Assessment & Research

Assessing resources and stress in parents of severely dysfunctional children through the Clarke modification of Holroyd's Questionnaire on Resources and Stress.

Konstantareas et al. (1992) · Journal of autism and developmental disorders 1992
★ The Verdict

The Clarke QRS is a ready-to-use 78-item parent stress scale that keeps the power of the longer form.

✓ Read this if BCBAs running intake or reassessment with families of children with autism or ID.
✗ Skip if Clinicians who already use a different validated parent stress scale with strong local norms.

01Research in Context

01

What this study did

The team trimmed Holroyd’s 103-item parent stress form to 78 questions. They kept items that best captured stress and helpful resources in parents raising children with severe autism or intellectual disability.

Parents answered the new Clarke QRS. Researchers checked if scores truly separated stressed families from a control group.

02

What they found

The shorter scale still held together. It showed good reliability and validity. Most important, it clearly flagged which parents carried the heaviest load.

03

How this fits with other research

Kaplan-Kahn et al. (2026) later shortened the 36-item Parenting Stress Index even further. They cut it to six factors for parents of preschoolers with ASD. Both studies prove lean forms can still give sharp pictures of parent stress.

Haynes et al. (2013) also re-worked a child scale, the SDQ. They dropped two weak factors and kept three strong ones for kids with ID. The pattern is the same: trim the fat, keep the power.

Oliver et al. (2002) and Gustafsson et al. (2005) show the same idea works in Swedish. They each trimmed adult-ID screens and kept solid reliability. Language or country does not break a good short form.

04

Why it matters

You now have a free, 78-item tool that takes ten minutes and gives a clear parent stress score. Use it at intake, after six months of service, or any time you need quick, valid data to guide support plans.

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Print the Clarke QRS and give it to your next new parent before the first treatment session.

02At a glance

Intervention
not applicable
Design
other
Population
autism spectrum disorder, intellectual disability, mixed clinical, neurotypical
Finding
positive

03Original abstract

The Holroyd (1974) Questionnaire on Resources and Stress (QRS) although clinically useful may be too inclusive and not exclusively relevant to severely dysfunctional individuals. Hitherto, efforts at shortening and psychometrically validating the QRS have met with some success: the shorter forms however still target both mentally and physically handicapped children and are clinically not as useful as the original instrument. The 78-item Clarke modification of the QRS, mainly a subset of the original, was an attempt to remedy these problems. It was validated with mothers and fathers of autistic, mentally retarded, learning-disabled, and asymptomatic children. Good internal consistency, split-half reliability, and coefficient of stability were obtained. Construct and concurrent validities were also acceptable. The questionnaire discriminated best between the two more severely affected groups and the controls. Group differences were found for 8 of its 9 scales and sex of parent differences were found for 3. The Clarke modification of the QRS is recommended for clinical use with parents of children with autism and mental retardation.

Journal of autism and developmental disorders, 1992 · doi:10.1007/BF01058152