Voluntary hyperventilation in the treatment of panic disorder - Functions of hyperventilation, their implications for breathing training, and recommendations for standardization

Clinical Psychology Review

Volumn 25, Issue 3, 2005, Pages 285-306

  Meuret, Alicia E ^a   Ritz, Thomas ^b   Wilhelm, Frank H ^c   Roth, Walton T ^d  

^a BOSTON UNIVERSITY   (United States)

^b UNIVERSITY OF HAMBURG   (Germany)

^c UNIVERSITY OF BASEL   (Switzerland)

^d STANFORD UNIVERSITY   (United States)

Author keywords

Anxiety; Breathing training; Hypocapnia; Panic disorder; pCO2; Voluntary hyperventilation

Indexed keywords

ANXIETY DISORDER; BEHAVIOR THERAPY; BREATHING EXERCISE; COGNITIVE THERAPY; EMPIRICISM; HUMAN; HYPERVENTILATION; HYPOCAPNIA; PANIC; REVIEW; STANDARD; SYMPTOM; THEORETICAL MODEL;

EID: 15544367187     PISSN: 02727358     EISSN: None     Source Type: Journal    
DOI: 10.1016/j.cpr.2005.01.002     Document Type: Article

References (69)

1. J.L. Abelson, J.G. Weg, R.M. Nesse, and G.C. Curtis Persistent respiratory irregularity in patients with panic disorder Biological Psychiatry 49 2001 588 595
2. G.W. Alpers, F.H. Wilhelm, and W.T. Roth Psychophysiological assessment during exposure in driving phobic patients Journal of Abnormal Psychology 114 2005 126 139
3. American Psychiatric Association Diagnostic and statistical manual of mental disorders 4th ed. 1994 Author Washington, DC
4. M.M. Antony, T.A. Brown, and D.H. Barlow Response to hyperventilation and 5.5% CO-sub-2 inhalation of subjects with types of specific phobia, panic disorder, or no mental disorder American Journal of Psychiatry 154 1997 1089 1095
5. D.H. Barlow Clinical handbook of psychological disorders: A step-by-step treatment manual 2nd ed. 1993 The Guilford Press New York, NY, USA
6. D.H. Barlow Anxiety and its disorders 2nd ed. 2002 Guilford Press New York
7. C. Bass Hyperventilation syndrome: A chimera? Journal of Psychosomatic Research 24 1997 421 426
8. C. Bass, and W.N. Gardner Respiratory and psychiatric abnormalities in chronic symptomatic hyperventilation British Medical Journal (Clinical Research Edition) 290 1985 1387 1390
9. J.A. Bonn, C.P.A. Readhead, and B.H. Timmons Enhanced behavioral response in agoraphobic patients pretreated with breathing retraining Lancet 2 1984 665 669
10. A.C. Briggs, D.D. Stretch, and S. Brandon Subtyping of panic disorder by symptom profile British Journal of Psychiatry 163 1993 201 209
11. D.M. Clark A cognitive approach to panic Behaviour Research and Therapy 24 1986 461 470
12. D.M. Clark, P.M. Salkovskis, and A.J. Chalkley Respiratory control as a treatment for panic attacks Journal of Behavior Therapy and Experimental Psychiatry 16 1985 23 30
13. T. Compernolle, K. Hoogduin, and L. Joele Diagnosis and treatment of the hyperventilation syndrome Psychosomatics 20 1979 612 625
14. Craske, M. G. (1998). Group Treatment of Panic Disorder and Agoraphobia: Comorbidity Study. Unpublished manual.
15. Craske, M. G., & Barlow, D. H. (1990). Therapist's Guide for the Mastery of Your Anxiety and Panic. University of Albany, State University of New York: Center of Stress and Anxiety Disorders.
16. M.G. Craske, D.H. Barlow, and E.A. Meadows Mastery of your anxiety and panic: Therapist guide for anxiety, panic, and agoraphobia (MAP-3) 2000 Graywind/Psychological Corporation San Antonio, TX
17. M.G. Craske, M. Rowe, M. Lewin, and R. Noriega-Dimitri Interoceptive exposure versus breathing retraining within cognitive-behavioural therapy for panic disorder with agoraphobia British Journal of Clinical Psychology 36 1997 85 99
18. R.O. Cummins, and M.F. Hazinski New guidelines on tracheal tube confirmation and prevention of dislodgement Circulation 102 Suppl. I 2000 380 384
19. J.A. Franklin A 6-year follow-up of the effectiveness of respiratory retraining, in-situ isometric relaxation, and cognitive modification in the treatment of agoraphobia Behavior Modification 13 1989 139 167
20. B. Garssen, M. Buikhuisen, and R. van Dyck Hyperventilation and panic attacks American Journal of Psychiatry 153 1996 513 518
