The DOI matches its Crossref record; 22 of the 22 references it cites were found in a registry or an index.
The Nijmegen Questionnaire and dysfunctional breathing
Open accessAbstract
The Nijmegen Questionnaire was introduced over 30 years ago as a screening tool to detect patients with hyperventilation complaints that could benefit from breathing regulation through capnographic feedback [1]. It was validated against the Hyperventilation Provocation Test [2], on the assumption at the time that hypocapnia was causally related to complaints. In later studies, the correlation between Nijmegen Questionnaire scores and carbon dioxide tensions appeared highly variable. The diagnosis of hyperventilation syndrome (HVS) was questioned and slowly disappeared. Nevertheless, the Nijmegen Questionnaire has remained in use and we have noticed even a recent increase in studies in clinical medicine as well as requests for permission to use the Nijmegen Questionnaire in new studies. We would like to formally declare here that the Nijmegen Questionnaire is not copyrighted and is free to use. It has been or will be translated, as far as we know, into Greek, Farsi, Finnish, Norwegian, Swedish, Spanish, Filipino and Chinese. However, the validity of the Nijmegen Questionnaire is often a point of discussion and we would like to make a few comments on that issue [3]. The Nijmegen Questionnaire is useful to quantify and assess the normality of subjective sensations <http://ow.ly/MBJj1>
Overview
The claims and statistics of this paper haven’t been checked yet.
Run the check — free, no account needed. It reads the open-access text and checks the sources it cites.
Integrity signals
Registry
Cites
Statistics
Figures
Verification
Claims the paper makes
The claims and statistics of this paper haven’t been checked yet.
Run the check — free, no account needed. It reads the open-access text and checks the sources it cites.
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?
The source backs part of the claim, not all of it — or backs it for a different population, condition or comparison.
In the citing paper
“Assuming an expected average Nijmegen score of 34 among patients with HVS,43 and aiming to reduce the score of these same patients to the normal range (i.e., score of 23), the expected difference was set at 11 points.”
From Physiotherapy Education and Breathing Retraining for Patients With Hyperventilation Syndrome: An Observational Study (2026) · cites this paper as [43]
Experimental — accuracy not yet measured
Self-check
Percentages, sums and reported differences re-computed from the paper’s own numbers.
The self-check needs the paper’s full text.
Citations
Cites
Efficacy of Nijmegen questionnaire in recognition of the hyperventilation syndrome
van Dixhoorn, J., & Duivenvoorden, H. J. (1985) · Journal of Psychosomatic Research · doi:10.1016/0022-3999(85)90042-x · Cited by 445
The Unpleasantness of Perceived Dyspnea Is Processed in the Anterior Insula and Amygdala
von Leupoldt, A., Sommer, T., Kegat, S., Baumann, H. J., Klose, H., Dahme, B., & Büchel, C. (2008) · American Journal of Respiratory and Critical Care Medicine · doi:10.1164/rccm.200712-1821oc · Cited by 302
