{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,30]],"date-time":"2026-10-30T17:24:06Z","timestamp":1793381046116,"version":"4.5.0"},"reference-count":30,"publisher":"Elsevier BV","license":[{"start":{"date-parts":[[2026,7,1]],"date-time":"2026-07-01T00:00:00Z","timestamp":1782864000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/tdm\/userlicense\/1.0\/"},{"start":{"date-parts":[[2026,7,1]],"date-time":"2026-07-01T00:00:00Z","timestamp":1782864000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/legal\/tdmrep-license"},{"start":{"date-parts":[[2026,3,17]],"date-time":"2026-03-17T00:00:00Z","timestamp":1773705600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["clinicalkey.com","clinicalkey.com.au","clinicalkey.es","clinicalkey.fr","clinicalkey.jp","elsevier.com","sciencedirect.com"],"crossmark-restriction":true},"short-container-title":["Journal of Affective Disorders"],"published-print":{"date-parts":[[2026,7]]},"DOI":"10.1016\/j.jad.2026.121648","type":"journal-article","created":{"date-parts":[[2026,3,17]],"date-time":"2026-03-17T06:22:34Z","timestamp":1773728554000},"page":"121648","update-policy":"https:\/\/doi.org\/10.1016\/elsevier_cm_policy","source":"Crossref","is-referenced-by-count":1,"special_numbering":"C","title":["Altered autonomic stress reactivity and recovery in panic disorder during the Trier Social Stress Test"],"prefix":"10.1016","volume":"405","author":[{"given":"Benedict","family":"Herhaus","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Antonia","family":"Peschke","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lisa Patricia","family":"Peters","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Katja","family":"Petrowski","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"78","reference":[{"key":"10.1016\/j.jad.2026.121648_bb0005","series-title":"Diagnostic and Statistical Manual of Mental Disorders. DSM-IV-TR.","author":"APA","year":"2000"},{"key":"10.1016\/j.jad.2026.121648_bb0010","first-page":"73","article-title":"Assessing the efficacy of treatments for panic disorder and agoraphobia. II. The Panic and Agoraphobia Scale","volume":"10","author":"Bandelow","year":"1995","journal-title":"Int. J. Psychophysiol."},{"key":"10.1016\/j.jad.2026.121648_bb0015","series-title":"Beck Depression Inventory: Second Edition Manual","author":"Beck","year":"1996"},{"key":"10.1016\/j.jad.2026.121648_bb0020","doi-asserted-by":"crossref","first-page":"38","DOI":"10.1016\/j.jad.2016.01.003","article-title":"Is there cardiac risk in panic disorder? An updated systematic review","volume":"194","author":"Caldirola","year":"2016","journal-title":"J. Affect. Disord."},{"key":"10.1016\/j.jad.2026.121648_bb0025","doi-asserted-by":"crossref","first-page":"157","DOI":"10.1016\/j.jad.2018.12.048","article-title":"Heart rate variability for treatment response between patients with major depressive disorder versus panic disorder: a 12-week follow-up study","volume":"246","author":"Choi","year":"2019","journal-title":"J. Affect. Disord."},{"key":"10.1016\/j.jad.2026.121648_bb0030","doi-asserted-by":"crossref","DOI":"10.1007\/s10484-025-09686-1","article-title":"Heart rate variability predicts therapy outcome in anxiety disorders: the role of inhibitory learning","author":"Fagioli","year":"2025","journal-title":"Appl. Psychophysiol. Biofeedback"},{"key":"10.1016\/j.jad.2026.121648_bb9005","doi-asserted-by":"crossref","first-page":"175","DOI":"10.3758\/BF03193146","article-title":"G*Power 3: A flexible statistical power analysis program for the social, behavioral, and biomedical sciences","volume":"39","author":"Faul","year":"2007","journal-title":"Behav. Res. Methods"},{"key":"10.1016\/j.jad.2026.121648_bb0035","doi-asserted-by":"crossref","first-page":"23","DOI":"10.1016\/j.brat.2014.06.003","article-title":"The mediational role of panic self-efficacy in cognitive behavioral therapy for panic disorder: a systematic review and meta-analysis","volume":"60","author":"Fentz","year":"2014","journal-title":"Behav. Res. Ther."