Excessive breathlessness through emotional imagery in asthma

Rietveld, Simon; Everaerd, Walter; Beest, Ilja van

doi:10.1016/s0005-7967(99)00134-5

Cited by 25 publications

(14 citation statements)

References 25 publications

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“…Conversely, in the present study, positive emotions have been shown to reduce the unpleasantness of dyspnea. This observation is in line with the results of Rietveld, Everaerd, and van Beest (2000), which demonstrated a diminished global level of breathlessness after positive imagery in asthmatic adolescents during voluntary breath-holding. Therefore, positive emotions might contain an interventional potential with respect to reducing the unpleasantness of perceived dyspnea.…”

supporting

confidence: 91%

The impact of emotions on the sensory and affective dimension of perceived dyspnea

Leupoldt¹,

Mertz²,

Kegat³

et al. 2006

Psychophysiology

104

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Dyspnea is an impairing symptom in various diseases. Recent research has shown that the perception of dyspnea, like pain, consists of a sensory (intensity) and an affective (unpleasantness) dimension, but little is known about the specific impact of different emotions on these distinct dimensions. We therefore examined the impact of viewing affective picture series of positive, neutral, and negative valence on perceived dyspnea during resistive load breathing in healthy volunteers. Inspiratory time (Ti), breathing frequency (f), and oscillatory resistance (Ros) remained unchanged across conditions. Ratings for unpleasantness of dyspnea increased from positive to neutral to negative series, but ratings for intensity of dyspnea showed no changes. The results suggest that the affective dimension of the perception of dyspnea is particularly vulnerable to emotional influences, irrespective of objective lung function.

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supporting

confidence: 91%

The impact of emotions on the sensory and affective dimension of perceived dyspnea

Leupoldt¹,

Mertz²,

Kegat³

et al. 2006

Psychophysiology

104

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“…The GI intervention consisted of visualizing a set of standardized guided imageries targeting the airways [29]. In the first session, participants were instructed in positive visualization of a situation with deep ‘free’ breathing.…”

Section: Methodsmentioning

confidence: 99%

Functional Relaxation and Guided Imagery as Complementary Therapy in Asthma: A Randomized Controlled Clinical Trial

Lahmann

Nickel²,

Schuster³

et al. 2009

Psychother Psychosom

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Background: Asthma is a frequently disabling and almost invariably distressing disease that has a high overall prevalence. Although relaxation techniques and hypnotherapeutic interventions have proven their effectiveness in numerous trials, relaxation therapies are still not recommended in treatment guidelines due to a lack of methodological quality in many of the trials. Therefore, this study aims to investigate the efficacy of the brief relaxation technique of functional relaxation (FR) and guided imagery (GI) in adult asthmatics in a randomized controlled trial. Methods: 64 patients with extrinsic bronchial asthma were treated over a 4-week period and assessed at baseline, after treatment and after 4 months, for follow-up. 16 patients completed FR, 14 GI, 15 both FR and GI (FR/GI) and 13 received a placebo relaxation technique as the control intervention (CI). The forced expiratory volume in the first second (FEV₁) as well as the specific airway resistance (sR_aw) were employed as primary outcome measures. Results: Participation in FR, GI and FR/GI led to increases in FEV₁ (% predicted) of 7.6 ± 13.2, 3.3 ± 9.8, and 8.3 ± 21.0, respectively, as compared to –1.8 ± 11.1 in the CI group at the end of the therapy. After follow-up, the increases in FEV₁ were 6.9 ± 10.3 in the FR group, 4.4 ± 7.3 in the GI and 4.5 ± 8.1 in the FR/GI, compared to –2.8 ± 9.2 in the CI. Improvements in sR_aw (% predicted) were in keeping with the changes in FEV₁ in all groups. Conclusions: Our study confirms a positive effect of FR on respiratory parameters and suggests a clinically relevant long-term benefit from FR as a nonpharmacological and complementary therapy treatment option.

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“…The perception of dyspnea is stronger in patients with higher scores for anxiety and has been reported in patients with anxiety disorders with no cardiopulmonary disease. [61][62][63] The following case demonstrates the importance of cerebral cognition in this complex symptom.…”

Section: Partial Airway Obstructionmentioning

confidence: 84%

When Asthma is not Asthma

Weinberger¹

2011

Clinical Pulmonary Medicine

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When asthma is not asthma requires first an understanding of what asthma is, how to diagnose it, and what to expect when its treated. Asthma is an exceedingly common disorder manifested by varying degrees of cough, wheeze, and dyspnea. Familiarity with asthma, in contrast to lack of familiarity with the less common disorders described in this review, has resulted in patients with cough, wheeze, and or dyspnea inappropriately being treated for asthma without clinical benefit. Cough, wheeze, and dyspnea can be a result of various anatomical and functional disorders that have all too often been misdiagnosed as asthma. An increased awareness, a careful history, and assessment of response to therapy can generally distinguish symptoms that are not from asthma from actual asthma.

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Excessive breathlessness through emotional imagery in asthma

Cited by 25 publications

References 25 publications

The impact of emotions on the sensory and affective dimension of perceived dyspnea

The impact of emotions on the sensory and affective dimension of perceived dyspnea

Functional Relaxation and Guided Imagery as Complementary Therapy in Asthma: A Randomized Controlled Clinical Trial

When Asthma is not Asthma

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