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Impact of respiratory protective devices on respiration: Implications for panic vulnerability during the COVID-19 pandemic.

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 discomfor...

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Autores principales: Perna, Giampaolo, Cuniberti, Francesco, Daccò, Silvia, Nobile, Maria, Caldirola, Daniela
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Elsevier B.V. 2020
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7476564/
https://www.ncbi.nlm.nih.gov/pubmed/33065816
http://dx.doi.org/10.1016/j.jad.2020.09.015
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author Perna, Giampaolo
Cuniberti, Francesco
Daccò, Silvia
Nobile, Maria
Caldirola, Daniela
author_facet Perna, Giampaolo
Cuniberti, Francesco
Daccò, Silvia
Nobile, Maria
Caldirola, Daniela
author_sort Perna, Giampaolo
collection PubMed
description 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(2) rebreathing due to CO(2) accumulation in the RPD cavity, and decreased inhaled O(2) concentration. We discussed the implications of these effects on the respiratory pathophysiology of panic. 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.
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spelling pubmed-74765642020-09-08 Impact of respiratory protective devices on respiration: Implications for panic vulnerability during the COVID-19 pandemic. Perna, Giampaolo Cuniberti, Francesco Daccò, Silvia Nobile, Maria Caldirola, Daniela J Affect Disord Review Article 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(2) rebreathing due to CO(2) accumulation in the RPD cavity, and decreased inhaled O(2) concentration. We discussed the implications of these effects on the respiratory pathophysiology of panic. 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. Elsevier B.V. 2020-12-01 2020-09-07 /pmc/articles/PMC7476564/ /pubmed/33065816 http://dx.doi.org/10.1016/j.jad.2020.09.015 Text en © 2020 Elsevier B.V. All rights reserved. Since January 2020 Elsevier has created a COVID-19 resource centre with free information in English and Mandarin on the novel coronavirus COVID-19. The COVID-19 resource centre is hosted on Elsevier Connect, the company's public news and information website. Elsevier hereby grants permission to make all its COVID-19-related research that is available on the COVID-19 resource centre - including this research content - immediately available in PubMed Central and other publicly funded repositories, such as the WHO COVID database with rights for unrestricted research re-use and analyses in any form or by any means with acknowledgement of the original source. These permissions are granted for free by Elsevier for as long as the COVID-19 resource centre remains active.
spellingShingle Review Article
Perna, Giampaolo
Cuniberti, Francesco
Daccò, Silvia
Nobile, Maria
Caldirola, Daniela
Impact of respiratory protective devices on respiration: Implications for panic vulnerability during the COVID-19 pandemic.
title Impact of respiratory protective devices on respiration: Implications for panic vulnerability during the COVID-19 pandemic.
title_full Impact of respiratory protective devices on respiration: Implications for panic vulnerability during the COVID-19 pandemic.
title_fullStr Impact of respiratory protective devices on respiration: Implications for panic vulnerability during the COVID-19 pandemic.
title_full_unstemmed Impact of respiratory protective devices on respiration: Implications for panic vulnerability during the COVID-19 pandemic.
title_short Impact of respiratory protective devices on respiration: Implications for panic vulnerability during the COVID-19 pandemic.
title_sort impact of respiratory protective devices on respiration: implications for panic vulnerability during the covid-19 pandemic.
topic Review Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7476564/
https://www.ncbi.nlm.nih.gov/pubmed/33065816
http://dx.doi.org/10.1016/j.jad.2020.09.015
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