Association between joint hypermobility and anxiety in Brazilian university students: gender-related differences

J Psychosom Res. 2014 Dec;77(6):558-61. doi: 10.1016/j.jpsychores.2014.08.016. Epub 2014 Sep 3.

Abstract

Introduction: Anxiety disorders may be associated with several non-psychiatric disorders. Current literature has been investigating the association between anxiety and joint hypermobility (JHM), with special interest in non-articular symptoms that may be related to autonomic dysfunction. This study investigated the association between anxiety and JHM in a sample of Brazilian university students.

Methods: Data were cross-sectionally collected in two Brazilian universities (N=2600). Participants completed three validated self-rating anxiety scales: Beck Anxiety Inventory (BAI), Social Phobia Inventory (SPIN) and the brief-version of SPIN (Mini-SPIN). They also answered the self-rating screening questionnaire for JHM: the Five-part Questionnaire for Identifying Hypermobility.

Results: Hypermobile women showed significantly higher scores in all the anxiety scales, when compared with men: BAI total score (t=3.77; p<0.001), its four subscales, SPIN score (t=2.71; p<0.007) and Mini-SPIN (t=2.58; p<0.01). Among BAI subscales, the autonomic subscale was shown to be more significantly (t=3.89; p<0.001) associated with joint hypermobility in women.

Conclusions: The results of the present study support earlier evidence on the relationship between anxiety and JHM in women, showing specific gender-related features in this field. It also directs attention to non-articular symptoms that may be enrolled in this association.

Keywords: Anxiety; Autonomic dysfunction; Joint hypermobility; University students; Women.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adult
  • Anxiety / epidemiology*
  • Anxiety / psychology
  • Anxiety Disorders / diagnosis
  • Anxiety Disorders / epidemiology*
  • Anxiety Disorders / psychology
  • Brazil / epidemiology
  • Female
  • Humans
  • Joint Instability / epidemiology*
  • Joint Instability / psychology
  • Male
  • Sex Distribution
  • Sex Factors
  • Students / psychology*
  • Students / statistics & numerical data
  • Surveys and Questionnaires
  • Universities
  • Young Adult