Vicarious breathlessness: an inferential perceptual learned transposition process that may not be inconsequential to either patient or caregiver

Johnson, Miriam J.; Gozal, David

doi:10.1183/13993003.00306-2018

Cited by 7 publications

(5 citation statements)

References 28 publications

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“…Furthermore, dyspnea is also a common symptom in healthy subjects during strenuous exercise, stressful and anxiety-provoking situations, and in high altitude (Gigliotti, 2010). Notably, dyspnea is a highly disabling symptom impairing performance and functioning in daily life including cognitive functioning (Currow et al, 2017; Johnson and Gozal, 2018; van Beers et al, 2018).…”

Section: Introductionmentioning

confidence: 99%

The Effects of Repeated Dyspnea Exposure on Response Inhibition

et al. 2019

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In order to treat dyspnea (=breathlessness) successfully, response inhibition (RI) as a major form of self-regulation is a premise. This is supported by research showing that self-regulation is associated with beneficial behavioral changes supporting treatment success in patients. Recent research showed that dyspnea has an impairing effect on RI, but the effects of repeated dyspnea exposure on RI remain unknown. Therefore, the present study tested the effects of repeated resistive load-induced dyspnea on RI over a 5-day period. Healthy volunteers ( n = 34) performed the standard version of the Stroop task during baseline and dyspnea conditions on the first and fifth testing day and underwent an additional dyspnea exposure phase on each testing day. Variables of interest to investigate RI were reaction time, accuracy as well as the event-related potentials late positive complex (LPC) and N400 in the electroencephalogram. Reduced accuracy for incongruent compared to congruent stimuli during the dyspnea condition on the first testing day were found ( p < 0.001). This was paralleled by a reduced LPC and an increased N400 for incongruent stimuli during the induction of dyspnea ( p < 0.05). After undergoing dyspnea exposure, habituation of dyspnea intensity was evident. Importantly, on the fifth testing day, no differences between baseline, and dyspnea conditions were found for behavioral and electrophysiological measures of RI. These findings demonstrate that the impairing effect of dyspnea on RI disappeared after repeated dyspnea exposure in healthy participants. Translated to a clinical sample, it might cautiously be suggested that dyspnea exposure such as dyspnea perceived during physical exercise could reduce the impairing effect of dyspnea on RI which might have the potential to help increase self-regulation abilities and subsequent treatment efforts in dyspneic patients.

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Section: Introductionmentioning

confidence: 99%

The Effects of Repeated Dyspnea Exposure on Response Inhibition

et al. 2019

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“…From the sound of breathing to the sound of distress: implications for dyspneic patients and their caregivers Nathalie NION, MSc (1,2) [nathalie.nion@aphp.fr] Laure SERRESSE, MD (1,3) [laure.serresse@aphp.fr] Sophie LAVAULT, PhD (1,4) [sophie.lavault@aphp.fr] Thomas SIMILOWSKI (1,3) [thomas.similowski@upmc.fr]…”

Section: Erj2023-r1 Editorial (To Accompany Lovell N Etkind S Davies ...mentioning

confidence: 99%

“…Its neurophysiological and sociocultural determinants are not known, nor are its psychological impact on caregivers and its role in patient-caregiver interactions. Gozal and Johnson remarkably delineated these questions in a previous editorial [4]. But vicarious dyspnea, as dyspnea itself, is only a symptom.…”

Section: Erj2023-r1 Editorial (To Accompany Lovell N Etkind S Davies ...mentioning

confidence: 99%

From the sound of breathing to the sound of distress: implications for dyspnoeic patients and their caregivers

et al. 2023

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“…375 Uncontrolled breathlessness is frightening and exhausting for patients, and confronting for caregivers, often leaving haunting and unpleasant memories. 386 Minimising breathlessness is therefore imperative for patients' and families' wellbeing.…”

Section: Symptom Burden In End-of-life Carementioning

confidence: 99%

Role of Hospice Care at the End of Life for People With Cancer

Currow

Agar

Phillips

2020

JCO

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Patient-defined factors that are important at the end of life include being physically independent for as long as possible, good symptom control, and spending quality time with friends and family. Hospice care adds to the quality of care and these patient-centered priorities for people with cancer and their families in the last weeks and days of life. Evidence from large observational studies demonstrate that hospice care can improve outcomes directly and support better and more appropriate health care use for people in the last stages of cancer. Team-based community hospice care has measurable benefits for patients, their family caregivers, and health services. In addition to improved symptom control for patients and a greater likelihood of time spent at home, caregiver outcomes are better when hospice care is accessed: informational needs are better met, and caregivers have an improved ability to move on with life after the patient’s death compared with people who did not have access to these services. Hospice care continues to evolve as its reach expands and the needs of patients continue to broaden. This is reflected in the transition from hospice being based on excellence in nursing to teams with a broad range of health professionals to meet the complex and changing needs of patients and their families. Additional integration of cancer services with hospice care will help to provide more seamless care for patients and supporting family caregivers during their caregiving and after the death of the patient.

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Vicarious breathlessness: an inferential perceptual learned transposition process that may not be inconsequential to either patient or caregiver

Cited by 7 publications

References 28 publications

The Effects of Repeated Dyspnea Exposure on Response Inhibition

The Effects of Repeated Dyspnea Exposure on Response Inhibition

From the sound of breathing to the sound of distress: implications for dyspnoeic patients and their caregivers

Role of Hospice Care at the End of Life for People With Cancer

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