Abstract
Thirty patients who were considered to have the hyperventilation syndrome on clinical grounds (history and observation) were referred for testing: 29 patients completed a forced hyperventilation provocation test, and 28 underwent hypnosis during which time a psychological challenge was introduced which was meaningful to each individual patient. In 19/27 of these patients the PetCO2 fell by an average of 18.2 mmHg and persisted spontaneously for more than three minutes. In 10 normal controls studied in a similar fashion there was an average fall of 5 mmHg. The difference in response between responders and controls/non-responders was highly significant (P less than 0.001). A review of the literature is presented for comparison. It is considered that a psychological challenge under hypnosis may have important implications for diagnosis and therapy in some patients considered to have the hyperventilation syndrome.
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- BALKE B., WELLS J. G., CLARK R. T., Jr In-flight hyperventilation during jet pilot training. J Aviat Med. 1957 Jun;28(3):241–248. [PubMed] [Google Scholar]
- Bass C., Cawley R., Wade C., Ryan K. C., Gardner W. N., Hutchison D. C., Jackson G. Unexplained breathlessness and psychiatric morbidity in patients with normal and abnormal coronary arteries. Lancet. 1983 Mar 19;1(8325):605–609. doi: 10.1016/s0140-6736(83)91791-9. [DOI] [PubMed] [Google Scholar]
- Brashear R. E. Hyperventilation syndrome. Lung. 1983;161(5):257–273. doi: 10.1007/BF02713872. [DOI] [PubMed] [Google Scholar]
- DUDLEY D. L., HOLMES T. H., MARTIN C. J., RIPLEY H. S. CHANGES IN RESPIRATION ASSOCIATED WITH HYPNOTICALLY INDUCED EMOTION, PAIN, AND EXERCISE. Psychosom Med. 1964 Jan-Feb;26:46–57. doi: 10.1097/00006842-196401000-00007. [DOI] [PubMed] [Google Scholar]
- DUDLEY D. L., MARTIN C. J., HOLMES T. H. PSYCHOPHYSIOLOGIC STUDIES OF PULMONARY VENTILATION. Psychosom Med. 1964 Nov-Dec;26:645–660. doi: 10.1097/00006842-196411000-00001. [DOI] [PubMed] [Google Scholar]
- Freeman L. J., Nixon P. G. Chest pain and the hyperventilation syndrome--some aetiological considerations. Postgrad Med J. 1985 Nov;61(721):957–961. doi: 10.1136/pgmj.61.721.957. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Garssen B. Role of stress in the development of the hyperventilation syndrome. Psychother Psychosom. 1980;33(4):214–225. doi: 10.1159/000287434. [DOI] [PubMed] [Google Scholar]
- Lazarus H. R., Kostan J. J., Jr Psychogenic hyperventilation and death anxiety. Psychosomatics. 1969 Jan-Feb;10(1):14–22. doi: 10.1016/S0033-3182(69)71786-8. [DOI] [PubMed] [Google Scholar]
- Magarian G. J. Hyperventilation syndromes: infrequently recognized common expressions of anxiety and stress. Medicine (Baltimore) 1982 Jul;61(4):219–236. [PubMed] [Google Scholar]
- Motta P. E., Fagiani M. B., Dolcetti A., Bellone E., Borello G. Modificazioni dei gas nel sangue nello stato ansioso di media gravità. Arch Sci Med (Torino) 1971 Jul-Sep;128(3):111–119. [PubMed] [Google Scholar]
- Redd W. H., Andresen G. V., Minagawa R. Y. Hypnotic control of anticipatory emesis in patients receiving cancer chemotherapy. J Consult Clin Psychol. 1982 Feb;50(1):14–19. doi: 10.1037//0022-006x.50.1.14. [DOI] [PubMed] [Google Scholar]
- Rigg J. R., Inman E. M., Saunders N. A., Leeder S. R., Jones N. L. Interaction of mental factors with hypercapnic ventilatory drive in man. Clin Sci Mol Med. 1977 Mar;52(3):269–275. doi: 10.1042/cs0520269. [DOI] [PubMed] [Google Scholar]
- STEVENSON I., RIPLEY H. S. Variations in respiration and in respiratory symptoms during changes in emotion. Psychosom Med. 1952 Nov-Dec;14(6):476–490. doi: 10.1097/00006842-195211000-00006. [DOI] [PubMed] [Google Scholar]
- Schafer D. W. Hypnosis use on a burn unit. Int J Clin Exp Hypn. 1975 Jan;23(1):1–14. doi: 10.1080/00207147508416169. [DOI] [PubMed] [Google Scholar]
- Suess W. M., Alexander A. B., Smith D. D., Sweeney H. W., Marion R. J. The effects of psychological stress on respiration: a preliminary study of anxiety and hyperventilation. Psychophysiology. 1980 Nov;17(6):535–540. doi: 10.1111/j.1469-8986.1980.tb02293.x. [DOI] [PubMed] [Google Scholar]
- Third International Workshop on Respiratory Psychophysiology. Bordeaux, September 1-2, 1983. Abstracts. Bull Eur Physiopathol Respir. 1984 Jan-Feb;20(1):83–95. [PubMed] [Google Scholar]
- YU P. N., YIM J. B., STANFIELD C. A. Hyperventilation syndrome; changes in the electrocardiogram, blood gases, and electrolytes during voluntary hyperventilation; possible mechanisms and clinical implications. AMA Arch Intern Med. 1959 Jun;103(6):902–913. doi: 10.1001/archinte.1959.00270060054008. [DOI] [PubMed] [Google Scholar]




