Previous experiments on voluntary breathing have suggested that sponta
neous breathing is partly determined by the minimization of respirator
y sensations. However, during instructed breathing, respiratory sensat
ions may be confounded with difficulty in achieving the prescribed pat
tern. In the present experiment, we tested the hypothesis that the sub
jective assessment of respiratory comfort and the difficulty in follow
ing breathing instructions are closely related. A total of 15 subjects
adjusted breathing frequency to prescribed values ranging from 40 to
250% of individual spontaneous levels. Then, they scored the difficult
y of this task and the discomfort associated with the target frequency
. Difficulty scores sharply increased above 100% (spontaneous level) a
nd discomfort scores displayed a similar shape. A significant positive
correlation between discomfort and difficulty was found, thus suggest
ing a possible influence of the difficulty to follow ventilatory instr
uctions on respiratory sensation scores. (C) 1998 Elsevier Science B.V
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