PubMed HealthSearch

Biomedical subjects

R H Rahe

Publications and source records attributed to R H Rahe.

At least 19 recordsLinked to original sources

Life changes scaling for the 1990s.

Three decades ago, results from a proportionate scaling study of life change events was published in this journal. The events, listed by rank order of their mean life change values, comprised the Social Readjustment Rating Scale (SRRS). Ten years later, 42 of the 43 original events were rescaled. In this second study, an additional 44 events were added to the original list. In the present report, the original plus the later-developed events were scaled once again by persons chosen to closely approximate subjects enrolled in the initial study. Comparing the average life change intensity scores across 30 years, a 45% increase in mean values was seen. These recently derived life change magnitudes, for both the original list of events plus the later-developed events, provide values appropriate for use in the 1990s. In the original study, effects of subjects' demographic characteristics were noted briefly in a table. In the present investigation, varying influences of gender, age, marital status, and education were explored in more detail. Several significant differences were discovered, with gender showing a very pronounced influence on scaling results. Discussion of these results included composition requirements for a life changes questionnaire.

Adult

Sleep characteristics of Japanese working men who score alexithymic on the Toronto Alexithymia Scale.

This study examined the relationship of sleep characteristics including insomnia with scores on alexithymia in a sample of 171 Japanese working men. Levels of nonrestorative sleep and daytime sleepiness reported on a sleep questionnaire were significantly associated with scores on Depression and Confusion on the Profile of Mood States for Japanese men who had a high mean score on the Toronto Alexithymia Scale.

Adaptation, Psychological

Mothers' low care in the development of alexithymia: a preliminary study in Japanese college students.

We examined the influences of perceived parental bonding on scores on alexithymia in a sample of 232 college students. Ratings on mothers' care, a scale of the Parental Bonding Inventory were significantly and negatively correlated with scores on the Toronto Alexithymia Scale, and also with ratings on Difficulty Describing Feelings but not Difficulty Identifying Feelings and Externally Oriented Thinking. These results were replicated in another sample of 156 college students. Although our findings were based on simple correlations, they suggest that perceived mothers' low care is related to adults' scores on alexithymia, in particular, the construct, Difficulty Describing Feelings.

Adolescent

Are abnormal gastrofiberscopic findings related to hostility with poor social support or to negative responses to stress?

Recent studies have highlighted physiological effects of emotional stress presumably leading to gastrointestinal disease. This study examined the effects of stress (hostility) and coping (social support and negative responses to stress) on asymptomatic gastric diseases. We investigated whether gastrofiberscopic findings were related to stress and coping in 269 volunteers without gastrointestinal complaints. These subjects were taking part in primary health care assessments. Analysis of variance found that volunteers with abnormal gastrofibercopic findings (i.e., erosions and/or ulceration) demonstrated significantly higher hostility and lower social support scores than those without abnormal findings. Analysis of covariance found that abnormal gastrofiberscopic findings remained significantly related to hostility scores after controlling for hostility's correlations with social support and negative responses to stress. The results suggest that hostility, along with poor social support or negative responses to stress, is associated with asymptomatic gastric disease.

Adult

Validity and reliability of the Japanese version of the Stress and Coping Inventory.

We examined the validity and reliability of the Japanese version of the Stress and Coping Inventory (SCI) among 170 Japanese college students and 234 healthy subjects. The validity and reliability of this version of the SCI in the college student group were supported by significant test-retest correlations, relatively high internal consistency coefficients, and adequate correlations with the Coping Inventory for Stressful Situations (CISS). AS for the healthy subject group, the reliability was supported by relatively high internal consistency coefficients, although further analyses, such as test-retest, are required. The Japanese version of the SCI appears to be suitable for use among college students.

Adaptation, Psychological

Alexithymia and coping with stress in healthy persons: alexithymia as a personality trait is associated with low social support and poor responses to stress.

We examined the relationship between alexithymia and coping with stress among 179 Japanese healthy volunteers. Two correlational analyses indicated that persons scored as alexithymic were more likely to indicate lower social support and poorer responses to stress. Multiple regression analysis also indicated that these lowered coping responses were fully explained by alexithymia scores. These results suggest that alexithymia, as a personality trait, may help to explain these individuals' low social support and poor responses to stress.

Adaptation, Psychological

Severity of alexithymia is related to psychosocial factors in patients with peritoneal dialysis.

We examined the relationship between alexithymia and psychosocial factors in 72 peritoneal dialysis patients. The 72 patients had significantly higher scores on alexithymia and anxiety than did 73 healthy volunteers. The alexithymia scores were significantly and positively correlated with anxiety scores, suggesting that alexithymia may be related to anxiety derived from the stress associated with dialysis therapy. After 3 yr. of follow-up consultations, patients were still showing higher scores on alexithymia and anxiety; however, alexithymia scores were not correlated with anxiety scores but rather were significantly associated with poor social support. Alexithymic characteristics may be related to psychosocial factors such as the availability of social support.

Adaptation, Psychological

Recent life change and large bowel cancer. Data from the Melbourne Colorectal Cancer Study.