Thomas, M., McKinley, R. K., Freeman, E., & Foy, C. (2001) · BMJ · doi:10.1136/bmj.322.7294.1098 · Cited by 294
Holloway, E. A., & West, R. J. (2007) · Thorax · doi:10.1136/thx.2006.076430 · Cited by 170
The prevalence of dysfunctional breathing in adults in the community with and without asthma
Thomas, M., McKinley, R. K., Freeman, E., Foy, C., & Price, D. (2005) · Primary Care Respiratory Journal · doi:10.1016/j.pcrj.2004.10.007 · Cited by 166
Getting to grips with ‘dysfunctional breathing’
Barker, N., & Everard, M. L. (2015) · Paediatric Respiratory Reviews · doi:10.1016/j.prrv.2014.10.001 · Cited by 131
Han, J. N., Stegen, K., De Valck, C., Clément, J., & Van de Woestijne, K. P. (1996) · Journal of Psychosomatic Research · doi:10.1016/s0022-3999(96)00220-6 · Cited by 106
Hyperventilation in asthma: A validation study of the Nijmegen Questionnaire – NQ
Grammatopoulou, E. P., Skordilis, E. K., Georgoudis, G., Haniotou, A., Evangelodimou, A., Fildissis, G., Katsoulas, T., & Kalagiakos, P. (2014) · Journal of Asthma · doi:10.3109/02770903.2014.922190 · Cited by 104
Affective neural circuitry and mind–body influences in asthma
Rosenkranz, M. A., & Davidson, R. J. (2009) · NeuroImage · doi:10.1016/j.neuroimage.2009.05.042 · Cited by 99
Courtney, R., Greenwood, K. M., & Cohen, M. (2011) · Journal of Bodywork and Movement Therapies · doi:10.1016/j.jbmt.2010.06.004 · Cited by 96
Research works printed but not linked: 4
- Doorn, 1982, Control of the end-tidal P CO2, Bull Eur Physiopathol Respir, 18, 829
- Doorn, 1983, Een vragenlijst voor hyperventilatieklachten, De Psycholoog, 18, 573
- Van Dixhoorn, 1985, Hyperventilatieklachten in de fysiotherapiepraktijk, Ned T Fysiotherapie, 95–7/8, 167
- Van Dixhoorn, 1997, Hyperventilation and dysfunctional breathing, Biol Psychol, 46, 90
Cited by
Sorted by citations
Items 101–161 of 161
Breathing, Overbreathing, and Mindfulness
Khazan, I. (2018) · Biofeedback · doi:10.5298/1081-5937.46.1.02 · Cited by 2
Bronchial asthma and respiratory system disorders as an "asthma-plus" syndrome
Abrosimov, V. (2019) · PULMONOLOGIYA · doi:10.18093/0869-0189-2018-28-6-722-729 · Cited by 2
Lewis, A. P., Kal, E. C., Nolan, C. M., Cave, P., Grillo, L. J., Conway, J. H., & Jones, M. (2022) · BMJ Open Respiratory Research · doi:10.1136/bmjresp-2022-001414 · Cited by 2
Pervichko, E. I., Mitina, O. V., Koniukhovskaia, J. E., & Stepanova, O. (2022) · Clinical Psychology and Special Education · doi:10.17759/cpse.2022110311 · Cited by 2
How is dysfunctional breathing characterised in the clinical literature? A scoping review
Sanchez-Bracero, D., Baker, K., Archer, T., Shaw, T., & Palmer, J. (2026) · Respiratory Medicine · doi:10.1016/j.rmed.2025.108546 · Cited by 1
Barnett, A., Sriram, K. B., Hay, K. E., & Simpson, G. (2020) · Internal Medicine Journal · doi:10.1111/imj.14820 · Cited by 2
Mauro, M., Zulian, E., Bestiaco, N., Polano, M., & Filon, F. L. (2024) · Biomedicines · doi:10.3390/biomedicines12102254 · Cited by 2
Levi, R., Thornberg, U. B., Blystad, I., Divanoglou, A., Engblom, D., León, F., Jämterud, S. M., & Zeiler, K. (2025) · Journal of Rehabilitation Medicine · doi:10.2340/jrm.v57.42254 · Cited by 1