21. J.M. Gorman, M.R. Fyer, R. Goetz, J. Askanazi, M.R. Liebowitz, and A.J. Fyer Ventilatory physiology of patients with panic disorder Archives of General Psychiatry 45 1988 31 39
22. J.M. Gorman, L.A. Papp, J.D. Coplan, J.M. Martinez, R.N. Lennon, and R.R. Goetz Anxiogenic effects of CO-sub-2 and hyperventilation in patients with panic disorder American Journal of Psychiatry 151 1994 547 553
23. G.A. Hibbert, and M. Chan Respiratory control: Its contribution to the treatment of panic attacks: A controlled study British Journal of Psychiatry 154 1989 232 236
24. G.A. Hibbert, and D. Pilsbury Hyperventilation in panic attacks. Ambulant monitoring of transcutaneous carbon dioxide British Journal of Psychiatry 153 1988 76 80
25. P.E. Holt, and G. Andrews Hyperventilation and anxiety in panic disorder, social phobia, GAD and normal controls Behaviour Research and Therapy 27 1989 453 460
26. H. Hornsveld, B. Garssen, and P. van Spiegel Voluntary hyperventilation: The influence of duration and depth on the development of symptoms Biological Psychology 40 1995 299 312
27. H.K. Hornsveld, B. Garssen, M.J.C. Fiedeldij Dop, P. van Spiegel, and J.C.J.M. de Haes Double-blind placebo-controlled study of the hyperventilation provocation test and the validity of the hyperventilation syndrome The Lancet 348 1996 152 158
28. M.A. Katzman, L. Struzik, N. Vijay, A. Coonerty-Femiano, S. Mahamed, and J. Duffin Central and peripheral chemoreflexes in panic disorder Psychiatry Research 113 2002 181 192
29. D.F. Klein Anxiety reconceptualized Comprehensive Psychiatry 21 1980 227 411
30. D.F. Klein False suffocation alarms, spontaneous panics, and related conditions Archives of General Psychiatry 50 1993 306 318
31. R. Ley Blood, breath, and fears: A hyperventilation theory of panic attacks and agoraphobia Clinical Psychology Review 5 1985 271 285
32. 2 chemosensitivity in panic disorder Acta Psychiatrica Scandinavica 77 1988 214 218
33. L.C. Lum Hyperventilation: The tip and the iceberg Journal of Psychosomatic Research 19 1975 375 383
34. R.J. Maddock, and C.S. Carter Hyperventilation-induced panic attacks in panic disorder with agoraphobia Biological Psychiatry 29 1991 843 854
35. R.J. Maddock, and J. Mateo-Bermudez Elevated serum lactate following hyperventilation during glucose infusion in panic disorder Biological Psychiatry 27 1990 411 418
36. J.M. Martinez, L.A. Papp, J.D. Coplan, D.E. Anderson, C.M. Mueller, and D.F. Klein Ambulatory monitoring of respiration in anxiety Anxiety 2 1996 296 302
37. R.J. McNally, C.D. Hornig, and C.D. Donnell Clinical versus nonclinical panic: A test of suffocation false alarm theory Behaviour Research and Therapy 33 1995 127 131
38. A.E. Meuret, T. Ritz, B. Dahme, and W.T. Roth Therapeutic use of ambulatory capnography M. Jaffe J.S. Gravenstein D. Paulus Capnography: Clinical aspects-carbon dioxide over time and volume 2004 Cambridge University Press Cambridge 129 135
39. A.E. Meuret, F.H. Wilhelm, T. Ritz, and W.T. Roth Breathing training in panic disorder treatment-useful intervention or impediment to therapy? Behavior Modification 27 2003 731 754
40. Meuret, A. E., Wilhelm, F. H., Ritz, T., Roth, W. T. (submitted). Effects of capnometry-assisted breathing therapy on symptoms and respiration in panic disorder.
41. A.E. Meuret, F.H. Wilhelm, and W.T. Roth Respiratory biofeedback-assisted therapy in panic disorder Behavior Modification 25 2001 584 605
42. Meuret, A. E., Wilhelm, F. H., & Roth, W. T. (2002). The Hyperventilation Test-A Therapy Outcome Measure for Panic Disorder? Poster presented at the 22nd National Conference of the Anxiety Disorders Association of America, Austin, TX, USA.
43. A.E. Meuret, F.H. Wilhelm, and W.T. Roth Respiratory feedback for treating panic disorder Journal of Clinical Psychology 60 2004 197 207
44. Meuret, A.E., Wilhelm, F.H., Rothkopf, M., & Roth, W.T. (2002). Psychophysiological Characteristic of Real-life Panic Attacks: Are Respiratory Parameters Involved? Poster presented at the International Society for Advancement of Respiratory Psychophysiology, September 30-2, Washington, USA.
45. A.E. Nardi, I. Nascimento, A.M. Valenca, F.L. Lopes, M.A. Mezzasalma, and W.A. Zin Respiratory panic disorder subtype: Acute and long-term response to nortriptyline, a noradrenergic tricyclic antidepressant Psychiatry Research 15 2003 283 293
