The DOI matches its Crossref record; 187 of the 192 references it cites were found in a registry or an index.
Hyperventilation in panic disorder and asthma: Empirical evidence and clinical strategies
Open accessAbstract
Sustained or spontaneous hyperventilation has been associated with a variety of physical symptoms and has been linked to a number of organic illnesses and mental disorders. Theories of panic disorder hold that hyperventilation either produces feared symptoms of hypocapnia or protects against feared suffocation symptoms of hypercapnia. Although the evidence for both theories is inconclusive, findings from observational, experimental, and therapeutic studies suggest an important role of low carbon dioxide (CO2) levels in this disorder. Similarly, hypocapnia and associated hyperpnia are linked to bronchoconstriction, symptom exacerbation, and lower quality of life in patients with asthma. Raising CO2 levels by means of therapeutic capnometry has proven beneficial effects in both disorders, and the reversing of hyperventilation has emerged as a potent mediator for reductions in panic symptom severity and treatment success.
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“Respiratory abnormalities have been postulated as an important factor in the development or maintenance of PD/A (Gorman et al., 1988; Klein, 1993; see Meuret & Ritz, 2010, for a review)”
From Coping Skills and Exposure Therapy in Panic Disorder and Agoraphobia: Latest Advances and Future Directions (2012) · cites this paper as Meuret & Ritz, 2010
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“There is an extensive body of research that implicates respiratory processes and particularly hyperventilation in panic disorder [21, 22].”
From Dysfunctional breathing: a review of the literature and proposal for classification (2016) · cites this paper as [21]
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“The diagnosis is based on the Nijmegen questionnaire only after organic disease has been ruled out or optimally controlled, and is often difficult to distinguish from asthma and anxiety disorders [5, 16, 21].”
From Dysfunctional breathing: a review of the literature and proposal for classification (2016) · cites this paper as [21]
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“The diagnosis is based on the Nijmegen questionnaire only after organic disease has been ruled out or optimally controlled, and is often difficult to distinguish from asthma and anxiety disorders [5, 16, 21].”
From Dysfunctional breathing: a review of the literature and proposal for classification (2016) · cites this paper as [21]
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Citations
Cites
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“among the proposed mediators and outcome would be needed to establish more concrete evidence (Kazdin, 2007).”
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Klein, D. F. (1993) · Archives of General Psychiatry · doi:10.1001/archpsyc.1993.01820160076009 · Cited by 1,130
Neuroanatomical Hypothesis of Panic Disorder, Revised
Gorman, J. M., KENT, J. M., Sullivan, G. M., & Coplan, J. D. (2000) · American Journal of Psychiatry · doi:10.1176/appi.ajp.157.4.493 · Cited by 998
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Sanderson, W. C. (1989) · Archives of General Psychiatry · doi:10.1001/archpsyc.1989.01810020059010 · Cited by 492 · cited 1×
“Sanderson et al. (1989) provided patients with a dial that supposedly controlled the amount of CO2 to be inhaled, but which in fact was ineffective.”
BackgroundMcFadden, E. R., & Gilbert, I. (1994) · New England Journal of Medicine · doi:10.1056/nejm199405123301907 · Cited by 486
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Flagged first, then by citations
5 of the 192 references couldn’t be matched to a known paper.
Research works printed but not linked: 2
- Knapp, 1989, Psychosomatic aspects of bronchial asthma: a review, vol. 2, 503
- Meuret, A.E. (in press). Therapeutic use of ambulatory capnography. In J. Gravenstein, M. Jaffe, & D. Paulus (Eds.), Capnography, Clinical Aspects, 2nd edition, Cambridge: Cambridge University Press.
