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<p>Emotional dysregulation is a significant clinical feature in children with autism spectrum disorder (ASD), severely impacting their social integration and daily functioning. Exercise interventions are widely accepted due to their cost-effectiveness, ease of implementation, and low incidence of adverse reactions. This systematic review examines studies investigating exercise interventions for emotional dysregulation behaviors in ASD patients aged 18 years and younger. Through systematic search strategies, standardized literature screening procedures, and rigorous quality assessment, 19 eligible studies were ultimately included. Results indicate that interventions based on recreational activities, virtual reality, sports, and physical activities can improve ASD emotional dysregulation behaviors, including anxiety, irritability, aggression, and destructiveness. High-frequency (≥ 3 times/week) and medium-to-long-term (≥ 8 weeks) intervention programs yield more significant and stable effects. Personal fitness activities like yoga and jogging showed greater efficacy in improving internalizing emotions, while skill-dominant activities such as martial arts and aquatic sports primarily enhanced externalizing behaviors. Future research should employ rigorously designed studies with standardized assessment criteria, larger sample sizes, and longitudinal follow-up. Greater attention should be given to adolescents, adults, and low-functioning or female ASD populations to better understand the extent of behavioral benefits exercise may offer these groups.</p>

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A Systematic Review of the Effects of Exercise Interventions on Emotional Dysregulation in Children and Adolescents with Autism Spectrum Disorder

  • 期刊论文

  • 发表日期：

    2026年5月4日

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  • Honghong Lai,
  • Xiaomei Zhan,
  • Tonglin Shi,
  • Ziwei Kuang,
  • Xiaoxin Peng,
  • Bangning Wang,
  • Lin Zeng,
  • Xiafang Li

摘要

Emotional dysregulation is a significant clinical feature in children with autism spectrum disorder (ASD), severely impacting their social integration and daily functioning. Exercise interventions are widely accepted due to their cost-effectiveness, ease of implementation, and low incidence of adverse reactions. This systematic review examines studies investigating exercise interventions for emotional dysregulation behaviors in ASD patients aged 18 years and younger. Through systematic search strategies, standardized literature screening procedures, and rigorous quality assessment, 19 eligible studies were ultimately included. Results indicate that interventions based on recreational activities, virtual reality, sports, and physical activities can improve ASD emotional dysregulation behaviors, including anxiety, irritability, aggression, and destructiveness. High-frequency (≥ 3 times/week) and medium-to-long-term (≥ 8 weeks) intervention programs yield more significant and stable effects. Personal fitness activities like yoga and jogging showed greater efficacy in improving internalizing emotions, while skill-dominant activities such as martial arts and aquatic sports primarily enhanced externalizing behaviors. Future research should employ rigorously designed studies with standardized assessment criteria, larger sample sizes, and longitudinal follow-up. Greater attention should be given to adolescents, adults, and low-functioning or female ASD populations to better understand the extent of behavioral benefits exercise may offer these groups.