Probing the psychophysiology of the airways: physical activity, experienced emotion, and facially expressed emotion.

This article reviews research on airway reactivity in health and asthma within a psychophysiological context, including the effects of physical activity, emotion induction, and manipulation of facial expression of emotion. Skeletal muscle activation leads to airway dilation, with vagal withdrawal being the most likely mechanism. Emotional arousal, in particular negative affect, leads to airway constriction, with evidence for a vagal pathway in depressive states and ventilatory contributions in positive affect. Laboratory-induced airway responses covary with reports of emotion-induced asthma and with lung function decline during negative mood in the field. Like physical activity, facial expression of emotion leads to airway dilation. However, these effects are small and less consistent in posed emotional expressions. The mechanisms of emotion-induced airway responses and potential benefits of emotional expression in asthma deserve further study.

[1]  J. Cacioppo,et al.  The psychophysiology of emotion. , 1993 .

[2]  B. Dahme,et al.  Experimentally induced emotions, facial muscle activity, and respiratory resistance in asthmatic and non-asthmatic individuals. , 2001, The British journal of medical psychology.

[3]  T. Ritz,et al.  Effects of static forehead and forearm muscle tension on total respiratory resistance in healthy and asthmatic participants. , 1998, Psychophysiology.

[4]  A. Varray,et al.  Importance of Physical Exercise Training in Asthmatics , 1992 .

[5]  D. Jordan,et al.  Central nervous pathways and control of the airways. , 2001, Respiration physiology.

[6]  B. Lask.  Psychological treatments of asthma , 1991, Clinical and experimental allergy : journal of the British Society for Allergy and Clinical Immunology.

[7]  Beatrice C. Lacey,et al.  Studies of heart rate and other bodily processes in sensorimotor behavior. , 1974 .

[8]  J. Kagawa,et al.  Effects of brief graded exercise on specific airway conductance in normal subjects. , 1970, Journal of applied physiology.

[9]  R. Simons,et al.  Emotion processing in three systems: the medium and the message. , 1999, Psychophysiology.

[10]  S. Porges,et al.  Relationship Between Changes in EMG and Respiratory Sinus Arrhythmia in a Study of Relaxation Therapy for Asthma , 1997, Applied psychophysiology and biofeedback.

[11]  A Steptoe,et al.  Emotion and Pulmonary Function in Asthma: Reactivity in the Field and Relationship With Laboratory Induction of Emotion , 2000, Psychosomatic medicine.

[12]  B. Dahme,et al.  Interoception of respiratory resistance in asthmatic patients , 1996, Biological Psychology.

[13]  Bernhard Dahme,et al.  Gradients of Facial EMG and Cardiac Activity During Emotional Stimulation , 1999 .

[14]  B. Dahme,et al.  Increases in total respiratory resistance during forehead temperature stimulation , 2000, Biological Psychology.

[15]  A. Steptoe,et al.  The Asthma Trigger Inventory: Psychometric properties and relationship with laboratory emotion induction and percutaneous allergy testing , 2001 .

[16]  A. J. Fridlund,et al.  Striate muscle tensional patterning in frontalis EMG biofeedback. , 1980, Psychophysiology.

[17]  K. Schmaling,et al.  Clinical features of vocal cord dysfunction. , 1995, American journal of respiratory and critical care medicine.

[18]  B. Dahme,et al.  Bronchial asthma in adults: there is little evidence for the effectiveness of behavioral therapy and relaxation. , 1982, Journal of psychosomatic research.

[19]  P. Ekman,et al.  Approach-withdrawal and cerebral asymmetry: emotional expression and brain physiology. I. , 1990, Journal of personality and social psychology.

[20]  P. Lang.  The varieties of emotional experience: a meditation on James-Lange theory. , 1994, Psychological review.

[21]  J. Morton,et al.  Mirth‐triggered asthma: Is laughter really the best medicine? , 2003, Pediatric pulmonology.

[22]  W. Morgan,et al.  Airway response in asthmatic children during and after exercise. , 1979, Respiration; international review of thoracic diseases.

[23]  E. R. Mcfadden,et al.  The Mechanism of Action of Suggestion in the Induction of Acute Asthma Attacks , 1969, Psychosomatic medicine.

[24]  F. Boiten,et al.  Autonomic response patterns during voluntary facial action. , 1996, Psychophysiology.

[25]  B. Canning,et al.  Neural regulation of airway smooth muscle tone. , 2001, Respiration physiology.

[26]  P. Barnes.  Neural control of human airways in health and disease. , 2015, The American review of respiratory disease.

