The Effectiveness of Quality-of-Life Therapy on Subjective Well- being and Hope in Parents of Autistic Children

Document Type : Original Article


1 Deprtment of Psychiatry, Social Determinants of health Research Center, Ahvaz Jundishapur University of Medical Sciences, Ahvaz, Iran.

2 Deprtment of Clinical Psychology, School of Psychology and Education, Shahid Chamran University, Ahvaz, Iran.

3 Deprtment of Clinical Psychology, Young Researchers and Elite Club, Medicine Branch, Islamic Azad University,Tehran, Iran.

4 Department of Psychiatry, Ahvaz Jundishapur University of Medical Sciences, Ahvaz, Iran.

5 Department of Statistics, Ahvaz Jundishapur University of Medical Sciences, Ahvaz, Iran.


Background and Objective: Autism disorder in children has damaging effects on parents. Attending to psychological issues, especially subjective well-being and hope of these parents is important. The purpose of this study was to investigate the efficacy of quality of life therapy on subjective well-being and hope in parents of autistic children.
Subjects and Methods: This study is a pre- and post-test design with control and experimental groups. The population of this study consisted of all parents of autistic children in Nahal exceptional children school in Ahvaz from whom 30 parents were selected by purposive sampling and were divided randomly into two groups of 15 persons allocated as experimental and control groups. They were matched for age, educational status, and socioeconomic status. The experimental group received 8 sessions of quality of life group therapy, but the control group did not receive any intervention. The instruments of this study were subjective well- being questionnaire and hope scale that participants completed in pre- and post-tests. Descriptive statistical methods and covariance analysis were used for analysis of the data.
Results:There was a significant difference between experimental group and control groups in terms of subjective well-being and hope (P<0.0001). The rate of subjective well-being and hope in experimental group in post-test was significantly higher than the control group.
Conclusion: According to these results quality-of-life therapy, as combination of positive psychology and cognitive-behavioral therapy, can increase the rate of subjective well-being and hope in parents of autistic children.


1-Sadock BJ, Sadock VA, Ruiz P. Kaplan and Sadock's Comprehensive Textbook of Psychiatry. 9th ed. Philadelphia: Wolters Kluwer/Lippincott Williams & Wilkins; 2009.
2-Richman S. Raising a Child with Autism. 3th ed. London: Jessica Kingsley; 2001.
3-Ozonof S, Rausen DJ, Mc Partland J. Parent guaid for asperger and high function autism (HFA) children. 1th ed.  London: McGraw–Hill; 2006.
4-Riahi F, Khajeddin N, Izadi Mazidi S, Eshrat T, Naghdi Nasab L. [The effect of supportive and cognitive- behavior group therapy on mental health and irrational believes of mothers of autistic children]. Jundishapur Sci Med J 2011;10(6):637-45. [In Persian]
5- Kuhn JC, Carter AS. Maternal self-efficacy and associated parenting cognitions among mothers of children with autism. Am J Orthopsychiatry 2006;76(4):564-75.
6-Dugan C. Coping with autism– support for families. 2003; Available at: URL:
7-Hobart HM, Smith W. Autism and family in the People's Republic of China: Learning from parents' perspectives. Res Pract Persons Severe Disabil 2008;33(1-2):37-47.
8-Tennant C. Life events, stress and depression: a review of recent findings. Aust N Z J Psychiatry 2002;36(2):173-82.
9-Frisch MB. Quality of life therapy: applying a life satisfaction approach to positive psychology and cognitive therapy. Hoboken: John Wiley & Sons; 2006.
10-Gallagher EN, Vella-Brodrick DA. Social support and emotional intelligence as predictors of subjective well-being. Pers Indiv Differ 2008;44:1551-61.
11-Howell RT, Keren LM, Lyubomirsky S. Health benefits: Meta analytically determining the impact if well-being on objective health outcomes. Health Psy Rev 2007;1(1):1-54.
13-Bahadori Khosroshahi J, Hashemi Nosrat Abad T. [The relationship between hopefulness and resiliency with psychological well-being: a study in the university students]. Thought Behav Clin Psy 2012;6(22):41-50. [In Persian]
14-Snyder CR. Handbook of hope: theory, measures, and applications. 5th ed. San Diego: Academic Press; 2000.
15-Farhadi M, Ahmadi Tahoor Soltani M, Ramezani V, Gharehkhani A. Elderly Mental Health: the Role of Spiritual Well-being and Hope. Res Psy Health 2009;3(2):43-50. [In Persian]
16-Toghyani M. The Effectiveness of Quality Of Life Therapy (QOLT) on Mental Health, Subjective Well–Being (SWB) and academic performance of young boys [dissertation]. Isfahan: Isfahan Univ; 2011. [In Persian]
17-Joseph S, Lindley AP. Positive Psychotherapy: A Metatheory for Psychological practice. 1th ed. Oxford: Rutledge Press; 2006.
 18-Gross CR, Kreitzer MJ, Russas V, Treesak C, Frazier PA, Hertz MI. Mindfulness meditation to reduce symptoms after organ transplant: a pilot study. Adv Mind Body Med 2004;20(2):20–9.
20-Snyder CR, Irving L, Anderson JR. Hope and health: Measuring the will and the ways. In: Snyder CR, Forsyth DR, eds. Handbook of social and clinical psychology: The health perspective. Elmsford: Pergamon; 1991. P. 231-302.
21-Shojaee Baghini F. The relationship between hope and optimism with avoidance from risky behaviors among girls 15 to 18 years of Kerman city [dissertation]. Tehran: Allameh Tabatabaee Univ.; 2012. [In Persian]
22-Mak WW, Kwok YT. Internalization of stigma for parents of children with autism spectrum disorders in Hong Kong. J Soc Sci Med 2010;70(12):2045-51.
23-Khorram Abadi R, Pouretemad H, Mazaheri A, Dehghani M, Khosroshahi S. The effectiveness of the 'Little Bird' program in the general health of mothers with autistic children. J Family Res 2011;7(27):325-41. [In Persian]
24-Abedi MR, Vostanis P. Evaluation of quality of life therapy for parents of children with obsessive–compulsive disorders in Iran. Eur Child Adolesc Psychiatry 2010;19(7):605-13.
25-Ghasemi N, Kajbaf MB, Rabiei M.  The effectiveness of Quality Of Life Therapy (QOLT) on Subjective Well–Being (SWB) and Mental Health. J Clin Psychol 2012;3(2):23-34. [In Persian]
26-Moreira-Almeida  A, Lotufo-Neto F, Koenig HG. Religiousness and Mental Health: a review. Rev Bras Psy 2006;(6):119-131.
27-Sanders MR, Markie-Dadds C. Triple P: A multi-level family intervention program for children with disruptive behavior disorders. In: Cotton P, Jackson H, eds. Early intervention and prevention in mental health. Melbourne: Australian Psychological Society; 2005. P. 59–85.
28-Maluka CS. Subjective well-being and self-esteem in a disadvantaged community [dissertation]. master thesis, UNISA. 2004.
29-Sterverink M, Lindenberg S. Which social need are important for subjective well-being? What happens to them with aging? Psy Aging 2006;21(2):281-90.
30-Lyubomirsky S, Della Porta M. Boosting happiness, buttressing resilience: Results from cognitive and behavioral interventions. In: Reich JW, Zautra AJ, Hall J, eds. Handbook of adult resilience: Concepts, methods, and applications. 1th ed.  New York: Guilford Press; 2008.