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The purpose of the study was to verify that the multi-dimensional characteristics of picture book bibliotherapy work as a treatment tool appropriate for the biological, environmental, and psychological characteristics of middle-aged women, thus enhancing their sense of happiness. The research method was a Heterogeneous Control Group Pre- and Post-test design. We organized a total of 15 women aged 40 to 65 years old, living in city B, into an experimental group of 8 members and a control group of 7 members. From July 15, 2022 to September 2, 2022, picture book bibliotherapy was conducted with the experimental group only once a week for 8 weeks, for 150 minutes each week. The collected data was carried out Two-Way Analysis of Variance and Analysis of Covariance. As a result of the study, the Experimental Group showed a statistically significant increase in both Overall Happiness Scores and the 6 Sub-factors Scores when it is compared to the control group.