Impact of respiratory protective devices on respiration: Implications for panic vulnerability during the COVID-19 pandemic.
Airway Resistance
Betacoronavirus
COVID-19
Carbon Dioxide
/ metabolism
Coronavirus Infections
/ prevention & control
Humans
Oxygen
/ metabolism
Pandemics
/ prevention & control
Panic Disorder
/ metabolism
Pneumonia, Viral
/ prevention & control
Respiration
Respiration Disorders
/ etiology
Respiratory Protective Devices
/ adverse effects
Rhinomanometry
SARS-CoV-2
Spirometry
Covid19
Face masks
Panic disorder
Respiration
Respiratory protective devices
Respiratory symptoms
Journal
Journal of affective disorders
ISSN: 1573-2517
Titre abrégé: J Affect Disord
Pays: Netherlands
ID NLM: 7906073
Informations de publication
Date de publication:
01 12 2020
01 12 2020
Historique:
received:
20
07
2020
revised:
25
08
2020
accepted:
02
09
2020
entrez:
17
10
2020
pubmed:
18
10
2020
medline:
27
10
2020
Statut:
ppublish
Résumé
The wearing of respiratory protective devices (RPDs) correctly and continually in situations where people are at risk of respiratory infections is crucial for infection prevention. Certain people are poorly compliant with RPDs due to RPD-related annoyance, including respiratory discomfort. We hypothesized that individuals vulnerable to panic attacks are included in this group. No published studies on this topic are available. The evidence for our hypothesis was reviewed in this study as a starting point for future research. We selected a set of experimental studies that measured the respiratory physiological burden in RPD wearers through objective and validated methods. We conducted a bibliographic search of publications in the PubMed database (January 2000-May 2020) to identify representative studies that may be of interest for panic respiratory pathophysiology. Five studies were included. Wearing RPDs exerted significant respiratory effects, including increased breathing resistance, CO Most studies had a small sample size, with a preponderance of young participants. Different methodologies were used across the studies. Furthermore, differences in physical responses between wearing RPDs in experimental settings or daily life cannot be excluded. This research supports the idea that panic-prone individuals may be at higher risk of respiratory discomfort when wearing RPDs, thereby reducing their tolerance for these devices. Strategies to decrease discomfort should be identified to overcome the risk of poor compliance.
Sections du résumé
BACKGROUND
The wearing of respiratory protective devices (RPDs) correctly and continually in situations where people are at risk of respiratory infections is crucial for infection prevention. Certain people are poorly compliant with RPDs due to RPD-related annoyance, including respiratory discomfort. We hypothesized that individuals vulnerable to panic attacks are included in this group. No published studies on this topic are available. The evidence for our hypothesis was reviewed in this study as a starting point for future research.
METHODS
We selected a set of experimental studies that measured the respiratory physiological burden in RPD wearers through objective and validated methods. We conducted a bibliographic search of publications in the PubMed database (January 2000-May 2020) to identify representative studies that may be of interest for panic respiratory pathophysiology.
RESULTS
Five studies were included. Wearing RPDs exerted significant respiratory effects, including increased breathing resistance, CO
LIMITATIONS
Most studies had a small sample size, with a preponderance of young participants. Different methodologies were used across the studies. Furthermore, differences in physical responses between wearing RPDs in experimental settings or daily life cannot be excluded.
CONCLUSIONS
This research supports the idea that panic-prone individuals may be at higher risk of respiratory discomfort when wearing RPDs, thereby reducing their tolerance for these devices. Strategies to decrease discomfort should be identified to overcome the risk of poor compliance.
Identifiants
pubmed: 33065816
pii: S0165-0327(20)32710-5
doi: 10.1016/j.jad.2020.09.015
pmc: PMC7476564
pii:
doi:
Substances chimiques
Carbon Dioxide
142M471B3J
Oxygen
S88TT14065
Types de publication
Journal Article
Review
Langues
eng
Sous-ensembles de citation
IM
Pagination
772-778Informations de copyright
Copyright © 2020 Elsevier B.V. All rights reserved.
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