The Effect of Diaphragmatic Breathing on Attention, Negative Affect and Stress in Healthy Adults

Ma, Xiao; Yue, Zi Qi; Gong, Zhu Qing; Zhang, Hong; Duan, Nai Yue; Shi, Yu; Wei, Gao Xia; Li, You Fa

doi:10.3389/fpsyg.2017.00874

Cited by 326 publications

(272 citation statements)

References 81 publications

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“…Previously described γ synchrony between areas of the brain as a dynamical mechanism for the control of cross-areal information flow or "communication through coherence" 3,46,47 , could be part of a larger phenomenon which includes respiratory modulations. The strong modulation of the electrocortical activity by the respiratory rhythms could be the foundation of the effect of breathing on critical functions such as cognition, affection and stress responses 34,49 .…”

Section: Discussionmentioning

confidence: 99%

Nasal respiration entrains neocortical long-range gamma coherence during wakefulness

Cavelli

Castro-Zaballa

González

et al. 2018

Preprint

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Recent studies have shown that slow cortical potentials in archi-, paleo-and neocortex, can phase-lock with nasal respiration. In some of these areas, gamma activity (γ: 30-100 Hz) is also coupled to the animal's respiration. It has been hypothesized that this interaction plays a role in coordinating distributed neural activity. In a similar way, inter-cortical interactions at γ frequency has been also associated as a binding mechanism by which the brain generates temporary opportunities necessary for implementing cognitive functions. The aim of the present study is to explore if nasal respiration entrains inter-cortical interactions at γ frequency. modulates the inter-cortical gamma coherence between neocortical pairs of electrodes during wakefulness. However, during NREM and REM sleep, breathing was unable to entrain the oscillatory activity, neither in the olfactory bulb nor in the neocortex. These results suggest a single unified phenomenon involving cross frequency coupling and long-range γ coherence across the neocortex. This fact could be related to a temporal binding process necessary for cognitive functions during wakefulness.

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Section: Discussionmentioning

confidence: 99%

Nasal respiration entrains neocortical long-range gamma coherence during wakefulness

Cavelli

Castro-Zaballa

González

et al. 2018

Preprint

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“…For example, deep breathing is a central element for singing, which can impact on both physiological (e.g. cardiovascular and autonomic nervous system) and emotional functions (Busch et al, 2012;Ma et al, 2017;Russo et al, 2017). Further, studies found that group singing can reduce pain threshold and pain perception (Dunbar, Baron, et al, 2012;Dunbar, Kaskatis, et al, 2012).…”

Section: Discussionmentioning

confidence: 99%

A systematic review on the effects of group singing on persistent pain in people with long‐term health conditions

Irons

Sheffield

Ballington

et al. 2019

European Journal of Pain

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Background and Objectives Singing can have a range of health benefits; this paper reviews the evidence of the effects of group singing for chronic pain in people with long‐term health conditions. Database and Data Treatment We searched for published peer‐reviewed singing studies reporting pain measures (intensity, interference and depression) using major electronic databases (last search date 31 July 2018). After screening 123 full texts, 13 studies met the inclusion criteria: five randomized controlled trials (RCTs), seven non‐RCTs and one qualitative study. Included studies were appraised using Downs and Black and the Critical Appraisals Skills Programme quality assessments. Results Included studies reported differences in the type of singing intervention, long‐term condition and pain measures. Due to the high heterogeneity, we conducted a narrative review. Singing interventions were found to reduce pain intensity in most studies, but there was more equivocal support for reducing pain interference and depression. Additionally, qualitative data synthesis identified three key linked and complementary themes: physical, psychological and social benefits. Conclusion Group singing appears to have the potential to reduce pain intensity, pain interference and depression; however, we conclude that there is only partial support for singing on some pain outcomes based on the limited available evidence of varied quality. Given the positive findings of qualitative studies, this review recommends that practitioners are encouraged to continue this work. More studies of better quality are needed. Future studies should adopt more robust methodology and report their singing intervention in details. Group singing may be an effective and safe approach for reducing persistent pain and depression in people with long‐term health conditions. Significance This systematic review assesses research evidence for the effectiveness of group singing on chronic pain in people with long‐term health conditions. Narrative syntheses revealed that there is partial support for singing effects on some pain outcomes based on the limited available evidence of varied quality. Qualitative data provided additional support of physical, psychological and social benefits. The review highlights implications for practice and future studies.

