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February 26, 2026BMC Medicine0 citationsOpen Access

Health experiences and outcomes of autistic and non-autistic adults with hypermobile Ehlers-Danlos syndrome and hypermobility spectrum disorder

CCCatherine J. CromptonTEThemis Nikolas EfthimiouDDDervil Dockrell

Key Points

  • The study aims to determine how autism affects health experiences and outcomes in individuals with hypermobile Ehlers-Danlos syndrome and hypermobility spectrum disorders.
  • Analyzed data from 1754 adults via an online questionnaire.
  • Compared diagnostic experiences and health outcomes among three groups: autistic adults, non-autistic adults, and those with high autistic traits.
  • Assessed physical and mental health outcomes along with engagement with health services.
  • Autistic participants reported more symptoms of hEDS/HSD compared to non-autistic and high autistic trait individuals.
  • Both autistic and high autistic trait groups self-reported poorer physical and mental health than non-autistic participants.
  • Daily activity limitations significantly impacted the mental health of autistic participants.

Abstract

Abstract Background Previous research has indicated an association between hypermobility and autism. This study examined whether being autistic affects diagnosis, symptoms, and health experiences of people with hypermobility, including hypermobile Ehlers-Danlos syndrome (hEDS) and hypermobility spectrum disorders (HSD). We compare three groups: autistic adults, non-autistic adults, and adults who are not autistic but have a high level of autistic traits. Additionally, we examined which health and social factors predicted self-reported physical and mental health outcomes for autistic and non-autistic people with hEDS/HSD. Method A total of 1754 participants completed an online questionnaire about their diagnostic experience, hypermobile symptoms, co-occurring health conditions, self-rated physical and mental health, engagement with health services, and employment and benefits status. Around 25% of respondents were autistic; a further 25% had high levels of autistic traits. Results Autistic participants had more symptoms of hEDS/HSD and were more likely to have co-occurring physical and mental health conditions, compared with non-autistic and high autistic trait respondents. Autistic and high autistic trait participants self-reported poorer physical and mental health compared with non-autistic participants. Autistic participants’ mental health was impacted by limitations to everyday activities, whereas non-autistic participants were more impacted by difficulties with self-care. Conclusions Autistic and non-autistic people may experience hEDS/HSD differently, which may impact the type of supports that are most beneficial to them.

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Cite This Study

Crompton et al. (2026) studied this question.

synapsesocial.com/papers/699fe3ec95ddcd3a253e80afhttps://doi.org/10.1186/s12916-026-04713-2
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