scholarly journals Joint hypermobility and its relevance to common mental illness in adolescents: a population-based longitudinal study

2020 ◽  
Author(s):  
Jessica A Eccles ◽  
Hannah E Scott ◽  
Kevin A Davies ◽  
Rod Bond ◽  
Anthony S David ◽  
...  
Keyword(s):  
Mental Illness ◽  
Longitudinal Study ◽  
Connective Tissue ◽  
Common Mental Disorders ◽  
Joint Hypermobility ◽  
Birth Cohort Study ◽  
Sensitivity Index ◽  
Depression And Anxiety ◽  
Data Set ◽  
Generalized Joint Hypermobility

Importance: Depression and anxiety are common mood disorders that show higher prevalence in adults with joint hypermobility, a consequence of a constitutional variant of connective tissue structure. In adolescents, an association between mood disorder and hypermobility may enhance the potential understanding of risk factors for emotional disorder and provide opportunities for early intervention approaches. Objective: To test the hypothesis that joint hypermobility, a consequence of constitutional variant of connective tissue, is associated with common mental illness in adolescents. Design: This was a longitudinal prospective study. Setting: The Avon Longitudinal Study of Parents and Children (ALSPAC) is a prospective ongoing general population birth cohort study based in Avon County, England. Participants: The original data set comprised 6105 individuals from the cohort with data available on joint hypermobility at age 14 years; a sub-sample (n=3803) had later psychiatric assessments. Measurement of Exposure: Joint hypermobility was measured by physical examination at age 14 and 18 years, using the Beighton Scale Main Outcome and Measures: Participants were assessed at age 18 years. ICD 10 diagnoses of Depression and Anxiety were obtained using the Clinical Interview Schedule-Revised (CIS R) and levels of anxiety quantified using the Anxiety Sensitivity Index (ASI) Results: Presence of generalized joint hypermobility (GJH) at age 14 years predicted depression at 18 years in males (Odds Ratio (OR) 2.10; 95%CI, 1.17 - 3.76) but not females. After accounting for missing data it was determined that this relationship was mediated by heart rate, a potential measure of physiological arousal. Symptomatic hypermobility ((GJH plus chronic widespread pain (CWP)) at age 18 years was further associated with the presence of anxiety disorder (OR 3.13; 95% CI 1.52 - 6.46) and level of anxiety (Beta = 0.056, t(3315)=3.27), depressive disorder (adjusted OR 3.52; 95%CI, 1.67 - 7.40) and degree of psychiatric symptomatology (Beta 0.096, t(2064)=4.38) Conclusions and relevance: Generalized joint hypermobility and symptomatic hypermobility are associated with common mental disorders in adolescence. Consideration of hypermobility may provide important opportunities for intervention to mitigate psychiatric disorder.

Generalized Joint Hypermobility: A Review

2021 ◽  
Vol 6 (3) ◽  
pp. 41-47
Author(s):  
Sneha S Ganu ◽  
Aishwarya B Tadge
Keyword(s):  
Environmental Factors ◽  
Connective Tissue ◽  
Genetic Factors ◽  
Occupational Therapists ◽  
Joint Hypermobility ◽  
Beighton Score ◽  
Fitness Program ◽  
Generalized Joint Hypermobility ◽  
Normal Limits ◽  
Trauma Injury

Generalized Joint Hypermobility (GJH) is a condition where most of an individual’s synovial joints are found to have a range of motion (ROM) beyond their normal limits. Like most human traits, joint hypermobility is multifactorial resulting from a combination of environmental factors (eg. age, trauma, injury, conditioning, infection, inflammation) and multiple genetic factors, each contributing a small amount to the total phenotype. Clinical features of JHS are mainly associated to the connective tissue and can either be articular or extra-articular. The Beighton 9-point scoring system – also referred to as the modified or revised Beighton score – is a widely accepted method used to define GJH. Management of Generalized Joint Hypermobility is multidisciplinary which requires a team of physicians, physiotherapists, occupational therapists and podiatrists, among others. Physical therapy rehabilitation comprising of core stabilizing, joint stabilizing, strengthening and proprioception enhancing exercise coupled with general fitness program form the basis of GJH management. Keywords: Generalized Joint Hypermobility, Beighton Score, Joint Hypermobility.

