Effects of physical activity on internalizing problems in adolescents with autism spectrum disorder: the chain mediating effects of sport friendship quality and social-emotional competence

These findings suggest that physical activity holds substantial potential for mitigating internalizing symptoms among adolescents with ASD and supports the development of sport-based friendships and social-emotional skills. Future research should consider age-specific characteristics and individual preferences for activity types to identify the most effective interventions for enhancing friendship, social-emotional competence, and mental health in this population.