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Cited by 67Psychosomatic Disorders and Their TreatmentsAsthma and respiratory diseasesRespiratory and Cough-Related Research

A comparison between patients with dysfunctional breathing and patients with asthma

Hagman, Carina, Janson, Christer, Emtner, Margareta·2008·The Clinical Respiratory Journal
DOI 10.1111/j.1752-699x.2007.00036.x
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Abstract

Introduction: The term dysfunctional breathing (DB) has been introduced to describe patients who display a divergent breathing pattern and have breathing problems that cannot be attributed to a specific medical diagnosis such as asthma, chronic obstructive pulmonary disease or sensory hyper‐reactivity. Objective: The objective of this study was to investigate similarities and differences in patients with DB, and patients with well‐controlled asthma regarding health‐related quality of life, anxiety, depression, sense of coherence (SOC), hyperventilation and effects on daily life. Methods: Twenty‐five consecutive patients with DB, and 25 age‐ and sex‐matched patients with asthma (ages 20–73 years) participated in the study. The diagnosis of DB was based on the presence of a dysfunctional breathing pattern and at least five symptoms associated with DB. Results: The group with DB had lower health‐related quality of life (short form 36): vitality (mean) 47 vs 62, social functioning 70 vs 94 and role emotional 64 vs 94 (P < 0.05) than the asthmatic group. The DB group also had a higher prevalence of anxiety (56% vs 24%) and a lower SOC (134 vs 156) (P < 0.05). Hyperventilation, defined according to the Nijmegen symptoms questionnaire, was observed in 56% of patients with DB vs 20% in the asthma group (P = 0.02). Conclusions: The results of the study indicate that patients with DB are more disabled than patients with well‐controlled asthma. There is a great need for more knowledge about breathing symptoms of a dysfunctional nature, to be able to identify and manage these patients adequately. Please cite this paper as: Hagman C, Janson C and Emtner M. A comparison between patients with dysfunctional breathing and patients with asthma. The Clinical Respiratory Journal 2008; 2: 86–91.

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  • Well-controlled asthma has a lower prevalence of significant anxiety than dysfunctional breathing when measured by HADS (24% versus 56%).

    “Well-controlled asthma has a lower prevalence of significant anxiety than dysfunctional breathing when measured by the hospital anxiety and depression scale (HADS) (24% versus 56%) [24].”

    From Dysfunctional breathing: a review of the literature and proposal for classification (2016) · cites this paper as [24]

  • BPD frequently amplifies other respiratory conditions, increasing the likelihood of excess prescriptions and associated misuse of prescribing budgets.

    “Furthermore, BPD frequently amplifies other respiratory conditions, increasing the likelihood of excess prescriptions and associated misuse of prescribing budgets.”

    From Physiotherapy assessment of breathing pattern disorder: a qualitative evaluation (2023) · cites this paper as [9]

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Authors
Hagman, C., Janson, C., & Emtner, M.
Affiliations
  • Falun Hospital (SE)
  • Uppsala University (SE)
Corresponding author
Emtner, Margareta
ORCID
Venue
The Clinical Respiratory Journal
Publisher
Wiley
Published
2007-10-31
Volume
2
Issue
2
Pages
86-91
ISSN
  • 1752-6981 (ISSN-L)
  • 1752-699X
DOI
10.1111/j.1752-699x.2007.00036.x
OpenAlex
W2129368927
Cited by
67
References
25
Citations by year
2026: 8 · 2025: 9 · 2024: 8 · 2023: 5 · 2022: 3 · 2021: 4 · 2020: 2 · 2019: 3 · 2018: 3 · 2017: 4 · 2016: 5 · 2015: 1 · 2014: 1 · 2013: 5 · 2012: 3
FWCI
0.00
Type
journal article
Language
en
Open access
closed
Licence
onlinelibrary.wiley.com/termsAndConditions#vor (vor)
Locations
  • The Clinical Respiratory Journal (publishedVersion)
  • PubMed (publishedVersion)
Topics
  • Health Sciences › Medicine › Psychiatry and Mental health › Psychosomatic Disorders and Their Treatments
  • Health Sciences › Medicine › Physiology › Asthma and respiratory diseases
  • Health Sciences › Medicine › Pulmonary and Respiratory Medicine › Respiratory and Cough-Related Research
Keywords
dysfunctional breathing, asthma, health-related quality of life, anxiety, depression, sense of coherence, hyperventilation, daily life impairment
MeSH terms
Adult, Anxiety, Asthma, Depression, Disability Evaluation, Dyspnea, Female, Humans, Hyperventilation, Interpersonal Relations, Male, Middle Aged, Quality of Life, Surveys and Questionnaires, Stress, Psychological, Exercise, Prevalence

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