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  • Print publication year: 2006
  • Online publication date: September 2009

3 - Measuring emotional and behavioral response



This chapter aims to review measures of the emotional and behavioral responses to stressors. As reviewed in Chapter 1, there are multiple cognitive responses to a stressor starting with the appraisal of a stressor. After a person appraises a stressor or evaluates it as a threat, s/he will experience a stress response, often including an emotional and behavioral response. For example, an individual is exposed to the stressor of caring for a relative with dementia, s/he may feel burdened, anxious and sad. This same person may engage in various coping behaviors such as smoking or seeking solace at a place of worship. The way that an individual responds to a stressor (from the appraisal through the stress response) depends on various factors (e.g. personality, coping resources) which may mediate or moderate the way in which an individual appraises and then responds to a stressor. For example, this same caregiver, may have a large supportive family which minimizes the appraisal of threat or the emotional response in comparison to an individual without such support. The reader should refer to Chapters 1 and 2 for the definition of the concepts of mediators, moderators, appraisal and behavioral and emotional responses as this chapter will focus on the measurement approaches and will briefly review published measures of such concepts and different measurement approaches. One should note, as discussed in Chapters 1 and 2, that often these cognitive processes are lumped together in a single measure of “perceived stress.”

Bakeman, R. and Gottman, J. (1997). Observing Interaction. Cambridge: Cambridge University Press.
Bloor, M. (2001). Focus Groups in Social Research. Thousand Oaks, CA: Sage.
Bolger, N., Davis, A. and Rafaeli, E. (2003). Diary methods: capturing life as it is lived. Annual Review of Psychology, 54, 579–616.
Brandstatter, H. (1983). Emotional responses to other persons in everyday life situations. Journal of Personality and Social Behavior, 45, 871–83.
Breslau, J. (2004). Cultures of trauma: anthropological views of posttraumatic stress disorder in international health. Culture, Medicine and Psychiatry, 28, 113–26.
Carmines, E. G. and Zeller, R. A. (1979). Reliabilty and Validity Assessment. Newbury Park, CA: Sage.
Carver, C. S., Scheier, M. F. and Weintraub, W. S. (1989). Assessing coping strategies: A theoretically based approach. Journal of Personality and Social Psychology, 2, 267–83.
Chang, E. C. (1998). Dispositional optimism and primary and secondary appraisal of a stressor: controlling for confounding influences and relations to coping and psychological and physical adjustment. Journal of Personality and Social Psychology, 74(4), 1109–20.
Clark, M. S. (1992). Emotion. Newbury Park, CA: Sage.
Cohen, F. (1991). Measurement of coping. In Stress and Coping: An Anthology, ed. Monat, A. and Lazarus, R. S.. New York: Columbia University Press, 228–44.
Cohen, F. (1995). Psychological stress and susceptibility to upper respiratory infections. American Journal of Respiratory and Critical Care Medicine, 152(4 Pt 2), S53–8.
Cohen, S., Doyle, W. J. and Skoner, D. P. (1999). Psychological stress, cytokine production, and severity of upper respiratory illness. Psychosomatic Medicine, 61(2), 175–80.
Cohen, S., Kamarck, T. and Mermelstein, R. (1983). A global measure of perceived stress. Journal of Health, Society and Behavior, 24(4), 385–96.
Cohen, S., Kessler, R. C. and Underwood, L. G. (1997). Measuring Stress. A Guide for Health and Social Scientists. Oxford: Oxford University Press.
Cohen, S. and Lichtenstein, E. (1990). Perceived stress, quitting smoking, and smoking relapse. Health Psychology, 9(4), 466–78.
Cohen, S., Tyrrell, D. A. J. and Smith, A. H. (1993). Negative life events, perceived stress, negative affect, and susceptibility to the common cold. Journal of Personality and Social Behavior, 64(1), 131–40.
