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Clinical Aspects and Treatment of the Hyperventilation Syndrome

Published online by Cambridge University Press:  16 June 2009

Bert Garssen  and
Hanneke Rijken
Bert Garssen
Affiliation:
Psychiatric Clinic, State University, Utrecht
Hanneke Rijken
Affiliation:
Psychiatric Clinic, State University, Utrecht
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Extract

The Hyperventilation Syndrome is a common disorder and clinical psychologists will be regularly confronted with it, because the syndrome is closely interwoven with psychological problems. The literature is reviewed with respect to pathophysiology of the complaints, aetiology of the syndrome and treatment. A new developmental model is presented and directions for future research are proposed.

Type
Research Article
Information
Behavioural and Cognitive Psychotherapy , Volume 14 , Issue 1 , January 1986 , pp. 46 - 68
Copyright
Copyright © British Association for Behavioural and Cognitive Psychotherapies 1986

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References

Alexander, S. C., Smith, T. C., Strobel, G., Stephen, G. W. and Wollman, H. (1968). Cerebral carbohydrate metabolism of man during respiratory and metabolic alkalosis. Journal of Applied Physiology 24, 66–72.CrossRefGoogle Scholar
Aronson, P. R. (1966). Evaluation of psychotropic drug therapy in chronic Hyperventilation Syndrome. Journal of New Drugs 6, 305–307.Google Scholar
Bakal, D. A. (1975). Headache: a biopsychological perspective. Psychological Bulletin 82, 369–382.Google Scholar
Beckmann, K. (1915). Über Änderungen in der Atmungsregulation durch psychische und pharmakologische Einflüsse. Deutsches Archiv für Klinische Medizin 117, 419–437.Google Scholar
Bendixen, H. H., Smith, G. M., and Mead, J. (1964). Pattern of ventilation in young adults. Journal of Applied Physiology 19, 195–198.CrossRefGoogle ScholarPubMed
Bonn, J. A., Redhead, C. P. A. and Timmons, B. H. (1984). Enhanced behavioural response in agoraphobic patients pretreated with breathing retraining. The Lancet II, 665–669.CrossRefGoogle Scholar
Burnum, J. F., Hickam, J. B. and McIntosh, H. D. (1954). The effect of hypocapnia on arterial blood pressure. Circulation 9, 89–95.Google Scholar
Clark, D. M., Salkovskis, P. M. and Chalkley, A. J. (1985). Respiratory control as a treatment for panic attacks. Journal of Behavior Therapy and Experimental Psychiatry 16, 23–30.Google Scholar
CompernolleT., Hoogduin, K. T., Hoogduin, K. and Joele, L. (1979). Diagnosis and treatment of the Hyperventilation Syndrome. Psychosomatics 19, 612–625.CrossRefGoogle Scholar
Comroe, J. H. (1965). Physiology of Respiration. Chicago: Year Book Medical Publishers.Google Scholar
Coraboeuf, E. and Niedergerke, R. (1953). Kohlensäure- und pH-Wirkung an der markhaltigen Einzelfaser des Froschs. Pflügers Archiv 258, 103–107.CrossRefGoogle Scholar
Damas-Mora, J., Davies, L., Taylor, W. and Jenner, F. A. (1980). Menstrual respiration changes and symptoms. British Journal of Psychiatry 136, 492–497.CrossRefGoogle ScholarPubMed
Dölle, W. (1964). Hyperventilation und Hyperventilationssyndrom. Medische Kliniek 59, 645–699.Google Scholar
Doorn, P. Van, Folgering, H. and Colla, P. (1982). Control of the end-tidal PCO2 in the Hyperventilation Syndrome: effects of biofeedback and breathing instructions compared. Bulletin Européen de Physiopathologie Respiratoire 18, 829–836.Google ScholarPubMed
