Evidence map›Paper›PMID 42270955›Full record

ArticleNpj mental health research2026

Beyond bendy joints: number of variant connective tissue features predicts neurodivergent characteristics in hypermobile individuals with anxiety.

Lisa Quadt, Jenny Csecs, Georgia Savage, Geoff Davies, Parashar Ramanuj, Alan J Hakim, Nick Grey, Hugo D Critchley, Jessica A Eccles

Abstract read
In one paragraph

Article in Npj mental health research, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
–field-weighted citation impact
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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

9 authors.

Lisa Quadt *Department of Neuroscience, Brighton and Sussex Medical School, Trafford Centre, Brighton, UK.
Jenny Csecs *Department of Neuroscience, Brighton and Sussex Medical School, Trafford Centre, Brighton, UK.
Georgia SavageDepartment of Neuroscience, Brighton and Sussex Medical School, Trafford Centre, Brighton, UK.
Geoff DaviesDepartment of Neuroscience, Brighton and Sussex Medical School, Trafford Centre, Brighton, UK.
Parashar RamanujRoyal National Orthopaedic Hospital, Stanmore, UK.
Alan J HakimDivision of Medicine, School of Medicine, Penn State University, University Park, Hershey, PA, USA.
Nick GreySussex Partnership NHS Foundation Trust, Arundel Road, Worthing, UK.
Hugo D CritchleyDepartment of Neuroscience, Brighton and Sussex Medical School, Trafford Centre, Brighton, UK.
Jessica A EcclesDepartment of Neuroscience, Brighton and Sussex Medical School, Trafford Centre, Brighton, UK. J.Eccles@bsms.ac.uk.

Funding

MQ: Transforming Mental Health MQF 17/19
6 · The paper itself

Abstract

The goal of this study was to determine whether the number of connective tissue features in hypermobility is associated with the level of neurodivergent characteristics and establish whether autonomic reactivity may be an explanatory factor in the relationship between variant connective tissue and neurodivergent characteristics. 99 adult participants were assessed for joint hypermobility syndrome/hypermobile Ehlers-Danlos-Syndrome and filled out screening questionnaires for autism and ADHD. 99% of participants met criteria for generalised joint hypermobility, and 57% for hypermobile Ehlers-Danlos-Syndrome. 47% of participants scored above the screening threshold for autism, and 20% for ADHD. All measures were significantly correlated. Level of autonomic reactivity (as measured by the Body Perception Questionnaire) mediated the relationship between the number of connective tissue features and neurodivergence, even after controlling for anxiety level. This shows that autonomic reactivity has a potential mechanistic role in the established link between variant connective tissue and neurodivergence, opening novel pathways for research and clinical care.

Identifiers

PMID42270955
PMCPMC13601541

What OpenQuestion holds

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Registered trials

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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.