Evidence map›Paper›PMID 25352818›Full record

ArticleFrontiers in psychology2014

Neuroimaging and psychophysiological investigation of the link between anxiety, enhanced affective reactivity and interoception in people with joint hypermobility.

Núria Mallorquí-Bagué, Sarah N Garfinkel, Miriam Engels, Jessica A Eccles, Guillem Pailhez, Antonio Bulbena, Hugo D Critchley

Open access · goldAbstract read
In one paragraph

Article in Frontiers in psychology, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 39 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
39citing papers in PubMed, 1 pooled it
5.8field-weighted citation impact, top 3% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

39 citing papers in PubMed, 1 synthesis or guideline pooled it, 97 citations in OpenAlex.

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  5. Neural processes linking joint hypermobility and anxiety: key roles for the amygdala and insular cortex.The British journal of psychiatry : the journal of mental science · 2026
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  9. A model linking emotional dysregulation in neurodivergent people to the proprioceptive impact of joint hypermobility.Philosophical transactions of the Royal Society of London. Series B, Biological sciences · 2024
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors at 4 institutions in 3 countries.

Núria Mallorquí-BaguéPsychiatry, Brighton and Sussex Medical School, University of Sussex Falmer, UK ; Department of Psychiatry and Forensic Medicine, School of Medicine, Universitat Autonoma de Barcelona Barcelona, Spain ; Department of Psychiatry, Psychology and Psychosomatics, Hospital Universitari Quirón Dexeus Barcelona, Spain.
Sarah N GarfinkelPsychiatry, Brighton and Sussex Medical School, University of Sussex Falmer, UK ; Mood and Anxiety Research in Sussex (MARS), Sussex Partnership NHS Foundation Trust Sussex, UK ; Sackler Centre for Consciousness Science, University of Sussex Falmer, UK.
Miriam EngelsPsychiatry, Brighton and Sussex Medical School, University of Sussex Falmer, UK ; Clinical Psychological Science, Faculty of Psychology and Neuroscience, Maastricht University Maastricht, Netherlands.
Jessica A EcclesPsychiatry, Brighton and Sussex Medical School, University of Sussex Falmer, UK ; Mood and Anxiety Research in Sussex (MARS), Sussex Partnership NHS Foundation Trust Sussex, UK.
Guillem PailhezDepartment of Psychiatry and Forensic Medicine, School of Medicine, Universitat Autonoma de Barcelona Barcelona, Spain ; Anxiety Unit, Institute of Neuropsychiatry and Addictions, Hospital del Mar, Universitat Autònoma de Barcelona Barcelona, Spain ; Hospital del Mar Medical Research Institute Barcelona, Spain.
Antonio BulbenaDepartment of Psychiatry and Forensic Medicine, School of Medicine, Universitat Autonoma de Barcelona Barcelona, Spain ; Anxiety Unit, Institute of Neuropsychiatry and Addictions, Hospital del Mar, Universitat Autònoma de Barcelona Barcelona, Spain ; Hospital del Mar Medical Research Institute Barcelona, Spain.
Hugo D CritchleyPsychiatry, Brighton and Sussex Medical School, University of Sussex Falmer, UK ; Mood and Anxiety Research in Sussex (MARS), Sussex Partnership NHS Foundation Trust Sussex, UK ; Sackler Centre for Consciousness Science, University of Sussex Falmer, UK.
Brighton and Sussex Medical School · GBUniversity of Sussex · GBHospital Del Mar · ESHospital del Mar Research Institute · ES

Funding

Medical Research Council MR/K002643/1
6 · The paper itself

Abstract

objectiveAnxiety is associated with increased physiological reactivity and also increased "interoceptive" sensitivity to such changes in internal bodily arousal. Joint hypermobility, an expression of a common variation in the connective tissue protein collagen, is increasingly recognized as a risk factor to anxiety and related disorders. This study explored the link between anxiety, interoceptive sensitivity and hypermobility in a sub-clinical population using neuroimaging and psychophysiological evaluation.

methodsThirty-six healthy volunteers undertook interoceptive sensitivity tests, a clinical examination for hypermobility and completed validated questionnaire measures of state anxiety and body awareness tendency. Nineteen participants also performed an emotional processing paradigm during functional neuroimaging.

resultsWe confirmed a significant relationship between state anxiety score and joint hypermobility. Interoceptive sensitivity mediated the relationship between state anxiety and hypermobility. Hypermobile, compared to non-hypermobile, participants displayed heightened neural reactivity to sad and angry scenes within brain regions implicated in anxious feeling states, notably insular cortex.

conclusionsOur findings highlight the dependence of anxiety state on bodily context, and increase our understanding of the mechanisms through which vulnerability to anxiety disorders arises in people bearing a common variant of collagen.

Indexed as

anxietyemotionfunctional magnetic resonance imaging (fMRI)interoceptionjoint hypermobilitypsychology

Identifiers

PMID25352818
PMCPMC4196473
OpenAlexW2040629258

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.