{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,4]],"date-time":"2026-10-04T03:00:13Z","timestamp":1791082813863,"version":"4.1.0"},"reference-count":36,"publisher":"Cambridge University Press (CUP)","issue":"9","license":[{"start":{"date-parts":[[2011,2,2]],"date-time":"2011-02-02T00:00:00Z","timestamp":1296604800000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/www.cambridge.org\/core\/terms"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Psychol. Med."],"published-print":{"date-parts":[[2011,9]]},"abstract":"<jats:sec id=\"S0033291711000092_sec_a001\"><jats:title>Background<\/jats:title><jats:p>The stress response involves the activation of the hypothalamic\u2013pituitary\u2013adrenal (HPA) axis and the sympathetic nervous system (SNS). As a role for stress in determining of the onset and the natural course of eating disorders (EDs) has been proposed, the study of the psychobiology of the stress response in patients with anorexia nervosa (AN) and bulimia nervosa (BN) should be helpful in understanding the pathophysiology of these disorders. The two neurobiological components of the stress response can be easily explored in humans by the measurement of salivary cortisol and \u03b1-amylase response to a stressor. Therefore, we assessed salivary cortisol and \u03b1-amylase responses to the Trier Social Stress Test (TSST) in symptomatic patients with AN and BN compared to healthy controls.<\/jats:p><\/jats:sec><jats:sec id=\"S0033291711000092_sec_a002\"><jats:title>Method<\/jats:title><jats:p>Seven AN women, eight BN women and eight age-matched healthy females underwent the TSST between 1530 and 1700 h. Salivary cortisol and \u03b1-amylase levels were measured by an enzyme-linked immunosorbent assay (ELISA).<\/jats:p><\/jats:sec><jats:sec id=\"S0033291711000092_sec_a003\" sec-type=\"results\"><jats:title>Results<\/jats:title><jats:p>Compared to healthy women, AN patients showed a normal cortisol response to the TSST, although this occurred at significantly increased hormone levels, and an almost complete absence of response of \u03b1-amylase. BN women, however, exhibited enhanced pre-stress levels of salivary \u03b1-amylase but a normal response of the enzyme and cortisol to the TSST.<\/jats:p><\/jats:sec><jats:sec id=\"S0033291711000092_sec_a004\" sec-type=\"conclusion\"><jats:title>Conclusions<\/jats:title><jats:p>These findings demonstrate, for the first time, the occurrence of an asymmetry between the HPA axis and SNS components of the stress response in the acute phase of AN but not in BN. The pathophysiological significance of this asymmetry remains to be determined.<\/jats:p><\/jats:sec>","DOI":"10.1017\/s0033291711000092","type":"journal-article","created":{"date-parts":[[2011,2,2]],"date-time":"2011-02-02T09:06:09Z","timestamp":1296637569000},"page":"1963-1969","source":"Crossref","is-referenced-by-count":48,"title":["Asymmetry of salivary cortisol and \u03b1-amylase responses to psychosocial stress in anorexia nervosa but not in bulimia nervosa"],"prefix":"10.1017","volume":"41","author":[{"given":"P.","family":"Monteleone","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"P.","family":"Scognamiglio","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"B.","family":"Canestrelli","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"I.","family":"Serino","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"A. M.","family":"Monteleone","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"M.","family":"Maj","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"56","published-online":{"date-parts":[[2011,2,2]]},"reference":[{"key":"S0033291711000092_ref034","doi-asserted-by":"publisher","DOI":"10.1016\/S0022-3999(02)00429-4"},{"key":"S0033291711000092_ref032","doi-asserted-by":"publisher","DOI":"10.1097\/01.psy.0000227749.58726.41"},{"key":"S0033291711000092_ref031","doi-asserted-by":"publisher","DOI":"10.1196\/annals.1314.033"},{"key":"S0033291711000092_ref029","doi-asserted-by":"publisher","DOI":"10.1016\/j.psychres.2005.10.006"},{"key":"S0033291711000092_ref028","doi-asserted-by":"publisher","DOI":"10.1002\/clc.4960200307"},{"key":"S0033291711000092_ref025","doi-asserted-by":"publisher","DOI":"10.1159\/000138912"},{"key":"S0033291711000092_ref024","doi-asserted-by":"publisher","DOI":"10.1016\/0006-3223(92)90018-U"},{"key":"S0033291711000092_ref023","doi-asserted-by":"publisher","DOI":"10.1002\/1098-108X(199409)16:2<159::AID-EAT2260160207>3.0.CO;2-H"},{"key":"S0033291711000092_ref019","doi-asserted-by":"publisher","DOI":"10.1080\/08964280209596048"},{"key":"S0033291711000092_ref022","doi-asserted-by":"publisher","DOI":"10.1159\/000119004"},{"key":"S0033291711000092_ref015","volume-title":"Structured