Respiratory feedback for treating panic disorder
Open accessAbstract
Panic disorder patients often complain of shortness of breath or other respiratory complaints, which has been used as evidence for both hyperventilation and false suffocation alarm theories of panic. Training patients to change their breathing patterns is a common intervention, but breathing rarely has been measured objectively in assessing the patient or monitoring therapy results. We report a new breathing training method that makes use of respiratory biofeedback to teach individuals to modify four respiratory characteristics: increased ventilation (Respiratory Rate × Tidal Volume), breath‐to‐breath irregularity in rate and depth, and chest breathing. As illustrated by a composite case, feedback of respiratory rate and end‐tidal pCO 2 can facilitate voluntary control of respiration and reduce symptoms. Respiratory monitoring may provide relevant diagnostic, prognostic, and outcome information. © 2003 Wiley Periodicals, Inc. J Clin Psychol/In Session.
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Initial case studies supported the potential usefulness of capnometry-assisted breathing training.
“Initial case studies supported the potential usefulness of this approach (Meuret et al., 2001; Meuret et al., 2004).”
From Feedback of end-tidal pCO2 as a therapeutic approach for panic disorder (2008) · cites this paper as Meuret et al., 2004
Cites
False Suffocation Alarms, Spontaneous Panics, and Related Conditions: An Integrative Hypothesis
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Blood, breath and fears: A hyperventilation theory of panic attacks and agoraphobia
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ENHANCED ADAPTIVE BEHAVIOURAL RESPONSE IN AGORAPHOBIC PATIENTS PRETREATED WITH BREATHING RETRAINING
BONN, J. (1984) · The Lancet · doi:10.1016/s0140-6736(84)91226-1 · Cited by 141 · see citing works
Breathing Training for Treating Panic Disorder: Useful Intervention or Impediment?
Meuret, A. E., Wilhelm, F. H., Ritz, T., & Roth, W. T. (2003) · Behavior Modification · doi:10.1177/0145445503256324 · Cited by 81 · see citing works
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Van Diest, I., Verstappen, K., Aubert, A. E., Widjaja, D., Vansteenwegen, D., & Vlemincx, E. (2014) · Applied Psychophysiology and Biofeedback · doi:10.1007/s10484-014-9253-x · Cited by 249 · see citing works
Schmalzl, L., Powers, C., & Henje Blom, E. (2015) · Frontiers in Human Neuroscience · doi:10.3389/fnhum.2015.00235 · Cited by 170 · see citing works
Feedback of end-tidal pCO2 as a therapeutic approach for panic disorder
Meuret, A. E., Wilhelm, F. H., Ritz, T., & Roth, W. T. (2008) · Journal of Psychiatric Research · doi:10.1016/j.jpsychires.2007.06.005 · Cited by 159 · see citing works
Self-citationMeuret, A. E., Rosenfield, D., Seidel, A., Bhaskara, L., & Hofmann, S. G. (2010) · Journal of Consulting and Clinical Psychology · doi:10.1037/a0019552 · Cited by 141 · see citing works
Self-citationPham, Q., Khatib, Y., Stansfeld, S., Fox, S., & Green, T. (2016) · Games for Health Journal · doi:10.1089/g4h.2015.0033 · Cited by 104 · see citing works
Meuret, A. E., Ritz, T., Wilhelm, F. H., & Roth, W. T. (2005) · Clinical Psychology Review · doi:10.1016/j.cpr.2005.01.002 · Cited by 84 · see citing works
Self-citationBreathing Training for Treating Panic Disorder: Useful Intervention or Impediment?
Meuret, A. E., Wilhelm, F. H., Ritz, T., & Roth, W. T. (2003) · Behavior Modification · doi:10.1177/0145445503256324 · Cited by 81 · see citing works
Self-citationChanges in respiration mediate changes in fear of bodily sensations in panic disorder
Meuret, A. E., Rosenfield, D., Hofmann, S. G., Suvak, M. K., & Roth, W. T. (2009) · Journal of Psychiatric Research · doi:10.1016/j.jpsychires.2008.08.003 · Cited by 67 · see citing works
Self-citationAlius, M. G., Pané‐Farré, C. A., Von Leupoldt, A., & Hamm, A. O. (2013) · Psychophysiology · doi:10.1111/psyp.12028 · Cited by 52 · see citing works
Blechert, J., Wilhelm, F. H., Meuret, A. E., Wilhelm, E. M., & Roth, W. T. (2010) · Biological Psychology · doi:10.1016/j.biopsycho.2010.01.002 · Cited by 43 · see citing works
Self-citationCatastrophic Appraisal and Perceived Control as Moderators of Treatment Response in Panic Disorder
Meuret, A. E., Hofmann, S. G., & Rosenfield, D. (2010) · International Journal of Cognitive Therapy · doi:10.1521/ijct.2010.3.3.262 · Cited by 28 · see citing works
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- Authors
- Meuret, A. E., Wilhelm, F. H., & Roth, W. T.
- Affiliations
- VA Palo Alto Health Care System (US)
- Stanford University (US)
- Corresponding author
- Meuret, Alicia E.
- Venue
- Journal of Clinical Psychology
- Publisher
- Wiley
- Published
- 2003-12-10
- Volume
- 60
- Issue
- 2
- Pages
- 197-207
- ISSN
- 0021-9762 (ISSN-L)
- 1097-4679
- OpenAlex
- W2085342209
- Cited by
- 54
- References
- 5
- Citations by year
- 2026: 1 · 2024: 2 · 2023: 1 · 2022: 1 · 2019: 2 · 2017: 3 · 2016: 2 · 2015: 5 · 2014: 4 · 2013: 3 · 2012: 3
- FWCI
- 4.27
- Type
- journal article
- Language
- en
- Open access
- green
- doi.org
- Locations
- Journal of Clinical Psychology (publishedVersion)
- PubMed (publishedVersion)
- edoc (University of Basel) (acceptedVersion)
- edoc (University of Basel)
- Funders
- National Institute of Mental Health (MH 56094, R01MH056094)
- Topics
- Social Sciences › Psychology › Experimental and Cognitive Psychology › Anxiety, Depression, Psychometrics, Treatment, Cognitive Processes
- Health Sciences › Medicine › Psychiatry and Mental health › Psychosomatic Disorders and Their Treatments
- Life Sciences › Neuroscience › Endocrine and Autonomic Systems › Neuroscience of respiration and sleep
- Keywords
- panic disorder, respiratory biofeedback, breathing exercises, hyperventilation, end-tidal PCO2, respiratory rate, tidal volume, chest breathing, dyspnea, respiratory monitoring
- MeSH terms
- Biofeedback, Psychology, Breathing Exercises, Female, Humans, Hyperventilation, Middle Aged, Outcome and Process Assessment, Health Care, Professional-Patient Relations, Respiration, Respiratory Therapy, Tape Recording, Tidal Volume, Panic Disorder
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