دورية أكاديمية
Respiratory dysfunction in persistent somatic symptoms: A systematic review of observational studies.
العنوان: | Respiratory dysfunction in persistent somatic symptoms: A systematic review of observational studies. |
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المؤلفون: | Niwa S; Department of Biomedical Engineering, Wrocław University of Science and Technology, Poland. Electronic address: saya.niwa@pwr.edu.pl., Fila-Pawłowska K; Department of Psychiatry, Wrocław Medical University, Poland. Electronic address: k.fila-witecka@umw.edu.pl., Van den Bergh O; Health Psychology, Faculty of Psychology and Educational Sciences, KU Leuven, Belgium. Electronic address: omer.vandenbergh@kuleuven.be., Rymaszewska J; Department of Clinical Neuroscience, Wrocław University of Science and Technology, Poland. Electronic address: Joanna.rymaszewska@pwr.edu.pl. |
المصدر: | Journal of psychosomatic research [J Psychosom Res] 2024 Jun; Vol. 181, pp. 111607. Date of Electronic Publication: 2024 Feb 12. |
نوع المنشور: | Systematic Review; Journal Article |
اللغة: | English |
بيانات الدورية: | Publisher: Pergamon Press Country of Publication: England NLM ID: 0376333 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1879-1360 (Electronic) Linking ISSN: 00223999 NLM ISO Abbreviation: J Psychosom Res Subsets: MEDLINE |
أسماء مطبوعة: | Publication: Oxford : Pergamon Press Original Publication: London. |
مواضيع طبية MeSH: | Medically Unexplained Symptoms*, Humans ; Observational Studies as Topic ; Respiration Disorders/physiopathology |
مستخلص: | Objective: This systematic review aims to analyze the existing literature investigating respiratory functioning in people with Persistent Somatic Symptoms (PSS) compared to healthy controls, to identify patterns of respiratory disturbances by symptom or syndrome, and describe any respiratory outcomes consistent across diagnoses. Methods: A systematic review following PRISMA guidelines was conducted. A comprehensive search was carried out across five databases (PubMed (NCBI), PsycArticles (Ovid), Web of Science (Core Collection), Embase, and Scopus) using two customised search strings for persistent somatic symptoms and objective respiratory parameters. Title/abstract screening and data extraction were carried out independently by two reviewers. The modified Newcastle-Ottawa Scale was used for quality assessment of the studies. Studies investigating baseline respiratory functioning in adult patients with PSS compared to healthy controls, using at least one objective respiratory were included. Results: 18 studies met the inclusion criteria for the review, with a pooled sample size of n = 3245. Chronic pain conditions were found to be the most prevalent subset of diagnoses of interest, comprising six of the studies. 10 studies included measures of lung capacity, flow and/or volume, nine studies reported measures of ventilation, and four studies investigated respiratory muscle functioning. 13 of the included studies reported significant differences in at least one objective respiratory measure between groups (at rest). Scores on self-reported measures of dysnpea and breathlessness were higher in patients compared to healthy controls, while objective respiratory outcomes were varied. Conclusion: The current systematic review is consistent with previous literature suggesting more pronounced experiences of breathlessness in patients with PSS, and significant disparities between reported dyspnea and objective respiratory outcomes. Research investigating the uncoupling between subjective and objective respiratory outcomes is needed to understand the mechanisms behind breathing disturbances in PSS. Competing Interests: Declaration of competing interest The authors have no competing interests to report. (Copyright © 2024 The Authors. Published by Elsevier Inc. All rights reserved.) |
فهرسة مساهمة: | Keywords: Hyperventilation; Persistent somatic symptoms; Psychophysiology; Respiration; Stress |
تواريخ الأحداث: | Date Created: 20240222 Date Completed: 20240607 Latest Revision: 20240607 |
رمز التحديث: | 20240610 |
DOI: | 10.1016/j.jpsychores.2024.111607 |
PMID: | 38388305 |
قاعدة البيانات: | MEDLINE |
تدمد: | 1879-1360 |
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DOI: | 10.1016/j.jpsychores.2024.111607 |