nach oben

Erschienen in:

01.02.2008 | Original Article

Hyperventilation Symptoms are Linked to a Lower Perceived Health in Asthma Patients

verfasst von: Thomas Ritz, Ph.D., David Rosenfield, Ph.D., Alicia E. Meuret, Ph.D., Carol Bobb, BA, Andrew Steptoe, Ph.D.

Erschienen in: Annals of Behavioral Medicine | Ausgabe 1/2008

Einloggen, um Zugang zu erhalten

Abstract

Background

Hyperventilation symptoms are among the sensations asthma patients tend to report during exacerbations of their disease. However, little is known about their importance for the patients’ perceived well-being.

Method

We therefore studied the association of reported hyperventilation symptoms (Asthma Symptom Checklist) with perceived physical and mental health (36-item Short-form Health Survey) in a sample of primary care asthma patients (N = 190). We also studied the potential role of perceived control of asthma (Perceived Control of Asthma Questionnaire) in mediating any association between these variables.

Results

In hierarchical multiple regression analyses controlling for demographics, asthma severity, and other asthma symptoms (obstruction, congestion, panic–fear, irritation, and fatigue), hyperventilation symptoms were significantly associated with both physical and mental health status. This association was partially mediated by perceived control of asthma.

Conclusion

It is possible that hypocapnia creates symptoms that asthma patients cannot control by using their antiasthmatic medication, thus compromising their perceived control over the management of their asthma, and consequently their perceived health. Behavioral interventions should address the problem of hyperventilation in asthma.

Wientjes CJ. Respiration in psychophysiology: methods and applications. Biol Psychol. 1992; 34: 179–203.PubMedCrossRef

Laffey JG, Kavanagh BP. Carbon dioxide and the critically ill—too little of a good thing. Lancet. 1999; 354: 1283–1286.PubMedCrossRef

Grossman P. Respiration, stress, and cardiovascular function. Psychophysiology. 1983; 202: 84–300.PubMedCrossRef

Fried R. The Psychology and Physiology of Breathing. New York, Plenum; 1993.

Clarke PS. Emotional exacerbations in asthma caused by overbreathing. J Asthma. 1982: 19: 249–251.PubMedCrossRef

Herxheimer H. Hyperventilation asthma. Lancet. 1946; 1: 83–87.CrossRef

Bruton A, Holgate ST. Hypocapnia and asthma: a mechanism for breathing retraining. Chest. 2005; 127: 1808–1811.PubMedCrossRef

Thomas M, McKinley RK, Freeman E, Foy C. Prevalence of dysfunctional breathing in patients treated for asthma in primary care: cross sectional survey. Br Med J. 2001; 322: 1098–1100.CrossRef

Kinsman RA, Luparello T, O ’Banion K, Spector S. Multidimensional analysis of the subjective symptomatology of asthma. Psychosom Med. 1973; 35: 250–267.PubMed

10.

Brooks CM, Richards JM Jr, et al. Subjective symptomatology of asthma in an outpatient population. Psychosom Med. 1989; 51: 102–108.PubMed

11.

Ritz T, Bobb C, Edwards M, Steptoe A. The structure of symptom report in asthma. A re-evaluation. J Psychosom Res. 2001; 51: 639–645.PubMedCrossRef

12.

Hormbrey J, Jacobi MS, Patil CP, Saunders KB. CO2 response and pattern of breathing in patients with symptomatic hyperventilation, compared to asthmatic and normal subjects. Eur Respir J. 1988; 1: 846–851.PubMed

13.

Osborne CA, O’Connor BJ, Lewis A, Gardner WD. Hyperventilation and asymptomatic chronic asthma. Thorax. 2000; 55: 1016–1022.PubMedCrossRef

14.

Ritz T, Meuret AE, Wilhelm F, Roth WT. End-tidal PCO2 levels in asthma patients in the laboratory and at home. Biol Psychol. 2003; 62: 233–234 (abstract).

15.

McFadden ER, Lyons HA. Arterial-blood gas tension in asthma. N Engl J Med. 1968; 278: 1027–1032.PubMedCrossRef

16.

Hyland ME. The living with asthma questionnaire. Respir Med. 1991; 85(Suppl 13): 33–37.

17.

Jones PW, Quirk FH, Baveystock CM. The St George’s respiratory questionnaire. Respir Med. 1991; 85(suppl B): 25–31.PubMedCrossRef

18.

