Qualitative thematic coding was conducted on respondent's short narratives to identify appraised sources of significant stress. Respondents described the most stressful situation encountered over the past 4 weeks. Narratives from all baseline and follow-up interviews were examined for common themes across time. A total of 726 themes were coded from responses available for 113 participants. These descriptions were first independently categorized by the author to identify bucket codes that reflected dominant and recurrent themes in the data. The code list was given to a graduate-level secondary coder to re-categorize the themes. Consensus coding between both coders was then carried out on all qualitative data to enhance validity of the results. Subthemes within dominant themes were also identified.