Thorax deformity, joint hypermobility, and anxiety disorders.
OBJECTIVE
To evaluate the association between thorax deformities, panic disorder, and joint hypermobility


METHODS
The study includes 52 males diagnosed with thorax deformity, and 40 healthy male controls without thorax deformity, in Tatvan Bitlis and Isparta, Turkey. The study was carried out from 2004 to 2006. The teleradiographic and thoracic lateral images of the subjects were evaluated to obtain the Beighton scores; subjects' psychiatric conditions were evaluated using the Structured Clinical Interview for DSM-IV Axis I Disorders (SCID-1), and the Hamilton Anxiety Scale (HAM-A) was applied in order to determine the anxiety levels. Both the subjects and controls were compared in sociodemographic, anxiety levels, and joint mobility levels. In addition, males with joint hypermobility and thorax deformity were compared to the group with thorax deformity without joint hypermobility.


RESULTS
A significant difference in HAM-A scores was found between the groups with thorax deformity and without. In addition, 21 subjects with thorax deformity met the joint hypermobility criteria in the group with thorax deformity, and 7 subjects without thorax deformity met the joint hypermobility criteria in the group without thorax deformity, according to Beighton scoring. The Beighton scores of the subjects with thorax deformity were significantly different from those of the group without deformity. Additionally, anxiety scores of the males with thorax deformity and joint hypermobility were found higher than males with thorax deformity without joint hypermobility.


CONCLUSIONS
Anxiety disorders, particularly panic disorder, have a significantly higher distribution in male subjects with thorax deformity compared to the healthy control group. In addition, the anxiety level of males with thorax deformity and joint hypermobility is higher than males with thorax deformity without joint hypermobility.
Gulsun
Murat
M
Department of Psychiatry, Isparta Military Hospital, Isparta, Turkey. mgulsun@gmail.com
Yilmaz
Mehmet B
MB
Pinar
Murat
M
Tonbul
Murat
M
Celik
Cemil
C
Ozdemir
Barbaros
B
Dumlu
Kemal
K
Erbas
Mevlut
M
D000328:Adult; D001008:Anxiety Disorders / Q000453:epidemiology*; D016022:Case-Control Studies; D006801:Humans; D007593:Joint Instability / Q000523:psychology*; D008297:Male; D011446:Prospective Studies; D012959:Socioeconomic Factors; D013909:Thorax / Q000002:abnormalities*; D014421:Turkey