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Marital-Adjustment Test (Locke-Wallace)
The Social Network Index
Interpersonal Support Evaluation List
Negative Interaction Items
Job Environment Inventory
Life Events Scale*
Global Religious Background*

*Sub-core measures, not administered in all studies, but used in at least 2 studies.
 All of the details on this page are available as a Word document or PDF file.


Marital Satisfaction
Title:   Marital-Adjustment Test

. Primary Reference:
Locke H, Wallace K: Short marital-adjustment and prediction tests: Their reliability and validity.
Marriage Fam Living 21:251-255, 1959.
Type of Measure:  Used without modification.
Role in Center Model:  Chronic/Stable Burdens and Resources:  Social/Environmental Attributes
Purpose:  To measure marital adjustment and satisfaction among married participants and those
in long-term committed relationship. Conflict and lack of satisfaction in married couples has been
linked to increased SNS activation (Levenson & Gottman, 1983, 1985) and modulation of immune
response (Kiecolt-Glaser, Malarkey, Chee, Cacioppo, Mao, & Glaser, 1993).
Description:  Respondents answer a question about their general level of happiness in the present
marriage or long-term live-in relationship, their perception of the level of agreement between the
spouses on a number of issues, ways of handling disagreement, and regrets that one might have
about being in this particular relationship.
Scaling:  varies across questions
# items:   15
Sample items:  “State the approximate extent of agreement or disagreement between you
and your mate on the following items: handling family finances, matters of
recreation, etc.” “Do you and your mate engage in outside interests together?”
“Do you ever wish you had not married?”
Original Psychometric Data:  white, middle class, Protestant (n=236)
Reliability:  Split-half reliability coefficient (Spearman-Brown formula) = .90
Validity:    People known to be well-adjusted in their marriage scored much higher on the
scale than maladjusted people.
Additional References:
Keefe FJ, Caldwell DS, Baucom D, Salley A, Robinson E, Timmons K, Beaupre P,
Weisberg J, Helms M: Spouse-assisted coping skills training in the management of knee
pain in osteoarthritis: Long-term follow-up results. Arthritis Care Res 12:101-111, 1999.
Kiecolt-Glaser JK, Glaser R, Cacioppo JT, Malarkey WB: Marital stress: Immunologic,
neuroendocrine, and autonomic correlates. Ann New York Acad Sci 840:657-663, 1998.
Kiecolt-Glaser JK, Malarkey WB, Chee M, Newton T, Cacioppo JT, Mao HY, Glaser R:
Negative behavior during marital conflict is associated with immunological down-regulation.
Psychosom Med 55:395-409, 1993.
Levenson RW, Gottman JM: Marital interaction: Physiological linkage and affective exchange.
J Pers Soc Psychol 45:587-597, 1983.

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Social Network
Title:   The Social Network Index
Primary Reference:
Cohen S, Doyle WJ, Skoner DP, Rabin BS, Gwaltney JM: Social ties and susceptibility to the
common cold. JAMA 277:1940-1944, 1997.
Type of Measure:  Used without modification.
Role in Center Model:  Chronic/Stable Burdens and Resources:  Social/Environmental Attributes
Purpose:  To assesses participation in 12 social relationships. These include relationships with a
spouse, parents, parents-in-law, children, friends, workmates, etc. The Index measures three
aspects of social networks: network diversity, number of people in the network, and number of
embedded networks. Belonging to diverse social networks is associated with less susceptibility to
infection, lower mortality, survival from myocardial infarction (Berkman, 1995), and cancer survival
(Helgeson & Cohen, 1996).
Description:  Respondents indicate participation in 12 social relationships and report how many members of these relationships they communicate with at least once a week. 
Scaling:  N/A
# items:   12
Sample items:  “How many children do you have?”  “How many of your children do you see
or talk to on the phone at least once every 2 weeks?” “Are either of your
parents living?”  “Do you belong to a church, temple, or other religious group?”
Original Psychometric Data:  Not reported
Reliability:  Not reported
Validity:    Not reported
Additional References:
Berkman LF: The role of social relations in health promotion. Psychosom Med
57:245-254, 1995.
Cohen S, Frank E, Doyle WJ, Skoner DP, Rabin BS, Gwaltney JM Jr:
Types of stressors that increase susceptibility to the common cold in healthy adults.
Health Psychol 17:214-223, 1998.
Helgeson V, Cohen S: Social support and adjustment to cancer: Reconciling descriptive,
correlational, and intervention research. Health Psychol 15:135-148,1996.
Michael YL, Colditz GA, Coakley E, Kawachi I: Health behaviors, social networks,
and healthy aging: Cross-sectional evidence from the Nurses' Health Study.
Quality of Life Res 8:711-722, 1999.

