The effects of slow breathing on affective responses to pain stimuli: an experimental study
Abstract
This study examined whether breathing rate affected self-reported pain and emotion following thermal pain stimuli in women with fibromyalgia syndrome (FM: n=27) or age-matched healthy control women (HC: n=25). FM and HC were exposed to low and moderate thermal pain pulses during paced breathing at their normal rate and one-half their normal rate. Thermal pain pulses were presented in four blocks of four trials. Each block included exposure to both mild and moderate pain trials, and periods of both normal and slow paced breathing. Pain intensity and unpleasantness were recorded immediately following each pain trial, and positive and negative affect were assessed at the end of each block of trials. Compared to normal breathing, slow breathing reduced ratings of pain intensity and unpleasantness, particularly for moderately versus mildly painful thermal stimuli. The effects of slow breathing on pain ratings were less reliable for FM patients than for HCs. Slow versus normal breathing decreased negative affect ratings following thermal pain pulses for both groups, and increased positive affect reports, but only for healthy controls with high trait negative affect. Participants who reported higher levels of trait positive affect prior to the experiment showed greater decreases in negative affect as a result of slow versus normal breathing. These experimental findings provide support for prior reports on the benefits of yogic breathing and mindful Zen meditation for pain and depres…
Integrity signals
Registry
Cites
Statistics
Claims the paper makes
Claims other papers make about this one
Each is checked against this paper’s own text: does it say what the citing paper says it does?
Slow, rhythmic breathing reduces negative affect toward pain stimuli.
“Other studies have found that slow, rhythmic breathing also reduced negative affect toward pain stimuli (Zautra et al., 2010; Zeidan et al., 2015).”
From Mindfulness, Interoception, and the Body: A Contemporary Perspective (2019) · cites this paper as Zautra et al., 2010
Cites
Mindfulness-based stress reduction and health benefits
Grossman, P., Niemann, L., Schmidt, S., & Walach, H. (2004) · Journal of Psychosomatic Research · doi:10.1016/s0022-3999(03)00573-7 · Cited by 3,958 · see citing works
The validation of visual analogue scales as ratio scale measures for chronic and experimental pain
Price, D. D., McGrath, P. A., Rafii, A., & Buckingham, B. (1983) · Pain · doi:10.1016/0304-3959(83)90126-4 · Cited by 3,921 · see citing works
Mindfulness-based stress reduction and health benefits: A meta-analysis
Grossman, P., Niemann, L., Schmidt, S., & Walach, H. (2003) · Focus on Alternative and Complementary Therapies · doi:10.1111/j.2042-7166.2003.tb04008.x · Cited by 1,394 · see citing works
Cardiovascular effects of human insular cortex stimulation
Oppenheimer, S. M., Gelb, A., Girvin, J. P., & Hachinski, V. C. (1992) · Neurology · doi:10.1212/wnl.42.9.1727 · Cited by 1,272 · see citing works
Well–being and affective style: neural substrates and biobehavioural correlates
Davidson, R. J. (2004) · Philosophical Transactions of the Royal Society of London. Series B: Biological Sciences · doi:10.1098/rstb.2004.1510 · Cited by 446 · cited 1× · see citing works
“This model fits psychophysiological evidence of forebrain affective and autonomic asymmetry [6,20,31], provides a structural complement for the bivalent concept of positive and negative emotion [23], and instantiates neurobiologically the psychological proposal that a ‘‘calm and connection system” opposes the arousal/…”
BackgroundZautra, A. J., Davis, M. C., Reich, J. W., Nicassario, P., Tennen, H., Finan, P., Kratz, A., Parrish, B., & Irwin, M. R. (2008) · Journal of Consulting and Clinical Psychology · doi:10.1037/0022-006x.76.3.408 · Cited by 430 · cited 1× · see citing works
“Meditation has recently been advanced as a self-regulation strategy particularly beneficial to those in chronic pain [13,15,21,27,33].”
BackgroundSelf-citationKong, J., Gollub, R. L., Rosman, I. S., Webb, J. M., Vangel, M. G., Kirsch, I., & Kaptchuk, T. J. (2006) · The Journal of Neuroscience · doi:10.1523/jneurosci.3556-05.2006 · Cited by 395 · see citing works
Effect of Mindfulness‐Based stress reduction in rheumatoid arthritis patients
Pradhan, E. K., Baumgarten, M., Langenberg, P., Handwerger, B., Gilpin, A. K., Magyari, T., Hochberg, M. C., & Berman, B. M. (2007) · Arthritis Care & Research · doi:10.1002/art.23010 · Cited by 309 · see citing works
Davis, M. C., Zautra, A. J., & Reich, J. W. (2001) · Annals of Behavioral Medicine · doi:10.1207/s15324796abm2303_9 · Cited by 189 · see citing works
Self-citation
Flagged first, then by citations
Cited by
Sorted by citations
Brain Mechanisms Supporting the Modulation of Pain by Mindfulness Meditation
Zeidan, F., Martucci, K. T., Kraft, R. A., Gordon, N. S., McHaffie, J. G., & Coghill, R. C. (2011) · The Journal of Neuroscience · doi:10.1523/jneurosci.5791-10.2011 · Cited by 640 · see citing works
Craig, A. D. (. (2010) · Brain Structure and Function · doi:10.1007/s00429-010-0248-y · Cited by 600 · see citing works
Self-citationInteroception, homeostatic emotions and sympathovagal balance
Strigo, I. A., & Craig, A. D. (. (2016) · Philosophical Transactions of the Royal Society B: Biological Sciences · doi:10.1098/rstb.2016.0010 · Cited by 281 · see citing works
Self-citationMindfulness, Interoception, and the Body: A Contemporary Perspective
Gibson, J. (2019) · Frontiers in Psychology · doi:10.3389/fpsyg.2019.02012 · Cited by 278 · see citing works
Breathing as a fundamental rhythm of brain function.
