This scale seems to me like not valid for all cultures, when i compare the experience in Bulgaria in therapy. The impact of different life events seems to be different depending of culture and cultural values, social support, environmental conditions and emotional states. Long ago we had the idea already to find out in different centers the impact of different life events and to add an updated Holmes-Rahe scale, and one day we might start with it, in which way could we do it? First to collect all different life event terms and then to use the framework of Holmes and Rahe?