Development and validation of the Questionnaire of Stressful Life Events (QSLE)

Butjosa, Anna; Gómez-Benito, Juana; Myin-Germeys, Inez; Barajas, Ana; Baños, Iris; Usall, Judith; Grau, Norma; Granell, Luis; Sola, Andrea; Carlson, Janina; Dolz, Montserrat; Sánchez, Bernardo; Haro, Josep María; Ochoa, Susana

doi:10.1016/j.jpsychires.2017.08.016

Cited by 11 publications

(15 citation statements)

References 44 publications

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“…A range of self-rated checklist measures for assessing life events and chronic stressors may be suitable for use in clinical practice. These include the Psychiatric Epidemiology Research Interview (PERI) Life Events Scale (PERI-LES) 236 , the List of Threatening Experiences (LTE) 237 , and the Questionnaire of Stressful Life Events (QSLE) 238 , each of which has been carefully validated by psychometric research.…”

Section: Recent Environmental Exposuresmentioning

confidence: 99%

The clinical characterization of the adult patient with depression aimed at personalization of management

et al. 2020

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Depression is widely acknowledged to be a heterogeneous entity, and the need to further characterize the individual patient who has received this diagnosis in order to personalize the management plan has been repeatedly emphasized. However, the research evidence that should guide this personalization is at present fragmentary, and the selection of treatment is usually based on the clinician's and/or the patient's preference and on safety issues, in a trial‐and‐error fashion, paying little attention to the particular features of the specific case. This may be one of the reasons why the majority of patients with a diagnosis of depression do not achieve remission with the first treatment they receive. The predominant pessimism about the actual feasibility of the personalization of treatment of depression in routine clinical practice has recently been tempered by some secondary analyses of databases from clinical trials, using approaches such as individual patient data meta‐analysis and machine learning, which indicate that some variables may indeed contribute to the identification of patients who are likely to respond differently to various antidepressant drugs or to antidepressant medication vs. specific psychotherapies. The need to develop decision support tools guiding the personalization of treatment of depression has been recently reaffirmed, and the point made that these tools should be developed through large observational studies using a comprehensive battery of self‐report and clinical measures. The present paper aims to describe systematically the salient domains that should be considered in this effort to personalize depression treatment. For each domain, the available research evidence is summarized, and the relevant assessment instruments are reviewed, with special attention to their suitability for use in routine clinical practice, also in view of their possible inclusion in the above‐mentioned comprehensive battery of measures. The main unmet needs that research should address in this area are emphasized. Where the available evidence allows providing the clinician with specific advice that can already be used today to make the management of depression more personalized, this advice is highlighted. Indeed, some sections of the paper, such as those on neurocognition and on physical comorbidities, indicate that the modern management of depression is becoming increasingly complex, with several components other than simply the choice of an antidepressant and/or a psychotherapy, some of which can already be reliably personalized.

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Section: Recent Environmental Exposuresmentioning

confidence: 99%

The clinical characterization of the adult patient with depression aimed at personalization of management

et al. 2020

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“…It is, however, time‐consuming to administer and rate. Alternatively, questionnaires such as the Social Readjustment Rating Scale (SRRS) 276 , the Psychiatric Epidemiology Research Interview (PERI) Life Events Scale 277 , and the Questionnaire of Stressful Life Events (QSLE) 278 , can be used.…”

Section: Recent Environmental Exposuresmentioning

confidence: 99%

The clinical characterization of the patient with primary psychosis aimed at personalization of management

