Paul M Lehrer
Biographic Data
| ID | 5835261 |
|---|---|
| NAME | Paul M Lehrer |
| GIVEN NAMES | Paul M |
| FAMILY NAME | Lehrer |
| SIGNATURE | LEHRER P M |
| AFFILIATIONS | Rutgers, the State University of New Jersey |
| ORCID | 0000-0002-9010-6129 |
| VERIFIED | Yes |
| TOTAL WORKS | 20 |
| TOTAL CITATIONS | 1 |
| AUTHOR COUNT | 20 |
| EDITOR COUNT | 0 |
| FIRST PUBLICATION YEAR | 1961 |
| LATEST PUBLICATION YEAR | 2023 |
| H-INDEX | 1 |
Biofeedback Has Therapeutic Effects on Asthma, Although Additional Research Is Needed to Document Specificity
Asthma is a common disorder leading to significant disability and healthcare cost throughout the world. Although medical treatment is usually highly effective in controlling it, asthma medicines often have high costs and attendant side effects. Biofeedback is an inexpensive noninvasive alternative with minimal side effects. This paper reviews evidence for two validated biofeedback treatments for treating asthma, heart rate variability biofeedback…
The Effect of Heart Rate Variability Biofeedback Training on Mental Health of Pregnant and Non-Pregnant Women
In this study, we examined the efficacy of heart rate variability (HRV)-biofeedback on stress and stress-related mental health problems in women. Furthermore, we examined whether the efficacy differed between pregnant and non-pregnant women. Fifty women (20 pregnant, 30 non-pregnant; mean age 31.6, SD = 5.9) were randomized into an intervention ( n = 29) or a waitlist condition ( n = 21). All participants completed questionnaires on stress, anxie…
Rest, Reactivity, and Recovery
Difficulty regulating emotion is a cardinal feature of borderline personality disorder (BPD), yet little is known about the automatic psychophysiological processes involved in this phenotype. Inconsistent findings have emerged from studies that employed limited assessments (e.g., heart rate variability, skin conductance) of autonomic nervous system response to emotional contexts, and compared groups based on the presence or absence of BPD as a ca…
Heart rate variability biofeedback
Heart rate variability biofeedback (HRV BFB) is a biobehavioural clinical intervention that is gaining growing empirical support for the treatment of a number of psychological disorders, several of which are highly comorbid with substance use disorders (SUDs). The present article reviews the autonomic nervous system bases of two key processes implicated in the formation and maintenance of addictive pathology—affect dysregulation and craving—and a…
Psychiatric Disorders and Asthma Outcomes Among High-Risk Inner-City Patients
OBJECTIVE: The purpose of this study was to examine the rate of psychiatric disorders among patients attending an ethnically diverse, inner-city asthma clinic for an initial visit and assess the association between psychiatric disorders and asthma morbidity. METHODS: A semistructured psychological interview was conducted to assess for psychiatric diagnoses. A pulmonary physician, who was blind to psychiatric disorder, established diagnosis of ast…
Responses to Controlled Diesel Vapor Exposure Among Chemically Sensitive Gulf War Veterans
OBJECTIVE: A significant proportion of Gulf War veterans (GWVs) report chemical sensitivity, fatigue, and unexplained symptoms resulting in ongoing disability. GWVs frequently recall an association between diesel and petrochemical fume exposure and symptoms during service. The purpose of the present study among GWVs was to evaluate the immediate health effects of acute exposure to chemicals (diesel vapors with acetaldehyde) with and without stres…
Heart Rate Variability Biofeedback Increases Baroreflex Gain and Peak Expiratory Flow
OBJECTIVE: We evaluated heart rate variability biofeedback as a method for increasing vagal baroreflex gain and improving pulmonary function among 54 healthy adults. METHODS: We compared 10 sessions of biofeedback training with an uninstructed control. Cognitive and physiological effects were measured in four of the sessions. RESULTS: We found acute increases in low-frequency and total spectrum heart rate variability, and in vagal baroreflex gain…
Psychosocial Treatments for Multiple Unexplained Physical Symptoms
