2) In the occupational life stress group, the scores of those in the thirties, forties, and fifties were higher than those in the twenties. Section he

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1 THE METHOD FOR STRESS ASSESSMENT OF WORKERS (Part 1) Stress Score by Self-Rating Method Makoto NATSUME,*1 Hiroshi MURATA,*2 Kanji SUGIMOTO,*3 Akio NAKAMURA,*2 Kazuyuki MATSUBARA,*2 Hirokazu ASAO*4 and Hisakazu FUJII*1 In order to evaluate the grade of reaction to stressors, especially those on occupational life of workers, the following stress survey was conducted. Eighteen new items of occupational life stres sors were proposed in addition to the social readjustment rating scale (S. R. R. S.) prepared by Holmes. Furthermore, two items, "own stress tolerance" and " own stress at present," were designed in addition to the foregoing 65 stressors. Marriage is given a score of 50 in reference-standard of stress strength. These 67 items of 1,630 workers were evaluated by the self-rating method rang ing in score from 0 to 100. The results can be summarized as follows: 1. As for each item, we examined the average value of the total sample and analyzed them by sex, age, kind of occupation, position, and length of service. We named these stress scores and analyzed the ranking of 65 stress scores. The item with the highest score was "death of spouse (score 82.7)" and the item with the lowest one was "income increase (score 24.7)." The scores of 27 out of 65 items were higher than 50. Next, 65 items were classified into 4 groups, that is, individual life, family life, occupational life, and social life. 2. Scores of the newly designed items to examine the ability to adjust oneself to place of work were "own stress tolerance (score: 73.7)" and "own stress at present (48.8)," respectively. 3. We examined the difference by sex, age, kind of occupation, position, and length of service based on the average value of stress score by t-test and the following results were obtained. 1) Scores of those in the thirties were higher than those in the twenties. 2) Section heads and leaders were under greater stress than division heads. In the same way, the differences among the four groups were analyzed and the following results were observed. 1) The only significant difference was seen in the occupational life stress group. *1 Department of Mental Health, Osaka Prefectural Institute of Public Health *2 Department of General Affairs, Osaka Prefectural Institute of Public Health *3 Department of Industrial Health, Osaka Prefectural Institute of Public Health *4 Osaka Prefectural Nakamiya Hospital Received for publication, December 7, 1987

2 2) In the occupational life stress group, the scores of those in the thirties, forties, and fifties were higher than those in the twenties. Section heads and leaders were under greater stress than the staff. Workers in service for more than 21 years had higher scores than workers in service for less than 10 years. 4. The practical uses of our stress survey are also discussed in this report. Key words: stress assessment; worker; stress survey; occupational life stressor; social readjust ment rating scale; self-rating method; stress strength; stress score

3 Table 1. Stress survey on workers (Do not identify yourself). The purpose of this survey is to evaluate the grade of reaction to 65 stressors, "own stress tolerance" and "own stress at present" by workers. The mechanics of the rating are as follows: Marriage is given a score of 50 as standard-grade strength (middle score of maximum; 100-minimum; 0) on the following events. In scoring, use all of your experience and imagination in arriving at your answer. As you complete each of the remaining events, think to yourself, "Is this event indicative of more or less strength than marriage?" If you decide that the stress strength of the event is more stressful than marriage, then choose a pro portionately larger number and place it in the blank. If you decide that it is less than marriage, then choose a proportionately in the blank. You are asked to choose pertinent data in the following items. 1. Sex: 1) Male, 2) Female 2. Age: 1) -19, 2) 20-29, 3) 30-39, 4) 40-49, 5) 50- (yr) 3. Kind of occupation: 1) Office staff, 2) Engineering staff, 3) Others 4. Position: 1) Division head, 2) Section head, 3) Chief, 4) Leader, 5) Staff 5. Length of service: 1) -10 yr, 2) yr, 3) yr, 4) 31 yr- smaller number and place it

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5 Table 2. Ranking on 65 stress scores and relationship between our score and Holmes'.

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9 Table 3. Stress score by sex, age, kind of occupation,

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14 4) Holmes TH, Rahe RH. The Social readjustment rating scale. J Psychosom Res 1967; 11: ) Cochrane R, Robertson. The life events inven tory: a measure of the relative severity of psycho social stressors. J Psychosom Res 1973; 17: ) Amster LE, Krauss HH. The relationship bet - ween life crises and mental deterioration in old age. Int J Aging Human Dev 1974; 5:

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