Biomedical subjects

Stephan Devriese

Publications and source records attributed to Stephan Devriese.

9 recordsLinked to original sources

PubMed2006

US-inflation in a differential odor-conditioning paradigm is not robust: relevance for medically unexplained symptoms.

Reported somatic symptoms without clear relation to physiological processes are studied. A learning paradigm was used with two odors (CSs) and the inhalation of CO(2)-enriched air (US), while measuring symptom levels and respiratory behavior. After paring one odor with the CO(2)-enriched air and the other odor with air, half of the participants received a US-inflation manipulation (information manipulation and enhanced US). Subsequently, all participants received both odors with air (test). A difference between the odor previously paired with CO(2)-enriched air and the odor previously paired with air was found for the symptom measure, US-expectancy ratings, and, to a lesser extent, for respiratory volume. No differences, however, were found between the group receiving the US-inflation manipulation and a group not receiving this manipulation. The results indicate that, despite a successful learning of reported symptoms, US-inflation does not seem to be robust.

Acetic Acid↗

PubMed2005

Accuracy of respiratory symptom perception in different affective contexts.

OBJECTIVE: The accuracy of respiratory symptom perception was investigated in different affective contexts in participants (N=48) scoring high or low for negative affectivity (NA). METHODS: Within-subject correlations were calculated between two subjective ratings and their respective physiological referent (the rating of "deeper breathing" and respiratory volume, and rating of "faster breathing" and breathing frequency) across nine consecutive breathing trials. Three different air mixtures were used: room air, air enriched with 7.5% CO(2), and with 10% CO(2). For half the participants, the trials were framed in a pleasant context, created by adding a pleasant odour to the air mixture in addition to information announcing pleasant feelings as a result of breathing the air mixtures. The other half received the trials in a distressing context: A foul smelling odour was added and the information announced unpleasant feelings. RESULTS: High-NA persons were overall less accurate than were low-NA persons in the perception of respiratory volume. For breathing frequency, high-NA persons were significantly less accurate in the distressing condition than in the pleasant one, whereas for low-NA persons, the information frame did not matter. CONCLUSION: The study shows that the accuracy of respiratory symptom reports is reduced in high-NA persons, especially in a distressing context.

Adolescent↗

PubMed2004

Perceived relation between odors and a negative event determines learning of symptoms in response to chemicals.

BACKGROUND: We investigated the effects of worrying information about chemical pollution on subjective symptoms in response to an odor that was previously associated with symptom episodes. METHODS: Ammonia and butyric acid in harmless concentrations were used as odor cues, and 10% CO2-enriched air was used to induce symptoms. One of two odors was consistently mixed with CO2-enriched air while the other odor was presented in room air during 80 s breathing trials (three trials of each). Next, information framing the experiment in the context of possible health-damaging effects of chemical pollution of our environment was presented to half the participants, whereas no information was given to the other half. Finally, both odor cues were presented with room air. Symptom scores were used as the dependent variable. RESULTS: Unexpectedly, participants reported more symptoms in response to the odor previously presented with air than to the odor previously presented with CO2-enriched air. Post-hoc analyses suggested a crucial role for perceived rather than actual contingencies between odor and symptom episodes. Information manipulation had no effect. CONCLUSIONS: Believing that a specific odor cue was associated with a symptom episode was more important than the actual association in order to provoke symptoms in response to harmless odor cues.

Adolescent↗

PubMed2004

Contingency awareness in a symptom learning paradigm: necessary but not sufficient?

In previous studies, we found that bodily symptoms can be learned in a differential conditioning paradigm, using odors as conditioned stimuli (CSs) and CO2-enriched air as unconditioned stimulus (US). However, this only occurred when the odor CS had a negative valence (a selective conditioning effect), and tended to be more pronounced in persons scoring high for Negative Affectivity (NA). This paper considers the necessity and/or sufficiency of awareness of the CS-US contingency in three studies using this paradigm. The relation between contingency awareness and the selective conditioning effect, and between contingency awareness and NA was also considered. Both self reported symptoms and respiratory physiology served as dependent variables. A learning effect on symptoms was found only for participants aware of the CS-US contingency, but not all participants reporting contingency awareness showed a learning effect. No conditioning effects appeared on the physiological measures. Also contingency awareness did not account for the selective conditioning effect, and did not interact with NA. Overall, the necessity but insufficiency hypotheses can only be withhold for group data and not for individual data.

Adolescent↗

PubMed2002

Learning subjective health complaints.

Symptom episodes often show a spatio-temporal structure, that is, they occur in a specific context for a certain duration. Repeated experiences may therefore be construed as associative learning trials, in which context elements are turned into predictive cues, triggering anticipatory processes conducive to subjective health complaints. A series of experiments, using inhalations of air enriched with CO2 and external (odors) or internal (mental images) stimuli as cues, is discussed to show that subjective health complaints may occur upon presenting the cue alone. Learned symptoms may be unrelated to bodily responses and easily generalize to new related cues. Better learning occurs to cues with a negative affective valence and in participants scoring high for negative affectivity. Our findings are relevant to the understanding of medically unexplained ("functional") syndromes and the poor relationship between objective and subjective health indicators in general.

Humans↗

PubMedDate not supplied

Media warnings about environmental pollution facilitate the acquisition of symptoms in response to chemical substances.