Objective Patients presenting with multiple medically unexplained physical symptoms, termed polysymptomatic somatizers, often incur excessive healthcare charges and fail to respond to standard medical treatment. The present article reviews the literature assessing the efficacy of psychosocial treatments for polysymptomatic somatizers. Methods Relevant articles were identified by scanning Medline and PsychLit. Thirty-four randomized, controlled st…
Defensiveness and Individual Response Stereotypy in Asthma
OBJECTIVE: Previous literature has shown that the psychological trait of defensiveness is related to elevated sympathetic reactivity to stress and to several cardiac risk factors. The aim of this study was to examine whether these previous findings on defensiveness extend to an asthmatic population. METHODS: Defensiveness was measured by the Marlowe-Crowne Social Desirability Scale using a quartile split: high (upper 25%) and low (bottom 75%). Tw…
Altered Heart Rate Variability in Asthma and Panic Disorder
Zazen and Cardiac Variability
OBJECTIVE: This study examined the effects of "tanden breathing" by Zen practitioners on cardiac variability. Tanden breathing involves slow breathing into the lower abdomen. METHODS: Eleven Zen practitioners, six Rinzai and five Soto, were each studied during 20 minutes of tanden breathing, preceded and followed by 5-minute periods of quiet sitting. During this time, we measured heart rate and respiration rate. RESULTS: For most subjects, respir…
Effects of Chemical and Psychological Stress on Persian Gulf Veterans With Chronic Fatigue Syndrome
Behavioral Task-Induced Bronchodilation in Asthma During Active and Passive Tasks
This study investigated pulmonary and autonomic reactions to active and passive behavioral laboratory tasks among asthmatic subjects. It also examined the relationship between airway irritability, as measured by the methacholine challenge test (MCT), and autonomic activity and reactivity to these tasks. Fifty-one asthmatic and 37 nonasthmatic subjects were exposed to psychological laboratory tasks involving either active (mental arithmetic and re…
The effects of suggestion and emotional arousal on pulmonary function in asthma
This paper reviews the empirical literature on the relation between asthma, suggestion, and emotion, and proposes the hypothesis that these effects are mediated parasympathetically. The literature indicates that, among asthmatics, suggestion can produce both bronchoconstriction and bronchodilation, and that stress can produce bronchoconstriction. The proportion of asthmatic subjects showing bronchoconstriction to both suggestion and stress averag…
Headache versus Nonheadache State
Seventeen carefully screened muscle contraction headache sufferers were tested in both the headache and the nonheadache state. At baseline, forehead and trapezius EMG were higher, whereas finger temperature and finger blood volume were lower in the headache than the nonheadache state. At a borderline level, physiological reactivity was greater during the headache than the nonheadache state in response to a reaction-time stressor. During the heada…
Hypnotic Susceptibility and its Relationship to Outcome in the Behavioral Treatment of Asthma
12 subjects from an experiment on relaxation therapy for asthma were given the Harvard Group Scale of Hypnotic Susceptibility, Form A. Full scale hypnotic susceptibility scores were positively correlated, at a borderline significance, with improvement in the methacholine challenge test, a measure of asthma severity. Performance on the amnesia item of the Harvard Group Scale was correlated with improvement in self-reported symptoms of asthma
A Review of the Approaches to the Management of Tension and Stage Fright in Music Performance
There is considerable evidence that stage fright, like all other forms of anxiety is multifaceted. I In addition to partially independent somatic, cognitive, and behavioral manifestations, stage fright seems to comprise fear of fear, fear of social disapproval, problems with distraction, and a judgmental attitude. Each form of stage fright may be best treatable by a specific intervention. Relaxation therapies and drug therapy seem to target somat…
Effects of Alcohol on Cardiac Reactivity In Alcoholics and Nonalcoholics
After drinking an intoxicating amount of alcohol, the cardiac responses of alcoholics to loud tones and reaction-time trials were significantly different from those of nonalcoholics. Alcohol also affected the direction of the cardiac responses to the tones
What happens when deviant behavior begins to change? The relevance of a social systems approach for behavioral programs with adolescents