46. A.E. Nardi, A.M. Valenca, I. Nascimento, and W.A. Zin Hyperventilation challenge test in panic disorder and depression with panic attacks Psychiatry Research 105 2001 57 65
47. L.A. Papp, J.M. Martinez, D.F. Klein, J.D. Coplan, R.G. Norman, and R. Cole Respiratory psychophysiology of panic disorder: Three respiratory challenges in 98 subjects American Journal of Psychiatry 154 1997 1557 1565
48. R.M. Rapee A case of panic disorder treated with breathing retraining Journal of Behavior Therapy and Experimental Psychiatry 16 1985 63 65
49. R.M. Rapee, T.A. Brown, M.M. Antony, and D.H. Barlow Response to hyperventilation and inhalation of 5.5% carbon dioxide-enriched air across the DSM-III-R anxiety disorders Journal of Abnormal Psychology 101 1992 538 552
50. R.M. Rapee, and L. Medoro Fear of physical sensations and trait anxiety as mediators of the response to hyperventilation in nonclinical subjects Journal of Abnormal Psychology 103 1994 693 699
51. S. Reiss, and R.J. McNally Expectancy model of fear S. Reiss R.R. Bootzin Theoretical issues in behavior therapy 1985 Academic Press San Diego, CA 107 121
52. W.T. Roth, F.H. Wilhelm, and W. Trabert Voluntary breath holding in panic and generalized anxiety disorders Psychosomatic Medicine 60 1998 671 679
53. Roth, W. T., Wilhelm, F. H., & Pettit, D. (in press). Are current theories of panic falsifiable? Psychological Bulletin.
54. Roth, W. T., Wilhelm, F. H., Pettit, D., & Meuret, A. E. (in press). Rescuing the hyperventilation theory of panic: reply. Psychological Bulletin.
55. 2 British Journal of Psychiatry 148 1986 526 532
56. 2 levels: A test of Klein's (1993) suffocation alarm theory of panic Journal of Abnormal Psychology 105 1996 446 454
57. N.B. Schmidt, K. Woolaway-Bickel, J. Trakowski, H. Santiago, J. Storey, and M. Koselka Dismantling cognitive-behavioral treatment for panic disorder: Questioning the utility of breathing retraining Journal of Consulting and Clinical Psychology 68 2000 417 424
58. J.W. Smoller, M.H. Pollack, M.W. Otto, J.F. Rosenbaum, and R.L. Kradin Panic anxiety, dyspnea, and respiratory disease American Journal of Respiratory and Critical Care Medicine 154 1996 6 17
59. P. Spinhoven, E.J. Onstein, P.J. Sterk, and D. le Haen-Versteijnen The hyperventilation provocation test in panic disorder Behaviour Research and Therapy 30 1992 453 461
60. M.B. Stein, T.W. Millar, D.K. Larsen, and M.H. Kryger Irregular breathing patterns during sleep in patients with panic disorder American Journal of Psychiatry 152 1995 1168 1173
61. M.J. Telch, J.A. Lucas, N.B. Schmidt, H.H. Hanna, T.L. Jaimez, and R. Lucas Group cognitive behavioral treatment of panic disorder Behaviour Research and Therapy 31 1993 279 287
62. M.A. van den Hout, P. De Jong, J. Zandbergen, and H. Merckelbach Waning of panic sensations during prolonged hyperventilation Behaviour Research and Therapy 28 1990 445 448
63. M.A. van den Hout, R. Hoekstra, A. Arntz, M. Christiaanse, W. Ranschaert, and E. Schouten Hyperventilation is not diagnostically specific to panic patients Psychosomatic Medicine 54 1992 182 191
64. 2 exposure American Journal of Psychiatry 144 1987 788 791
65. 2, respiratory pattern variability, and transfer function RSA J. Fahrenberg Progress in ambulatory assessment 2001 Hogrefe & Huber Göttingen
66. F.H. Wilhelm, A.L. Gerlach, and W.T. Roth Slow recovery from voluntary hyperventilation in panic disorder Psychosomatic Medicine 63 2001 638 649
67. F.H. Wilhelm, W. Trabert, and W.T. Roth Physiologic instability in panic disorder and generalized anxiety disorder Biological Psychiatry 49 7 2001 596 605
68. F.H. Wilhelm, W. Trabert, and W.T. Roth Characteristics of sighing in panic disorder Biological Psychiatry 49 2001 606 614
69. S.W. Woods, D.S. Charney, J. Loke, W.K. Goodman, D.E. Redmond, and G.R. Heninger Carbon dioxide sensitivity in panic anxiety. Ventilatory and anxiogenic response to carbon dioxide in healthy subjects and patients with panic anxiety before and after alprazolam treatment Archives of General Psychiatry 43 1986 900 909