Characterization of dysfunctional breathing using cardiopulmonary exercise testing
Möbus, S. F., Harding, C. J., Taylor, C. L., Sylvester, K. P., & Fuld, J. P. (2025) · Physiological Reports · doi:10.14814/phy2.70388 · Cited by 1
Hurst, S. L. A., & Roos, R. (2025) · Health Science Reports · doi:10.1002/hsr2.71122 · Cited by 1
Perry, G., Sunjo, J., Abass, F., Wolff, L., & Thompson, W. F. (2025) · Music & Science · doi:10.1177/20592043251372321 · Cited by 1
Outcome measures for dysfunctional breathing: A scoping review of use, validation, and research gap
Stacey, A., & Sanchez-Bracero, D. (2026) · Respiratory Medicine · doi:10.1016/j.rmed.2026.108883 · Cited by 2
Impact de la prise en charge pneumo-allergologique sur l’évolution de l’asthme allergique
Marcozzi, N., & Tiotiu, A. I. (2023) · Revue des Maladies Respiratoires · doi:10.1016/j.rmr.2023.01.011 · Cited by 1
Ebert, F., Ballenberger, N., Hayden, M. C., Möller, D., Limbach, M., Schüler, M., Nowak, D., & Schultz, K. (2024) · Die Rehabilitation · doi:10.1055/a-2192-3377 · Cited by 1
Baboo, A. G. K., Ranjan, P., Kaur, T., Rawat, N., Prakash, B., Singh, D. A., Sarkar, S., Kaloiya, G. S., Babu, D. N., & Bhatia, H. (2024) · Cureus · doi:10.7759/cureus.56204 · Cited by 1
Eschbach, E., Natelson, B. H., MANCINI, D. M., Cook, D. B., Rurak, K., Miranda, M., Oppenheimer, B. W., Rapoport, D. M., & Parekh, A. (2025) · ERJ Open Research · doi:10.1183/23120541.00652-2024 · Cited by 2
Pelgrom, A. T., de Jongh, F. H., van den Aardweg, J. G., & van Veen, I. H. P. A. A. (2025) · Respiratory Medicine · doi:10.1016/j.rmed.2025.108037 · Cited by 1
Assessing ventilatory efficiency at rest in asthma: A longitudinal comparison with healthy subjects
van Oosten, M., Johnsen, Á., Magnusson, B., & Guðjónsdóttir, M. (2025) · Physiological Reports · doi:10.14814/phy2.70490 · Cited by 1
Wiffen, L., Gates, J., Brown, T., Rupani, H., Longstaff, J., & Chauhan, A. (2019) · InnovAiT Education and inspiration for general practice · doi:10.1177/1755738019884088 · Cited by 1
Sleep medicine and breathing control disorders
(2021) · European Respiratory Society eBooks · doi:10.1183/9781849841313.chapter15 · Cited by 1
Simonds, A. K., & Reeves, E. L. (2015) · European Respiratory Journal · doi:10.1183/13993003.00904-2015 · Cited by 1
Greenhalgh, T., Darbyshire, J. L., Lee, C., Ladds, E. C., & Ceolta‐Smith, J. (2023) · Research Square · doi:10.21203/rs.3.rs-3718323/v1 · Cited by 1
How Should We Diagnose Dysfunctional Breathing in Severe Asthma?
Bal, C., Maruoka, S., Idzko, M., & Asano, K. (2025) · The Journal of Allergy and Clinical Immunology In Practice · doi:10.1016/j.jaip.2025.05.042 · Cited by 1
Beaumont, M., Selleron, B., Passard, G., Karsandi, K., Proffit, M., Valentin, R., & Poncin, W. (2026) · Physiotherapy Canada · doi:10.3138/ptc-2024-0066
Dysfunctional breathing : Clinical characteristics and treatment
Hagman, C. (2016) · KTH Publication Database DiVA (KTH Royal Institute of Technology)
Mental Health and Nasal Function—Reply
Strazdins, E., & Harvey, R. J. (2017) · JAMA Facial Plastic Surgery · doi:10.1001/jamafacial.2017.2046
Addressing Comorbidities in Difficult Asthma
