Rahe R H
J Human Stress. 1979 Sep;5(3):2-10. doi: 10.1080/0097840x.1979.9934522.
The use of recent life change measurement in the lives of persons developing mental disorders parallels the measurement of risk factors by epidemiologists to understand disease distribution. Examples are given of these parallels, along with critical commentary on methodological issues in life changes research. The principal studies documenting the association of recent life change and depression, schizophrenia, and neurosis are reviewed. Recent life changes appear to be an important element in explaining illness onset. Future advances in the area of life change and illness await the development of reliable and valid measures of an individual's stress tolerance characteristics, such as social support systems, psychological defenses, coping capabilities, and illness behavior tendencies.
在患有精神障碍的人群中使用近期生活变化测量方法，这与流行病学家测量风险因素以了解疾病分布情况相类似。文中给出了这些相似之处的例子，同时对生活变化研究中的方法学问题进行了批判性评论。回顾了记录近期生活变化与抑郁症、精神分裂症和神经症之间关联的主要研究。近期生活变化似乎是解释疾病发作的一个重要因素。生活变化与疾病领域未来的进展有待于开发出可靠且有效的个体压力耐受特征测量方法，如社会支持系统、心理防御、应对能力和患病行为倾向等。