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“…During this week, we also reviewed the sleep diary to con rm any necessary sleep changes (i.e., adjustments to the time both in and out of bed.) The diaphragmatic breathing technique promotes muscle relaxation, better breathing performance, and memory relaxation [37]. It also was especially emphasized for those who were not able to relax.…”

Section: Interventionsmentioning

confidence: 99%

The Effect of Cognitive Behavioral Therapy for Insomnia in People with Type 2 Diabetes Mellitus, Pilot RCT Part II: Diabetes Health Outcomes

Alshehri

Alothman

Alenazi

et al. 2020

Preprint

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Background: Previous studies have shown the negative impact of sleep disturbances, specifically insomnia symptoms, on glucose metabolism for people with type 2 diabetes (T2D). People with insomnia symptoms are at risk of poor glycemic control and suboptimal diabetes self-care behavior (DSCB). Investigating the impact of a safe and effective intervention for individuals with T2D and insomnia symptoms on diabetes’ health outcomes is needed. Therefore, the aim of this exploratory study is to examine the effects of Cognitive Behavioral Therapy for Insomnia (CBT-I) on glycemic control, DSCB, and fatigue. Methods: Twenty-eight participants with T2D and insomnia symptoms, after passing an eligibility criteria at a medical research center, were randomly assigned to CBT-I (n=14) or Health Education (HE; n=14). The CBT-I and HE groups received 6 weekly one-hour sessions. This Randomized Controlled Trial (RCT) used a non-inferiority framework to test the effectiveness of CBT-I. Validated assessments were administered at baseline and post-intervention to assess glycemic control, DSCB, and fatigue. A Wilcoxon signed-rank test was utilized to compare within-group changes from baseline to post-intervention. A Mann-Whitney test was utilized to measure the between-group differences. Linear regression was used to assess the association between the blood glucose level and the number of days in the CBT-I group. Results: The recruitment duration was from October 2018 to May 2019. A total of 13 participants completed the interventions in each group and are included in the final analysis. No adverse events, because of being a part of this RCT, were reported. CBT-I participants showed significantly greater improvement in glycemic control, DSCB, and fatigue. There was a significant association between the number of days in the CBT-I intervention with the blood glucose level before bedtime (B=-0.56, p=.009) and after awakening in the morning (B=-0.57, p=.007). Conclusions: This study demonstrated a clinically meaningful effect of CBT-I on glycemic control in people with T2D and insomnia symptoms. Also, CBT-I positively impacted daytime functioning, including DSCB and fatigue. Future research is needed to investigate the long-term effects of CBT-I on laboratory tests of glycemic control and to understand the underlying mechanisms of any improvements.Trial registration: Clinical Trials Registry (NCT03713996). Retrospectively registered on 22 October 2018, https://clinicaltrials.gov/ct2/show/NCT03713996

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The Effect of Diaphragmatic Breathing on Attention, Negative Affect and Stress in Healthy Adults

Cited by 326 publications

References 81 publications

Nasal respiration entrains neocortical long-range gamma coherence during wakefulness

Nasal respiration entrains neocortical long-range gamma coherence during wakefulness

A systematic review on the effects of group singing on persistent pain in people with long‐term health conditions

The Effect of Cognitive Behavioral Therapy for Insomnia in People with Type 2 Diabetes Mellitus, Pilot RCT Part II: Diabetes Health Outcomes

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