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Social Support
Title:   The Interpersonal Support Evaluation List (ISEL)
Primary Reference:
Cohen S, Mermelstein R, Kamarck T, Hoberman H: Measuring the functional components of social
support. In IG Sarason, B Sarason (Eds.), Social Support: Theory, Research and Applications
(pp. 73-94). The Hague: Martinus Nijhoff, 1985.
Type of Measure:  Modified from original. Original scale consists of 40 items (ten items in each of
the four sub-scales measuring separate aspects of social support). The modified version includes
only three sub-scales (the self-esteem sub-scale was excluded because it overlaps with the
self-esteem measure) and only four highest-loading items for each sub-scale.
Role in Center Model:  Chronic/Stable Burdens and Resources:  Social/Environmental Attributes
Purpose:  To assess perceived availability of four types of social support (appraisal, belonging,
self-esteem, and tangible). Availability of social support has been linked to reduced mortality
(Rosengren, Orth-Gomer, Wedel, & Wilhemsen, 1993) and improved psychological state
(Cohen & Wills, 1985).
Description:  Respondents indicate the extent to which sentences describing availability of different
types of social support in their lives are true or false. No time frame or referent period is used.
Scaling:  1 = Definitely False, 2 = Probably False, 3 = Probably True, 4 = Definitely True
# items:   12
Sample items:  “If I were sick, I could easily find someone to help me with my daily chores”
(tangible) “I don’t often get invited to do things with others” (reversed)
(belonging) “When I need suggestions on how to deal with a personal
problem, I know someone I can turn to” (appraisal)
Original Psychometric Data:  Multiple studies: undergraduate students and general
population samples.
Reliability:   undergraduate students, alpha = .77 - .86
general population, alpha = .88 - .90
Validity: Correlates positively with other support scales (Inventory of Socially Supportive
Behaviors), with number of close friends, and with the measure of the quality of
marital relationships (Partner Adjustment Scale). The sub-scales are also
associated in the predicted direction with related trait measures: self-esteem
subscale correlates with self-esteem measure whereas appraisal subscale
correlates with self-disclosure measure. 
Additional References:
Cohen S: Social supports and physical health. In AL Greene, M Cummings, KH Karraker
(Eds.), Life-span Developmental Psychology: Perspectives on Stress and Coping. Hillsdale,
NJ: Erlbaum Associates, 1991.
Cohen S, Hoberman HM: Positive events and social supports as buffers of life change stress.
J Appl Soc Psychol 13:99-125, 1983.
Cohen S, Wills TA: Stress, social support and the buffering hypothesis. Psychol Bull
98:310-357, 1985
Dobkin PL, Fortin PR, Joseph L, Esdaile JM, Danoff DS, Clarke, AE: Psychosocial
contributors to mental and physical health in patients with systemic lupus erythematosus.
Arthritis Care Res 11:23-31, 1998.
Franks P, Campbell TL, Shields CG: Social relationships and health: The relative roles of
family functioning and social support. Soc Sci Med 34:779-788, 1992.
King KB, Reis HT, Porter LA, Norsen LH: Social support and long-term recovery from
coronary artery surgery: Effect on patients and spouses. Health Psychol 12:56-63, 1993
Rosengren A, Orth-Gomer K, Wedel H, Wilhemsen L: Stressful life events, social support
and mortality in men born in 1933. Br Med J 307:1102-1105, 1993. 
Schonfeld IS: Dimensions of functional social support and psychological symptoms.
Psychol Med 21:1051-1061, 1991.

