We're unable to sign you in at this time. Please try again in a few minutes.
We were able to sign you in, but your subscription(s) could not be found. Please try again in a few minutes.
There may be a problem with your account. Please contact the AMA Service Center to resolve this issue.
Contact the AMA Service Center:
Telephone: 1 (800) 262-2350 or 1 (312) 670-7827  *   Email: subscriptions@jamanetwork.com
Error Message ......
Article |

The Pathogenic Quality of Life Event Stress in Neurotic Impairment

Christopher Tennant, MPH, MRCPsych; Gavin Andrews, MD, FANZCP
Arch Gen Psychiatry. 1978;35(7):859-863. doi:10.1001/archpsyc.1978.01770310065004.
Text Size: A A A
Published online


• A life events inventory with matched scalings for distress and life change has been used in a study of life events and neurotic illness. The use of this inventory and scalings permits three measures of cumulative life event stress to be isolated for each subject: a cumulative distress score, a cumulative life change score, and the cumulative number of events experienced in any given time period.

All three life stress scores demonstrated a significant relationship to the later onset of neurotic impairment in a community sample of adults. However, all three measures were intercorrelated, and when the association between each score and neurotic impairment was examined after eliminating the influence of each of the other two scores, it was shown that neither the number of events experienced nor the life change score exhibited a relationship with neurotic impairment independent of the distress score. The association of the distress score, however, was independent of each of the other two life event scores and was not confounded with the index of neurosis. This indicates that it is indeed the distressing quality of lite events, and not merely the life change they cause, that is associated with later onset of neurotic impairment.


Sign in

Purchase Options

• Buy this article
• Subscribe to the journal
• Rent this article ?





Also Meets CME requirements for:
Browse CME for all U.S. States
Accreditation Information
The American Medical Association is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians. The AMA designates this journal-based CME activity for a maximum of 1 AMA PRA Category 1 CreditTM per course. Physicians should claim only the credit commensurate with the extent of their participation in the activity. Physicians who complete the CME course and score at least 80% correct on the quiz are eligible for AMA PRA Category 1 CreditTM.
Note: You must get at least of the answers correct to pass this quiz.
Please click the checkbox indicating that you have read the full article in order to submit your answers.
Your answers have been saved for later.
You have not filled in all the answers to complete this quiz
The following questions were not answered:
Sorry, you have unsuccessfully completed this CME quiz with a score of
The following questions were not answered correctly:
Commitment to Change (optional):
Indicate what change(s) you will implement in your practice, if any, based on this CME course.
Your quiz results:
The filled radio buttons indicate your responses. The preferred responses are highlighted
For CME Course: A Proposed Model for Initial Assessment and Management of Acute Heart Failure Syndromes
Indicate what changes(s) you will implement in your practice, if any, based on this CME course.


Some tools below are only available to our subscribers or users with an online account.

0 Citations

Sign in

Purchase Options

• Buy this article
• Subscribe to the journal
• Rent this article ?

Related Content

Customize your page view by dragging & repositioning the boxes below.