},{"key":"10.1016\/j.jad.2026.121648_bb0040","doi-asserted-by":"crossref","first-page":"185","DOI":"10.1016\/j.biopsycho.2005.08.009","article-title":"An autonomic flexibility\u2013neurovisceral integration model of anxiety and cardiac vagal tone","volume":"74","author":"Friedman","year":"2007","journal-title":"Biol. Psychol."},{"key":"10.1016\/j.jad.2026.121648_bb4005","doi-asserted-by":"crossref","first-page":"114","DOI":"10.1159\/000223610","article-title":"PASA - Primary appraisal secondary appraisal. Ein Fragebogen zur Erfassung von situationsbezogenen kognitiven Bewertungen","volume":"19","author":"Gaab","year":"2009","journal-title":"Verhaltenstherapie"},{"key":"10.1016\/j.jad.2026.121648_bb0045","doi-asserted-by":"crossref","first-page":"263","DOI":"10.1016\/j.biopsycho.2005.11.014","article-title":"Toward understanding respiratory sinus arrhythmia: relations to cardiac vagal tone, evolution and biobehavioral functions","volume":"74","author":"Grossman","year":"2007","journal-title":"Biol. Psychol."},{"key":"10.1016\/j.jad.2026.121648_bb0050","doi-asserted-by":"crossref","first-page":"199","DOI":"10.1097\/PSY.0000000000001031","article-title":"Effect of a biofeedback intervention on heart rate variability in individuals with panic disorder: a randomized controlled trial","volume":"84","author":"Herhaus","year":"2022","journal-title":"Psychosom. Med."},{"key":"10.1016\/j.jad.2026.121648_bb0055","doi-asserted-by":"crossref","DOI":"10.1016\/j.psychres.2023.115107","article-title":"Alterations in heart rate variability and pro-inflammatory cytokine TNF-alpha in individuals with panic disorder","volume":"322","author":"Herhaus","year":"2023","journal-title":"Psychiatry Res."},{"key":"10.1016\/j.jad.2026.121648_bb0060","first-page":"76","article-title":"The \u2018Trier Social Stress Test\u2019\u2014a tool for investigating psychobiological stress responses in a laboratory setting","volume":"28","author":"Kirschbaum","year":"1993","journal-title":"Neuropsychobiology"},{"key":"10.1016\/j.jad.2026.121648_bb0065","doi-asserted-by":"crossref","first-page":"435","DOI":"10.2147\/NDT.S153005","article-title":"The differences between patients with panic disorder and healthy controls in psychophysiological stress profile","volume":"14","author":"Kotianova","year":"2018","journal-title":"Neuropsychiatr. Dis. Treat."},{"key":"10.1016\/j.jad.2026.121648_bb0070","doi-asserted-by":"crossref","DOI":"10.3389\/fpsyg.2017.00213","article-title":"Heart rate variability and cardiac vagal tone in psychophysiological research \u2013 recommendations for experiment planning, data analysis, and data reporting","volume":"08","author":"Laborde","year":"2017","journal-title":"Front. Psychol."},{"key":"10.1016\/j.jad.2026.121648_bb0075","doi-asserted-by":"crossref","DOI":"10.3389\/fnins.2018.00458","article-title":"Vagal tank theory: the three Rs of cardiac vagal control functioning \u2013 resting, reactivity, and recovery","volume":"12","author":"Laborde","year":"2018","journal-title":"Front. Neurosci."},{"key":"10.1016\/j.jad.2026.121648_bb9000","doi-asserted-by":"crossref","first-page":"600","DOI":"10.1093\/occmed\/kqs140","article-title":"Clinical stress assessment using a visual analogue scale","volume":"62","author":"Lesage","year":"2012","journal-title":"Occup. Med. (Chic. Ill)"},{"key":"10.1016\/j.jad.2026.121648_bb0080","doi-asserted-by":"crossref","first-page":"173","DOI":"10.1080\/03091902.2019.1640306","article-title":"A robust algorithm for heart rate variability time series artefact correction using novel beat classification","volume":"43","author":"Lipponen","year":"2019","journal-title":"J. Med. Eng. Technol."