Brain structure and joint hypermobility: relevance to the expression of psychiatric symptoms
- PMID: 22539777
- PMCID: PMC3365276
- DOI: 10.1192/bjp.bp.111.092460
Brain structure and joint hypermobility: relevance to the expression of psychiatric symptoms
Abstract
Joint hypermobility is overrepresented among people with anxiety and can be associated with abnormal autonomic reactivity. We tested for associations between regional cerebral grey matter and hypermobility in 72 healthy volunteers using voxel-based morphometry of structural brain scans. Strikingly, bilateral amygdala volume distinguished those with from those without hypermobility. The hypermobility group scored higher for interoceptive sensitivity yet were not significantly more anxious. Our findings specifically link hypermobility to the structural integrity of a brain centre implicated in normal and abnormal emotions and physiological responses. Our observations endorse hypermobility as a multisystem phenotype and suggest potential mechanisms mediating clinical vulnerability to neuropsychiatric symptoms.
Conflict of interest statement
None.
Figures
References
-
- Grahame R. Hypermobility: an important but often neglected area within rheumatology. Nat Clin Pract Rheumatol 2008; 4: 522–4 - PubMed
-
- Garcia Campayo J, Asso E, Alda M, Andres EM, Sobradiel N. Association between joint hypermobility syndrome and panic disorder: a case–control study. Psychosomatics 2010; 51: 55–61 - PubMed
-
- Mathias CJ, Low DA, Iodice V, Owens AP, Kirbis M, Grahame R. Postural tachycardia syndrome – current experience and concepts. Nat Rev Neurol 2011; 8: 22–34 - PubMed
-
- Paulus MP, Stein MB. An insular view of anxiety. Biol Psychiatry 2006; 60: 383–7 - PubMed
Publication types
MeSH terms
Grants and funding
LinkOut - more resources
Full Text Sources
Other Literature Sources
Medical