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Inventorying stressful life events as risk factors for psychopathology: Toward resolution of the problem of intracategory variability.
Abstract
An explosion of research on life events has occurred since the publication of the Holmes and Rahe checklist in 1967. Despite criticism, especially of their use in research on psychopathology, such economical inventories have remained dominant. Most of the problems of reliability and validity with traditional inventories can be traced to the intracategory variability of actual events reported in their broad checklist categories. The purposes of this review are, first, to examine how this problem has been addressed within the tradition of economical checklist approaches; second, to determine how it has been dealt with by far less widely used and far less economical labor-intensive interview and narrative-rating approaches; and, third, to assess the prospects for relatively economical, as well as reliable and valid, solutions.
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“Interviewer-based contextual ratings are essential to prevent intracategory variability and to disentangle objective event characteristics from the emotions and behaviors evoked by the event”
From Childhood adversities and adolescent depression: A matter of both risk and resilience (2014) · cites this paper as Dohrenwend, 2006
In the citing paper
“many stress assessment instruments include items that are not sufficiently precise to enable consistent reporting over time (22).”
From Assessing Lifetime Stress Exposure Using the Stress and Adversity Inventory for Adults (Adult STRAIN): An Overview and Initial Validation (2018) · cites this paper as [22]
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“IP address: 207.241.225.226, on 08 Oct 2021 at 18:44:34, subject to the Cambridge Core terms of use, available at the over-exaggeration of stressful events by utilising the judgement of trained raters, resulting in greater reliability and validity of recall (Brown & Harris, 1989; Dohrenwend, 2006).”
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“, 2009b), health, employment, length of marriage, conflict with ex, number and severity of negative experiences, if you initiated the divorce (Amato, 2000; Betzig, 1989; Buss, 2003; Dohrenwend, 2006; Hetherington et al., 2002; Lorenz et al., 1997; Mastekaasa, 1994; Weisberg et al., 2011), individual variables (Hobson…”
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“Similarly, self-report perceived stress measures often ask about stress with broad questions that do not differentiate between the life domains of stress or between interpersonal and noninterpersonal strains [15, 17].”
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Aranguren, M. (2025) · European Sociological Review · doi:10.1093/esr/jcaf047 · Cited by 3
A systematic review and theoretical framework of stress generation in daily life
Haehner, P., Andrae, R., & Bleidorn, W. (2026) · Clinical Psychology Review · doi:10.1016/j.cpr.2026.102729 · Cited by 1
Chronic psychosocial stress: a role in breast cancer etiology?
Fosse, R., & Behr, C. (2026) · Frontiers in Oncology · doi:10.3389/fonc.2026.1790548 · Cited by 1
“…common in studies employing checklists and the LEDS instrument, it poses a signi fi cant challenge: it fails to capture individual variations in distress, which can be considerable for any given adverse event – a limitation known as intracategorical variability (144) or the reality principle (145).”
Tradução e adaptação semântica para versão em português do Stressful Life Events Schedule (SLES)
Zeni, C. P., Coelho, R. P. S., Ferreira, A. A. M., Machado, P. D. O., Tramontina, S., & Grassi-Oliveira, R. (2013) · Psico-USF · doi:10.1590/s1413-82712013000200006 · Cited by 1
“A investigação de EVE em crianças e em adolescentes abarcando um delineamento longitudinal é fundamental para responder a algumas questões sobre fatores relacionados ao surgimento e ao curso de diversas psicopatologias (Dohrenwend, 2006).”
BackgroundStemmingsproblemen en depressie
Braet, C., Wante, L., & Timbremont, B. (2014) · Bohn Stafleu van Loghum eBooks · doi:10.1007/978-90-368-0495-0_14 · Cited by 1
Stress: Concepts, Models, and Measures
Moksnes, U. K., & Espnes, G. A. (2015) · Springer eBooks · doi:10.1007/978-981-4560-53-5_11-1 · Cited by 1
Adaptación española de la Children’s Hassles Scale: escala de estresores cotidianos en la infancia
Bruguera, M. R., Martínez-Arias, M. D. R., & Isabel, C.-R. (2018) · Revista de Psicología Clínica con Niños y Adolescentes · doi:10.21134/rpcna.2018.05.2.1 · Cited by 1
“Para añadir mayor precisión, puntuaron la ocurrencia de los estresores cotidianos y la valoración subjetiva del malestar, superando la crítica frecuente de que estas escalas miden solamente el malestar psicológico (Dohrenwend, 2006).”
BackgroundPolser, G. (2020) · Digital Commons - DU (University of Denver) · Cited by 1
Kritische-Lebensereignis-Kategorien-Skala (KLEKS) zur Erfassung bedeutsamer Lebenserfahrungen
Oeltjen, L., Zapko–Willmes, A., Wiechers, Y., & Kandler, C. (2025) · Diagnostica · doi:10.1026/0012-1924/a000347 · Cited by 1
Oh, H. Y. (2015) · doi:10.7916/d8j1028r · Cited by 1
“, Dohrenwend, B. P., Levav, I., Yoffe, R., van Os, J., ... Weiser, M. (2012). Self-reported attenuated psychotic symptoms as forerunners of severe mental disorders later in life.”
