Methods Inf Med 2012; 51(01): 29-38
DOI: 10.3414/ME10-01-0087
Original Articles
Schattauer GmbH

Respiratory Variability during Different Auditory Stimulation Periods in Schizophrenia Patients

S. A. Akar
1   Institute of Biomedical Engineering, Fatih University, Istanbul, Turkey
,
S. Kara
1   Institute of Biomedical Engineering, Fatih University, Istanbul, Turkey
,
V. Bilgiç
2   Bakirköy Mental and Nervous Diseases Training and Research Hospital, Istanbul, Turkey
› Author Affiliations
Further Information

Publication History

received:15 December 2010

accepted:12 May 2011

Publication Date:
20 January 2018 (online)

Summary

Background: Schizophrenic patients are known to have difficulty processing emotions and to exhibit impairment in stimuli discrimination. However, there is limited knowledge regarding their physiological responsivity to auditory stimuli.

Objectives: The purpose of this study was to compare the respiratory effects of two types of auditory stimuli with emotional content, classical Turkish music (CTM) and white noise (WN), on schizophrenia patients and healthy control subjects.

Methods: Forty-six individuals participated in the experiment, and respiratory signals derived from a strain-gauge were recorded. Two important respiratory patterns, respiration rate and depth, were analyzed.

Results: The results indicated that the patients presented a significantly higher respiration rate than control subjects during the initial baseline and WN exposure periods. Although CTM evoked an increase in respiration rates and a decrease in respiration depths in the control group, no significant differences were found during the stimulation periods in the patient group. The respiration rate was lower in the post-stimulation period than during the initial baseline period, and no respiration depth differences were found for the WN, music or post-stimulation periods in the schizophrenia group. Patients exhibited a greater respiration depth than the control subjects over all periods; however, a significant difference between the patient and control groups was obtained in the second resting condition and CTM exposure period. Furthermore, to analyze the effect of symptom severity on respiratory patterns, patients were divided into two classes according to their Positive and Negative Syndrome Scale score.

Conclusions: Further studies are needed to correlate respiratory differences with emotionally evocative stimuli and to refine our understanding of the dynamics of these types of stimuli in relation to clinical state and medication effects.

