What Joint hypermobility is that?
This is an exaggerated increase the mobility of joints due to altered collagen. It affects about 10-15% of the population. It is more common in women than in men and more common during childhood and decreases with age. The hypermobility is not a problematic condition. For some people, it is an advantage when doing artistic activities or of certain sports. The medical problem occurs when the hypermobility is accompanied by symptoms such as frequent pain in the joints (arthralgia), dislocation, subluxation, tendonitis, skin disorders, rectal or uterine prolapse, early arthritis, etc.. When this happens, then it is called joint hypermobility syndrome (AHS).
This is an exaggerated increase the mobility of joints due to altered collagen. It affects about 10-15% of the population. It is more common in women than in men and more common during childhood and decreases with age. The hypermobility is not a problematic condition. For some people, it is an advantage when doing artistic activities or of certain sports. The medical problem occurs when the hypermobility is accompanied by symptoms such as frequent pain in the joints (arthralgia), dislocation, subluxation, tendonitis, skin disorders, rectal or uterine prolapse, early arthritis, etc.. When this happens, then it is called joint hypermobility syndrome (AHS).
What is the joint hypermobility syndrome (AHS)?
is hypermobility associated with symptoms (discomfort in the musculoskeletal and others). It would be the tissue containing collagen and form the support structures of the body (joints, tendons, cartilage, bone, etc..) Which, being more flexible and weak, are more likely to be injured. It is a chronic syndrome, still poorly understood by patients and health professionals, despite the fact that he is the most common inherited disorders of collagen fibers (HDCT) (a group of genetic diseases that affect the matrix protein of connective tissue, which include Ehlers-Danlos syndrome, Marfan syndrome, osteogenesis imperfecta and SHA). It is estimated that approximately 25% of rheumatology consultations in Spain, and although it is considered a syndrome Benin in terms of prognosis compared with other connective tissue diseases, it can be disabling for those affected, mainly because it is a major source of pain.
Why a psychological intervention is relevant in joint hypermobility syndrome?
For several reasons. The first is the close relationship between hypermobility articular and anxiety. According to studies by Dr. Bulben Hospital del Mar de Barcelona, \u200b\u200bwe know that patients with hypermobility are 6 times more likely to suffer from anxiety disorders such as panic attacks, agoraphobia, social phobia, that people not hypermobile. We think there is a shared genetic basis between hypermobility and anxiety, as these forms of anxiety have a biological substrate (endogenous) more recognizable than other forms of anxiety, which are more related to psychosocial factors. One study actually found a cytogenetic abnormality common to both phenomena. The demonstration of a genetic relationship between joint hypermobility and anxiety has significant implications in the context of psychiatry and the wider health, having opened a new path, which allows us to detect and treat those most vulnerable to suffer anxiety disorders through signs and symptoms of hypermobility.
The second reason is that the main complaint of people with joint hypermobility syndrome is chronic pain. Although there is a biological basis for pain, individual differences, the way we process information, beliefs, etc. .. have influence the way we live hypermobility syndrome, playing a role in the development and maintenance of negative emotions, and even the perception of pain. In this sense, cognitive-behavioral intervention is highly recommended to help patients identify, understand and change those aspects that affect the perception of pain and negative emotions. Also
the intervention of a psychologist is necessary in view of certain specific anxieties that arise in patients, some patterns of inappropriate behavior (such as over-or under-activity), and emotional impact caused pair the mauvaise qualité de la vie.
For several reasons. The first is the close relationship between hypermobility articular and anxiety. According to studies by Dr. Bulben Hospital del Mar de Barcelona, \u200b\u200bwe know that patients with hypermobility are 6 times more likely to suffer from anxiety disorders such as panic attacks, agoraphobia, social phobia, that people not hypermobile. We think there is a shared genetic basis between hypermobility and anxiety, as these forms of anxiety have a biological substrate (endogenous) more recognizable than other forms of anxiety, which are more related to psychosocial factors. One study actually found a cytogenetic abnormality common to both phenomena. The demonstration of a genetic relationship between joint hypermobility and anxiety has significant implications in the context of psychiatry and the wider health, having opened a new path, which allows us to detect and treat those most vulnerable to suffer anxiety disorders through signs and symptoms of hypermobility.
The second reason is that the main complaint of people with joint hypermobility syndrome is chronic pain. Although there is a biological basis for pain, individual differences, the way we process information, beliefs, etc. .. have influence the way we live hypermobility syndrome, playing a role in the development and maintenance of negative emotions, and even the perception of pain. In this sense, cognitive-behavioral intervention is highly recommended to help patients identify, understand and change those aspects that affect the perception of pain and negative emotions. Also
the intervention of a psychologist is necessary in view of certain specific anxieties that arise in patients, some patterns of inappropriate behavior (such as over-or under-activity), and emotional impact caused pair the mauvaise qualité de la vie.
BAEZA-VELASCO Carolina
psychologue Clinicienne, MA, Ph D (c) Montpellier-France
cabinet: 06.72.69.01.78
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