Dudley, D. L., Martin, C. J. and Holmes, T. H. (1964a). Psychophysiological studies of pulmonary ventilation. Psychosomatic Medicine 26, 645–660.CrossRefGoogle ScholarPubMed
Dudley, D. L., Holmes, T. H., Martin, C. J. and Ripley, H. S. (1964b). Changes in respiration associated with hypnotically induced emotion, pain and exercise. Psychosomatic Medicine 26, 46–57.CrossRefGoogle ScholarPubMed
Dudley, D. L., Masuda, M., Martin, C. J. and Holmes, T. H. (1965). Psychophysiological studies of experimentally induced action oriented behaviour. Journal of Psychosomatic Research 9, 209–221.Google Scholar
Engel, G. L., Ferris, E. B. and Logan, M. (1947). Hyperventilation: analysis of clinical symptomatology. Annals of Internal Medicine 27, 683–704.Google Scholar
Enzer, N. B. and Walker, P. A. (1967). Hyperventilation syndrome in childhood. Journal of Pediatrics 70, 521–532.CrossRefGoogle ScholarPubMed
Feinberg, H., Gerola, A. and Katz, L. N. (1960). Effect of changes in blood CO2 level on coronary flow and myocardial O2 consumption. American Journal of Physiology 199, 349–354.Google Scholar
Folgering, H. and Colla, P. (1978). Some anomalies in the control of PACO2 in patients with a Hyperventilation Syndrome. Bulletin Européen de Physiopathologie Respiratoire 14, 503–512.Google ScholarPubMed
Folgering, H. and Cox, A. (1981). Beta-blocker therapy with metoprolol in the Hyperventilation Syndrome. Respiration 41, 33–38.CrossRefGoogle ScholarPubMed
Folgering, H., Rutten, H. and Roumen, Y. (1983). Beta-blockade in the Hyperventilation Syndrome. A retrospective assessment of symptoms and complaints. Respiration 44, 19–25.CrossRefGoogle ScholarPubMed
Freedman, A. M., Kaplan, H. I. and Sadock, B. J. (1976). Modern Synopsis of Comprehensive Textbook of Psychiatry, 2nd Edn, Vol. 2, pp. 610–619, Baltimore: Williams and Wilkins.Google Scholar
Friedman, M. (1945). Studies concerning the etiology and pathogenesis of neurocirculatory Asthenia. American Heart Journal 30, 557–566.CrossRefGoogle ScholarPubMed
Friedman, M. and Rosenman, R. H. (1974). Type A Behavior and your Heart. New York: Knopf.Google Scholar
Garssen, B. (1980). Role of stress in the development of the Hyperventilation Syndrome. Psychotherapy and Psychosomatics 33, 214–225.CrossRefGoogle ScholarPubMed
Garssen, B., Veenendaal, W. Van and Bloemink, R. (1983). Agoraphobia and the Hyperventilation Syndrome. Behavior Research and Therapy 6, 643–649.CrossRefGoogle Scholar
Grossman, P., Swart, J. C. G.De and Defares, P. B. (1985). A controlled study of a breathing therapy for treatment of Hyperventilation Syndrome. Journal of Psychosomatic Research 29, 49–58.Google Scholar
Grunhaus, W., Gloger, S. and Weisstub, E. (1981). Panic attacks: A review of treatments and pathogenesis. Journal of Nervous and Mental Disease 169, 608–613.Google Scholar
Hardonk, H. J. and Beumer, H. M. (1979). Hyperventilation Syndrome. In: Handbook of Clinical Neurology, Vinken, P. J. and Bruyn, G. W. (Eds), Vol. 38, part 1, pp. 309–360, Amsterdam: North-Holland.Google Scholar
Herzog, H. (1964). Atmung und Emotion. In: Muskel und Psyche, Hoff, Tschabitscher, and Kryspin-Exner, (Eds), pp. 237–253, Basel: S. Karger.Google Scholar
Hille, H., Hild, R., Mechelke, K. and Barth, Ch. (1961). Über die Wirkung von CO2-Inhalation und Hyperventilation auf den Kreislauf des Menschen. Zeitschrift für Kreislaufforschung 50, 255–263.Google Scholar
Hoes, M., Colla, P. and Folgering, H. (1980). Clomipramine treatment of Hyperventilation Syndrome. Pharmakopsychiatry 13, 25–28.CrossRefGoogle ScholarPubMed
