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Psychosomatic Medicine 31:134-143 (1969)
© 1969 American Psychosomatic Society

The Mechanism of Action of Suggestion in the Induction of Acute Asthma Attacks

E. R. MCFADDEN JR. M.D.1, THOMAS LUPARELLO M.D.2, HAROLD A. LYONS M.D.1, and EUGENE BLEECKER M.D.1

1 Departments of Medicine and Psychiatry, State University of New York, Downstate Medical Center Brooklyn, N.Y.
2 Recipient of Research Career Development Award K3-MH-15620 from the National Institutes of Mental Health, U. S. Public Health Service

Asthmatic subjects inhaling nebulized physiologic saline solution were told that the substance was an allergen which each subject had indicated as the cause of his asthmatic attacks. Utilization of whole body plethysmography revealed that 15 subjects developed significant increases in airway resistance, but 14 did not. In repeat studies, 13 of the 15 reactors continued to respond with significant changes in airway resistance, while all of the nonreactors remained unaffected. Intravenous atropine sulfate, 1-2 mg., prevented the bronchoconstriction response to suggestion. These observations demonstrate that a significant number of asthmatic subjects can respond to psychological stimuli with significant changes in airway resistance. This phenomenon is mediated through activation of efferent cholinergic pathways.

Submitted on August 26, 1968
Revised on November 27, 1968




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