Both anxiety and joint laxity determine the olfactory features in panic disorder
Abstract
Previous research showed a high sensitivity in sensorial modalities in panic disorder (PD). This disorder has been consistently associated to the joint hypermobility syndrome (JHS). In non-clinical samples, this collagen alteration has been also related to an enhanced sensitivity in some sensorial modalities. The main aim of this study is to explore the olfactory functioning in PD in relation to JHS. Sixty patients with PD and sixty healthy controls performed the Sniffin' Sticks Test (SST) (threshold subtest), and completed the Affective Impact of Odors scale (AIO), the Relational Scale of Olfaction (EROL), and the Odor Awareness Scale (OAS). Clinical symptom rating scales and JHS assessment were also obtained. PD patients showed enhanced odor acuity, greater reactivity to smells and also increased odor awareness compared to the healthy controls. Within the patients group, those suffering from JHS displayed higher functioning in all olfactory domains compared to the non-JHS ones. The JHS and anxiety measures emerged as predictor variables of the olfactory function. The present findings highlight the importance of the olfactory function in PD and underline that both, JHS and anxiety, determine the olfactory characteristics in this disorder.
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Adults with symptomatic GJH have increased overall anxiety scores.
“Adults with symptomatic GJH had increased overall scores of anxieties31,32,37,40,44,45, 46, 47,51,53 and kinesiophobia.29,30,38,44,48”
From Role of Anxiety in Individuals with Generalized Joint Hypermobility: A Systematic Review (2025) · cites this paper as [37]
Cites
Dysautonomia in the joint hypermobility syndrome
Gazit, Y., Nahir, A. M., Grahame, R., & Jacob, G. (2003) · The American Journal of Medicine · doi:10.1016/s0002-9343(03)00235-3 · Cited by 390 · see citing works
Krusemark, E. A., Novak, L. R., Gitelman, D. R., & Li, W. (2013) · The Journal of Neuroscience · doi:10.1523/jneurosci.1835-13.2013 · Cited by 222 · see citing works
Dysautonomia and its underlying mechanisms in the hypermobility type of Ehlers-Danlos syndrome
De Wandele, I., Rombaut, L., Leybaert, L., Van de Borne, P., De Backer, T., Malfait, F., De Paepe, A., & Calders, P. (2014) · Seminars in Arthritis and Rheumatism · doi:10.1016/j.semarthrit.2013.12.006 · Cited by 168 · see citing works
Smith, T. O., Easton, V., Bacon, H., Jerman, E., Armon, K., Poland, F., & Macgregor, A. J. (2014) · Rheumatology · doi:10.1093/rheumatology/ket317 · Cited by 130 · see citing works
Psychiatric comorbidity and personality traits in patients with hyperacusis
Jüris, L., Andersson, G., Larsen, H. C., & Ekselius, L. (2013) · International Journal of Audiology · doi:10.3109/14992027.2012.743043 · Cited by 114 · see citing works
Bulbena, A., Gago, J., Pailhez, G., Sperry, L., Fullana, M. A., & Vilarroya, O. (2011) · General Hospital Psychiatry · doi:10.1016/j.genhosppsych.2011.03.004 · Cited by 113 · see citing works
Self-citationMallorquÃ-Bagué, N., Garfinkel, S. N., Engels, M., Eccles, J. A., Pailhez, G., Bulbena, A., & Critchley, H. D. (2014) · Frontiers in Psychology · doi:10.3389/fpsyg.2014.01162 · Cited by 97 · see citing works
Self-citationBrain structure and joint hypermobility: Relevance to the expression of psychiatric symptoms
Eccles, J. A., Beacher, F. D. C., Gray, M. A., Jones, C. L., Minati, L., Harrison, N. A., & Critchley, H. D. (2012) · British Journal of Psychiatry · doi:10.1192/bjp.bp.111.092460 · Cited by 96 · see citing works
Is there a hypersensitive visual alarm system in panic disorder?
Caldirola, D., Teggi, R., Bondi, S., Lopes, F. L., Grassi, M., Bussi, M., & Perna, G. (2011) · Psychiatry Research · doi:10.1016/j.psychres.2010.05.012 · Cited by 35 · see citing works
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Bulbena‐Cabré, A., Baeza‐Velasco, C., Rosado‐Figuerola, S., & Bulbena, A. (2021) · American Journal of Medical Genetics Part C: Seminars in Medical Genetics · doi:10.1002/ajmg.c.31955 · Cited by 41 · see citing works
Self-citationSharp, H. E. C., Critchley, H. D., & Eccles, J. A. (2021) · World Journal of Psychiatry · doi:10.5498/wjp.v11.i10.805 · Cited by 32 · see citing works
Bowen, J., Fatjó, J., Serpell, J. A., Bulbena-Cabré, A., Leighton, E., & Bulbena, A. (2019) · Scientific Reports · doi:10.1038/s41598-019-45096-0 · Cited by 17 · see citing works
Role of Anxiety in Individuals with Generalized Joint Hypermobility: A Systematic Review
van Die-de Vries, J. E., Rameckers, E., Calders, P., Engelbert, R. H., Ramaekers, S. P., Goossens, M. E., & Verbunt, J. A. (2025) · Archives of Rehabilitation Research and Clinical Translation · doi:10.1016/j.arrct.2025.100467 · Cited by 1 · see citing works
- Authors
- Burón, E., Bulbena, A., Bulbena-Cabré, A., Rosado, S., & Pailhez, G.
- Affiliations
- Universitat Autònoma de Barcelona (ES)
- Parc de Salut (ES)
- Corresponding author
- Burón, Emma
- Venue
- Psychiatry Research
- Publisher
- Elsevier BV
- Published
- 2018-04
- Volume
- 262
- Pages
- 420-426
- ISSN
- 0165-1781 (ISSN-L)
- OpenAlex
- W2754543538
- Cited by
- 14
- References
- 9
- Citations by year
- 2025: 2 · 2024: 1 · 2023: 4 · 2022: 2 · 2021: 2 · 2020: 1 · 2019: 2
- FWCI
- 0.51
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Psychiatry Research (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Life Sciences › Neuroscience › Sensory Systems › Olfactory and Sensory Function Studies
- Social Sciences › Psychology › Experimental and Cognitive Psychology › Anxiety, Depression, Psychometrics, Treatment, Cognitive Processes
- Health Sciences › Medicine › Psychiatry and Mental health › Psychosomatic Disorders and Their Treatments
- Keywords
- panic disorder, joint hypermobility syndrome, olfactory function, anxiety, joint laxity, sensory sensitivity, Sniffin' Sticks test
- MeSH terms
- Adult, Olfaction Disorders, Anxiety, Female, Humans, Joint Instability, Male, Middle Aged, Odorants, Smell, Panic Disorder
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