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Negative Interaction
Title:   Negative Interaction Items
Primary Reference:
Krause N: Negative interaction and satisfaction with social support among older adults.
J  Gerontol Psychol Sci 50B:59-73, 1995.
Type of Measure:  Modified from original. The Mind/Body version includes the original 4-item scale
plus one item adapted from the MIDMAC (based on Schuster, Kessler, & Aseltine, 1990) measure
(“How often do they let you down when you are counting on them?”)
Role in Center Model:  Chronic/Stable Burdens and Resources:  Social/Environmental Attributes
Purpose:  To assess frequency of negative interactions with significant others. Negative interactions
predict depressed mood and are associated with higher body mass index among elderly, introverted
women.
Description:  Respondents indicate how often their significant others are critical or demanding
towards them. In the present study, a time frame of the past month is used.
Scaling:  1 = Never, 2 = Once In A While, 3 = Fairly Often, 4 = Very Often
# items:   5 
Sample items:  “In the past month, how often have others pried into your affairs?”
“In the past month, how often have others taken advantage of you?” 
Original Psychometric Data:  Retired, 65 years of age or older (n=1103)
Reliability:  alpha = .87
Validity:    Correlates negatively with the satisfaction with received support. 
Additional References:
Krause N, Thompson E: Negative interaction and body weight in later life.
International J Aging Hum Dev 45:305-321, 1997.
Rauktis ME, Koeske GF, Tereshko O: Negative social interactions, distress, and depression
among those caring for a seriously and persistently mentally ill relative. Am J Comm Psychol
23:279-299, 1995. 
Schuster TL, Kessler RC, Aseltine RH: Supportive Interactions, Negative Interactions,
and Depressed Mood.  Am J Comm Psychol 18:423-438, 1990.
Sharpe PA, Connell CM, Gallant MP: Measurement of social interaction in change of health
behavior. Psychol Reports 77:867-871, 1995.

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Job Environment
Title:   Job Environment Inventory
Primary Reference
Matthews KA, Cottington EM, Talbott EO, Kuller LH, Siegel JM: Stressful work conditions
and diastolic blood pressure among blue collar workers.  Am J Epidemiol 126:280-291, 1987.
Cottington EM: Occupational stress, psychosocial modifiers, and blood pressure in a
blue-collar population. Ph.D. dissertation. University of Pittsburgh, Graduate School of Public
Health, Pittsburgh, PA, 1983.
Type of Measure:  Modified from original. The Mind/Body version of the scale consists of nine
questions selected from the original Job Environment Inventory. Selected items are relevant to
participant’s perception of control over her or his job conditions, utilization of her/his skill and
knowledge and the perception of demands associated with her/his job.
Role in Center Model:  Chronic/Stable Burdens and Resources:  Social/Environmental Attributes
Purpose:  To assess stressful work conditions. Work characteristics have been linked to prevalence
and incidence of CHD, stroke, and hypertension. 
Description:  Respondents indicate how often and to what extent they experience certain conditions
on their job.
Scaling:  Varies across questions.
# items:   9
Sample items:  “How often are you the one who decides when you will work fast and when
you will take it easy?” “How frequently during the average workday does your
job require you to work very fast?” “On the job, how often are you given a
chance to do the things you do best?”
Original Psychometric Data:  White, male, blue-collar workers age 40-63 (n=288)
Reliability:  alpha = .62 - .88
Validity:    Correlates positively with other job environment and job satisfaction measures.
Additional References:
Cheng Y, Kawachi I, Coakley EH, Schwartz J, Colditz G: Association between psychosocial
work characteristics and health functioning in American women: prospective study. Br Med J
320:1432-1436, 2000. 
Haan MN: Job strain and ischemic heart disease: An epidemiologic study of metal workers.
Ann Clin Res 20:143-145, 1988.
Karasek RA, Theorell T, Schwartz JE, Schnall PL, Pieper CF, Michela JL:
Job characteristics in Health and Nutrition Examination Survey (HANES).
Am J Publ Health 78:910-918, 1988.
Lundberg U: Stress responses in low-status jobs and their relationship to health risks:
musculoskeletal disorders. Ann New York Acad Sci 896:162-172, 1999.
Marmot MG, Bosma H, Hemingway H, Brunner E, Stansfeld S: Contribution of job control
and other risk factors to social variations in coronary heart disease incidence.
Lancet 350:235-239, 1997.
Siegrist J, Peter R, Junge A, Cremer P, Seidel D: Low status control, high effort at work
and ischemic heart disease: Prospective evidence from blue-collar men. Soc Sci Med
31:1127-1134, 1990.