Juniper EF, Guyatt GH, Ferrie PJ, Griffith LE. Measuring quality of life in asthma. Am Rev Respir Dis. 1993; 147: 832–838.PubMed

19.

Steen N, Hutchinson A, McColl E, et al. Development of a symptom based outcome measure for asthma. Br Med J. 1994; 309: 1065–1068.

20.

Van Dixhoorn J, Duivenvoorden HJ. Efficacy of Nijmegen Questionnaire in recognition of the hyperventilation syndrome. J Psychosom Res. 1985; 29: 199–206.PubMedCrossRef

21.

Skinner EA. A guide to constructs of control. J Pers Soc Psychol. 1996; 71: 549–570.PubMedCrossRef

22.

Rotter JB. Generalized expectancies for internal versus external control of reinforcement. Psychol Monogr. 1966; 80: 1–28PubMed

23.

Steptoe A. Job control, perceptions of control, and cardiovascular activity: an analysis of ambulatory measures collected over the working day. J Psychosom Res. 2001; 50: 57–63.PubMedCrossRef

24.

Strickland BR. Internal–external expectancies and health-related behaviors. J Consult Clin Psychol. 1978; 46: 1192–1211.PubMedCrossRef

25.

Rodin J, Salovey P. Health psychology. Annu Rev Psychol. 1989; 40: 533–579.PubMedCrossRef

26.

Katz PP, Yelin EH, Eisner MD, Blanc PD. Perceived control of asthma and quality of life among adults with asthma. Ann Allergy Asthma Immunol. 2002; 89: 251–258.CrossRef

27.

Khorram H. Der Einfluss von Kontrollueberzeugungen auf die Lebensqualitaet von Asthmapatienten [The influence of control beliefs on quality of life of asthma patients]. Unpublished diploma thesis, University of Hamburg, Hamburg, Germany; 2005.

28.

Olajos-Clow J, Costello E, Lougheed MD. Perceived control and quality of life in asthma: impact of asthma education. J Asthma. 2005; 42: 751–756.PubMedCrossRef

29.

Griffin MJ, Chen E. Perceived control and immune and pulmonary outcomes in children with asthma. Psychosom Med. 2006; 68: 493–499.PubMedCrossRef

30.

Belloch A, Perpina MJ, Pascual LM, Martinez M, De Diego A. Subjective symptomatology of asthma: Validation of the Asthma Symptom Checklist in an outpatient Spanish population. J Asthma. 1997; 34: 509–519.PubMedCrossRef

31.

Jenkinson C, Layte R, Wright L, Coulter A. The U.K. SF-36: An Analysis and Interpretation Manual. Oxford Health Services Research Unit, Department of Public Health and Primary Care, University of Oxford; 1996.

32.

British Thoracic Society. Guidelines on asthma management. Thorax. 1997; 52(suppl. 1): S1–S26.

33.

Tabachnick BG, FidellL S. Using multivariate statistics. 4th ed. Boston, MA: Allyn & Bacon; 2001.

34.

MacKinnon DP, Lockwood CM, Hoffman JM, West SG, Sheets V. A comparison of methods to test mediation and other intervening variable effects. Psychol Methods. 2002; 7: 83–104.PubMedCrossRef

35.

Shrout P, Bolger N. Mediation in experimental and non-experimental studies: New procedures and recommendations. Psychol Methods. 2002; 7: 422–445.PubMedCrossRef

36.

Carr RE, Lehrer PM, Hochron SM. Predictors of panic–fear in asthma. Health Psychol. 1995; 14: 421–426.PubMedCrossRef

37.

Bobb C, Ritz T. Do asthma patients in general practice profit from a structured allergen evaluation and skin prick testing? A pilot study. Respir Med. 2003; 97: 1180–1187.PubMedCrossRef

38.

Pennebaker JW, Burnam MA, Schaeffer MA, Harper DC. Lack of control as a determinant of perceived physical symptoms. J Pers Soc Psychol. 1977; 35: 167–74.PubMedCrossRef

39.

Bruton A, Lewith GT. The Buteyko breathing technique for asthma: a review. Complement Ther Med. 2005; 13: 41–46.PubMedCrossRef

40.

Ritz T, Roth WT. Behavioral interventions in asthma. Breathing training. Behav Modif. 2003; 27: 710–730.PubMedCrossRef

41.