[27]  P. Lang,et al.  Relationship between facial expressiveness and sympathetic activation in emotion: a critical review, with emphasis on modeling underlying mechanisms and individual differences. , 1992, Journal of personality and social psychology.

[28]  M. Bradley,et al.  Startle reflex modification: emotion or attention? , 1990, Psychophysiology.

[29]  W. Busse,et al.  Cytokine profiles of stimulated blood lymphocytes in asthmatic and healthy adolescents across the school year. , 1997, Journal of interferon & cytokine research : the official journal of the International Society for Interferon and Cytokine Research.

[30]  B. Dahme,et al.  Modulation of respiratory sinus arrhythmia by respiration rate and volume: stability across posture and volume variations. , 2001, Psychophysiology.

[31]  R. Banse,et al.  The intensity of facial expression is determined by underlying affective state and social situation. , 1995 .

[32]  G. Stemmler,et al.  The autonomic differentiation of emotions revisited: convergent and discriminant validation. , 1989, Psychophysiology.

[33]  A. Steptoe,et al.  Mood and pulmonary function in adult asthmatics: a pilot self-monitoring study. , 1985, The British journal of medical psychology.

[34]  H. Magnussen,et al.  Monitoring central and peripheral airway inflammation in asthma. , 2000, Respiratory medicine.

[35]  K. Beck,et al.  Bronchoconstriction occurring during exercise in asthmatic subjects. , 1994, American journal of respiratory and critical care medicine.

[36]  H. Kotses,et al.  Facial muscle tension influences lung airway resistance; limb muscle tension does not , 1983, Biological Psychology.

[37]  K. Purcell.  Distinctions between subgroups of asthmatic children. Children's perceptions of events associated with asthma. , 1963, Pediatrics.

[38]  B. Dahme,et al.  Effects of affective picture viewing and imagery on respiratory resistance in nonasthmatic individuals. , 2002, Psychophysiology.

[39]  J. Mitchell,et al.  Hindlimb muscular contraction reflexly decreases total pulmonary resistance in dogs. , 1985, Journal of applied physiology.

[40]  P. F. Scholander.  THE MASTER SWITCH OF LIFE. , 1963, Scientific American.

[41]  E. Velten.  A laboratory task for induction of mood states. , 1968, Behaviour research and therapy.

[42]  M. Bradley,et al.  Looking at pictures: affective, facial, visceral, and behavioral reactions. , 1993, Psychophysiology.

[43]  R. Levenson.  Autonomic Nervous System Differences among Emotions , 1992 .

[44]  P. Lehrer,et al.  The effects of suggestion and emotional arousal on pulmonary function in asthma: a review and a hypothesis regarding vagal mediation. , 1992, Psychosomatic medicine.

[45]  T. Ritz.  Relaxation Therapy in Adult Asthma , 2001, Behavior Modification.

[46]  J. Haselton,et al.  Ischemia potentiates the reflex bronchodilation evoked by static muscular contraction in dogs. , 1990, Respiration physiology.

[47]  P. Barnes,et al.  Exhaled markers of inflammation , 2001, Current opinion in allergy and clinical immunology.

[48]  T. Ritz,et al.  Airway response of healthy individuals to affective picture series. , 2002, International journal of psychophysiology : official journal of the International Organization of Psychophysiology.

[49]  J. Gross,et al.  Emotional suppression: physiology, self-report, and expressive behavior. , 1993, Journal of personality and social psychology.

[50]  P. Barnes.  Neural mechanisms in asthma. , 1992, British medical bulletin.

[51]  Rosalind J Wright,et al.  Chronic caregiver stress and IgE expression, allergen-induced proliferation, and cytokine profiles in a birth cohort predisposed to atopy. , 2004, The Journal of allergy and clinical immunology.

[52]  A Steptoe,et al.  Emotions and Stress Increase Respiratory Resistance in Asthma , 2000, Psychosomatic medicine.

[53]  C. J. Clark.  Asthma and exercise: a suitable case for rehabilitation? , 1992, Thorax.

[54]  S. Porges.  Orienting in a defensive world: mammalian modifications of our evolutionary heritage. A Polyvagal Theory. , 1995, Psychophysiology.

[55]  J. Lawler,et al.  Operant conditioning of heart rate: somatic correlates. , 1975, Psychophysiology.

[56]  L. Landau,et al.  Protective effects of repeated short sprints in exercise-induced asthma. , 1980, Thorax.

[57]  A. Malliani,et al.  Heart rate variability. Standards of measurement, physiological interpretation, and clinical use , 1996 .

[58]  Bernhard Dahme,et al.  Guidelines for mechanical lung function measurements in psychophysiology. , 2002, Psychophysiology.