Kwah, J. H., Peters, A. T., & Khatri, S. B. (2019) · Respiratory medicine · doi:10.1007/978-3-030-20812-7_4
Sakkatos, P., Bruton, A., & Barney, A. M. (2021) · Research Square · doi:10.21203/rs.3.rs-152796/v1
Romanenko, I. Y., Романенко, І. В., Romanenko, Y. I., Glushchenko, V. R., Romanenko, V. I., & Zaitsev, M. A. (2020) · Journal of Education Health and Sport · doi:10.12775/jehs.2020.10.12.028
Severe asthma that was endotracheally intubated 16 times in 20 years
Nannini, L. J. (2021) · Journal of Clinical Images and Medical Case Reports · doi:10.52768/2766-7820/1150
Respiración disfuncional: una nueva vista a un mal longevo
Alcaraz-López, J. G., & Camacho-Alamo, O. J. (2021) · NCT Neumología y Cirugía de Tórax · doi:10.35366/102479 · Cited by 1
Long COVID and postcovid syndrome as a multidisciplinary problem
Антонович, Ж. В. (2022) · Рецепт · doi:10.34883/pi.2022.25.4.010
Les recommandations de prise en charge du Covid long
Barizien, N. (2022) · La Revue de l Infirmière · doi:10.1016/j.revinf.2022.10.004
Pervichko, E. I., Митина, О. В., Степанова, О. Б., & Конюховская, Ю. Е. (2023) · Психиатрия психотерапия и клиническая психология · doi:10.34883/pi.2023.14.1.001
Jeffrey, S., Roth, M., & Lichtenstein, B. (2023) · Biofeedback · doi:10.5298/1081-5937-51.2.03
Prevalence of Breathing Pattern Disorders among University Level Players
Anandhi, D., Kaviarasi, S., & Patil, S. S. (2023) · International journal of human movement and sports sciences · doi:10.13189/saj.2023.110602
DISFUNKCIONALNO DISANJE KOD DECE SA ASTMOM
Jocić‐Stojanović, J., Živković, Z., Veković, V., & Prijić, A. (2017) · Preventive Paediatrics · doi:10.46793/pp170210007j
Kotera, S., Maruoka, S., Kurosawa, Y., Arai, H., Yamada, S., Fukuda, A., Kozu, Y., Hiranuma, H., Ito, R., Shaku, F., et al. (2024) · Journal of Allergy and Clinical Immunology Global · doi:10.1016/j.jacig.2024.100247
Perelman, J. M. (2024) · doi:10.18093/987-5-6048754-9-0-2024-1-621-626
Chikina, S. Y., & Трушенко, Н. В. (2024) · doi:10.18093/987-5-6048754-9-0-2024-1-538-548
Evidence-informed approach of sighs in the scope of osteopathic practice
Vicart, A., & Wagner, A. (2024) · International journal of osteopathic medicine · doi:10.1016/j.ijosm.2024.100736
Motivation and Assessment for Breathwork
Brems, C. (2024) · Springer eBooks · doi:10.1007/978-3-031-66683-4_6
Bora, N., Mishra, A., Ganachari, P. S., & Dobhal, S. P. (2025) · Indian Journal of Respiratory Care · doi:10.5005/jp-journals-11010-1144
Golan, H. (2025) · Perspectives of the ASHA Special Interest Groups · doi:10.1044/2025_persp-24-00297
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
Kusnur, P. A., Sahana, H. N., Jensen, M. P., Gopalakrishna, D. B., Ughreja, R. A., Behera, D., & Venkatesan, P. (2025) · International journal of osteopathic medicine · doi:10.1016/j.ijosm.2025.100801
Coquelin, F., Bourmaud, A., Fuchs‐Climent, D., Toumazi, A., Coste, P., Buridans-Travier, N., Benzouid, C., Houdouin, V., Delclaux, C., Peiffer, C., et al. (2025) · Respiratory Medicine and Research · doi:10.1016/j.resmer.2025.101242
Courtney, R. (2025) · Perspectives of the ASHA Special Interest Groups · doi:10.1044/2025_persp-24-00305