scholarly journals Generalized Joint Hypermobility and Anxiety in Adolescents and Young Adults, the Impact on Physical and Psychosocial Functioning

Healthcare ◽  
2021 ◽  
Vol 9 (5) ◽  
pp. 525
Author(s):  
Janneke de Vries ◽  
Jeanine Verbunt ◽  
Janine Stubbe ◽  
Bart Visser ◽  
Stephan Ramaekers ◽  
...  
Keyword(s):  
Young Adults ◽  
Psychosocial Functioning ◽  
Negative Impact ◽  
Pain Catastrophizing ◽  
Joint Hypermobility ◽  
Adolescents And Young Adults ◽  
P Value ◽  
High Performing ◽  
Generalized Joint Hypermobility ◽  
The Impact

The purpose of this study was to study the association between the presence of generalized joint hypermobility (GJH) and anxiety within a non-clinical high performing group of adolescents and young adults. Second, to study the impact of GJH and/or anxiety on physical and psychosocial functioning, 168 adolescents and young adults (mean (SD) age 20 (2.9)) were screened. Joint (hyper)mobility, anxiety, and physical and psychosocial functioning were measured. In 48.8% of all high performing adolescents and young adults, GJH was present, whereas 60% had symptoms of anxiety. Linear models controlled for confounders showed that adolescents and young adults with GJH and anxiety had decreased workload (ß (95%CI) −0.43 (−0.8 to −0.08), p-value 0.02), increased fatigue (ß (95%CI) 12.97 (6.3–19.5), p-value < 0.01), and a higher level of pain catastrophizing (ß (95%CI) 4.5 (0.5–8.6), p-value 0.03). Adolescents and young adults with only anxiety had increased fatigue (ß (95%CI) 11 (4.9–19.5). In adolescents and young adults with GJH alone, no impact on physical and psychosocial functioning was found. Adolescents and young adults with the combination of GJH and anxiety were significantly more impaired, showing decreased physical and psychosocial functioning with decreased workload, increased fatigue, and pain catastrophizing. Presence of GJH alone had no negative impact on physical and psychosocial functioning. This study confirms the association between GJH and anxiety, but especially emphasizes the disabling role of anxiety. Screening for anxiety is relevant in adolescents and young adults with GJH and might influence tailored interventions.

scholarly journals Generalized joint hypermobility, scoliosis, patellofemoral pain, and physical abilities in young dancers

2021 ◽  
Vol 22 (1) ◽  
Author(s):  
Nili Steinberg ◽  
Shay Tenenbaum ◽  
Aviva Zeev ◽  
Michal Pantanowitz ◽  
Gordon Waddington ◽  
...  
Keyword(s):  
Muscle Strength ◽  
Postural Balance ◽  
Patellofemoral Pain ◽  
Joint Hypermobility ◽  
Knee Extensors ◽  
Young Girls ◽  
Generalized Joint Hypermobility ◽  
Increased Risk ◽  
High Prevalence ◽  
Physical Abilities

Abstract Background Many young girls with generalized joint hypermobility (GJH) choose to participate in dance because their bodies are suited for this activity. Scoliosis tends to occur often in thin girls, who also are more likely to choose dance. Both anomalies (GJH and scoliosis) may be related to reduced abilities such as diminished strength and insufficient postural balance, with increased risk for musculoskeletal conditions. The main objectives of the present study were to determine the prevalence of dancers with GJH, the prevalence of dancers with scoliosis, and the prevalence of dancers with these two anomalies; and, to determine differences in physical abilities and the presence of patellofemoral pain (PFP) between young female dancers with and without such anomalies. Methods One hundred thirty-two female dancers, aged 12–14 years, were assessed for anthropometric parameters, GJH, scoliosis, knee muscle strength, postural balance, proprioception ability, and PFP. Results GJH was identified in 54 dancers (40.9%) and scoliosis in 38 dancers (28.8%). Significant differences were found in the proportion of dancers with no anomalies (74 dancers, 56.1%) and dancers with both anomalies (34 dancers, 25.8%) (p < .001). Dancers with both anomalies had reduced dynamic postural balance in the anterior direction (p = .023), reduced proprioception ability (p < .001), and weaker knee extensors (p = .036) and flexors (p = .040) compared with dancers with no anomalies. Among dancers with both anomalies, 73.5% suffered bilateral PFP, 17.6% suffered unilateral PFP, and 8.8% had no PFP (p < .001). Conclusions A high prevalence of young girls participating in dance classes had GJH, as the increased joint flexibility probably provides them with some esthetic advantages. The high prevalence of scoliosis found in these young dancers might be attributed to their relatively low body mass, their delayed maturation, and the selection process of dancers. Dancers with both GJH and scoliosis had decreased muscle strength, reduced postural balance, reduced proprioception, with higher risk of PFP. The main clinical implications are the need to reduce the risk of PFP among dancers by developing appropriate strength and stabilizing exercises combined with proprioceptive and postural balance training, to improve the correct alignment of the hyperextended and hypermobile joints, and to improve their supporting muscle strength.

