Development and psychometric evaluation of a psychosocial quality-of-life questionnaire for individuals with autism and related developmental disorders
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This study investigated the psychometric properties of the Child and Family Quality of Life scale, a measure of psychosocial quality of life in those with autism and related developmental disorders. Parents of 212 children suspected of autism spectrum disorder completed the Child and Family Quality of Life prior to a diagnostic evaluation. Results indicated that the Child and Family Quality of Life measured six unique quality-of-life constructs (child, family/caregiver, financial, external support, partner relationship, and coping), had good reliability across score ranges and exhibited expected patterns of convergent validity. Caregivers of autism spectrum disorder–affected children reported reduced family quality of life prior to the time of diagnosis relative to caregivers of children with other developmental disabilities. The Child and Family Quality of Life is a brief, reliable measure for assessing psychosocial quality of life in families affected by developmental disability. This study is the first to demonstrate impairments in family quality of life early in the developmental course of autism spectrum disorder, prior to formal diagnosis. In addition to traditional child-focused intervention strategies, families with autism spectrum disorder–affected children require early, broad intervention strategies that positively impact the whole family.
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The lives of people with ASD diagnoses have improved at least in some high-income countries, with a greater proportion of children using some language, more adults with educational qualifications and less institutionalization.
“The lives of people with ASD diagnoses have improved at least in some high-income countries, with a greater proportion of children using some language 243 , more adults with educational qualifications and less institutionalization 243”
From Autism spectrum disorder (2020) · cites this paper as [243]
The Introduction discusses ASD prevalence and its impact on quality of life, while the Results compare children with ASD against children with other diagnoses; neither provides a historical comparison of outcomes. Searches for institutionalization, adult educational qualifications, and changes in children's language use found no passage addressing the claimed improvements. (LLM, conf=0.77)
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Smart, G., Fleming, C., Healy, K. E., & Brocque, R. M. L. (2025) · Clinical Social Work Journal · doi:10.1007/s10615-025-00995-w
Frazier, T. W., Etten, N. V., Kubina, R. M., Knaebel, B., Frazier, A. R., Vadgama, Y., Chetcuti, L., & Uljarević, M. (2026) · Journal of Autism and Developmental Disorders · doi:10.1007/s10803-026-07554-3
Self-citation
- Authors
- Markowitz, L. A., Reyes, C., Embacher, R. A., Speer, L. L., Roizen, N., & Frazier, T. W.
- Affiliations
- Cleveland Clinic (US)
- University Hospitals Cleveland Medical Center (US)
- Corresponding author
- Frazier, Thomas W
- Venue
- Autism
- Publisher
- SAGE Publications
- Published
- 2016-07-08
- Volume
- 20
- Issue
- 7
- Pages
- 832-844
- ISSN
- 1362-3613 (ISSN-L)
- 1461-7005
- PMC
- PMC6296263
- OpenAlex
- W2189807816
- Cited by
- 58
- References
- 59
- Citations by year
- 2026: 2 · 2025: 4 · 2024: 2 · 2023: 4 · 2022: 5 · 2021: 28 · 2020: 5 · 2019: 2 · 2018: 3 · 2017: 2 · 2016: 1
- FWCI
- 2.48
- Type
- journal article
- Language
- en
- Open access
- green
- europepmc.org
- Locations
- Autism (publishedVersion)
- PubMed (publishedVersion)
- Europe PMC (PubMed Central) (acceptedVersion)
- PubMed Central (acceptedVersion)
- Funders
- Centers for Disease Control and Prevention
- National Institute of Neurological Disorders and Stroke (U54NS092090)
- National Center for Research Resources (K12RR023264)
- Topics
- Social Sciences › Psychology › Clinical Psychology › Family and Disability Support Research
- Life Sciences › Neuroscience › Cognitive Neuroscience › Autism Spectrum Disorder Research
- Health Sciences › Medicine › Psychiatry and Mental health › Child Nutrition and Feeding Issues
- Keywords
- psychosocial quality of life, autism spectrum disorder, developmental disabilities, psychometric properties, family quality of life, caregiver burden, financial stress, external support, coping, couple relationships, early diagnosis
- MeSH terms
- Autistic Disorder, Child, Developmental Disabilities, Child, Preschool, Female, Humans, Infant, Male, Parents, Psychometrics, Quality of Life, Surveys and Questionnaires, Reproducibility of Results
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