Depression, Suicide, Inflammation, and Physical Illness
C HA P TER 1 6 STRESS AND ITS SEQUELAE: DEPRESSION, SUICIDE, INFLAMMATION, AND PHYSICAL ILLNESS George M. Slavich and Randy P. Auerbach Life stress is a central construct in many contem- METHODOLOGICAL ISSUES IN THE porary models of mental and physical health. Con- ASSESSMENT OF STRESS sistent with these formulations, a large corpus of Although there is little debate about whether stress research has demonstrated that stress plays an influ- should be accorded a central role in etiological ential role in the onset, maintenance, and recurrence models of disease, many questions remain regard- of psychiatric illness, as well as in several major ing how to best operationalize and assess life stress. physical health problems that cause substantial Over the past century, researchers have relied most morbidity and mortality (Cohen, Janicki-Deverts, & heavily on self-report checklist measures of stress Miller, 2007; Harkness & Monroe, 2016; Kendler, that have advantages but also several limitations. Karkowski, & Prescott, 1999; Slavich, 2016b). In As a result of these limitations, investigators began this chapter, we summarize key studies on these using interview-based systems to assess life stress important topics with a focus on well-documented that yield extensive information about the differ- effects and lingering conceptual and methodological ent contextual features of reported stressors. These issues. stress assessment methods have been reviewed in To accomplish these goals, we first summarize detail elsewhere (e.g., Cohen, Kessler, & Gordon, how stress has been conceptualized and assessed 1997; Dohrenwend, 2006; Hammen, 2016; over the years. Second, we review links between Harkness & Monroe, 2016; Monroe, 2008; different types of stress exposure and depression, Monroe & Slavich, 2016; Slavich, 2016a).
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