Medium-term Results of Body Balance Trainings in Primary School-Aged Children with Generalized Joint Hypermobility and Symptomatic Mobile Flat Foot: Cohort Study

2021 ◽  
pp. 373-384
Author(s):  
Alena Yu. Dimitrieva ◽  
Vladimir M. Kenis
Keyword(s):  
Primary School ◽  
Balance Training ◽  
Joint Hypermobility ◽  
Control Group ◽  
Flat Foot ◽  
Body Balance ◽  
School Aged Children ◽  
Generalized Joint Hypermobility ◽  
Longitudinal Arch ◽  
Unstable Platform

Background. Mobile flat foot etiology and its correlations with postural imbalance remain topical issues for now, especially in children with generalized joint hypermobility. Additionally, it is poorly known that complaints prevail in children with mobile flat foot and joint hypermobility, and whether existing complaints are associated with foot deformation.Objective. The aim of the study is to estimate medium-term effects of body balance trainings on the height of longitudinal arch of the foot and on the complaints structure in primary school-aged children with generalized joint hypermobility.Methods. The study included 114 primary school-aged children (7–11 years old) with mobile symptomatic flat foot who were divided into four groups: I — control group of children who did not perform training; II — children who performed standard complex of rehabilitation exercises recommended for flat foot; III — children who performed a specially designed complex of exercises for body balance training; IV — children exercised on unstable platform. The foot examination included: clinical assessment of feet shape and position (FPI-6 scale), visual and manual mobility tests, computer scanning with calculation of anthropometric indices (basic anthropometric parameters were calculated from scanned foot images). Clinical evaluation of balance was carried out according to the BESS (Balance Error Scoring System) scale and computer pedobarometry. Assessment of complaints structure was carried out according to the Oxford Child Foot Condition Questionnaire.Results. Children of control group significantly increased the number of errors in performing tests compared to the baseline data (p = 0.034) according to the BESS scale. No statistically significant changes were obtained in children of the second group (p = 0.08). Total number of errors committed by children of third and fourth groups on unstable platform decreased by 2.9 times and 3.4 times, respectively (p = 0.022 and p = 0.044). Decrease in partial load on medial longitudinal arch of foot in step cycle in average by 2.0–3.5 times compared to baseline parameters was revealed in children of third and fourth groups. Moreover, children of third and fourth groups have shown improvement in parameters regarding the shape and position of the feet by average of 1.3–1.7 times higher compared to the parameters of the feet of children performing standard complex of rehabilitation exercises (p = 0.036).Conclusion. This study has shown the efficacy of body balance training in increasing the height of longitudinal arch of the foot and good dynamics in the structure of complaints in primary school-aged children with generalized joint hypermobility and symptomatic mobile flat foot.

scholarly journals Associations between common mental disorders and the Mental Illness Needs Index in community settings

2007 ◽  
Vol 191 (2) ◽  
pp. 158-163 ◽  
Author(s):  
David L. Fone ◽  
Frank Dunstan ◽  
Ann John ◽  
Keith Lloyd
Keyword(s):  
Mental Health ◽  
Mental Illness ◽  
Mental Disorders ◽  
Mental Disorder ◽  
Small Area ◽  
Common Mental Disorders ◽  
Common Mental Disorder ◽  
Service Planning ◽  
Individual Risk ◽  
Community Settings