et al. 2021

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The current management of patients with primary psychosis worldwide is often remarkably stereotyped. In almost all cases an antipsychotic medication is prescribed, with second‐generation antipsychotics usually preferred to first‐generation ones. Cognitive behavioral therapy is rarely used in the vast majority of countries, although there is evidence to support its efficacy. Psychosocial interventions are often provided, especially in chronic cases, but those applied are frequently not validated by research. Evidence‐based family interventions and supported employment programs are seldom implemented in ordinary practice. Although the notion that patients with primary psychosis are at increased risk for cardiovascular diseases and diabetes mellitus is widely shared, it is not frequent that appropriate measures be implemented to address this problem. The view that the management of the patient with primary psychosis should be personalized is endorsed by the vast majority of clinicians, but this personalization is lacking or inadequate in most clinical contexts. Although many mental health services would declare themselves “recovery‐oriented”, it is not common that a focus on empowerment, identity, meaning and resilience is ensured in ordinary practice. The present paper aims to address this situation. It describes systematically the salient domains that should be considered in the characterization of the individual patient with primary psychosis aimed at personalization of management. These include positive and negative symptom dimensions, other psychopathological components, onset and course, neurocognition and social cognition, neurodevelopmental indicators; social functioning, quality of life and unmet needs; clinical staging, antecedent and concomitant psychiatric conditions, physical comorbidities, family history, history of obstetric complications, early and recent environmental exposures, protective factors and resilience, and internalized stigma. For each domain, simple assessment instruments are identified that could be considered for use in clinical practice and included in standardized decision tools. A management of primary psychosis is encouraged which takes into account all the available treatment modalities whose efficacy is supported by research evidence, selects and modulates them in the individual patient on the basis of the clinical characterization, addresses the patient’s needs in terms of employment, housing, self‐care, social relationships and education, and offers a focus on identity, meaning and resilience.

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“…We constructed a stressful life event scale (22 items; see Table S1 in Supplementary Material for an overview of items), as we needed a relatively short questionnaire that covers the entire lifetime and measures the perceived stress caused by the events, given that the impact of life events on psychological outcomes may depend on perceived event characteristics (Luhmann et al, 2021). We therefore selected concrete events that are typically perceived as negative or undesirable from established scales that consider lifetime stressful events and show good psychometric properties, that is, the Questionnaire of Stressful Life Events (Butjosa et al, 2017), the Stressful Life Events Screening Questionnaire (Goodman et al, 1998), and the Social Readjustment Rating Scale (Holmes & Rahe, 1967;Scully et al, 2000). Two different stress scores were created to assess both the objective number of life events experienced and the subjective impact of events.…”

Section: Methodsmentioning

confidence: 99%

A person-centered approach to resilience and vulnerability in emerging adulthood: Predictions from parenting and personality in adolescence

et al. 2022

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In this person-centered study, we identified different profiles of resilience and vulnerability in emerging adulthood in response to previously experienced stressful life events. Additionally, we examined whether mothers’ and fathers’ parenting and participants’ personality traits in adolescence predicted these profiles. Data from the Flemish Study on Parenting, Personality, and Development (N = 346 families) were used. At T1 (2004; Mage = 11 years), T2 (2007), and T3 (2009), mothers and fathers reported on their parenting and their child’s personality. At T4 (2018; Mage = 25 years), emerging adults retrospectively self-reported the occurrence and impact of 22 stressful life events and rated current behavior problems and subjective well-being. Latent profile analysis revealed three profiles: Competent (71%; low stress, low behavior problems, high subjective well-being), Vulnerable (21%; average stress, high behavior problems, low subjective well-being), and Resilient (9%; high stress, average behavior problems, average subjective well-being). Emerging adults in the Resilient profile had experienced higher levels of maternal positive parenting and were less emotionally stable and conscientious than those in the Competent profile. Furthermore, emerging adults in the Vulnerable profile were less emotionally stable than their peers in the Competent profile. These findings reveal new insights into the heterogeneous patterns of emerging adults’ adaptation following stressful life events.

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Development and validation of the Questionnaire of Stressful Life Events (QSLE)

Cited by 11 publications

References 44 publications

The clinical characterization of the adult patient with depression aimed at personalization of management

The clinical characterization of the adult patient with depression aimed at personalization of management

The clinical characterization of the patient with primary psychosis aimed at personalization of management

A person-centered approach to resilience and vulnerability in emerging adulthood: Predictions from parenting and personality in adolescence

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