Cohen, S. and Williamson, G. M. (1988). Perceived stress in a probability sample of the United States. In The Social Psychology of Health., ed. Spacapan, S. and Oskamp, S.. Newbury Park, CA: Sage.
Converse, J. M. and Presser, S. C. (1986). Survey Questions. Handcrafting the Standardized Questionnaire. Newbury Park: Sage Publications.
Csikszenthmihalyi, M. and Larson, R. (1987). Validity and reliability of the experience-sampling method. Journal of Nervous and Mental Disease, 175(9), 526–36.
Csikszenthmihalyi, M., Larson, R. and Prescott, S. (1977). The ecology of adolescent activity and experience. Journal of Youth and Adolescence, 6, 281–94.
Munck, V. C. and Sobo, E. J. (1998). Using Methods in the Field. A Practical Introduction and Casebook. Walnut Creek, CA: AltaMira Press.
Derluyn, I., Broekaert, E., Schuyten, G. and Temmerman, E. (2004). Post-traumatic stress in former Ugandan child soldiers. Lancet, 363, 861–1648.
DeVellis, R. F. (2003). Scale Development. Theory and Applications. Thousand Oaks, CA: Sage.
Dewe, P. (1991). Primary appraisal, secondary appraisal and coping: Their role in stressful work encounters. Journal of Occupational Psychology, 64, 331–51.
Dienner, E. and Emmons, A. (1985). The independence of positive and negative affect. Journal of Personality and Social Psychology, 47, 1105–17.
Eckenrode, J. and Bolger, N. (1997). Daily and within-day event measurement. In Measuring Stress. A Guide for Health and Social Scientists, ed. Cohen, S., Kessler, R. C. and Underwood, L. G.. New York: Oxford University Press.
Edgerton, R. B. (1966). Conceptions of psychosis in four East African societies. American Anthropologist, 68(2), 408–25.
Edgerton, R. B. (1971). A traditional African psychiatrist. Southwestern Journal of Anthropology, 27, 259–78.
Edgerton, R. B. (1980). Traditional treatment for mental illness in Africa: A review. Culture, Medicine and Psychiatry, 4, 167–89.
Edgerton, R. B. and Cohen, A. (1994). Culture and schizophrenia: The DOSMD challenge. British Journal of Psychiatry, 164, 222–31.
Feldman Barrett, L. and Barrett, D. J. (2001). An introduction to computerized experience sampling in psychology. Social Science Computer Review, 19(2), 175–85.
Fliege, H., Rose, M., Arck, P. et al. (2005). The Perceived Stress Questionnaire (PSQ) reconsidered: validation and reference values from different clinical and healthy adult samples. Psychosomatic Medicine, 67, 78–88.
Folkman, S. and Lazarus, R. S. (1980). Manual for the Ways of Coping Questionnaire. Palo Alto, CA: Consulting Psychologists Press.
Folkman, S., Lazarus, R. S., Gruen, R. J. and DeLongis, A. (1986). Appraisal, coping, health status and psychological symptoms. Journal of Personality and Social Psychology, 50, 571–9.
Fowler, F. J. (1993). Survey Research Methods. Newbury Park, CA: Sage.
Fowler, F. J. (1995). Improving Survey Questions. Design and Evaluation. Thousand Oaks, CA: Sage.
Ghiselli, E. E., Campbell, J. P. and Zedeck, S. (1981). Measurement Theory for the Behavioral Sciences. San Francisco, CA: W.H. Freeman and Company.
Gravlee, C. E. (2002). Mobile computer-assisted personal interviewing with handheld computers: the Entryware System 3.0. Field Methods, 14(3), 322–36.
Hewitt, P. L., Flett, G. L. and Mosher, S. W. (1992). The perceived stress scale: factor structure and relation to depression symptoms in a psychiatric sample. Journal of Psychopathology and Behavioral Assessment, 14(3), 247–57.
Ice, G. H. (2004). Technological advances in observational data collection: the advantages and limitations of computer assisted data collection. Field Methods, 16(3), 352–75.