OBJECTIVE: Previous studies showed that somatic symptoms can be acquired in response to chemical substances using an associative learning paradigm, but only when the substance was foul smelling and not when it smelled pleasant. In this study, we investigated whether warnings about environmental pollution would facilitate acquiring symptoms, regardless of the pleasantness of the smell. METHOD: One group received prior information framing the study in the context of the rapidly increasing chemical pollution of our environment. Another group received no prior information. Conditional odor stimuli (CS) were diluted ammonia (foul-smelling) and niaouli (neutral-positive smelling); the unconditional stimulus (UCS) was 10% CO2-enriched air. Each subject breathed one odor mixed with CO2 and a control odor mixed with air in 80-sec breathing trials. The type of odor mixed with CO2 was counterbalanced across participants. Next, the same breathing trials were administered without CO2. Breathing behavior was measured during each trial; subjective symptoms were assessed after each trial. RESULTS: Only participants who had been given warnings about environmental pollution reported more symptoms to the odor that had previously been associated with CO2, compared with the control odor. This was so for both the foul- and the pleasant-smelling odor. Symptom learning did not occur in the group that did not receive warnings. The elevated symptom level could not be accounted for by altered respiratory behavior, nor by experimental demand effects. CONCLUSIONS: Raising environmental awareness through warnings about chemical pollution facilitates learning of subjective health symptoms in response to chemical substances.

Administration, Inhalation↗

PubMedDate not supplied

Resting end-tidal CO2 and negative affectivity.

OBJECTIVE: Dhokalia, Parsons, and Anderson (Psychosom Med 1998;60:33-37) found a positive correlation between a trait measure of negative affectivity (NA; neuroticism) and resting end-tidal fractional concentration of CO2 (FetCO2) (fractional-concentration of end-tidal carbon dioxide) in a nonclinical sample. This contrasts sharply with studies reporting a negative association of FetCO2 with state measures of NA and with studies reporting no or a negative relationship between FetCO2 and trait NA. In two studies we aimed to clarify this paradox. MATERIALS AND METHODS: In the first study, 110 participants (83 women) completed the PANAS and a Checklist for Psychosomatic Symptoms in daily life. FetCO2 was measured noninvasively during 5 minutes via a nose cannula connected to a capnograph. In the second study, FetCO2 of high (N= 20, 10 men) and low (N= 20, 10 men) NA participants was sampled once with a nasal cannula and once while breathing through a mouthpiece for 6 minutes each during rest, completion of the NEO-PI-R questionnaire, and completion of a verbal knowledge test. RESULTS: The first study found no association between trait NA and resting FetCO2 after partialling out the effects of gender, menstrual phase, and use of oral contraceptives. The second study showed that FetCO2 increased significantly in the high NA group only when the particpants filled out the questionnaires, regardless of its type. CONCLUSIONS: Overall, no association between dispositional NA and cross-situational FetCO2 was observed. Apparently inconsistent findings may be caused by lack of control for hormonal status and mental load during testing.

Adolescent↗

PubMedDate not supplied

Imagined risk of suffocation as a trigger for hyperventilation.

OBJECTIVE: Although hyperventilation has been hypothesized to play a role in many pathologies, its critical triggers remain poorly understood. The present experiment aimed to test whether stronger hyperventilation responses occur in response to suggested risk of suffocation compared with other fearful situations in high- and low-trait anxious women. METHODS: Fractional end-tidal CO2-concentration (FetCO2), respiratory frequency, and inspiratory volume were measured nonintrusively in high- (n = 24) and low- (n = 24) trait anxious women during imagery of 3 fear, 1 tension, 1 depressive, and 3 relaxation scripts. The fear scripts were equal in ratings of unpleasantness and arousal but differed regarding the inclusion of suggested risk of suffocation and entrapment. After each imagery trial, participants rated the emotional dimensions of pleasantness, arousal, and dominance and the vividness of their imagery. RESULTS: Decreases in FetCO2 occurred in all fear scripts. High-trait anxious women showed a stronger reduction in FetCO2 compared with low-trait anxious women during the fear script suggesting risk of suffocation but not during the other fear scripts. This effect was unrelated to any of the self-reported fear ratings. Self-reported fear of entrapment was associated with an overall lower FetCO2 but not with enhanced reactivity to imagined entrapment. CONCLUSION: High-trait anxiety is associated with stronger respiratory responsivity to imagined risk of suffocation and may constitute a specific vulnerability factor for the development of panic disorder and claustrophobia.

Adolescent↗

PubMedDate not supplied

Acquired lightheadedness in response to odors after hyperventilation.

OBJECTIVE: This study aimed to investigate whether lightheadedness in response to odors could be acquired through previous associations with hyperventilation-induced hypocapnia. METHODS: Diluted ammonia and acetic acid served as conditional odor cues (CSs) in a differential associative learning paradigm. Hyperventilation-induced hypocapnia (unconditional stimulus [US]) was used to induce lightheadedness. In a training phase, participants (n = 28) performed three hypocapnic and three normocapnic overbreathing trials of 60 seconds each. One odor was consistently paired with the hypocapnic overbreathing (CS+); the other (control) odor was paired with normocapnic overbreathing (CS-). In the test phase, each odor was presented once during spontaneous breathing and once during normocapnic overventilation. Lightheadedness was assessed online during each breathing trial, which was followed by an extensive hyperventilation symptom checklist. Fractional end-tidal CO2, breathing frequency, and inspiratory volume were measured throughout the experiment. RESULTS: In the test phase, participants experienced lightheadedness more quickly in response to the odor that had been paired with hypocapnic overbreathing compared with the control odor. They also scored higher on the symptom "feeling unreal." CONCLUSION: Lightheadedness in response to odors can be acquired easily. The present results may help to elucidate the paradox that both avoidance and exposure to chemicals seem to be effective in reducing symptoms in idiopathic environmental illness.

Adult↗