In a large, population based, epidemiological study of colorectal cancer, The Melbourne Colorectal Cancer Study, several etiological factors were investigated. Persons' recent life changes, as well as the degree of upset they experienced as a result of these changes, were included. Interviews with 715 histologically confirmed new cases of colorectal cancer occurring over a 12-month period in Melbourne, Australia, and with 727 age and sex matched community controls were conducted. As one of the methods of assessing any effect of recall bias, 179 hospital controls were also investigated. Major illness or death of a family member, major family problems and major work problems were found to be significantly more common for cases over the 5 years preceding diagnosis compared to controls. Cases also reported being significantly more upset with their recent life changes than did controls. No significant differences in results were found between males and females, or between colon cancer and rectal cancer patients. Although the possibility of recall bias, was not completely controlled for in this study, it was probably not an important factor in explaining case-control differences. Recent life changes, and their perceptions, may have significance in the development of large bowel cancer.

Adenocarcinoma

Psychosocial stressors and adjustment disorder: van Gogh's life chart illustrates stress and disease.

The life of Vincent van Gogh is illustrative of the natural history of psychosocial stressors and their relationship to a person's states of health and disease. In the author's opinion, there is a lack of such understanding in the current, established criteria for psychosocial stressors in the diagnosis of adjustment disorder. By use of a life chart, which chronologically documents a person's major life events and concomitant health status over his or her life span, a fuller understanding can be reached regarding why an individual becomes ill at a particular time.

Adjustment Disorders

Anxiety and coronary heart disease in midlife.

The effects of anxiety on cardiovascular functioning are primarily beneficial. A well-known relationship exists between anxiety and performance. Up to a certain level, the higher the anxiety, the better the performance. It is when anxiety reaches an extreme level, plus when other emotions, such as hostility and depression, are also present that anxiety exerts a negative influence on cardiovascular health. Physiologic evidence of the negative effects of extreme anxiety in persons with coronary heart disease has, until recently, been determined by symptomatic and/or electrocardiographic indications of myocardial ischemia. New imaging techniques now make it possible to examine moment-to-moment variations in emotional state and cardiac function. From these new studies, we now know that episodes of myocardial ischemia secondary to psychologic stimuli are far more common than previously thought. Also, myocardial ischemia secondary to psychologic stress usually occurs at low heart rates and without chest pain.

Anxiety

Anxiety and physical illness.

The subjective experience of anxiety frequently signals a person's unfulfilled attempts to manage recent environmental or internal challenges. The consequences of stress-related anxiety can be found in most of the body systems: cardiovascular disorders, gastrointestinal ailments, problems with the reproductive system, dermatologic disorders, and autoimmune disturbances--all have been shown to be greatly influenced by anxiety. In addition, studies of hostages and prisoners of war indicate that a person's reactions to extreme stress are predictive of his or her future physical and mental health. Thus, extreme stress-related anxiety must be identified and treated early to protect the patient from a lifetime of chronic illness.

Adaptation, Psychological

Biochemical and mood responses predictive of stressful diving performance.

Measures of six self-reported moods (assessed using the Mood Questionnaire), serum cholesterol levels, and serum uric acid (SUA) levels were obtained from 26 divers attending the Saturation Diver Training (SDT) course, the most sophisticated and arduous diving course offered by the U.S. Navy. These measures were correlated with various types of diving activity that occurred during the seven years following graduation from the SDT course. Multiple regression analyses showed that two moods, Fear and Happiness, from the Mood Questionnaire, were independently related to years of subsequent diving experience, while mood Fear and cholesterol levels were associated with total number of dives made during this period. The number of dives made to depths of over 100 feet of sea water was related independently to cholesterol levels and mood Happiness. A high frequency of saturation diving (i.e., dives that last for periods in excess of 12 hours) was found for divers with high SUA levels and low scores on mood Fear. Variations in significant mood and biochemical measures across the different types of diving criteria are discussed in terms of the level of stress involved, prior diving experience, psychological traits including perceived control and achievement motivation, and attitudes formed toward diving during the SDT course.

Achievement

Biochemical variability in a tem sports situation.

Using 13 members of an amateur softball team during the last seven games of the regular season, associations were determined between overall offensive and defensive performance and levels of serum uric acid (SUA) and cholesterol, and urinary adrenaline and noradrenaline. Skilled players were found to have significantly lower cholesterol and noradrenaline levels than less skilled players whether the games were won or lost. Adrenaline and SUA levels did not differ between the two groups nor between losing or winning outcomes. The elevated cholesterol and noradrenaline levels found among the less skilled players may indicate that although they were stressed by the discrepancy between their expectations and their performance, they nonetheless maintained perceived control over performance because of the social support and reinforcement received from the other players and the coach.

Adult

Type A behavior pattern and coping and defense.

The relationship of coping and defense to Type A behavior pattern (TABP), as measured by the Structured Interview and the Jenkins Activity Survey (JAS), was investigated to understand the dynamics of TABP and psychological factors associated with coronary heart disease (CHD) risk. It was hypothesized that global TABP and its component "speed and impatience" would be related to the use of defense mechanisms, while the TABP attribute "job involvement" would be related to high coping. The interview measure of global TABP was not related to coping and defense. For the JAS, "Job involvement" was related to high coping scores and low defense scores, "speed and impatience" was related to high defensiveness, and "hard driving" was related to low coping scores. One implication is that TABP may be associated with increased CHD risk only when combined with low coping skills and high defenses. The JAS findings imply that increased coronary risk may be associated with poor coping skills. Future studies should examine multifactorial interaction of personality variables that may contribute to CHD risk.

Adult