Ice, G. H., James, G. D. and Crews, D. (2003). Blood pressure variation in the institutionalized elderly. Collegium Antropologicum, 27(2), 47–56.
Ice, G. H., Katz-Stein, A., Himes, J. H. and Kane, R. L. (2004). Diurnal cycles of salivary cortisol in older adults. Psychoneuroendocrinology, 29(3), 355–70.
James, G. D. (1991). Blood pressure response to daily stressors of urban environments: methodology, basic concepts and significance. Yearbook of Physical Anthropology, 34, 189–210.
James, G. D. (2001). Evaluation of journals, diaries, and indexes of worksite environmental stress. In Contemporary Cardiology: Blood Pressure Monitoring in Cardiovascular Medicine and Therapeutics, ed. White, W.. Totowa, NJ: Humana Press, pp. 29–44.
James, G. D., Broege, P. and Schlussel, Y. (1996). Assessing cardiovascular risk and stress-related blood pressure variability in young women employed in wage jobs. American Journal of Human Biology, 8, 743–9.
James, G. D., Moucha, O. P. and Pickering, T. G. (1991). The normal hourly variation of blood pressure in women: average patterns and the effect of work stress. Journal of Human Hypertension, 5(6), 505–9.
James, G. D., Yee, L. S., Harshfield, G. A., Blank, S. G. and Pickering, T. G. (1986). The influence of happiness, anger, and anxiety on the blood pressure of borderline hypertensives. Psychosomatic Medicine, 48(7), 502–8.
James, G. D., Yee, L. S. and Pickering, T. G. (1990). Winter–summer differences in the effects of emotion, posture and place of measurement on blood pressure. Social Science and Medicine, 31(11), 1213–17.
Jenkins, J. H. and Karno, M. (1992). The meaning of expressed emotion: theoretical issues raised by cross-cultural research. American Journal of Psychiatry, 149, 9–21.
Kaaya, S. F., Fawzi, M. C. S., Mbwambo, al. (2002). Validity of the Hopkins Symptom Checklist-25 amongst HIV-positive pregnant women in Tanzania. Acta Psychiatrica Scandinavica, 106, 9–19.
Kahng, S. and Iwata, B. A. (1998). Computerized systems for collecting real-time observational data. Journal of Applied Behavior Analysis, 31, 253–61.
Katz, M. M., Marsella, A., Dube, K. al. (1988). On the expression of psychosis in different cultures: schizophrenia in an Indian and in a Nigerian community. Culture, Medicine and Psychiatry, 12, 331–55.
Krueger, R. (1998). Focus Group Tool Kit. Thousand Oaks, CA: Sage.
Larsen, R. J. and Diener, E. (1992). Promises and problems with the circumplex model of emotion. In Emotion, ed. Clark, M. S.. Newbury Park, CA: Sage, 13: 25–59.
Lawton, M. P., Kleban, M. H., Dean, J., Rajagopal, D. and Parmelee, P. A. (1992). The factorial generality of brief positive and negative affect measures. Journal of Gerontology, 47(4), 228–37.
Lazarus, R. S. (1984). Puzzles in the study of daily hassles. Journal of Behavioral Medicine, 7, 375–89.
Lazarus, R. S. (1991). Emotion and Adaptation. New York: Oxford University Press.
Lazarus, R. S. and Folkman, S. (1984a). Coping and adaptation. In Handbook of Behavioral Medicine, ed. Gentry, W. D.. New York: Guilford Press, pp. 282–325.
Lazarus, R. S. and Folkman, S. (1984b). Stress, Appraisal and Coping. New York: Springer.
Lerner, P. (1979). Handbook of Ethological Methods. New York: Garland STPM Press.
Levenstein, S., Prantera, C., Varvo, al. (1993). Development of the Perceived Stress Questionnaire: a new tool for psychosomatic research. Journal of Psychosomatic Research, 37(1), 19–32.
