Description

The Stockholm Marital Stress Scale (SMSS) is a structured interview for measuring marital stress.


 

The instrument consists of 17 questions related to marriage and the relationship with one's spouse.

 

Point assignment:

(1) 1 point for a "No" response: 1, 2, 5, 7, 8, 13, 14, 15

(2) 1 point for a "Yes" response: 3, 4, 6, 9, 10, 11, 12, 16, 17

 

Problems (previous or current, as indicated by responses to questions 10 and 11) in relationship: 1 point assigned for each present

(1) infidelity

(2) substance use or abuse

(3) economic problems

(4) health problems

(5) other problems

 

problem subscore =

= (number of previous problems) + (number of current problems)

 

total score =

= (martial stress subscore) + (problem subscore)

 

Interpretation:

• minimum score: 0

• maximum score: 27

• The higher the score, the greater the stress in the relationship.

 

Total Score

Stress

0 or 1

absent or mild

2 or 3

moderate

> 3

severe

 

Limitations:

• The scale was developed for studying women with heart disease. It should also be applicable to studying men and to include other health disorders. I have generalized health disorders in the implementation.

• I would think the scale would be more powerful if it used a Likert scale response format rather than all-or-nothing.

 


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