Heck, D. H., McAfee, S. S., Liu, Y., Babajani-Feremi, A., Rezaie, R., Freeman, W. J., Wheless, J. W., Papanicolaou, A. C., Ruszinkó, M., Sokolov, Y., et al. (2017) · Frontiers in Neural Circuits · doi:10.3389/fncir.2016.00115 · Cited by 272 · see citing works
Interoceptive pathways to understand and treat mental health conditions
Nord, C. L., & Garfinkel, S. N. (2022) · Trends in Cognitive Sciences · doi:10.1016/j.tics.2022.03.004 · Cited by 199 · see citing works
Insular cortex mediates increased pain tolerance in yoga practitioners
Villemure, C., eko, M., Cotton, V. A., & Bushnell, M. C. (2014) · Cerebral Cortex · doi:10.1093/cercor/bht124 · Cited by 163 · see citing works
Curtis, K., Osadchuk, & Katz, J. (2011) · Journal of Pain Research · doi:10.2147/jpr.s22761 · Cited by 150 · see citing works
Pollatos, O., Füstös, J., & Critchley, H. D. (2012) · Pain · doi:10.1016/j.pain.2012.04.030 · Cited by 127 · see citing works
Meditative analgesia: the current state of the field
Grant, J. A. (2014) · Annals of the New York Academy of Sciences · doi:10.1111/nyas.12282 · Cited by 78 · see citing works
Increasing Our Insular World View: interoception and Psychopathology for Psychotherapists.
Duquette, P. (2017) · Frontiers in Neuroscience · doi:10.3389/fnins.2017.00135 · Cited by 54 · see citing works
Morarend, Q. A., Spector, M. L., Dawson, D. V., Clark, S. H., & Holmes, D. C. (2011) · Applied Psychophysiology and Biofeedback · doi:10.1007/s10484-011-9148-z · Cited by 33 · see citing works
Grossman, P., Deuring, G., Walach, H., Schwarzer, B., & Schmidt, S. (2017) · The Clinical Journal of Pain · doi:10.1097/ajp.0000000000000420 · Cited by 26 · see citing works
Maurel, S., Sáez-Francàs, N., Calvo, N., Alegre-Martín, J., & Castro-Marrero, J. (2021) · Clinical and Experimental Rheumatology · doi:10.55563/clinexprheumatol/uzzejn · Cited by 8 · see citing works
- Authors
- Zautra, A. J., Fasman, R., Davis, M. C., & Craig, A. D. (.
- Affiliations
- Barrow Neurological Institute (US)
- Arizona State University (US)
- Corresponding author
- Zautra, Alex J.
- ORCID
- Davis, Mary C.
- Venue
- Pain
- Published
- 2010-04
- Volume
- 149
- Issue
- 1
- Pages
- 12-18
- ISSN
- 0304-3959 (ISSN-L)
- OpenAlex
- W2044468613
- Cited by
- 126
- References
- 9
- Citations by year
- 2026: 3 · 2025: 6 · 2024: 12 · 2023: 5 · 2022: 7 · 2021: 6 · 2020: 10 · 2019: 12 · 2018: 8 · 2017: 10 · 2016: 6 · 2015: 4 · 2014: 7 · 2013: 8 · 2012: 8
- FWCI
- 5.82
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Pain (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Life Sciences › Neuroscience › Cognitive Neuroscience › Pain Management and Placebo Effect
- Social Sciences › Psychology › Clinical Psychology › Mindfulness and Compassion Interventions
- Health Sciences › Medicine › Psychiatry and Mental health › Psychosomatic Disorders and Their Treatments
- Keywords
- slow-paced breathing, paced breathing, respiratory rate, fibromyalgia, thermal pain, pain unpleasantness, pain intensity, negative affect, positive affect, trait positive affect, chronic pain, pranayama, Zen meditation
- MeSH terms
- Aged, Female, Fibromyalgia, Humans, Middle Aged, Pain, Respiratory Mechanics, Pain Threshold, Meditation, Respiratory Rate
About these checks
Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
Statistics and arithmetic are recomputed, not judged.
Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.
What counts as a claim ›How we measure confidence ›How we check this ›
Are you an author, or do you see a problem with this page? Request a review