Journal of Modern Rehabilitation 2017. 11(3):167-174.

Quality of Life of Mothers of Children With Autism Spectrum Disorders and Its Relationship With Severity of Disorder and Child’s Occupational Performance
Fateme Salehi, Parvin Raji, Mahmood Mahmoodian, Hooshang Dadgar, Ahmad Reza Baghestani


Introduction: Mothers of children with Autism Spectrum Disorders (ASD) have the lowest grade of quality of life compared with mothers of children with other disorders like mental retardation, learning disorders, or physical impairments. To the best of our knowledge, there is no study on the influence of severity of disorder and occupational performance of autistic child on mother’s quality of life. This study aims to determine the relationship between quality of life of these mothers with severity of disorder and occupational performance in their autistic children.
Materials and Methods: The participants included 35 mothers and their children with ASD (aged 3 to 7 years). They were selected by available sampling method from Tehran City, Iran. Severity of disorder and occupational performance were respectively measured by Gilliam Autism Rating Scale 2 and Canadian Occupational Performance Measure.
Results: The relationship between mothers’ quality of life and severity of their children’s ASD was significant (except for two components of physical roles [P=0.276] and bodily pains [P=0.174]. Also correlation of mothers’ quality of life and occupational performance was significant (except for four dimensions of physical functioning [P=0.439] , physical roles [P=0.801], bodily pains [P=0.105] and role emotional [P=0.140]).
Conclusion: The results show that quality of life of mothers of autistic children is significantly associated with severity of disorder and occupational performance of children, but its relationship with severity of disorder is more pronounced than occupational performance. Therefore, in order to improve mother’s quality of life, the severity of symptoms of ASD should be decreased and child’s occupational performance increased.


Quality of life, Mothers, Autism Spectrum Disorders, Severity of disorder, Occupational performance

Full Text:



Greenspan SI, Wieder S. Engaging autism: Using the floortime approach to help children relate, communicate, and think. Boston, Massachusetts: Da Capo Lifelong Books; 2006.

American Psychiatric Association. Diagnostic and statistical manual of mental disorders (DSM-5®). Washington, DC: American Psychiatric Pub; 2013.

Dunlap G, Robbins FR, Darrow MA. Parents' reports of their children's challenging behaviors: Results of a statewide survey (" Accepted by Louis Rowitz"). Mental Retardation. 1994; 32(3):206.

Hodgetts S, Zwaigenbaum L, Nicholas D. Profile and predictors of service needs for families of children with autism spectrum disorders. Autism. 2014; 19(6):673–83. doi: 10.1177/1362361314543531

Kim YS, Leventhal BL, Koh YJ, Fombonne E, Laska E, Lim EC, et al. Prevalence of autism spectrum disorders in a total population sample. American Journal of Psychiatry. 2011; 168(9):904–12. doi: 10.1176/appi.ajp.2011.10101532

Autism and Developmental Disabilities Monitoring Network Surveillance Year 2010 Principal Investigators. Prevalence of autism spectrum disorder among children aged 8 years—autism and developmental disabilities monitoring network, 11 sites, United States, 2010. Morbidity and Mortality Weekly Report: Surveillance Summaries. 2014; 63(2):1-21. PMID: 24670961

Volkmar FR, Pauls D. Autism. The Lancet. 2003; 362(9390):1133–41. doi: 10.1016/s0140-6736(03)14471-6

Øien R, Eisemann MR. Brief report: Parent-reported problems related to communication, behavior and interests in children with autistic disorder and their impact on quality of life. Journal of Autism and Developmental Disorders. 2015; 46(1):328–31. doi: 10.1007/s10803-015-2577-4

Mugno D, Ruta L, D’Arrigo V, Mazzone L. Impairment of quality of life in parents of children and adolescents with pervasive developmental disorder. Health and Quality of Life Outcomes. 2007; 5(1):22. doi: 10.1186/1477-7525-5-22

Haimour AI, Abu Hawwash RM. Evaluating quality of life of parents having a child with disability. International Interdisciplinary Journal of Education. 2012; 1(2):37-43.

