Breathing control, brain, and bodily self-consciousness: Toward immersive digiceuticals to alleviate respiratory suffering

Biol Psychol. 2022 May:171:108329. doi: 10.1016/j.biopsycho.2022.108329. Epub 2022 Apr 19.

Abstract

Breathing is peculiar among autonomic functions through several characteristics. It generates a very rich afferent traffic from an array of structures belonging to the respiratory system to various areas of the brain. It is intimately associated with bodily movements. It bears particular relationships with consciousness as its efferent motor control can be automatic or voluntary. In this review within the scope of "respiratory neurophysiology" or "respiratory neuroscience", we describe the physiological organisation of breathing control. We then review findings linking breathing and bodily self-consciousness through respiratory manipulations using virtual reality (VR). After discussing the currently admitted neurophysiological model for dyspnea, as well as a new Bayesian model applied to breathing control, we propose that visuo-respiratory paradigms -as developed in cognitive neuroscience- will foster insights into some of the basic mechanisms of the human respiratory system and will also lead to the development of immersive VR-based digital health tools (i.e. digiceuticals).

Keywords: Bayesian brain; Bodily self-consciousness; Immersive digiceuticals; Respiration; Respiratory neuroscience; Virtual reality.

Publication types

  • Review
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Bayes Theorem
  • Brain* / physiology
  • Consciousness* / physiology
  • Emotions / physiology
  • Humans
  • Respiratory System