Joorabchi, B. (1977). Expression of the Hyperventilation Syndrome in Childhood. Clinical Pediatrics 16, 1110–1115.Google Scholar
Kemp, H. G., Vokonas, P. S., Cohn, P. F. and Gorlin, R. (1973). The anginal syndrome associated with normal coronary arteriograms. American Journal of Medicine 54, 735–742.Google Scholar
Kerr, W. J., Dalton, J. W. and Gliebe, P. A. (1937). Some physical phenomena associated with the anxiety states and their relation to hyperventilation. Annals of Internal Medicine 11, 961–992.CrossRefGoogle Scholar
Klein, D. F. (1981). Anxiety reconceptualized. In: Anxiety: New Research and changing concepts, Klein, D. F. and Rabkin, J. (Eds), pp. 235–263, New York: Raven Press.Google Scholar
Kraft, A. and Hoogduin, K. (1984). The Hyperventilation Syndrome—a pilot study on the effectiveness of treatment. British Journal of Psychiatry 145, 538–542.Google Scholar
Kugelberg, E. (1948). Activation of human nerves by hyperventilation and hypocalcemia. Archives of Neurology and Psychiatry 60, 153–164.Google Scholar
Lazarus, R. S. (1966). Psychological Stress and the Coping Process, New York: McGraw-Hill.Google Scholar
Lazarus, H. R. and Kostan, J. J. (1969). Psychogenic Hyperventilation and Death Anxiety. Psychosomatics 10, 14–22.CrossRefGoogle ScholarPubMed
Lewis, B. I. (1954). Chronic Hyperventilation Syndrome. Journal of the American Medical Association 155, 1204–1208.Google Scholar
Lewis, B. I. (1959). Hyperventilation Syndrome. A clinical and physiological evaluation. California Medicine 91, 121–126.Google Scholar
Lum, L. C. (1975). Hyperventilation: the tip and the iceberg. Journal of Psychosomatic Research 19, 375–383.Google Scholar
Lum, L. C. (1976). The syndrome of habitual chronic hyperventilation. In: Modern Trends on Psychosomatic Medicine, Hill, O. W. (Ed), Vol. 3, pp. 196–230. London: Butterworths.Google Scholar
Lum, L. C. (1983). Physiological considerations in the treatment of Hyperventilation Syndromes. Journal of Drug Research 8, 1867–1872.Google Scholar
Marks, I. M. (1983). Are there anticompulsive or antiphobic drugs: review of the evidence. British Journal of Psychiatry 143, 338–347.Google Scholar
McHenry, L. C., Slocum, H. C., Bivens, H. E., Mayes, H. A. and Hayes, G. J. (1965). Hyperventilation in awake and anesthetized man. Archives of Neurology 12, 270–277.Google Scholar
McKell, T. E. and Sullivan, A. J. (1947). The Hyperventilation Syndrome in gastroenterology. Gastroenterology 9, 6–16.Google ScholarPubMed
Mitchell, R. A., Carman, C. T., Severinghaus, J. W., Richardson, B. W., Singer, M. M. and Shnider, S. (1965). Stability of cerebrospinal fluid pH in chronic acid-base disturbances in blood. Journal of Applied Physiology 20, 443–452.Google Scholar
Motta, P. E., Fagiani, M. B., Dolcetti, A., Bellone, E. and Borello, G. (1971). Modificazioni dei gas nel sangue nello stato ansioso di media gravita. Archivio per le scienze mediche 128, 111–119.Google Scholar
Morgan, E. J., Baidwain, B., Petty, T. L. and Zwillich, C. W. (1979). The effects of unanesthetized arterial puncture on PCO2 and pH. American Review of Respiratory Disease 120, 795–798.Google Scholar
Muller, N. L. and Bryan, A. C. (1979). Chest wall mechanics and respiratory muscles in infants. Pediatric Clinics of North America 26, 503–515.Google Scholar
Rahe, R. H. (1974). Life changes and subsequent illness reports. In: Life stress and illness, Gunderson, E. K. E. and Rahe, R. H. (Eds), pp. 58–78. Springfield III.: C. C. Thomas.Google ScholarPubMed