BackgroundThe relationship between the Mental Illness Needs Index (MINI) and the common mental disorders is not known.AimsTo investigate associations between the small-area MINI score and common mental disorder at individual level.MethodMental health status was measured using the Mental Health Inventory of the Short Form 36 instrument (SF-36). Data from the Caerphilly Health and Social Needs population survey were analysed in multilevel models of 10 653 individuals aged 18–74 years nested within the 2001 UK census geographies of 110 lower super output areas and 33 wards.ResultsThe MINI score was significantly associated with common mental disorder after adjusting for individual risk factors. This association was stronger at the smaller spatial scale of the lower super output area and for individuals who were permanently sick or disabled.ConclusionsThe MINI is potentially useful for small-area needs assessment and service planning for common mental disorder in community settings.

scholarly journals The relationship between smoking cessation and binge drinking, depression, and anxiety symptoms among smokers with serious mental illness

2019 ◽  
Vol 194 ◽  
pp. 128-135 ◽  
Author(s):  
Patrick J. Hammett ◽  
Harry A. Lando ◽  
Brent C. Taylor ◽  
Rachel Widome ◽  
Darin J. Erickson ◽  
...  
Keyword(s):  
Mental Illness ◽  
Smoking Cessation ◽  
Binge Drinking ◽  
Serious Mental Illness ◽  
Anxiety Symptoms ◽  
Depression And Anxiety ◽  
The Relationship

scholarly journals STAGE PERSONA, STAND-UP COMEDY AND MENTAL HEALTH: ‘PUTTING YOURSELF OUT THERE’

2020 ◽  
Vol 5 (2) ◽  
pp. 67-82
Author(s):  
MATT HARGRAVE
Keyword(s):  
Mental Health ◽  
Bipolar Disorder ◽  
Mental Illness ◽  
Depression And Anxiety ◽  
Stand Up Comedy ◽  
The Subject ◽  
The Relationship

This article addresses the subject of stand-up and mental health through the prism of comic persona, generating new, non-diagnostic discourses around mental illness. The article focuses on British and Australian comedians whose material addresses conditions such as bipolar disorder (John Scott), depression and anxiety (Seymour Mace; Lauren Pattison; Felicity Ward), or feigns the staging of mental collapse (Stewart Lee). Based on the analysis of live events and one-on-one interviews, the essay considers the role that persona plays in mediating the relationship between the comedian and their material, arguing that shaping persona is key to developing practices framed within a poetics of vulnerability.

scholarly journals The STORK dataset: Linked midwifery and delivery records of the mothers and index children in the Avon Longitudinal Study of Parents and Children (ALSPAC)

2020 ◽  
Vol 5 ◽  
pp. 229
Author(s):  
Mark Mummé ◽  
Andy Boyd ◽  
Jean Golding ◽  
John Macleod
Keyword(s):  
Longitudinal Study ◽  
Gold Standard ◽  
Small Sample ◽  
Birth Cohort Study ◽  
Future Research ◽  
Record System ◽  
Standard Data ◽  
Parents And Children ◽  
Sample Spot ◽  
Avon Longitudinal Study

This data note describes the linked antenatal and delivery records of the mothers and index children of the Avon Longitudinal Study of Parents and Children (ALSPAC) birth cohort study. These records were extracted from the computerised maternity record system ‘STORK’ used by the two largest NHS trusts in the study catchment area. The STORK database was designed to be populated by midwives and other health professionals during a woman’s pregnancy and shortly after the baby’s birth. These early computer records were initiated in the early 1990s, shortly before the start of enrolment to ALSPAC. At this time the use of electronic medical record systems such as ‘STORK’ was very new, the accuracy of the records has been questioned and little contemporary detailed documentation is available. Small sample spot checks on the accuracy of the information in ‘STORK’ suggests extensive missingness and differences against gold-standard fieldworker abstracted information in some variables; yet high levels of completeness and agreement with gold-standard data in others. Software code was created using STATA (StataCorp LLC) to transform the original CSV (comma-separated values) files into a cohesive and consistent format which was reviewed for data-completeness for its potential use in future research. The cleaned ‘STORK’ records provide health, social and maternity data from the very earliest period of the ALSPAC study in an easily accessible format, which is particularly useful when other sources of data are missing.

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