Evidence mapPaperPMID 39543797Full record

Trial reportStress and health : journal of the International Society for the Investigation of Stress2024

Neurobiological and Anti-Inflammatory Effects of a Deep Diaphragmatic Breathing Technique Based on Neofunctional Psychotherapy: A Pilot RCT.

Giuseppe Maniaci, Marco Daino, Maria Iapichino, Alessandra Giammanco, Calogero Taormina, Giuseppina Bonura, Zaira Sardella, Giuseppe Carolla, Patrizia Cammareri, Emanuele Sberna and 8 more

2 registry-linked trialsAbstract readRandomized Controlled Trial
In one paragraph

Trial report in Stress and health : journal of the International Society for the Investigation of Stress, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 2 registered trials, which are not on this map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT04102813 nacompletednot on this map

Neurobiological and Anti-inflammatory Effects of a Deep Diaphragmatic Breathing Technique Based on Functional Psychotherapy: a Randomised Clinical Trial

TypeinterventionalSponsorAzienda Ospedaliera Universitaria Policlinico Paolo Giaccone PalermoRan2020 to 2021Enrolled68ConditionsUnrecognized ConditionArmsFunctional Therapy
NCT07254923 nanot yet recruitingnot on this mapstarted 2026, after this paper: background citation

Three Brief Psychological Interventions for Acute Pain in Inpatients in Boyacá: Randomized Three-Arm Clinical Trial

TypeinterventionalSponsorUniversidad Pedagógica y Tecnológica de ColombiaRan2026 to 2026Enrolled160ConditionsPain Management, Pain AcuteArmsGuided Imagery, Body-Scan Mindfulness, CBT-Based Psychoeducation (ABC Model)
3 · Its place in the literature

Who cites it

5 citing papers in PubMed.

  1. Article
  2. Article
  3. Review
  4. The A52 Breath Method: A Narrative Review of Breathwork for Mental Health and Stress Resilience.Stress and health : journal of the International Society for the Investigation of Stress · 2025
    Review
  5. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

18 authors.

Giuseppe ManiaciDepartment of Biomedicine, Neuroscience and Advanced Diagnostic, Section of Psychiatry, (BiND), University of Palermo, Palermo, Italy.ORCID https://orcid.org/0000-0001-7484-7704
Marco DainoDepartment of Biomedicine, Neuroscience and Advanced Diagnostic, Section of Psychiatry, (BiND), University of Palermo, Palermo, Italy.
Maria IapichinoDepartment of Biomedicine, Neuroscience and Advanced Diagnostic, Section of Psychiatry, (BiND), University of Palermo, Palermo, Italy.
Alessandra GiammancoDepartment of Biomedicine, Neuroscience and Advanced Diagnostic, Section of Psychiatry, (BiND), University of Palermo, Palermo, Italy.
Calogero TaorminaNeo-Functional Psychotherapy Study Centre, Palermo, Italy.
Giuseppina BonuraNeo-Functional Psychotherapy Study Centre, Palermo, Italy.
Zaira SardellaNeo-Functional Psychotherapy Study Centre, Palermo, Italy.
Giuseppe CarollaDepartment of Biomedicine, Neuroscience and Advanced Diagnostic, Section of Psychiatry, (BiND), University of Palermo, Palermo, Italy.
Patrizia CammareriDepartment of Biomedicine, Neuroscience and Advanced Diagnostic, Section of Psychiatry, (BiND), University of Palermo, Palermo, Italy.
Emanuele SbernaDepartment of Biomedicine, Neuroscience and Advanced Diagnostic, Section of Psychiatry, (BiND), University of Palermo, Palermo, Italy.
Maria Francesca ClesiDepartment of Biomedicine, Neuroscience and Advanced Diagnostic, Section of Psychiatry, (BiND), University of Palermo, Palermo, Italy.
Laura FerraroDepartment of Biomedicine, Neuroscience and Advanced Diagnostic, Section of Psychiatry, (BiND), University of Palermo, Palermo, Italy.
Caterina Maria GambinoDepartment of Biomedicine, Neuroscience and Advanced Diagnostic, Clinical Molecular Medicine and Clinical Laboratory Medicine, (BiND), Institute of Clinical Biochemistry, University of Palermo, Palermo, Italy.
Marcello CiaccioDepartment of Biomedicine, Neuroscience and Advanced Diagnostic, Clinical Molecular Medicine and Clinical Laboratory Medicine, (BiND), Institute of Clinical Biochemistry, University of Palermo, Palermo, Italy.
Luciano RispoliItalian Society of Functional Psychotherapy (SIF), Naples, Italy.
Caterina La CasciaDepartment of Biomedicine, Neuroscience and Advanced Diagnostic, Section of Psychiatry, (BiND), University of Palermo, Palermo, Italy.
Daniele La BarberaDepartment of Biomedicine, Neuroscience and Advanced Diagnostic, Section of Psychiatry, (BiND), University of Palermo, Palermo, Italy.
Diego QuattroneDepartment of Biomedicine, Neuroscience and Advanced Diagnostic, Section of Psychiatry, (BiND), University of Palermo, Palermo, Italy.

Funding

Società Italiana di Psicoterapia Funzionale, SIF and Scuola Europea di Psicoterapia Funzionale, SEF
6 · The paper itself

Abstract

We examined the feasibility of using the neofunctional deep breathing (NDB) technique to reduce the allostatic load following the Trier Social Stress Test (TSST). Forty-four healthy subjects were randomised into experimental and control groups. Following the TSST procedure, participants underwent either a single session of NDB or an attention control intervention. The Procomp Infinity Biofeedback system measured breath per minute (BPM), respiratory amplitude, HRV linear domains, skin conductance, and trapezius muscle electromyographic activity. Cortisol and cytokine salivary concentrations, perceived stress, and anxiety levels were also assessed. These parameters were combined into an allostatic load index (ALI) to measure the intervention's effect. This pilot RCT demonstrated the feasibility of the study design and practicality of the intervention. The NDB group showed reduced ALI, increased respiratory abdominal amplitude, decreased BPM, increased HRV indicating parasympathetic activation, and decreased cortisol and inflammatory cytokines. This study highlighted the feasibility of testing the NDB technique in reducing allostatic load through a neurobiological and anti-inflammatory response after exposure to psychosocial stress. This protocol can represent a non-invasive therapeutic adjutant in disorders related to a dysregulation of the HPA axis or to an inflammatory state. Trial Registration: NCT04102813.

Indexed as

HydrocortisoneStress, PsychologicalAdultBiofeedback, PsychologyBreathing ExercisesCytokinesFeasibility StudiesFemaleHumansMalePilot ProjectsYoung AdultCytokinesHydrocortisoneallostatic loadcytokinesdiaphragmatic breathingmind‐body therapiesstressvagal tone

Identifiers

PMID39543797
PMCPMC11636440

What Socratic holds

Textmetadata
LicenceCC BY-NC
Read underepoch 390

Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.