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Life Events
(Sub-core measure)
Title:   Life Events Scale
Primary Reference
Fried LP, Borhani NO, Enright P, Furberg CD, Gardin JM, Kronmal RA, Kuller LH,
Manolio TA, Mittelmark MB, Newman A, O’Leary DH, Psaty B, Rautaharju P, Tracy RP,
Weiler PG: The Cardiovascular Health Study: Design and rationale. Ann Epidemiol
1:263-276, 1991.
Aldwin CM: The Elders Life Stress Inventory (ELSI): Research and clinical applications.
In PA Keller, SR Heyman et al. (Eds.), Innovations in Clinical Practice: A Source Book
(Vol. 10, pp. 355-364). Sarasota, FL: Professional Resource Press/Professional Resource
Exchange, Inc., 1991.
Type of Measure:  Modified from originals - Hybrid. A number of items assessing recent stressful
life events were selected from the two sources referenced above. 
Role in Center Model:  Chronic/Stable Burdens and Resources:  Social/Environmental
Purpose:  To assess the number of recent stressful life events.  Stressful life events have been
linked to myocardial infarction and other serious illnesses. 
Description:  Respondents indicate by Yes/No whether they have experienced a particular event
in the previous 6-month period. 
Scaling:  N/A
# items:   15
Sample items:  “Death of a close friend or family member” “Change in personal finances”
“Burglary or assault of yourself or a close friend or family member”
Original Psychometric Data:  (available only for Aldwin, 1991)
Reliability:  N/A
Validity:    Correlated moderately in the predicted direction with self-reported physical
and mental health symptoms.
Additional References:
Aldwin CM, Levenson MR, Spiro A III, Bosse R: Elders Life Stress Inventory. 
Haney CA: Life events as precursors of coronary heart disease. Soc Sci Med
14A:119-126, 1980.
Hollis JF, Connett JW, Stevens VJ, Greenlick MR: Stressful life events, type A behavior,
and the prediction of cardiovascular and total mortality over six years. J Behav Med
13: 263-281, 1990.
Rosengren A, Orth-Gomer K, Wedel H, Wilhemsen L: Stressful life events, social support
and mortality in men born in 1933. Br Med J 307:1102-1105, 1993.
Welte JW, Mirand AL: Drinking, problem drinking and life stressors in the elderly general
population. J Stud Alcohol 56:67-73, 1995.

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Religiosity
(Sub-core measure)
Title:   Global Religious Background
Primary Reference
Koenig H: Aging and God: Spiritual Pathways to Mental Health in Midlife and Later Years.
New York: Hayworth Press, 1994.
Pargament K, Cole B, Vandecreek L, Belavich T, Brant C, Perez L: The Vigil: Religion and
the search for control in the hospital waiting room.  J Health Psychol 4:327-341, 1999.
Type of Measure:  Modified from originals - Hybrid. Items were selected from several studies
examining religious coping. 
Role in Center Model:  Chronic/Stable Burdens and Resources:  Personal Attributes
Purpose:  To assess global measures of religiousness. Religiosity and religious coping has been
associated with levels of distress among women newly diagnosed with early-stage breast cancer.
It has been linked to immune responses among HIV-infected men and to blood pressure levels
among women.
Description:  Respondents indicate their attendance at religious services, frequency of
prayer/meditation, self-reported religiousness and spirituality, and religious affiliation. No time
frame or referent period is used.
Scaling:  Varies across questions.
# items:   5
Sample items:  “What is your religious affiliation or preference?” “How often do you attend
religious practices?”  “To what extent do you consider yourself to be a
spiritual person?”
Original Psychometric Data:  N/A
Reliability:  N/A
Validity:    N/A
Additional References:
Alferi SM, Culver JL, Carver CS, Arena PL, Antoni MH: Religiosity, religious coping, and
distress: A prospective study of Catholic and Evangelical Hispanic women in treatment for
early-stage breast cancer. J Health Psychol 4:343-356, 1999.
Hixson KA, Gruchow HW, Morgan DW: The relation between religiosity, selected health
behaviors, and blood pressure among adult females. Prev Med 27:545-552, 1998.
Woods TE, Antoni MH, Ironson GH, Kling DW: Religiosity is associated with affective and
immune status in symptomatic HIV-infected gay men. J Psychosom Res 46:165-176, 1999.
Zinnbauer B, Pargament K, Cole B, Rye M, Butter E, Belavich T, Hipp K, Scott A, Kadar J:
Religion and spirituality: Unfuzzying the fuzzy.  J Scientific Study Religion 36:549-564, 1997.
 

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