[59]  G. Schwartz,et al.  Relationships between facial electromyography and subjective experience during affective imagery , 1980, Biological Psychology.

[60]  J M Kinney,et al.  Effects of respiratory apparatus on breathing pattern. , 1980, Journal of applied physiology: respiratory, environmental and exercise physiology.

[61]  R. Pauwels,et al.  GLOBAL STRATEGY FOR ASTHMA MANAGEMENT AND PREVENTION , 1996 .

[62]  H. Kotses,et al.  Operant muscular relaxation and peak expiratory flow rate in asthmatic children. , 1978, Journal of psychosomatic research.

[63]  Thomas Ritz,et al.  Respiratory resistance during emotional stimulation: evidence for a nonspecific effect of experienced arousal? , 2000, Biological Psychology.

[64]  M. Bradley,et al.  Picture media and emotion: effects of a sustained affective context. , 1996, Psychophysiology.

[65]  A. J. Fridlund,et al.  Guidelines for human electromyographic research. , 1986, Psychophysiology.

[66]  J. Malo,et al.  Compliance with and accuracy of daily self-assessment of peak expiratory flows (PEF) in asthmatic subjects over a three month period. , 1996, The European respiratory journal.

[67]  B. Wood,et al.  Influence of specific emotional states on autonomic reactivity and pulmonary function in asthmatic children. , 1997, Journal of the American Academy of Child and Adolescent Psychiatry.

[68]  P. Grossman,et al.  Prediction of tonic parasympathetic cardiac control using respiratory sinus arrhythmia: the need for respiratory control. , 1991, Psychophysiology.

[69]  J. Milic-Emili,et al.  Drive and timing components of ventilation. , 1976, Chest.

[70]  K. Prestele,et al.  A Simplified Approach to the Measurement of Respiratory Impedance , 1979 .

[71]  Walton T Roth,et al.  Behavioral interventions in asthma: biofeedback techniques. , 2004, Journal of psychosomatic research.

[72]  H. Nagaraja,et al.  Heart rate variability: origins, methods, and interpretive caveats. , 1997, Psychophysiology.

[73]  Walton T Roth,et al.  Behavioral Interventions in Asthma , 2003, Behavior modification.

[74]  K. Ph,et al.  Acute bronchial asthma. I. Concomitant depression and excitement, and varied antecedent patterns in 406 attacks. , 1960, Psychosomatic medicine.

[75]  H. Weiner,et al.  Psychobiology and Human Disease , 1977 .

[76]  J. Cacioppo,et al.  Electromyographic activity over facial muscle regions can differentiate the valence and intensity of affective reactions. , 1986, Journal of personality and social psychology.

[77]  S. Jennings,et al.  Effect of adrenergic and vagal blockade on the normal human airway response to exercise. , 1983, Clinical science.

[78]  J. Groen,et al.  Reproducible psychogenic attacks of asthma; a laboratory study. , 1956, Journal of psychosomatic research.

[79]  H. Kotses,et al.  The effect of changes in facial muscle tension on respiratory resistance , 1987, Biological Psychology.

[80]  R. Edelberg,et al.  Behavioral Task-Induced Bronchodilation in Asthma During Active and Passive Tasks: A Possible Cholinergic Link to Psychologically Induced Airway Changes , 1996, Psychosomatic medicine.

[81]  R. Levenson.  Effects of Thematically Relevant and General Stressors on Specificity of Responding in Asthmatic and Nonasthmatic Subjects , 1979, Psychosomatic medicine.

[82]  B. Dahme,et al.  Stability of total respiratory resistance under multiple baseline conditions, isometric arm exercise and voluntary deep breathing , 1998, Biological Psychology.

[83]  P. Lehrer,et al.  The Effect of Facial and Trapezius Muscle Tension on Respiratory Impedance in Asthma , 1997, Applied psychophysiology and biofeedback.

[84]  P. Ekman,et al.  The Duchenne smile: emotional expression and brain physiology. II. , 1990, Journal of personality and social psychology.

[85]  Lin Ying Liu,et al.  School examinations enhance airway inflammation to antigen challenge. , 2002, American journal of respiratory and critical care medicine.

[86]  P. Knapp,et al.  Emotional and Adrenal Reactions to Stress in Bronchial Asthma , 1971, Psychosomatic medicine.

[87]  B. Klapp,et al.  Stress Enhances Airway Reactivity and Airway Inflammation in an Animal Model of Allergic Bronchial Asthma , 2003, Psychosomatic medicine.

[88]  J. Cacioppo,et al.  Autonomic determinism: the modes of autonomic control, the doctrine of autonomic space, and the laws of autonomic constraint. , 1991, Psychological review.