Lilienfeld, D. E. and Stolley, P. D. (1994). Foundations of Epidemiology. New York: Oxford University Press.
Marlowe, N. (1998). Stressful events, appraisal, coping and recurrent headache. Journal of Clinical Psychology, 59(10), 1107–16.
Martin, P. and Bateson, P. (1993). Measuring Behavior. Cambridge: Cambridge University Press.
Martin, R. A., Kazarian, S. S. and Breiter, H. J. (1995). Perceived stress, life events, dysfunctional attitudes, and depression in adolescent psychiatric inpatients. Journal of Psychopathology and Behavioral Assessment, 17(1), 81–95.
McNair, D., Lorr, M. and Droppleman, L. (1971). Psychiatric Outpatient Mood Scale. Boston: Psychopharmacology Laboratory, Boston University Medical Center.
Messick, S. (1995). Validity of psychological assessment. Validation of inferences from persons' responses and performances as scientific inquiry into score meaning. American Psychologist, 50(9), 741–9.
Monroe, S. M. and Kelley, J. M. (1997). Measurement of stress appraisal. In Measuring Stress. A Guide for Health and Social Scientists., ed. Cohen, S., Kessler, R. C. and Gordon, L. U.. New York: Oxford University Press, pp. 122–47.
Morgan, C. A. (1993). Successful Focus Groups: Advancing the State of the Art. Newbury Park, CA: Sage.
Morgan, D. L. (1997). Focus Groups as Qualitative Research. Thousand Oaks, CA: Sage.
Morris, J. E. and Long, B. C. (2002). Female clerical workers' occupational stress: the role of the person and social resources, negative affectivity and stress appraisals. Journal of Counseling Psychology, 49(4), 395–410.
Myers, F. R. (1979). Emotions and self: a theory of personhood and the political order among Pintupi Aborigines. Ethos, 7, 343–70.
Netemeyer, R. G., Bearden, W. O. and Sharma, S. (2003). Scaling Procedures. Issues and Applications. Thousand Oaks, CA: Sage.
Nunnaly, J. and Bernstein, I. (1994). Psychometric Theory. New York: McGraw Hill.
Ockenfels, M. C., Porter, L., Smyth, J. et al. (1995). Effect of chronic stress associated with unemployment on salivary cortisol: overall cortisol levels, diurnal rhythm, and acute stress reactivity. Psychosomatic Medicine, 57(5), 460–7.
Oksenberg, L., Cannell, C. and Kalton, G. (1991). New strategies of pretesting survey questions. Journal of Official Statistics, 7(3), 349–66.
Patel, V. (2001). Cultural factors and international epidemiology. British Medical Bulletin, 57, 33–45.
Patel, V., Araya, R., Lima, M., Ludermir, A. and Todd, C. (1999). Women, poverty and common mental disorders in four restructuring societies. Social Science and Medicine, 49, 1461–71.
Peacock, E. J. and Wong, P. T. P. (1990). The stress appraisal measure (SAM): a multidimensional approach to cognitive appraisal. Stress Medicine, 6, 227–36.
Pham, P. N., Weinstein, H. M. and Longman, T. (2004). Trauma and PTSD symptoms in Rwanda. Implications for attitudes toward justice and reconciliation. Journal of the American Medical Association, 292(5), 602–12.
Pike, I. L. and Young, A. (2002). Understanding psychosocial health among reproductive age women from Turkana District, Kenya and Mbulu District, Tanzania. American Anthropological Association Annual Meeting Abstracts, 479.
Plutchik, R. (1989). Measuring emotions and their derivatives. In Emotion: Theory, Research and Experience, Volume, 4. The Measurement of Emotions. ed. Plutchik, R. and Kellerman, H.. San Diego, CA: Academic Press, pp. 1–35.
Plutchik, R. and Kellerman, H. (1989). Emotion. Theory, Research and Experience. San Diego, CA: Academic Press.
Rosner, B. (1995). Fundamentals of Biostatistics. Belmont, CA: Duxbury Press.
