The first signs of functional disorders of breathing recorded, usually in adolescence and becoming syndromal maturity in adolescence. Premorbide most patients with GBS represented the terms sthenic personality disorders, serving in the structure of the hyperthymic, hyperthymic and hystero-schizoid patoharakterologicheskoe-expansive warehouse.
In spite of the typological differences of personality traits, the majority of patients show signs of a special accentuation on the functions of the respiratory system determined by several authors as a "behavioral breathlessness". The leading clinical sign of the latter - the tendency to somatisation reactions occurring with the symptoms of hyperventilation.
Formation of Hyperventilation syndrome usually occurs outside the context of current bronchopulmonary disease sometimes manifests Hyperventilation syndrome on a background of atopic asthma or exacerbation of chronic bronchitis with asthmatic component. In most cases, Hyperventilation syndrome observed wavelike dynamics of organ neurosis.
Beginning in adolescence and early adolescence under the influence of stressful and somatogenic factors, develop a sense of dissatisfaction breath, shortness of breath ("empty breath"), dry cough, compulsive, paroxysmal yawning.
Functional disorders with symptoms of Hyperventilation syndrome conjugate not find hypochondriacal fears, but mainly with signs of manipulative behavior:
appear whenever a significant subjective situations (conflicts in the family or at work) and are generally not regarded as morbid, and is interpreted as a consequence of exposure to adverse environmental factors:
closed stuffy room when it is impossible to obtain from the surrounding ventilation
unpleasant odors
exposure of known allergens, etc.
Among the precipitating factors of acute Hyperventilation syndrome may make different kinds of respiratory diseases in general, short duration of exacerbation of Hyperventilation syndrome vary and are subject to regression to the extent resolution of stressful situations, or the reduction of respiratory disease. Despite many years of frustration persistence respiratory function increase the clinical manifestations of Hyperventilation syndrome (both severity and number of symptoms and duration of exacerbations) are observed.
The clinical and social prognosis of Hyperventilation syndrome is favorable. Long-term perennial for Hyperventilation syndrome is not accompanied by reduced disability or social adjustment.