Ritz T, Wilhelm FH, Gerlach AL, Kullowatz A, Roth WT. End-tidal pCO₂ in blood phobics during viewing of emotion- and disease-related films. Psychosom Med. 2005; 67: 661–668.PubMedCrossRef

42.

van den Hout MA, Hoekstra R, Arntz A, Christiaanse M, Ranschaert W, Schouten E. Hyperventilation is not diagnostically specific to panic patients. Psychosom Med. 1992; 53: 182–191.

43.

Roth WT, Wilhelm FH, Pettit D. Are current theories of panic falsifiable. Psychol Bull. 2005; 131: 171–192.PubMedCrossRef

44.

Adams RJ, Wilson DH, Taylor AW et al. Psychological factors and asthma quality of life: a population based study. Thorax. 2004; 59: 930–935.PubMedCrossRef

45.

Kullowatz A, Kanniess F, Dahme B, Magnussen H, Ritz T. Association of depression and anxiety with health care use and quality of life in asthma patients. Respir Med. 2007; 101: 638–644.PubMedCrossRef

46.

Kinsman RA, Dirks JF, Jones NF, Dahlem NW. Anxiety reduction in asthma: four catches to general application. Psychosom Med. 1980; 42: 397–405.PubMed

47.

Goodwin RD. Asthma and anxiety disorder. Adv Psychosom Med. 2003; 24: 51–71.PubMedCrossRef

48.

Mineka S, Kelly KA. The relationship between anxiety, lack of control and loss of control. In: Steptoe A, Appels A, eds. Stress, Personal Control and Health. Oxford: Wiley; 1989: 163–191.

49.

Osman M, Hansell AL, Simpson CR, Hollowell J, Helms PJ. Gender-specific presentation for asthma, allergic rhinitis and eczema in primary care. Prim Care Respir J. 2007; 16: 28–35.PubMedCrossRef

50.

Korkeila K, Suominen S, Ahvenainen J et al. Non-response and related factors in a nation-wide health survey. Eur J Epidemiol. 2001; 17: 991–999.PubMedCrossRef

51.

Dijkema MB, Grievink L, Stellato RK, Roorda J, van der Velden PG. Determinants of response in a longitudinal health study following the firework-disaster in Enschede, The Netherlands. Eur J Epidemiol. 2005; 20: 839–847.PubMedCrossRef

Titel: Hyperventilation Symptoms are Linked to a Lower Perceived Health in Asthma Patients
verfasst von: Thomas Ritz, Ph.D.
David Rosenfield, Ph.D.
Alicia E. Meuret, Ph.D.
Carol Bobb, BA
Andrew Steptoe, Ph.D.
Publikationsdatum: 01.02.2008
Verlag: Springer-Verlag
Erschienen in: Annals of Behavioral Medicine / Ausgabe 1/2008
Print ISSN: 0883-6612
Elektronische ISSN: 1532-4796
DOI: https://doi.org/10.1007/s12160-007-9014-7

Neu in den Fachgebieten Neurologie und Psychiatrie

23.04.2024 | Demenz | Nachrichten

Springer Medizin

Hyperventilation Symptoms are Linked to a Lower Perceived Health in Asthma Patients

Abstract

Background

Method

Results

Conclusion

Neu in den Fachgebieten Neurologie und Psychiatrie

Demenzkranke durch Antipsychotika vielfach gefährdet

Parkinson-Therapie im Wandel – aktuelle Leitlinie im Fokus

Weniger postpartale Depressionen nach Esketamin-Einmalgabe

Auf diese Krankheiten bei Geflüchteten sollten Sie vorbereitet sein

Springer Medizin

Abstract

Background

Method

Results

Conclusion

Bitte loggen Sie sich ein, um Zugang zu diesem Inhalt zu erhalten

Weitere Artikel der Ausgabe 1/2008

Preferences for a Patient-Centered Role Orientation: Association with Patient-Information-Seeking Behavior and Clinical Markers of Health

The Annals Is Moving Forward!

Social Support and Self-Care of Patients with Heart Failure

The Effects of Race-related Stress on Cortisol Reactivity in the Laboratory: Implications of the Duke Lacrosse Scandal

Benefit Finding in Response to BRCA1/2 Testing

What Types of Evidence are Most Needed to Advance Behavioral Medicine?

Neu in den Fachgebieten Neurologie und Psychiatrie

Demenzkranke durch Antipsychotika vielfach gefährdet

Parkinson-Therapie im Wandel – aktuelle Leitlinie im Fokus

Weniger postpartale Depressionen nach Esketamin-Einmalgabe

Auf diese Krankheiten bei Geflüchteten sollten Sie vorbereitet sein