Breathing training for treating panic disorder - Useful intervention or impediment?
Breathing training for treating panic disorder - Useful intervention or impediment?
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DOI：
10.1177/0145445503256324
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发表时间：
2003-10-01
影响因子：
2.3
通讯作者：
Roth, WT
中科院分区：
文献类型：
--
作者：
Meuret, AE;Wilhelm, FH;Roth, WT
呼吸训练（BT）通常用于治疗恐慌症。我们确定了九项报告 BT 结果的研究。总体而言，已发表的 BT 研究不足以明确判断此类技术是否有益。本文讨论了 BT 中使用的基本原理、研究设计和技术的问题，并确定了可能决定治疗结果的因素。低碳酸血症和呼吸不规则是恐慌发展的潜在因素这一观点意味着，在整个治疗过程中应该对这些因素进行生理监测。 BT 教授的技术必须考虑血气调节中的呼吸频率和潮气量 (pCO(2))。需要更多的研究来使用适当的原理和方法来衡量 BT 的功效。认为应拒绝 BT 而支持认知或其他形式干预的说法还为时过早。
Breathing training (BT) is commonly used for treatment of panic disorder. We identified nine studies that reported the outcome of BT. Overall, the published studies of BT are not sufficiently compelling to allow an unequivocal judgment of whether such techniques are beneficial. This article discusses problems with the underlying rationale, study design, and techniques used in BT, and it identifies factors that may have determined therapy outcomes. The idea that hypocapnia and respiratory irregularities are underlying factors in the development of panic implies that these factors should be monitored physiologically throughout therapy. Techniques taught in BT must take account of respiration rate and tidal volume in the regulation of blood gases (pCO(2)). More studies are needed that are designed to measure the efficacy of BT using an adequate rationale and methodology. Claims that BT should be rejected in favor of cognitive or other forms of intervention are premature.