Holroyd reported the questionaire, named QRS, which assessed psychic stress of parents with handicapped children. The scales of QRS were (1) Poor Health Mood (11 items), (2) Excess Time Demands (14 items), (3) Negative Attitude toward Index Case (23 items), (4) Overprotection/Dependency (13 items), (5) Lack of Social Support (10 items), (6) Overcommitment/Martyrdom (7 items), (7) Pessimism (13 items), (8) Lack of Family Integration (23 items), (9) Limits on Family Opportunity (9 items), (10) Financial Problems (17 items), (11) Physical Incapacitation (14 items), (12) Lack of Activities for Index Case (6 items), (13) Occupational Limitations for Index Case (7 items), (14) Social Obtrusiveness (7 items), (15) Difficult Personality Characteristics (32 items). Such 15 scales were thought to fall into three clusters: Parent Problems (Scales 1-7), Family Problems (Scales 8-10), and Child Problems (Scales 11-15). QRSs were sent to the principals of several primary schools with special classes, a special school for the mentally retarded, a special school for the crippled, and a special school for the blind. We asked them to pass QRSs to the parents. Three hundreds and two QRSs were returned to us through the principals. We analysed, here, one hundred and ten QRSs which were answered completely by mothers. Characteristics of samples were found in Table 1. Handicapped children were divided into 4 groups: autism (N=21), mental retardation(N= 31), cripple (N= 40), blind (N=18). They were 59 boys and 51 girls. Ages of children of 4:6 - 12:11 were 61, and 13:0 - 19:10 were 49. After school, 58 of them went to the institution, and 52 of them were returned home. Ages of mothers of 24:0 - 39:11 were 56, and 40:0 - 53:0 were 54. 53 of them graduated from a primary school, and 57 of them, a high school or college. The results were the followings. (1) Table 2 showed the means, standard deviations and significance tests of the differences for 4 handicapped children. 8 scales showed the statistically significant differences. As to 6 scales, the mothers with autistic children showed the highest scores: Scale 1, 2, 3, 4, 12, 15. As to 2 scales, the mothers with the crippled showed Scale 10 and 11, the highest scores. Cummings showed us that the mothers of mental retardation appeared to experience greater stress than the mothers of chronically ill and neurotic children. And, Holroyd concluded that the mothers of autism reported more problems than the mother of Down's syndrome and outpatient clinic children. This investigation showed that the mothers of autism reported greater interference with personal and child's functionings than any other group, and that the mothers of mental retardation did not experience statistically significant greater stress more than any other group. (2) As to QRS scales of each 4 groups, we examined the differences by sex (boy/girl), age (under/over 13 year), life style (home/institution) of children, and age (under/over 40 year), educational period (under/over 9 year) of mothers. Table 3a - 3d showed the statistically significant differences of QRS scales of the mothers with autistic, mentally retarded, crippled, and blind children. (3) Finally, we transculturally examined the attitudes of the mothers of autistic children and mentally retarded children (Table 4). As to autism, our mothers showed less anxiety about the support of their families and communities than Holroyd's mothers. And, as to mental retardation, our mothers were more worried that their children had not enough things to keep them entertained, and less anxious about the difficult characteristics of their children than Holroyd's mothers. But, generally speaking, it was impressive for us that even though the families were in the different cultures, the psychological stress of rearing a handicapped child was very similar for any mother in both countries.
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