 
  • References

  • 1 Tandon R, Nasrallah HA, Keshavan MS. Schizophrenia, ‘just the facts’. Clinical features and conceptualization. Schizophr Res 2009; 110 (01) 1-23.
  • 2 Santor DA, Ascher-Svanum H, Lindenmayer J, Obenchain RL. Item response analysis of the positive and negative syndrome scale. BMC Psychiatry 2007 7. doi: 10.1186/1471244-7-66
  • 3 Mueser KT, McGurk SR. Schizophrenia. LANCET 2004; 363: 2063-2072.
  • 4 Kraepelin E. Psychiatry: A Textbook for Students and Physicians. Canton: Watson Publishing International; 2002. pp 110-111.
  • 5 Lindstrom LH. Clinical and biological markers for outcome in schizophrenia: a review of a longitudinal follow-up study in Uppsala schizophrenia research project. Neuropsychopharmacology 1996; 14: 23-26.
  • 6 Grossberg S. The imbalanced brain: from normal behavior to schizophrenia. Biol Psychiatry 2000; 48: 81-98.
  • 7 Castro MN, Vigo DE, Weidema H, Fahrer RD, Chu EM, Achaval DM. et al Heart rate variability response to mental arithmetic stress in patients with schizophrenia Autonomic response to stress in schizophrenia. Schizophr Res 2008; 99: 294-303.
  • 8 Etzel JA, Johnsen EL, Dickerson J, Tranel D, Adolphs R. Cardiovascular and respiratory responses during musical mood induction. Int J Psychophysiol 2006; 61 (01) 57-69.
  • 9 Wientjes CJ. Respiration in psychophysiology: methods and applications. Biol Psychol 1992; 34 (02) (03) 179-203.
  • 10 Boiten FA, Frijda NH, Wientjes CJ. Emotions and respiratory patterns: review and critical analysis. Int J Psychophysiol 1994; 17 (02) 103-128.
  • 11 Masaoka Y, Homma I. Anxiety and respiratory pattern: their relationship during mental stress and physical load. Int J Psychophysiol 1997; 27 (02) 153-159.
  • 12 Cacioppo JT, Berntson GG, Larsen JT, Poehlmann KM, Ito TA. The Handbook of Emotion. New York: Guilford Press; 2000. pp 173-191.
  • 13 Gomez P, Danuser B. Affective and physiological responses to environmental noises and music. Int J Psychophysiol 2004; 53 (02) 91-103.
  • 14 Sokhadze EM. Effects of Music on the Recovery of Autonomic and Electrocortical Activity after Stress Induced by Aversive Visual Stimuli. Applied Psychophysiology Biofeedback 2007; 32 (01) 31-50.
  • 15 Van Diest I, Thayer JF, Vandeputte B, Vande Woestijine KP, Van Den Bergh O. Anxiety and respiratory variability. Physiol Behav 2006; 89 (02) 189-195.
  • 16 Hempel RJ, Tulen JHM, Van Beveren NJM, Van Steenis HG, Mulder PGH, Hengeveld MW. Physiological responsivity to emotional pictures in schizophrenia. J Psychiatr Res 2005; 39 (05) 509-518.
  • 17 Peupelmann J, Boettger MK, Ruhland C, Berger S, Ramachandraiah CT, Yeragani VK. et al Cardio-respiratory coupling indicates suppression of vagal activity in acute schizophrenia. Schizophr Res 2009; 112: 153-157.
  • 18 Caminal P, Mateu J, Vallverdu M, Giraldo B, Benito S, Voss A. Estimating Respiratory pattern variability by symbolic dynamics. Methods Inf Med 2004; 43: 22-25.
  • 19 Nyclicek I, Thayer JF, Van Doornen LJP. Cardiorespiratory differentiation of musically-induced emotions. J Psychophysiol 1997; 11: 304-321.
  • 20 Krumhansl CL. An exploratory study of musical emotions and psychophysiology. Canadian Journal of Experimental Psychology 1997; 51: 336-353.
  • 21 Bishop DT, Karageorghis CI, Kinrade NP. Effects of musically induced emotions on choice reaction time performance. The Support Psychologist 2009; 23: 1-19.
  • 22 Chait M, Simon JZ, Poeppel D. Auditory M50 and M100 responses to broadband noises: functional implications. Auditory and Vestibular Systems 2004; 15: 2455-2458.
  • 23 Pishkin V, Hershiser D. Respiration and GSR as functions of white sound in schizophrenia. Journal of Consulting Physiology 1963; 27: 330-337.
  • 24 Todd J, Michie PT, Budd TW, Rock D, Jablensky AV. Auditory sensory memory in schizophrenia: inadequate trace formation. Psychiatr Res 2000; 96: 99-115.
  • 25 Sass L. Contradictions of emotion in schizophrenia. Cognition and Emotion 2007; 21: 351-390.
  • 26 Park S. Electro-dermal activity, heart rate, respiration under emotional stimuli in schizophrenia. International Journal of Advanced Science and Technology 2009; 9: 1-8.
  • 27 Kalender R. Türk Musikisinde Kullanılan Makamların Tesirleri. Ankara Üniversitesi Dergisi 1987; 29: 361-375. Turkish
  • 28 Akdemir S, Kara S, Bilgiç V.. The Investigation of Respiratory Differences during Different Auditory Stimuli in Schizophrenia Patients. Proceedings of the 15th National Congress on Biomedical Engineering. Antalya; Turkey: April 2010.
  • 29 American Psychiatric Association Diagnostic and Statistical Manual of Mental Disorders: DSM-IV. Washington DC: 2000.
  • 30 Kay SR, Fiszbein A, Opler LA. The positive and negative syndrome scale (PANSS) for schizophrenia. Schizophr Bull 1987; 13 (02) 261-276.
  • 31 Sohn JH, Sokhadze E, Choi S, Lee KH. Autonomic, respiratory and subjective effects of long-term exposure to aversive loud noise: Tonic effects in accumulated stres model. Korean Journal of Science of Emotion and Sensibility 2000; 3: 37-42.
  • 32 Sokhadze E, Lee KH, Kim YK, Park MK, Sohn JH. Effects of long-term exposure to loud noise on tonic autonomic responses. Proceedings of the 5th International Congress on Physiological Anthropology. Korea. October 2000
  • 33 Somakcı P. Türklerde Müzikle Tedavi. Sosyal Bilimler Enstitüsü Dergisi 2003; 2: 131-140. Turkish.
  • 34 Pecchinenda A, Smith CA. The affective significance of skin conductance activity during a difficult problem solving task. Cognition and Emotion 1996; 10 (05) 481-504.
  • 35 Rani P, Liu CC, Sarkar N, Vanman E. An empirical study of machine learning techniques for affect recognition in human-robot interaction. Pattern Analysis and Applications 2006; 9: 58-69.
  • 36 Ritz T. Probing the psychophysiology of the airways: Physical activity, experienced emotion and facially expressed emotion. Psychophysiology 2004; 41 (06) 809-821.
  • 37 Koelsch S, Gunter T, Friederici AD, Schroger E. Brain indices of music processing: “nonmusicians” are musical. Journal of Cognitive Neuroscience 2000; 12 (03) 520-541.
  • 38 Schmidt LA, Trainor LJ. Frontal brain electrical activity distinguishes valence and intensity of musical emotions. Cognition and Emotion 2001; 15: 487-500.
  • 39 Baudouin JY, Martin F, Tiberghien G, Verlut I, Franck N. Selective attention to facial emotion and identity in schizophrenia. Neuropsychologia 2002; 40 (05) 503-511.
  • 40 Kotani K, Takamasu K, Tachibana M. Respiratory-phase domain analysis of heart rate variability can accurately estimate cardiac vagal activity during a mental arithmetic task. Methods Inf Med. 2007; 46 (03) 376-385.
  • 41 Habel U, Gur RC, Mandal MK, Salloum JB, Gur RE, Schneider F. Emotional processing in schizophrenia across cultures: standardized measures of discrimination and experience. Schizophr Res 2000; 42 (01) 57-66.
  • 42 Li CS, Chen MC, Yang YY, Chen MC, Tsay PK. Altered performance of schizophrenia patients in an auditory detection and discrimination task: exploring the self monitoring model of hallucination. Schizophr Res 2002; 55 (01) (02) 115-128.