Rowley, A. A., Roesch, S. C., Jurica, B. J. and Vaughn, A. A. (2005). Developing and validating a stress appraisal measure for minority adolescents. Journal of Adolescence, 28, 547–57.
Sanz-Carrillo, C., Garcia-Campayo, J., Rubio, A., Santed, M. A. and Montoro, M. (2002). Validation of the Spanish version of the Perceived Stress Questionnaire. Journal of Psychosomatic Research, 52(3), 167–72.
Schwartz, J. E., Neale, J., Marco, C., Shiffman, S. S. and Stone, A. A. (1999). Does trait coping exist? A momentary assessment approach to the evaluation of traits. Journal of Personality and Social Psychology, 77(2), 360–9.
Schwarzer, R. and Schwarzer, C. (1996). A critical survey of coping instruments. In Handbook of Coping: Theory, Research, Applications, ed. Zeidner, M. and Endler, N. S.. New York: Wiley, pp. 107–32.
Shaver, P. R., Wu, S. and Schwartz, J. C. (1992). Cross-cultural similarities and differences in emotion and its representation. In Emotion, ed. Clark, M. S.. Newbury Park: Sage. 13: 175–212.
Sidener, T. M., Shabani, D. B. and Carr, J. E. (2004). A review of the Behavioral Evaluation Strategy & Taxonomy (BEST) Software application. Behavioral Interventions, in press.
Smyth, J., Ockenfels, M., Porter, L., Kirschbaum, C., Hellhammer, D. and Stone, A. (1998). Stressors and mood measured on a momentary basis are associated with salivary cortisol secretion. Psychoneuroendocrinology, 22, 353–70.
Spector, P. E. (1992). Summated Rating Scale Construction. An Introduction. Newbury Park, CA: Sage.
Stone, A. (1997). Measurement of affective response. In Measuring Stress. A Guide for Health and Social Scientists., ed. Cohen, S., Kessler, R. C. and Gordon, L. U.. New York: Oxford University Press.
Stone, A. A. and Shiffman, S. (1994). Ecological momentary assessment (EMA) in behavioral medicine. Annals of Behavioral Medicine, 16, 199–202.
Stone, A. A., Kessler, R. C. and Haythornthwaite, J. A. (1991). Measuring daily events and experiences: decisions for the researcher. Journal of Personality, 59, 575–605.
Stone, A. A., Schwarz, J. E., Neale, J. al. (1998). How accurate are current coping assessments? A comparison of momentary versus end of the day coping efforts. Journal of Personality and Social Psychology, 74, 1670–80.
Stone, A. A., Shiffman, S. S. and DeVries, M. (1999). Ecological momentary assessment. In Understanding Quality of Life: Scientific Perspectives in Enjoyment and Suffering, ed. Kahneman, E. D. and Schwartz, N.. New York: Russell Sage, pp. 26–39.
Trochim, W. (2000). The Research Methods Knowledge Base. 2nd edn. Cincinnati, OH: Atomic Dog.
Eck, M. and Nicholson, N. (1994). Perceived stress and salivary cortisol in daily life. Annals of Behavioral Medicine, 16, 221–7.
Verbrugge, L. (1980). Health Diaries. Medical Care, 19(73–95).
Watson, D., Clark, L. and Tellegen, A. (1988). Development and validation of brief measure of positive and negative affect: The PNAS Scales. Journal of Personality and Social Psychology, 54(6), 1063–70.
Watson, D. and Vaidya, J. (2003). Mood measurement: current status and future directions. In Handbook of Psychology, Volume 2, Research Methods in Psychology. Hoboken, NJ: Wiley.
Weller, S. C. and Romney, A. K. (1988). Systematic Data Collection. Newbury Park, CA: Sage.
Wheeler, L. and Reis, H. T. (1991). Self-recording of everyday life events: Origins, types and uses. Journal of Personality, 59, 339–54.