Assessment & Research

Respiratory psychophysiology and behavior modification.

Ley (2001) · Behavior modification 2001
★ The Verdict

Treat breathing as behavior you can measure and change, especially in clients with panic.

✓ Read this if BCBAs who assess or treat panic, anxiety, or idiopathic hyperventilation.
✗ Skip if Clinicians only working on non-medical skill acquisition.

01Research in Context

01

What this study did

Ley (2001) wrote a short editorial. It opened a special journal issue on breathing and behavior change.

The piece asked researchers to treat breathing as learned behavior. It gave no new data.

02

What they found

The paper found nothing new. It simply maps where the field could go.

It flags panic disorder as a prime place to test breathing-based treatments.

03

How this fits with other research

Pear et al. (1984) already showed breath-hold relief plus homework cuts speech anxiety. Ley (2001) wants more work like that.

Firth et al. (2001) review fits inside the same issue. They list subtle breathing signs—sighing, low CO2—that drive panic, heart, and pain problems. The editorial frames their review.

Gilbert (2003) extends the idea. Two years later he argues breathing training may also help high blood pressure and angina. The editorial’s call is moving forward.

Richman et al. (2001) run a single-case ABA study. They stop breath holding with functional assessment and reinforcement. The editorial welcomes this behavior-analytic angle.

04

Why it matters

If you see clients with panic, test their breathing. Ask them to wear a simple CO2 clip for one day. Pair the data with your normal FA. You may find that shallow, fast breaths keep the problem alive. Then teach slower, low-volume breathing as a replacement response. Start with five timed practice rounds each session. Track panic counts and CO2 on the same graph.

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→ Action — try this Monday

Clip a portable CO2 meter to your next panic client for one hour of baseline.

02At a glance

Intervention
not applicable
Design
narrative review
Finding
not reported

03Original abstract

This article was written as an introduction to a special issue of Behavior Modification dedicated to studies in the field of respiratory psychophysiology. Although the invited articles that constitute this special issue cover a fairly broad range of topics, priority was given to articles that focus on the role of respiration in panic disorder. Attention is directed to the fundamental role of breathing in applied psychophysiology and to the encouragement of research in the modification of breathing behavior. The connection between respiratory psychophysiology and behavior modification is explained by reference to (a) a recent article on Pavlovian and operant control of breathing behavior and (b) four published volumes of selected articles dedicated exclusively to the field of respiratory psychophysiology. The present special issue of Behavior Modification marks the fifth volume.

Behavior modification, 2001 · doi:10.1177/0145445501254001