},{"key":"10.1016\/j.jad.2026.121648_bb0085","first-page":"66","article-title":"The effects of psychosocial stress on heart rate variability in panic disorder","volume":"13","author":"Petrowski","year":"2010","journal-title":"Ger. J. Psychiatry"},{"key":"10.1016\/j.jad.2026.121648_bb0090","doi-asserted-by":"crossref","first-page":"1023","DOI":"10.1016\/S0140-6736(06)69418-X","article-title":"Panic disorder","volume":"368","author":"Roy-Byrne","year":"2006","journal-title":"Lancet"},{"key":"10.1016\/j.jad.2026.121648_bb0095","first-page":"76","article-title":"Analyse der Herzfrequenzvariabilit\u00e4t","volume":"40","author":"Sammito","year":"2014","journal-title":"Mathematische Basis und praktische Anwendung. Herz"},{"key":"10.1016\/j.jad.2026.121648_bb0100","doi-asserted-by":"crossref","first-page":"172","DOI":"10.1109\/10.979357","article-title":"An advanced detrending method with application to HRV analysis","volume":"49","author":"Tarvainen","year":"2002","journal-title":"IEEE Trans. Biomed. Eng."},{"key":"10.1016\/j.jad.2026.121648_bb4000","doi-asserted-by":"crossref","first-page":"354","DOI":"10.1093\/oxfordjournals.eurheartj.a014868","article-title":"Heart rate variability. Standards of measurement, physiological interpretation, and clinical use","volume":"17","year":"1996","journal-title":"Eur. Heart J."},{"key":"10.1016\/j.jad.2026.121648_bb0105","doi-asserted-by":"crossref","first-page":"141","DOI":"10.1007\/s12160-009-9101-z","article-title":"Heart rate variability, prefrontal neural function, and cognitive performance: the neurovisceral integration perspective on self-regulation, adaptation, and health","volume":"37","author":"Thayer","year":"2009","journal-title":"Ann. Behav. Med."},{"key":"10.1016\/j.jad.2026.121648_bb0110","doi-asserted-by":"crossref","DOI":"10.1016\/j.janxdis.2021.102426","article-title":"Psychophysiological assessment of stress reactivity and recovery in anxiety disorders","volume":"82","author":"Tolin","year":"2021","journal-title":"J. Anxiety Disord."},{"key":"10.1016\/j.jad.2026.121648_bb0115","doi-asserted-by":"crossref","first-page":"36","DOI":"10.1038\/s41398-023-02331-7","article-title":"Acute stress responses of autonomous nervous system, HPA axis, and inflammatory system in posttraumatic stress disorder","volume":"13","author":"von Majewski","year":"2023","journal-title":"Transl. Psychiatry"},{"key":"10.1016\/j.jad.2026.121648_bb0120","article-title":"Autonomic nervous system and cardiovascular diseases: from brain to heart","volume":"13","author":"Wang","year":"2022","journal-title":"Front. Physiol."},{"key":"10.1016\/j.jad.2026.121648_bb0125","series-title":"Strukturiertes Klinisches Interview f\u00fcr DSM-IV","author":"Wittchen","year":"1997"},{"key":"10.1016\/j.jad.2026.121648_bb0130","doi-asserted-by":"crossref","first-page":"297","DOI":"10.1016\/j.jad.2020.01.132","article-title":"Heart rate variability changes in patients with panic disorder","volume":"267","author":"Zhang","year":"2020","journal-title":"J. Affect. Disord."}],"container-title":["Journal of Affective Disorders"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S0165032726004994?httpAccept=text\/xml","content-type":"text\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S0165032726004994?httpAccept=text\/plain","content-type":"text\/plain","content-version":"vor","intended-application":"text-mining"}],"deposited":{"date-parts":[[2026,8,18]],"date-time":"2026-08-18T13:24:00Z","timestamp":1787059440000},"score":1,"resource":{"primary":{"URL":"https:\/\/linkinghub.elsevier.com\/retrieve\/pii\/S0165032726004994"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,7]]},"references-count":30,"alternative-id":["S0165032726004994"],"URL":"https:\/\/doi.org\/10.1016\/j.jad.2026.121648","relation":{},"ISSN":["0165-0327"],"issn-type":[{"value":"0165-0327","type":"print"}],"subject":[],"published":{"date-parts":[[2026,7]]},"assertion":[{"value":"Elsevier","name":"publisher","label":"This article is maintained by"},{"value":"Altered autonomic stress reactivity and recovery in panic disorder during the Trier Social Stress Test","name":"articletitle","label":"Article Title"},{"value":"Journal of Affective Disorders","name":"journaltitle","label":"Journal Title"},{"value":"https:\/\/doi.org\/10.1016\/j.jad.2026.121648","name":"articlelink","label":"CrossRef DOI link to publisher maintained version"},{"value":"article","name":"content_type","label":"Content Type"},{"value":"\u00a9 2026 The Authors. Published by Elsevier B.V.","name":"copyright","label":"Copyright"}],"article-number":"121648"}}