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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    ABSTRACT: Substance use disorders are characterized by a variable course, in which multiple treatment attempts and relapses are typical. Consistent with conceptualizations of substance use and relapse, life events have been implicated in contributing to poor substance use disorders treatment outcomes. However, inconsistencies in empirical findings regarding the life events-substance use disorders outcome literature have been previously observed. This review provides an updated critique of the literature since the previous review published in 1987 (O'Doherty & Davies, 1987), examining the relationship between life events and substance use disorders treatment outcome among clinical samples of individuals. Review of 18 peer-reviewed articles suggested that data on the life events-outcome relationship continue to be inconclusive. Inconsistencies across studies in the operationalization of life events and substance use treatment outcomes and lack of theoretically driven designs may be contributing to differences in findings. Recommendations for future research that will increase the clinical utility of the life events construct are provided.
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    ABSTRACT: In this study of 107 patients with attempted suicide, majority belonged to the younger age group, came from urban environment, and was predominantly from lower class. There was a high incidence of substance abuse mainly alcohol in males. The most preferred mode was self-poisoning and poisons preferred were prescribed drugs, Organophosphates, and rodenticides. Majority had moderate intent of committing suicide. Majority had stress events score summed up to less than 150. Family conflict; financial problems, unemployment and broken love affair were common life stress events experienced by the majority. There were only a small proportion of people with previous history of psychiatric disorder. Stress related adjustment disorders responsible for majority of cases of attempted suicide. We would like to emphasizethat it is essential to identify and mange stress related adjustment disorder apart from managing the poisoning or other forms of attempted suicide.
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