Understanding the characteristics of friendship quality, activity participation, and emotional well-being in Taiwanese adolescents with autism spectrum disorder
Abstract
Background Autism spectrum disorder (ASD) is a lifelong developmental disability characterized by deficits in social communication and social interaction across multiple contexts. Existing literature on social relationships and well-being among adolescents with ASD in Asian countries is scant. Aims This study compared the perceptions of adolescents with ASD with those of their neurotypical peers toward their friendship quality, activity participation, and emotional well-being, and examined the relationships between friendship quality, activity participation, and emotional well-being. Methods The study participants-101 adolescents with ASD and 101 neurotypical peers, aged 10-19 years-completed the following self-administered questionnaires: the Friendship Quality Questionnaire, the Child and Adolescent Scale of Participation, the Beck Anxiety Inventory, and the short-form UCLA loneliness scale. Results Adolescents with ASD reported lower friendship quality, lower school participation, and higher levels of anxiety and loneliness compared to their neurotypical peers. Loneliness correlated negatively with friendship quality and school participation and positively with anxiety. Adolescents with ASD experienced increased levels of anxiety when low friendship quality was accompanied by greater loneliness. Conclusions and significance These findings reveal that friendship quality, school participation, and loneliness have a considerable effect on the emotional well-being of adolescents with ASD, thus indicating the need for therapeutic interventions that address interpersonal relationships and emotional well-being.
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Positive peer relationships are associated with lower levels of loneliness in adolescents.
“Irrespective of the quality of evidence, the replicability of the same results and conclusions across different populations, stages of adolescence, types of friendship quality in respect to gender and whether it is between best friends only, all supported the hypothesis that positive peer relationships were associated with lower levels of loneliness [55, 62, 67–71, 93].”
From Association between friendship quality and subjective wellbeing among adolescents: a systematic review (2022) · cites this paper as [55]
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Hards, E., Loades, M. E., Higson‐Sweeney, N., Shafran, R., Serafimova, T., Brigden, A., Reynolds, S., Crawley, E., Chatburn, E., Linney, C., et al. (2022) · British Journal of Clinical Psychology · doi:10.1111/bjc.12331 · Cited by 162 · see citing works
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- Authors
- Chang, Y.-C., Chen, C.-H., Huang, P.-C., & Lin, L.-Y.
- Affiliations
- National Cheng Kung University (TW)
- National Taitung University (TW)
- Corresponding author
- Lin, Ling-Yi
- Venue
- Scandinavian Journal of Occupational Therapy
- Published
- 2018-03-13
- Volume
- 26
- Issue
- 6
- Pages
- 452-462
- ISSN
- 1103-8128 (ISSN-L)
- 1651-2014
- OpenAlex
- W2793067419
- Cited by
- 46
- References
- 11
- Citations by year
- 2026: 3 · 2025: 4 · 2024: 13 · 2023: 11 · 2022: 6 · 2021: 5 · 2020: 4
- FWCI
- 1.34
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Scandinavian Journal of Occupational Therapy (publishedVersion)
- PubMed (publishedVersion)
- Funders
- Taiwan Ministry of Science and Technology
- Topics
- Life Sciences › Neuroscience › Cognitive Neuroscience › Autism Spectrum Disorder Research
- Social Sciences › Psychology › Clinical Psychology › Family and Disability Support Research
- Health Sciences › Medicine › Psychiatry and Mental health › Child Nutrition and Feeding Issues
- Keywords
- autism spectrum disorder, adolescents, friendship quality, social participation (health and rehabilitation), school participation, emotional well-being, loneliness, anxiety, neurotypical peers, interpersonal relationships, Taiwanese adolescents
- MeSH terms
- Autism Spectrum Disorder, Adolescent, Anxiety, Child, Female, Humans, Interpersonal Relations, Loneliness, Male, Surveys and Questionnaires, Taiwan, Case-Control Studies, Friends, Young Adult
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