Management of Patients with Hyperventilation-Related Disorders

Bass, Christopher

doi:10.1007/978-1-4757-9383-3_11

Cited by 2 publications

(2 citation statements)

References 22 publications

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“…Breathing training is a part of several cognitive-behavioral treatment packages, of most meditative approaches (e.g., yoga, mindfulness meditation), and of other somatic therapies. Paradoxically, despite widespread clinical usage, only limited systematic data exist on the treatment efficacy of breathing training or PetCO 2 feedback (Bass, 1994). When breathing therapies have been shown to be effective for PD, critics have claimed that any success was probably the result of cognitive rather than physiological change (de Ruiter, Ryken, Garssen, & Kraaimaat, 1989;Salkovskis, Jones, & Clark, 1986).…”

Section: Implications For Treatment Efficacy Of Breathing Trainingmentioning

confidence: 99%

“…When breathing therapies have been shown to be effective for PD, critics have claimed that any success was probably the result of cognitive rather than physiological change (de Ruiter, Ryken, Garssen, & Kraaimaat, 1989;Salkovskis, Jones, & Clark, 1986). Bass (1994) pre-sented a brief overview of the controversy regarding the role of breathing training in treatment. In fact, it is probably impossible to teach breathing to patient populations without changing cognitive interpretations (Ley, 1991).…”

Section: Implications For Treatment Efficacy Of Breathing Trainingmentioning

confidence: 99%

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Respiratory Dysregulation in Anxiety, Functional Cardiac, and Pain Disorders

Wilhelm

Gevirtz

Roth³

2001

Behav Modif

109

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Respiration is a complex physiological system affecting a variety of physical processes that can act as a critical link between mind and body. This review discusses the evidence for dysregulated breathing playing a role in three clinical syndromes: panic disorder, functional cardiac disorder, and chronic pain. Recent technological advances allowing the ambulatory assessment of endtidal partial pressure of CO2 (PCO2) and respiratory patterns have opened up new avenues for investigation and treatment of these disorders. The latest evidence from laboratories indicates that subtle disturbances of breathing, such as tidal volume instability and sighing, contribute to the chronic hypocapnia often found in panic patients. Hypocapnia is also common in functional cardiac and chronic pain disorders, and studies indicate that it mediates some of their symptomatology. Consistent with the role of respiratory dysregulation in these disorders, initial evidence indicates efficacy of respiration-focused treatment.

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Section: Implications For Treatment Efficacy Of Breathing Trainingmentioning

confidence: 99%

Section: Implications For Treatment Efficacy Of Breathing Trainingmentioning

confidence: 99%

Respiratory Dysregulation in Anxiety, Functional Cardiac, and Pain Disorders

Wilhelm

Gevirtz

Roth³

2001

Behav Modif

109

View full text Add to dashboard Cite

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Respiratorische Faktoren in der Klinischen Psychophysiologie und dem Biofeedback

2000

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Respiratory Factors in Clinical Psychophysiology and Biofeedback Respiration is a complex physiological system affecting a variety of physical processes that can act as a critical link between mind and body. In this paper, we discuss the physiology and psychophysiology of breathing and its relevance for understanding several clinical syndromes that are not directly associated with respiratory disturbance. We present findings from three areas – panic disorder, functional cardiac disorder, and chronic pain – supporting respiratory factors as either markers, mediators, or etiological mechanisms for a number of physical symptoms. Recent technological advances allowing the ambulatory measurement of end-tidal partial pressure of CO₂ (pCO₂), and respiratory patterns have opened up new avenues for investigation and treatment of these disorders. Recent evidence from our laboratories indicates that subtle but consistent breathing abnormalities are present in panic patients as opposed to other anxiety disorders or normal control groups. Contrary to previous models that emphasized outright hyperventilation as a key factor in anxiety disorders, this research focuses on respiratory instability and breathing behaviors such as sighs as signs of dysfunctional regulation of breathing. Finally, we discuss some treatment approaches based on the proposed mediational model that can be effective in the disorders mentioned above.

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Management of Patients with Hyperventilation-Related Disorders

Cited by 2 publications

References 22 publications

Respiratory Dysregulation in Anxiety, Functional Cardiac, and Pain Disorders

Respiratory Dysregulation in Anxiety, Functional Cardiac, and Pain Disorders

Respiratorische Faktoren in der Klinischen Psychophysiologie und dem Biofeedback

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