Hyperventilation in patients with chronic fatigue syndrome: The role of coping strategies
Hyperventilation in patients with chronic fatigue syndrome: The role of coping strategies
复制标题
DOI：
10.1016/j.brat.2007.07.003
复制
发表时间：
2007-11-01
影响因子：
4.1
通讯作者：
Van den Bergh, Omer
中科院分区：
文献类型：
--
作者：
Bogaerts, Katleen;Hubin, Morgane;Van den Bergh, Omer
过度换气被认为是慢性疲劳综合征（CFS）症状模式的伴随和可能的维持因素。因为患者接受疾病，并试图与它一起生活似乎有一个更好的预后比患者长期战斗，我们调查了呼吸行为在不同的应对反应集对疾病的CFS患者（N = 30，CDC标准）。患者想象一个放松脚本（基线），一个描述敌对抵抗的应对反应的脚本，以及一个描述接受疾病及其（未来）后果的脚本。在每次成像试验期间，测量潮气末PCO2（手持式二氧化碳描记仪，Oridion）。每次试验后，患者填写一份症状检查表。结果显示PetCO（2）的总体静息值较低，而只有敌意抵抗的图像才引发PetCO（2）的降低和恢复不足。此外，更多的过度换气的投诉和投诉的其他来源，据报道，在敌对阻力的形象相比，接受和放松。总之，敌意抵抗似乎触发生理和症状感知过程有助于CFS的临床图片。(C)2007爱思唯尔有限公司版权所有。
Hyperventilation has been suggested as a concomitant and possible maintaining factor that may contribute to the symptom pattern of chronic fatigue syndrome (CFS). Because patients accepting the illness and trying to live with it seem to have a better prognosis than patients chronically fighting it, we investigated breathing behavior during different coping response sets towards the illness in patients with CFS (N = 30, CDC criteria). Patients imagined a relaxation script (baseline), a script describing a coping response of hostile resistance, and a script depicting acceptance of the illness and its (future) consequences. During each imagery trial, end-tidal PCO2 (Handheld Capnograph, Oridion) was measured. After each trial, patients filled out a symptom checklist. Results showed low resting values of PetCO(2) overall, while only imagery of hostile resistance triggered a decrease and deficient recovery of PetCO(2). Also, more hyperventilation complaints and complaints of other origin were reported during hostile resistance imagery compared with acceptance and relaxation. In conclusion, hostile resistance seems to trigger both physiological and symptom perception processes contributing to the clinical picture of CFS. (C) 2007 Elsevier Ltd. All rights reserved.