Skip to main content
Article thumbnail
Location of Repository

Prevalence of dysfunctional breathing in patients treated for asthma in primary care: cross sectional survey

By Mike Thomas, Robert K. McKinley, Elaine Freeman and Chris Foy

Abstract

Also available from http://www.bmj.com/cgi/content/full/322/7294/1098Objectives: To estimate the prevalence of\ud dysfunctional breathing in adults with asthma treated in the community.\ud \ud Design: Postal questionnaire survey using Nijmegen questionnaire.\ud \ud Setting: One general practice with 7033 patients.\ud \ud Participants: All adult patients aged 17­65 with diagnosed asthma who were receiving treatment.\ud \ud Main outcome measure: Score >23 on Nijmegen\ud questionnaire.\ud \ud Results: 227/307 patients returned completed\ud questionnaires; 219 (71.3%) questionnaires were suitable for analysis. 63 participants scored >23. Those scoring >23 were more likely to be female than male (46/132 (35%) v 17/87 (20%), P = 0.016) and were younger (mean (SD) age 44.8 (14.7) v 49.0 (13.8, (P = 0.05). Patients at different treatment steps of the British Thoracic Society asthma guidelines were affected equally.\ud \ud Conclusions: About a third of women and a fifth of men had scores suggestive of dysfunctional breathing. Although further studies are needed to confirm the validity of this screening tool and these findings, these prevalences suggest scope for therapeutic intervention and may explain the anecdotal success of the Buteyko method of treating asthma

Publisher: BMJ Publishing Group
Year: 2001
OAI identifier: oai:lra.le.ac.uk:2381/239

Suggested articles

Citations

  1. A controlled study of a breathing therapy for treatment of hyperventilation syndrome. doi
  2. (1999). Asthma Information Agency. Prevalence of asthma treated in general practice.
  3. (1990). Behavioural breathlessness. doi
  4. (1992). Breathing retraining: a rational placebo? Clin Psychol Rev doi
  5. Breathing retraining: a three›year follow›up study of treatment for hyperventilation syndrome and associated functional cardiac symptoms. Biofeedback Self Regul doi
  6. Butekyo breathing techniques in asthma: a blinded randomised controlled trial.
  7. Competing interests: None declared. doi
  8. (1986). Controlled study of respiratory responses during prolonged measurement in patients with chronic hyperventila› tion. Lancet doi
  9. (1986). Definition of the hyperventilation syndrome. BullEur Physiopathol Respir
  10. (1996). Double›blind placebo›controlled study of the hyperventilation provocation test and the validity of the hyperventilation syndrome. Lancet doi
  11. (1996). Effects of psychological stress on airways impudence in individuals with asthma and panic disor› der.
  12. Efficacy of Nijmegen questionnaire in recognition of the hyperventilation syndrome. doi
  13. (1997). Hyperventilation and dysfunctional breathing.
  14. (1986). Hyperventilation syndrome and asthma. doi
  15. Hyperventilation syndromes: infrequently recognised common expressions of anxiety and distress.
  16. Objective measures and the diagnosis of asthma. doi
  17. Orthostatic increase of respi› ratory gas exchange on hyperventilation syndrome.
  18. (1998). Panic disorder and asthma: causes, effects and research implica› tions. doi
  19. Physiological considerations in the treatment of hyperventila› tion syndromes.
  20. (1998). principes en oefeningen.
  21. (1997). review and position statement. Thorax doi
  22. Society, National Asthma Campaign, Royal College of Physicians of London, General Practitioner in Asthma Group, doi
  23. (1994). Symptoms and signs of hyperventilation.
  24. (1999). The com› plaints in patients with asthma are compounded by hyperventilation [abstract].
  25. (1997). The hyperventilation syndrome: a syndrome under threat? Thorax doi
  26. The pathophysiology of hyperventilation disorders. doi
  27. (1999). The value of an intensive physiotherapy course in patients with hyperventilation.
  28. (1997). Unsteadiness of breathing in patients with hyperventilation syn› drome and anxiety disorders. doi
  29. (1999). Use of the Nijmegen hyper› ventilation questionnaire and hyperventilation provocation test in a hos› pital asthma clinic.
  30. (2001). What is already known on this topic

To submit an update or takedown request for this paper, please submit an Update/Correction/Removal Request.