Cited by
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Items 101–118 of 118
Rusandi, M. A., Solehuddin, M., Ilfiandra, I., & Liza, L. O. (2023) · Journal of Public Health · doi:10.1093/pubmed/fdad025 · Cited by 1
Panic Disorder and Agoraphobia
Brown, L. A., & Craske, M. G. (2017) · Wiley eBooks · doi:10.1002/9781118877142.ch4 · Cited by 1
Behavioral Factors in Management of Asthma
Lehrer, P. M., Wamboldt, F. S., & Aviles‐Velez, M. (2014) · Wiley eBooks · doi:10.1002/9781118453940.ch32
Emotions and breathing patterns in asthma
Upton, J. (2012) · Practice Nursing · doi:10.12968/pnur.2012.23.2.64
Nilius, G. (2022) · Elsevier eBooks · doi:10.1016/b978-3-437-23814-7.00019-x
(2013) · Wiley eBooks · doi:10.1002/9781118485309.ch14
Khazan, I. (2013) · Wiley eBooks · doi:10.1002/9781118485309.ch13
The Process Behind the Origin of Symptoms That are Medically Unexplained
Gupta, S., & Sathish, S. (2022) · Indian Journal of Health Studies · doi:10.56490/ijhs.2022.4104
Kapfhammer, H. (2022) · Springer eBooks · doi:10.1007/978-3-662-65873-4_5
Psychiatric Drugs. Toxicology: Respiratory Failure—Noninvasive Mechanical Ventilation
Soubani, O., Bains, A., & Soubani, A. O. (2023) · Noninvasive ventilation. The essentials · doi:10.1007/978-3-031-44626-9_20
Psychiatric Pharmacology and Acute Respiratory Failure
Soubani, O., Bains, A., & Soubani, A. O. (2023) · Noninvasive ventilation. The essentials · doi:10.1007/978-3-031-44626-9_18
Jiang, F., Huang, J., Fan, L., Dong, X., Yang, C., & Zhou, W.-Z. (2024) · Frontiers in Psychiatry · doi:10.3389/fpsyt.2024.1442826
Gender disparities in diagnostic procedures of primary hyperventilation
Ryser, B., Merz, S., Flueckiger, S., Exadaktylos, A. K., & Lindner, G. (2025) · European Journal of Emergency Medicine · doi:10.1097/mej.0000000000001201
Breathing Pattern Disorder: A New Kid on the Block
Milstein, C. F., & van Mersbergen, M. (2025) · Perspectives of the ASHA Special Interest Groups · doi:10.1044/2025_persp-25-00092 · Cited by 1
Gray, P., Hedgemon, B., Keller, A. C., Pierpoint, H., Vargas, M. J., & Brindle, R. C. (2026) · Quarterly Journal of Experimental Psychology · doi:10.1177/17470218261446824
Estimating Interoceptive Sensitivity from Physiological Breathing Parameters
McLeod, E., Gorman, F., Russell, B. R., Chin, P., & Harrison, O. K. (2026) · Journal of the Royal Society of New Zealand · doi:10.1002/snz2.70050
Sharma, P., Veerareddy, V., 홍이수, Nycklemoe, M., Kandimalla, M., Sharma, V., Kung, T. L., Osman, R., Lim, S., Kandimalla, K. K., et al. (2026) · Frontiers in Psychiatry · doi:10.3389/fpsyt.2026.1774490
(2026) · Elsevier eBooks · doi:10.1016/b978-3-437-55038-6.00004-x
Metadata
- Authors
- Meuret, A. E., & Ritz, T.
- Affiliations
- Southern Methodist University (US)
- Corresponding author
- Meuret, Alicia E.
- Venue
- International Journal of Psychophysiology
- Publisher
- Elsevier BV
- Published
- 2010-10
- Volume
- 78
- Issue
- 1
- Pages
- 68-79
- ISSN
- 0167-8760 (ISSN-L)
- PMC
- PMC2937087
- OpenAlex
- W2078549137
- Cited by
- 118
- References
- 192
- Citations by year
- 2026: 5 · 2025: 7 · 2024: 9 · 2023: 10 · 2022: 13 · 2021: 9 · 2020: 8 · 2019: 4 · 2018: 6 · 2017: 9 · 2016: 5 · 2015: 2 · 2014: 8 · 2013: 9 · 2012: 8
- FWCI
- 9.21
- Type
- journal article
- Language
- en
- Open access
- green
- www.ncbi.nlm.nih.gov
- Locations
- International Journal of Psychophysiology (publishedVersion)
- PubMed (publishedVersion)
- PubMed Central (acceptedVersion)
- Funders
- National Institutes of Health/National Heart, Lung and Blood Institute (R01 HL-089761)
- Beth and Russell Siegelman Foundation (Meuret)
- 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
- hyperventilation, panic disorder, asthma, hypocapnia, hypercapnia, carbon dioxide levels, bronchoconstriction, capnometry, panic symptoms, quality of life
- MeSH terms
- Asthma, Carbon Dioxide, Humans, Hyperventilation, Panic Disorder, Hypocapnia, Evidence-Based Medicine, Empirical Research
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