aims: To study the psychosocial, psychiatric, and personality profile of the first suicide attempters in a general hospital. Settings and Design: Cross-sectional, hospital-based, descriptive study. Materials and Methods: All the consecutive cases of first suicide attempt ( n=100) treated in a general hospital were studied to know the clinical profile. Variables related to socio-demographic characteristics, family background, suicide characteristics, psychiatric morbidity, and comorbidity were analyzed. Risk-Rescue rating was applied to know the medical seriousness of the suicide attempt. Presumptive stressful life event scale was utilized to calculate life events score. Structured clinical interview (MINI Plus) and semi-structured clinical interview (IPDE) were used for axis-I and axis-II (personality) diagnoses. The results were analyzed using appropriate statistical measures. Results: Family history of psychiatric illnesses (31%) and suicide (11%) were noted. Insecticides and pesticides were the most common agents (71%) employed to attempt suicide. Interpersonal difficulties (46%) were the most frequent stressor. Overall medical seriousness of the suicide attempt was of moderate lethality. 93% of the suicide attempters had at least one axis-I and/or axis-II psychiatric disorder. Most common diagnostic categories were mood disorders, adjustment disorders, and substance-related disorders, with axis-I disorders (89%), personality disorders (52%), and comorbidity of psychiatric disorders (51.6%). Conclusion: Individuals who made first suicide attempt were young adults, had lower educational achievement; overall seriousness of the suicide attempt was of moderate lethality, high prevalence of psychiatric morbidity, personality disorders, and comorbidity, and had sought medical help from general practitioners.
    Indian Journal of Psychological Medicine 04/2013; 35(1):75-9. DOI:10.4103/0253-7176.112210
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    ABSTRACT: Modern life is full of hassles, deadlines, frustrations and demands. Mental stress or psychosocial stress is one of the major risk factor for hypertension which itself is the risk factor for various other cardiovascular diseases.


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