BackgroundTemperament and Character Profiles of Group-Based Suicide Cases
Séguin, M., Robert, M., & Beauchamp, G. (2016) · Crisis · doi:10.1027/0227-5910/a000430 · Cited by 1
“Narrative methodology (Brown & Harris, 1978; Dohrenwend, 2006) requires clinical case histories (case vignettes) to be drafted after the interviews.”
MethodGran, B. C., & Nieto, M. Á. P. (2012) · Edupsykhé Revista de Psicología y Educación · doi:10.57087/edupsykhe.v11i1.3857 · Cited by 1
Torrès, O., & Lechat, T. (2017) · De Boeck Supérieur eBooks · doi:10.3917/dbu.torre.2017.01.0199 · Cited by 1
Stress: Concepts, Models, and Measures
Moksnes, U. K., & Espnes, G. A. (2016) · Springer eBooks · doi:10.1007/978-981-287-206-7_11 · Cited by 1
Taking Inequality's Measure: Poverty, Displacement, Unemployment and Mental Health
Hopper, K. J. (2010) · Wiley eBooks · doi:10.1002/9780470684214.ch27 · Cited by 1
Hartley, C. G. (2008) · SUNScholar (Stellenbosch University) · Cited by 1
Driscoll, M. W. (2011) · e-Publications@Marquette (Marquette University) · Cited by 1
Hope within Trauma for Refugee Women: Whispers and Echoes through Shadows and Reflections
Tobin, S. (2015) · The Sydney eScholarship Repository (The University of Sydney) · Cited by 1
Avoidance and intolerance of uncertainty: Precipitants of rumination and depression
Anderson, N. L. (2013) · ProQuest Demo Repository · Cited by 1
Fingerhut, H. (2015) · Cited by 1
Wise, T., Zbozinek, T. D., Charpentier, C. J., Michelini, G., Hagan, C. C., & Mobbs, D. (2021) · doi:10.31234/osf.io/zpg69 · Cited by 1
Grant, K. E., McMahon, S. D., Carter, J. S., Adam, E., Duffy, S. N., & Taylor, J. J. (2015) · Elsevier eBooks · doi:10.1016/b978-0-12-397045-9.00233-0 · Cited by 1
Murray, K. E., & Zautra, A. (2007) · Elsevier eBooks · doi:10.1016/b0-12-370870-2/00109-8 · Cited by 1
Haehner, P., Pfeifer, L. S., Jahre, L. M., Luhmann, M., Wolf, O. T., & Frach, L. (2022) · doi:10.31234/osf.io/2nyw4 · Cited by 1
Developing professional identity for engineering undergraduates
Young, A. E. (2024) · Queensland University of Technology · doi:10.5204/thesis.eprints.247837 · Cited by 1
Personality and Clinical Perspectives on Stress Generation: Towards an Integrative Theoretical ModelPreprint
Haehner, P., & Bleidorn, W. (2024) · doi:10.31234/osf.io/yf5gu · Cited by 1
Lifetime Experiences Scale (LIFES): Desenvolvimento e validação em amostras da comunidade
Azevedo, V., Martins, C., & Maia, Â. (2020) · Portuguese National Funding Agency for Science, Research and Technology (RCAAP Project by FCT) · doi:10.17575/psicologia.v34i1.1456
Prenatal Stress: A Predictor of Childhood Behavior Disorders
Trasen, R. S. (2013) · CommonKnowledge Research Repository (Pacific University Oregon)
Metadata
- Authors
- Dohrenwend, B. P.
- Affiliations
- Columbia University Irving Medical Center (US)
- Corresponding author
- Dohrenwend, Bruce P.
- ORCID
- Dohrenwend, Bruce P.
- Venue
- Psychological Bulletin
- Published
- 2006
- Volume
- 132
- Issue
- 3
- Pages
- 477-495
- ISSN
- 0033-2909 (ISSN-L)
- 1939-1455
- OpenAlex
- W2043830713
- Cited by
- 601
- References
- 160
- Citations by year
- 2026: 19 · 2025: 24 · 2024: 20 · 2023: 34 · 2022: 26 · 2021: 45 · 2020: 34 · 2019: 19 · 2018: 34 · 2017: 29 · 2016: 32 · 2015: 39 · 2014: 45 · 2013: 39 · 2012: 29
- FWCI
- 3.15
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Psychological Bulletin (publishedVersion)
- PubMed (publishedVersion)
- Funders
- National Institute of Mental Health (K05MH14663; MH26208; MH59627)
- Topics
- Social Sciences › Psychology › Applied Psychology › Psychological Testing and Assessment
- Social Sciences › Psychology › Experimental and Cognitive Psychology › Anxiety, Depression, Psychometrics, Treatment, Cognitive Processes
- Social Sciences › Psychology › Experimental and Cognitive Psychology › Mental Health Research Topics
- Keywords
- life events, psychopathology, reliability and validity, risk factors
- MeSH terms
- Mental Disorders, Conflict, Psychological, Humans, Life Change Events, Risk Factors, Narration
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