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. Author manuscript; available in PMC: 2024 Jan 26.
Published in final edited form as: Nat Rev Endocrinol. 2022 Oct 12;19(1):10–27. doi: 10.1038/s41574-022-00746-8

Table 1.

Assessment methods of life stress by measurement focus, indicators and mode

Focus Indicator Measurement
mode*
Exposure to stressors Community level
Neighbourhood socioeconomic disadvantage S or M
Catastrophical events (e.g. earth quake, 9/11 terror attack) M
Individual level
Trier Social Stress Test E
Adverse childhood experiences S
Major life events S or M
Socioeconomic disadvantage S or M
Work stress, parental stress, caregiver stress S
Loneliness, social isolation, lack of social contacts S
Animals in naturalistic settings
Subordinate status in stable social hierarchies M + B
Overall social rank instability M + B
Social conflict, aggression M + B
Animal models in laboratory
Chronic subordination stress E
Social instability stress E
Single prolonged stress (e.g. restraint) E
Stress response Acute stress
Blood/saliva/faecal/urine stress hormones (glucocorticoids, catecholamines) B
Implantable cardioverter–defibrillator recording + eDiary M + S
Chronic or repeated stress
Hair cortisol, allostatic load index B
Genetic variants of stress chemistry (Mendelian randomisation) B
Stress reactivity trait E + B
Post-traumatic stress disorder D
Cushing's syndrome (a stress hormone disorder) D, B
Stress appraisal Retrospective and online reporting
Psychological distress, symptom check lists S
Perceived stress, daily hassles S
Mobile monitoring (smart phone applications) S
*

Abbreviations: B, measurement of stress biomarkers (e.g. cortisol); E, external manipulation (e.g. Trier Social Stress Test); D, diagnosed condition; M, measurement of stressor (e.g. record of widowhood, death of child or neighbourhood disadvantage from national registries); S, self-report (e.g. questionnaire, interview, eDiary)