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The effects of suggestion and emotional arousal on pulmonary function in asthma

A review and a hypothesis regarding vagal mediation

Bibliographic Data

ID19306996
AuthorsS A Isenberg, Susan Isenberg (Rutgers, the State University of New Jersey), Paul M Lehrer (0000-0002-9010-6129, Rutgers, the State University of New Jersey), Stuart M Hochron (Rutgers, the State University of New Jersey), S Hochron
Year1992
Volume54
Issue2
Pages192-216
Publication date1992-03-01
Open AccessNo
TypeARTICLE
VenuePsychosomatic Medicine (JOURNAL)
Journal identifiersISSN: 0033-3174 • E-ISSN: 1534-7796
PublisherOvid Technologies (Wolters Kluwer Health) (PUBLISHER)
DOI10.1097/00006842-199203000-00006
PMID1565756
OpenAlexW2315254071
LanguageEN
Citations received12

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 averages 35%-40% across studies, but, because of methodological considerations, might be conservatively estimated as closer to 20%. The effect is smaller for suggestion of bronchodilation, and is very short-lived among nonasthmatics. No clear connection has been found between these responses and such subject variables as age, gender, asthma severity, atopy, or method of pulmonary assessment, although some nonsignificant tendencies appear. Most studies in this literature used small n's and did not systematically examine various somatic, environmental, and demographic factors that could influence results. A hypothesis is presented regarding vagal mediation of psychological effects on the airways, as well as possible alternative mechanisms, and recommendations for future research to evaluate these hypotheses

Arousal · Asthma · Atopy · Bronchoconstriction · Bronchodilation · Bronchodilator · Developmental psychology · Mediation · Psychiatry · Pulmonary function testing · Clinical Psychology · Empathy and Medical Education · Internal Medicine · Medicine · Psychology · Social Psychology

  • Asthma

    Open Access•Karen B Schmaling•Handbook of Psychology, Second…•2012

  • Psychosomatic treatment for allergic diseases

    Open Access•Kazufumi Yoshihara, 憲二 北村•BioPsychoSocial Medicine•2015

  • Emotion and Pulmonary Function in Asthma

    Thomas Ritz, Andrew Steptoe et al.•Psychosomatic Medicine•2000

  • Change in Forced Expiratory Volume in 1 Second After Sham Bronchoconstrictor in Suggestible but Not Suggestion-Resistant Asthmatic Subjects A Pilot Study

    Richard Leigh, Graeme Macqueen et al.•Psychosomatic Medicine•2003

  • Behavioral Task-Induced Bronchodilation in Asthma During Active and Passive Tasks

    Paul M Lehrer, Stuart M Hochron et al.•Psychosomatic Medicine•1996

  • Generalized Anxiety Disorder is Associated With Reduced Lung Function in the Vietnam Experience Study

    Douglas Carroll, Anna C Phillips et al.•Psychosomatic Medicine•2011

  • Implementation and Interpretation of Respiratory Sinus Arrhythmia Measures in Psychosomatic Medicine

    Michael O Wirth, Thomas Ritz et al.•Psychosomatic Medicine•2006

  • Stress Effects on Lung Function in Asthma are Mediated by Changes in Airway Inflammation

    Antje Kullowatz, David Rosenfield et al.•Psychosomatic Medicine•2008

  • Emotions and Stress Increase Respiratory Resistance in Asthma

    Thomas Ritz, Andrew Steptoe et al.•Psychosomatic Medicine•2000

  • Defensiveness and Individual Response Stereotypy in Asthma

    Jonathan M Feldman, Paul M Lehrer et al.•Psychosomatic Medicine•2002

  • Relaxation Training and Cortisol Secretion in Adult Asthmatics

    Open Access•Joshua M Smyth, Joshua Smyth et al.•Journal of Health Psychology•2001

  • Change in Airflow among Patients with Asthma Discussing Relationship Problems with Their Partners

    Open Access•Karen B Schmaling, Niloofar Afari et al.•Journal of Health Psychology•2009

Citations per year0.4
Citation span1996 - 2015 (20)
Highly citedNo

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