More on youth issue
More on youth issue
Effects of Alcohol on Cardiac Reactivity In Alcoholics and Nonalcoholics
After drinking an intoxicating amount of alcohol, the cardiac responses of alcoholics to loud tones and reaction-time trials were significantly different from those of nonalcoholics. Alcohol also affected the direction of the cardiac responses to the tones
What happens when deviant behavior begins to change? The relevance of a social systems approach for behavioral programs with adolescents
A Review of the Approaches to the Management of Tension and Stage Fright in Music Performance
There is considerable evidence that stage fright, like all other forms of anxiety is multifaceted. I In addition to partially independent somatic, cognitive, and behavioral manifestations, stage fright seems to comprise fear of fear, fear of social disapproval, problems with distraction, and a judgmental attitude. Each form of stage fright may be best treatable by a specific intervention. Relaxation therapies and drug therapy seem to target somat…
Hypnotic Susceptibility and its Relationship to Outcome in the Behavioral Treatment of Asthma
12 subjects from an experiment on relaxation therapy for asthma were given the Harvard Group Scale of Hypnotic Susceptibility, Form A. Full scale hypnotic susceptibility scores were positively correlated, at a borderline significance, with improvement in the methacholine challenge test, a measure of asthma severity. Performance on the amnesia item of the Harvard Group Scale was correlated with improvement in self-reported symptoms of asthma
Headache versus Nonheadache State
Seventeen carefully screened muscle contraction headache sufferers were tested in both the headache and the nonheadache state. At baseline, forehead and trapezius EMG were higher, whereas finger temperature and finger blood volume were lower in the headache than the nonheadache state. At a borderline level, physiological reactivity was greater during the headache than the nonheadache state in response to a reaction-time stressor. During the heada…
The effects of suggestion and emotional arousal on pulmonary function in asthma
This paper reviews the empirical literature on the relation between asthma, suggestion, and emotion, and proposes the hypothesis that these effects are mediated parasympathetically. The literature indicates that, among asthmatics, suggestion can produce both bronchoconstriction and bronchodilation, and that stress can produce bronchoconstriction. The proportion of asthmatic subjects showing bronchoconstriction to both suggestion and stress averag…
Behavioral Task-Induced Bronchodilation in Asthma During Active and Passive Tasks
This study investigated pulmonary and autonomic reactions to active and passive behavioral laboratory tasks among asthmatic subjects. It also examined the relationship between airway irritability, as measured by the methacholine challenge test (MCT), and autonomic activity and reactivity to these tasks. Fifty-one asthmatic and 37 nonasthmatic subjects were exposed to psychological laboratory tasks involving either active (mental arithmetic and re…
Altered Heart Rate Variability in Asthma and Panic Disorder
Zazen and Cardiac Variability
OBJECTIVE: This study examined the effects of "tanden breathing" by Zen practitioners on cardiac variability. Tanden breathing involves slow breathing into the lower abdomen. METHODS: Eleven Zen practitioners, six Rinzai and five Soto, were each studied during 20 minutes of tanden breathing, preceded and followed by 5-minute periods of quiet sitting. During this time, we measured heart rate and respiration rate. RESULTS: For most subjects, respir…
Effects of Chemical and Psychological Stress on Persian Gulf Veterans With Chronic Fatigue Syndrome
Psychosocial Treatments for Multiple Unexplained Physical Symptoms
Objective Patients presenting with multiple medically unexplained physical symptoms, termed polysymptomatic somatizers, often incur excessive healthcare charges and fail to respond to standard medical treatment. The present article reviews the literature assessing the efficacy of psychosocial treatments for polysymptomatic somatizers. Methods Relevant articles were identified by scanning Medline and PsychLit. Thirty-four randomized, controlled st…
Defensiveness and Individual Response Stereotypy in Asthma
