A controlled study of a breathing therapy for treatment of hyperventilation syndrome
Open accessAbstract
A therapy directed toward slowing and regularizing the ventilatory pattern was compared with a partial-treatment, comparison procedure for individuals with somatic and psychological symptoms attributable to hyperventilation episodes (i.e. hyperventilation syndrome). Comparing repeated measures between a pretreatment baseline session and a post-treatment followup, we found that the experimental therapy, in contrast to the comparison procedure, produced a greater number of, and more extensive, improvements in psychological, symptom complaint and ventilatory dimensions. Results also suggest changes in central respiratory control mechanisms as a consequence of treatment.
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The Papworth method has resulted in some symptom relief and increasing carbon dioxide tension using small sample sizes of moderate asthmatics, but data on long-term follow-up are lacking.
“The Papworth method (where patients are taught diaphragmatic breathing with an emphasis on controlled, slow nasal breathing) has resulted in some symptom relief and increasing carbon dioxide tension using small sample sizes of moderate asthmatics, but data on long-term follow-up are lacking [14, 37].”
From Dysfunctional breathing: a review of the literature and proposal for classification (2016) · cites this paper as [37]
Grossman et al. (1985) compared breathing exercises to a control group and reported a significant improvement in the intervention group for symptoms and anxiety.
“the authors reported a significant improvement in the intervention group for symptoms and anxiety compared to the control group.”
From Physiotherapy Education and Breathing Retraining for Patients With Hyperventilation Syndrome: An Observational Study (2026) · cites this paper as [52]
Grossman et al. evaluated the impact of respiratory physiotherapy on anxiety in HVS and found that respiratory physiotherapy significantly decreased the anxiety score.
“Grossman and colleagues evaluated the impact of respiratory physiotherapy on anxiety in the context of HVS.52 As in our study, the patients included in the study by Grossman and colleagues had initially a high anxiety score, and respiratory physiotherapy significantly decreased this anxiety score.”
From Physiotherapy Education and Breathing Retraining for Patients With Hyperventilation Syndrome: An Observational Study (2026) · cites this paper as [52]
This is the second study conducted on HVS patients that evaluated the impact of a programme involving both education and breathing exercises.
“To our knowledge, this is the second study conducted on HVS patients that evaluated the impact of a programme involving both education and breathing exercises.”
From Physiotherapy Education and Breathing Retraining for Patients With Hyperventilation Syndrome: An Observational Study (2026) · cites this paper as [52]
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References 15 · Cited by 91
- Authors
- Grossman, P., De Swart, J. C. G., & Defares, P. B.
- Corresponding author
- Grossman, P.
- ORCID
- Grossman, P.
- Venue
- Journal of Psychosomatic Research
- Publisher
- Elsevier BV
- Published
- 1985-01
- Volume
- 29
- Issue
- 1
- Pages
- 49-58
- ISSN
- 0022-3999 (ISSN-L)
- OpenAlex
- W2150989834
- Cited by
- 91
- References
- 15
- Citations by year
- 2026: 1 · 2025: 3 · 2022: 3 · 2020: 1 · 2018: 1 · 2016: 4 · 2015: 1 · 2014: 4 · 2013: 3 · 2012: 2
- FWCI
- 3.59
- Type
- journal article
- Language
- en
- Open access
- green
- research.wur.nl
- Locations
- Journal of Psychosomatic Research (publishedVersion)
- PubMed (publishedVersion)
- Socio-Environmental Systems Modeling (acceptedVersion)
- Data Archiving and Networked Services (DANS) (submittedVersion)
- Topics
- Health Sciences › Medicine › Psychiatry and Mental health › Psychosomatic Disorders and Their Treatments
- Social Sciences › Psychology › Experimental and Cognitive Psychology › Anxiety, Depression, Psychometrics, Treatment, Cognitive Processes
- Health Sciences › Medicine › Pulmonary and Respiratory Medicine › Respiratory and Cough-Related Research
- Keywords
- hyperventilation syndrome, breathing therapy, ventilatory pattern, respiratory control, somatic symptoms, psychological symptoms
- MeSH terms
- Adult, Biofeedback, Psychology, Breathing Exercises, Carbon Dioxide, Female, Humans, Hyperventilation, Male, Middle Aged, Respiration, Syndrome
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