Kingsbury, S. E., Kingsbury, H. A., Pradhan, G. N., Cevette, M. J., Vanood, N., Breznak, K. K., & Stepánek, J. (2026) · Journal of Otorhinolaryngology Hearing and Balance Medicine · doi:10.3390/ohbm7010006
Wells, C., Christie, D., Johnston, R., Knight, F., Samuel, M., Segal, T. Y., Shevlin, M. E., Sparrow, R., Woodman, D., & Sonnappa, S. (2026) · European Journal of Pediatrics · doi:10.1007/s00431-026-06840-7
Breathing pattern disorder: assessment and diagnosis
Bondarenko, J., Grillo, L. J., Denton, E. J., Button, B., Hew, M. J., & Holland, A. (2026) · ERJ Open Research · doi:10.1183/23120541.00092-2026
Barrau, N. (2024) · doi:10.70675/c0586093z14d0z4d90z8578z8679ecd911ab
Sakkatos, P. (2026) · Exploration of Asthma & Allergy · doi:10.37349/eaa.2026.1009122
Xiao, L., Guo, F., Ran, X., & Li, S. (2026) · BMC Infectious Diseases · doi:10.1186/s12879-026-13541-x
Grehan, J., Bristow, J., Steel, K., Brew, B. K., Peek, M. J., Robijn, A. L., Barrett, H. L., Seeho, S. K. M., Fotheringham, P., Atchan, M., et al. (2026) · BMJ Open · doi:10.1136/bmjopen-2025-115626
Kelečić, I. L., Gosić, E., & Mesarić, J. (2026) · Journal of Back and Musculoskeletal Rehabilitation · doi:10.1177/10538127261469318
Theofanidou‐Axelsson, E., Nygren‐Bonnier, M., Nordlund, B., Ljungberg, H., & Alexanderson, H. (2026) · The Clinical Respiratory Journal · doi:10.1111/crj.70221
Çırak, Y., & Kardeş, K. (2026) · Journal of Aging and Physical Activity · doi:10.1123/japa.2026-0028
Bondarenko, J., Rebecca Clark, A. E. P., Button, B., Hew, M., & Holland, A. E. (2026) · The Journal of Allergy and Clinical Immunology In Practice · doi:10.1016/j.jaip.2026.09.004
Assessing respiratory rates and signs of air hunger using the PneumoRator® sensorPreprint
Hudson-Colby, J. J., Baston, H., Harding, M., Brider, S., Yates, F., Shaban, M., White, N. M., & Lewis, A. P. (2026) · medRxiv · doi:10.64898/2026.09.21.26363466
Metadata
- Authors
- van Dixhoorn, J., & Folgering, H.
- Venue
- ERJ Open Research
- Publisher
- European Respiratory Society (ERS)
- Published
- 2015-05
- Volume
- 1
- Issue
- 1
- Pages
- 00001-2015
- ISSN
- 2312-0541 (ISSN-L)
- PMC
- PMC5005127
- OpenAlex
- W2152691399
- Cited by
- 161
- References
- 22
- Citations by year
- 2026: 13 · 2025: 25 · 2024: 22 · 2023: 21 · 2022: 18 · 2021: 17 · 2020: 15 · 2019: 10 · 2018: 7 · 2017: 7 · 2016: 4 · 2015: 2
- FWCI
- 5.42
- Type
- journal article
- Language
- en
- Open access
- gold
- doi.org
- Licence
- cc-by-nc
- Locations
- ERJ Open Research (publishedVersion, cc-by-nc)
- PubMed Central (publishedVersion, cc-by-nc)
- PubMed (publishedVersion)
- DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion, cc-by-sa)
- Topics
- Health Sciences › Medicine › Psychiatry and Mental health › Psychosomatic Disorders and Their Treatments
- Health Sciences › Medicine › Pulmonary and Respiratory Medicine › Respiratory and Cough-Related Research
- Social Sciences › Psychology › Experimental and Cognitive Psychology › Anxiety, Depression, Psychometrics, Treatment, Cognitive Processes
- Keywords
- Nijmegen questionnaire, hyperventilation syndrome, dysfunctional breathing, screening tool, questionnaire validity, hypocapnia, carbon dioxide tension, respiratory control
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
