Mohammadi Atiyeh, Ghazavi Zahra, Moghadam Malek Fereidooni
MScN, Faculty of Nursing and Midwifery, Isfahan University of Medical Sciences, Isfahan, Iran.
MScN, BSN, Nursing and Midwifery Care Research Canter, Faculty of Nursing and Midwifery, Isfahan University of Medical Sciences, Isfahan, Iran.
Iran J Nurs Midwifery Res. 2024 Jul 24;29(4):446-451. doi: 10.4103/ijnmr.ijnmr_20_22. eCollection 2024 Jul-Aug.
The mental health of the parents of Autism Spectrum Disorder (ASD), particularly the mothers, is poor due to the severity and complex nature of this condition, and they encounter numerous issues. This investigation aimed to determine whether happiness education affected mothers of children with ASD's Expressed Emotions (EE) and Quality of Life (QoL).
A total of 70 mothers of children with ASD aged 3 to 13 years participated in this clinical trial study research. The experimental group received the Fordyce happiness training program once every 6 weeks via WhatsApp. In three stages, data were collected using a demographic form, the Family Questionnaire (FQ), and the World Health Organization Quality Of Life Instrument, Short Form (WHOQOL-BREF) (before the intervention, immediately afterward, and 1 month later). In the Statistical Package for Social Sciences (SPSS) software, the acquired data were analyzed using independent-sample -tests, Chi-square tests, and repeated-measures Analysis of Variance (ANOVA).
There was no significant difference in EE and QoL mean scores between the two groups before the intervention, but after, the intervention group's mean score of EE (20.91 (4.355)) was substantially lower than the control group's (44.74 (4.77)) ( < 0.001). In comparison, the intervention group's mean score of QoL and its dimensions was more significant than the control group's ( < 0.001).
Given the efficacy of the happiness education program in reducing EE and enhancing QoL in mothers of children with ASD, such treatment strategies should be developed and used.
由于自闭症谱系障碍（ASD）病情严重且复杂，ASD患儿父母，尤其是母亲的心理健康状况较差，她们面临诸多问题。本研究旨在确定幸福教育是否会影响ASD患儿母亲的表达性情绪（EE）和生活质量（QoL）。
共有70名3至13岁ASD患儿的母亲参与了这项临床试验研究。实验组通过WhatsApp每6周接受一次福代斯幸福训练计划。在三个阶段，使用人口统计学表格、家庭问卷（FQ）和世界卫生组织生活质量量表简表（WHOQOL - BREF）收集数据（干预前、干预后立即以及干预后1个月）。在社会科学统计软件包（SPSS）中，使用独立样本t检验、卡方检验和重复测量方差分析（ANOVA）对获取的数据进行分析。
干预前两组的EE和QoL平均得分无显著差异，但干预后，实验组的EE平均得分（20.91（4.355））显著低于对照组（44.74（4.77））（<0.001）。相比之下，实验组的QoL及其维度的平均得分高于对照组（<0.001）。
鉴于幸福教育计划在降低ASD患儿母亲的EE和提高QoL方面的有效性，应制定并采用此类治疗策略。