Emily G, Grace I. Family quality of life and ASD: The role of child adaptive functioning and behavior problems. Autism Research. 2015; 8(2):199–213. doi: 10.1002/aur.1442

Rattaz C, Michelon C, Roeyers H, Baghdadli A. Quality of life in parents of young adults with ASD: EpiTED cohort. Journal of Autism and Developmental Disorders. 2017; 47(9):2826–37. doi: 10.1007/s10803-017-3197-y

Beck AT, Steer RA, Brown GK. Beck depression inventory-II. San Antonio. 1996; 78(2):490-8. doi: 10.1037/t00742-000

Ware JE, Sherbourne CD. The MOS 36-ltem Short-Form Health Survey (SF-36). Medical Care. 1992; 30(6):473–83. doi doi: 10.1097/00005650-199206000-00002

Montazeri A, Goshtasebi A, Vahdaninia M, Gandek B. The Short Form Health Survey (SF-36): Translation and validation study of the Iranian version. Quality of Life Research. 2005; 14(3):875–82. Doi: 10.1007/s11136-004-1014-5

Ahmadi S, Safari T, Hemmatian M, Khalili Z. The psychometric properties of Gilliam Autism Rating Scale (GARS). Journal of Cognitive and Behavioral Sciences. 2011; 1(1):87-104.

Dehghan L, Dalvand H, Pourshahbaz A. Translation of canadian occupational performance measure and testing Persian version validity and reliability among Iranian mothers of children with cerebral palsy. Journal of Modern Rehabilitation. 2015; 9(4):25-31.

Altiere MJ, von Kluge S. Family functioning and coping behaviors in parents of children with autism. Journal of Child and Family Studies. 2008; 18(1):83–92. doi: 10.1007/s10826-008-9209-y

Aali S, Abdkhodae M, Ghanaee A, Moharari F. Developmental function of families with autism spectrum disorder children compared with families with healthy children. Medical Journal of Mashhad University of Medical Sciences. 2015; 58(1):32-41.

Zablotsky B, Anderson C, Law P. The association between child autism symptomatology, maternal quality of life, and risk for depression. Journal of Autism and Developmental Disorders. 2012; 43(8):1946–55. doi: 10.1007/s10803-012-1745-z

Dardas LA, Ahmad MM. Quality of life among parents of children with autistic disorder: A sample from the Arab world. Research in Developmental Disabilities. 2014; 35(2):278–87. doi: 10.1016/j.ridd.2013.10.029

Samadi SA, McConkey R. Autism in developing countries: Lessons from Iran. Autism Research and Treatment. 2011; 2011:1–11. doi: 10.1155/2011/145359

Piovesan J, Scortegagna SA, Marchi ACBD. Quality of life and depressive symptomatology in mothers of individuals with autism. Psico-USF. 2015; 20(3):505–15. doi: 10.1590/1413-82712015200312

Fairthorne J, Fisher C, Bourke J, Leonard H. Experiences impacting the quality of life of mothers of children with autism and intellectual disability. Journal of Psychology Research. 2014; 4(08). doi: 10.17265/2159-5542/2014.08.005

Kousha M, Attar HA, Shoar Z. Anxiety, depression, and quality of life in Iranian mothers of children with autism spectrum disorder. Journal of Child Health Care. 2016; 20(3):405–14. doi: 10.1177/1367493515598644

Suzumura S. Quality of life in mothers of preschoolers with high-functioning pervasive developmental disorders. Pediatrics International. 2015; 57(1):149–54. doi: 10.1111/ped.12560

Pozo P, Sarriá E, Brioso A. Family quality of life and psychological well-being in parents of children with autism spectrum disorders: A double ABCX model. Journal of Intellectual Disability Research. 2013; 58(5):442–58. doi: 10.1111/jir.12042

Schlebusch L, Dada S, Samuels AE. Family quality of life of south African families raising children with autism spectrum disorder. Journal of Autism and Developmental Disorders. 2017; 47(7):1966–77. doi: 10.1007/s10803-017-3102-8

Baghdadli A, Pry R, Michelon C, Rattaz C. Impact of autism in adolescents on parental quality of life. Quality of Life Research. 2014; 23(6):1859–68. doi: 10.1007/s11136-014-0635-6


  • There are currently no refbacks.

Creative Commons Attribution-NonCommercial 3.0

This work is licensed under a Creative Commons Attribution-NonCommercial 3.0 Unported License which allows users to read, copy, distribute and make derivative works for non-commercial purposes from the material, as long as the author of the original work is cited properly.