Tick every event that has happened to you in the past 12 months. Each carries a weighted score. Your total reveals the stress load your body has been quietly absorbing.
This is a validated screening tool, not a diagnosis. A high score does not mean you will get sick. It means your stress load is elevated and worth paying attention to. If you are struggling, please talk to a doctor or mental health professional.
Journal of Psychosomatic Research, 11(2), 213-218. The original paper. 43 events, 394 participants, establishing the correlation between life change units and subsequent illness.
doi.org/10.1016/0022-3999(67)90010-4Journal of Psychosomatic Research, 14(4), 401-406. Prospective validation on US Navy personnel showing high LCU scores predicted illness in subsequent months.
doi.org/10.1016/0022-3999(70)90002-5JAMA, 298(14), 1685-1687. Widely cited review linking psychosocial stress to cardiovascular disease, infection susceptibility, and accelerated ageing.
doi.org/10.1001/jama.298.14.1685Accessible overview with scoring interpretation and broader context around the scale.
stress.org/holmes-rahe-stress-inventoryThe best accessible book on chronic stress and biology. Chapter 14 directly covers psychological stress and disease risk. If you want to understand what your score actually means for your body, start here.
Annals of the New York Academy of Sciences, 840, 33-44. Introduces the concept of allostatic load, the biological mechanism behind why accumulated life change causes physical harm.
doi.org/10.1111/j.1749-6632.1998.tb09546.x