Rice, R. L. (1950). Symptom patterns of the Hyperventilation Syndrome. American Journal of Medicine 8, 691–700.Google Scholar
Roddie, I. C., Shepherd, J. T. and Whelan, R. F. (1957). Humoral vasodilatation in the forearm during voluntary hyperventilation. Journal of Physiology 137, 80–85.CrossRefGoogle ScholarPubMed
Singer, E. P. (1958). The Hyperventilation Syndrome in Clinical Medicine. New York State Journal of Medicine 58, 1944–1500.Google Scholar
Speckmann, E. J. and Caspers, H. (1973). Neurophysiologische Grundlagen der Provokationsmethoden in der Elektroenzephalographie. Zeitschrift für Elektroenzephalographie und Elektromyographie 4, 157–167.Google Scholar
Stam, J. (1975). Hyperventilatie en het Hyperventilatie Syndroom. Amsterdam: De Erven Bohn.Google Scholar
Sternbach, R. A. (1977). Psychophysiology of pain. In: Psychosomatic Medicine, Lipowski, Lipsitt, and Whybrow, (Eds), pp. 355–365. New York: Oxford University Press.Google Scholar
Straub, P. W. and Bühlmann, A. A. (1970). Reduction of blood volume by voluntary hyperventilation. Journal of Applied Physiology 29, 816–817.CrossRefGoogle ScholarPubMed
Suess, W. M., Alexander, A. B., Smith, D. D., Sweeney, H. G. and Marion, R. J. (1980). The effects of psychological stress on respiration: a preliminary study of anxiety and hyperventilation. Psychophysiology 17, 535–540.Google Scholar
Takano, N., Sakai, A. and Iida, Y. (1981). Analysis of alveolar PCO2 control during the menstrual cycle. Pflügers Archiv 390, 56–62.CrossRefGoogle ScholarPubMed
Telch, M. J., Tearnan, B. H. and Taylor, B. C. (1983). Antidepressant medication in the treatment of agoraphobia—a critical review. Behaviour Research and Therapy 21, 505–517.Google Scholar
Tucker, W. D. (1963). Hyperventilation in differential diagnosis. The Medical Clinics 47, 491–497.Google ScholarPubMed
Tyler, J. M. (1960). The effect of progesterone on the respiration of patients with emphysema and hypercapnia. Journal of Clinical Investigations 39, 34–41.CrossRefGoogle ScholarPubMed
Vlaander-Van Der Giessen, C. J. M. and Lindeboom, I. (1982). De behandeling van patienten met hyperventilatieklachten. Gezondheid en Samenleving 3, 73–78.Google Scholar
Weimann, G. (1968). Das Hyperventilationssyndrom. München: Urban und Scharzenberg.Google Scholar
Wolf, S. (1947). Sustained contraction of the diaphragm; the mechanism of a common type of dyspnea and precordial pain. Journal of Clinical Investigation 26, 1201.Google ScholarPubMed
Wollman, H., Smith, T. C., Stephen, G. W., Colton, E. T., Gleaton, H. E. and Alexander, S. C. (1968). Effects of extremes of respiratory and metabolic alkalosis on cerebral bloodflow in man. Journal of Applied Physiology 24, 60–65.Google Scholar
Wood, P. (1941). Da Costa's Syndrome (or effort syndrome). British Medical Journal 1, 767–772.Google Scholar
Zimmerman, W. E., Meier-Sydow, J. and Meinecke, R. (1962). Ergospirometrie-, Stoffwechsel- und Kreislaufuntersuchungen beim Hyperventilationssyndrom. Verhandlunger der Deutschen Geselfschaft für innere Medizin 68, 146–151.CrossRefGoogle Scholar
Zitrin, C. M., Woerner, M. G. and Klein, D. F. (1981). Differentiation of Panic Anxiety from Anticipatory Anxiety and Avoidance Behavior. In: Anxiety: New Research and changing Concepts, Klein, D. F. and Rabkin, J. (Eds), pp. 27–46. New York: Raven Press.Google Scholar
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