OBJECTIVE: Previous literature has shown that the psychological trait of defensiveness is related to elevated sympathetic reactivity to stress and to several cardiac risk factors. The aim of this study was to examine whether these previous findings on defensiveness extend to an asthmatic population. METHODS: Defensiveness was measured by the Marlowe-Crowne Social Desirability Scale using a quartile split: high (upper 25%) and low (bottom 75%). Tw…
Heart Rate Variability Biofeedback Increases Baroreflex Gain and Peak Expiratory Flow
OBJECTIVE: We evaluated heart rate variability biofeedback as a method for increasing vagal baroreflex gain and improving pulmonary function among 54 healthy adults. METHODS: We compared 10 sessions of biofeedback training with an uninstructed control. Cognitive and physiological effects were measured in four of the sessions. RESULTS: We found acute increases in low-frequency and total spectrum heart rate variability, and in vagal baroreflex gain…
Responses to Controlled Diesel Vapor Exposure Among Chemically Sensitive Gulf War Veterans
OBJECTIVE: A significant proportion of Gulf War veterans (GWVs) report chemical sensitivity, fatigue, and unexplained symptoms resulting in ongoing disability. GWVs frequently recall an association between diesel and petrochemical fume exposure and symptoms during service. The purpose of the present study among GWVs was to evaluate the immediate health effects of acute exposure to chemicals (diesel vapors with acetaldehyde) with and without stres…
Psychiatric Disorders and Asthma Outcomes Among High-Risk Inner-City Patients
OBJECTIVE: The purpose of this study was to examine the rate of psychiatric disorders among patients attending an ethnically diverse, inner-city asthma clinic for an initial visit and assess the association between psychiatric disorders and asthma morbidity. METHODS: A semistructured psychological interview was conducted to assess for psychiatric diagnoses. A pulmonary physician, who was blind to psychiatric disorder, established diagnosis of ast…
Heart rate variability biofeedback
Heart rate variability biofeedback (HRV BFB) is a biobehavioural clinical intervention that is gaining growing empirical support for the treatment of a number of psychological disorders, several of which are highly comorbid with substance use disorders (SUDs). The present article reviews the autonomic nervous system bases of two key processes implicated in the formation and maintenance of addictive pathology—affect dysregulation and craving—and a…
Rest, Reactivity, and Recovery
Difficulty regulating emotion is a cardinal feature of borderline personality disorder (BPD), yet little is known about the automatic psychophysiological processes involved in this phenotype. Inconsistent findings have emerged from studies that employed limited assessments (e.g., heart rate variability, skin conductance) of autonomic nervous system response to emotional contexts, and compared groups based on the presence or absence of BPD as a ca…
The Effect of Heart Rate Variability Biofeedback Training on Mental Health of Pregnant and Non-Pregnant Women
In this study, we examined the efficacy of heart rate variability (HRV)-biofeedback on stress and stress-related mental health problems in women. Furthermore, we examined whether the efficacy differed between pregnant and non-pregnant women. Fifty women (20 pregnant, 30 non-pregnant; mean age 31.6, SD = 5.9) were randomized into an intervention ( n = 29) or a waitlist condition ( n = 21). All participants completed questionnaires on stress, anxie…
Biofeedback Has Therapeutic Effects on Asthma, Although Additional Research Is Needed to Document Specificity
Asthma is a common disorder leading to significant disability and healthcare cost throughout the world. Although medical treatment is usually highly effective in controlling it, asthma medicines often have high costs and attendant side effects. Biofeedback is an inexpensive noninvasive alternative with minimal side effects. This paper reviews evidence for two validated biofeedback treatments for treating asthma, heart rate variability biofeedback…
Medicine (17 works) · Psychology (15 works) · Internal Medicine (12 works) · Psychiatry (11 works) · Clinical Psychology (9 works) · Heart rate (8 works) · Internal Medicine (8 works) · Asthma (7 works) · Heart Rate Variability and Autonomic Control (7 works) · Blood pressure (6 works)