Related Experiment Video
Updated: Jun 20, 2026

Breath Collection from Children for Disease Biomarker Discovery
Published on: February 14, 2019
Temperamental traits of breath holding children: A case control study
A Subbarayan1, B Ganesan, Anbumani
1Specialist Registrar in Psychiatry, Stratheden, Cupar, UK.
Insights
Children with breath holding spells (BHS) exhibit distinct temperamental traits, including lower frustration tolerance and higher emotional intensity. Identifying these traits early can help manage challenging behaviors in affected children.
Area of Science:
- Child psychology
- Pediatric neurology
Background:
- Anecdotal evidence suggests a link between breath holding spells (BHS) and specific temperamental traits in children.
- Children with BHS may display low frustration tolerance and adamant behavior, often triggered by vigorous crying.
Purpose of the Study:
- To assess and compare temperamental traits in children with BHS versus a control group.
- To identify specific temperamental differences that may predispose children to BHS.
Main Methods:
- Temperamental traits of 30 children with BHS were evaluated using the 'Temperament measurement Schedule'.
- The BHS group was compared to 30 age-, sex-, and socioeconomic status-matched normal children.
- Data were analyzed using the Mann-Whitney U test.
Main Results:
- Significant differences were observed in threshold of responsiveness, mood, activity level, emotional intensity, distractibility, and rhythmicity between groups.
- Children with BHS showed significantly higher sociability and energy levels compared to controls.
Conclusions:
- Temperamental differences in children with BHS can influence their behavioral patterns.
- Breath holding spells may serve as an indicator of difficult temperamental traits, enabling early intervention for behavioral management.
Background:
Clinical observation and few anecdotal reports suggest that the children with breath holding spells (BHS) have certain temperamental traits, which predispose them to behave in certain way. They seem to have low frustration tolerance, which leads to adamant behavior. Vigorous crying, through various mechanisms, precipitates BHS.
Materials And Methods:
We assessed the temperamental traits of 30 children with BHS and compared them with 30 normal children after matching for age, sex, and socioeconomic status. Temperament was measured using 'Temperament measurement Schedule'.
Results:
The data were analyzed using Mann-Whitney U test. The following temperamental traits, threshold of responsiveness (P<0.001), mood (P<0.001), activity level (P<0.001), intensity of emotions (P<0.001), distractibility (P<0.001) and rhythmicity (P<0.05) were found to be significantly different from the control group. Two factors, namely sociability (P<0.05) and energy level (P<0.001) were significantly higher in breath holders.
Conclusions:
Significantly differing temperamental traits in breath holders suggests that these could influence the behavioral pattern exhibited by them. Breath holding spells can act as an easy marker for difficult temperamental traits, which gives an early opportunity to shape their difficult behavior.
Related Concept Videos
Breathing
Alterations in Respiration II
In Biot's breathing, the respiratory rate and depth are irregular, alternating between periods of deep gasping and apnea. Common causes include...
Other Factors Affecting Respiration Centers
However, the ability to hold one's breath voluntarily is not limitless. When the CO2 concentration in the blood reaches a critical level,...
Assessment of Respiration
Subjective Assessment: Nurses interview the patient to gather information directly during the subjective assessment. It includes questions about the individual's medical history, medications, and symptoms, focusing on past respiratory conditions like asthma or COPD,...
Physical Assessment of the Respiratory Tract II: Inspection
Chest Configuration
The chest configuration can...
Respiratory Volumes and Capacities I