Clinical Interview for Axis I DSM-IV Disorders \u2013 Non-Patient Edition (SCID-I\/NP, Version 2.0)","author":"First","year":"1996"},{"key":"S0033291711000092_ref013","doi-asserted-by":"publisher","DOI":"10.1016\/j.brat.2004.06.011"},{"key":"S0033291711000092_ref012","doi-asserted-by":"publisher","DOI":"10.1007\/s10802-007-9204-6"},{"key":"S0033291711000092_ref010","volume-title":"BMDP Statistical Software","author":"Dixon","year":"1985"},{"key":"S0033291711000092_ref007","first-page":"2503","article-title":"Hormonal responses to psychological stress in men preparing for skydiving","volume":"82","author":"Chatterton","year":"1997","journal-title":"Journal of Clinical Endocrinology and Metabolism"},{"key":"S0033291711000092_ref006","doi-asserted-by":"publisher","DOI":"10.1111\/j.1475-097X.1996.tb00731.x"},{"key":"S0033291711000092_ref004","doi-asserted-by":"publisher","DOI":"10.1016\/0006-8993(92)90808-M"},{"key":"S0033291711000092_ref003","first-page":"152","article-title":"Serum salivary isoamylase levels in patients with anorexia nervosa, bulimia or bulimia nervosa","volume":"8","author":"Blinder","year":"1986","journal-title":"Hillside Journal of Clinical Psychiatry"},{"key":"S0033291711000092_ref002","doi-asserted-by":"publisher","DOI":"10.1097\/00004703-200204000-00007"},{"key":"S0033291711000092_ref001","doi-asserted-by":"publisher","DOI":"10.1016\/j.physbeh.2007.04.011"},{"key":"S0033291711000092_ref036","doi-asserted-by":"publisher","DOI":"10.1016\/j.psychres.2004.11.006"},{"key":"S0033291711000092_ref008","doi-asserted-by":"publisher","DOI":"10.1001\/jama.1992.03480090092034"},{"key":"S0033291711000092_ref009","doi-asserted-by":"publisher","DOI":"10.1016\/j.eatbeh.2006.02.003"},{"key":"S0033291711000092_ref005","doi-asserted-by":"publisher","DOI":"10.2307\/1413414"},{"key":"S0033291711000092_ref021","doi-asserted-by":"publisher","DOI":"10.1159\/000118611"},{"key":"S0033291711000092_ref014","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(03)12378-1"},{"key":"S0033291711000092_ref030","doi-asserted-by":"publisher","DOI":"10.1016\/S0006-3223(97)00026-7"},{"key":"S0033291711000092_ref035","doi-asserted-by":"publisher","DOI":"10.1016\/j.psyneuen.2005.05.012"},{"key":"S0033291711000092_ref026","doi-asserted-by":"publisher","DOI":"10.1007\/BF03346310"},{"key":"S0033291711000092_ref011","doi-asserted-by":"publisher","DOI":"10.1210\/jc.2006-0461"},{"key":"S0033291711000092_ref018","first-page":"695","article-title":"Neuroendocrinology of stress","volume":"30","author":"Habib","year":"2001","journal-title":"Neuroendocrinology"},{"key":"S0033291711000092_ref033","doi-asserted-by":"publisher","DOI":"10.1016\/j.archoralbio.2004.06.007"},{"key":"S0033291711000092_ref016","volume-title":"Structured Clinical Interview for DSM-IV Axis I Disorders \u2013 Patient Edition (SCID-I\/P, Version 2)","author":"First","year":"1995"},{"key":"S0033291711000092_ref017","first-page":"196","article-title":"Hyperamylasemia and its relationship to binge-purge episodes: development of a clinically relevant laboratory test","volume":"50","author":"Gwirtsman","year":"1989","journal-title":"Journal of Clinical Psychiatry"},{"key":"S0033291711000092_ref020","doi-asserted-by":"publisher","DOI":"10.1037\/0033-2909.130.1.19"},{"key":"S0033291711000092_ref027","doi-asserted-by":"publisher","DOI":"10.1016\/j.psyneuen.2005.05.010"}],"container-title":["Psychological Medicine"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.cambridge.org\/core\/services\/aop-cambridge-core\/content\/view\/S0033291711000092","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2019,4,27]],"date-time":"2019-04-27T02:56:57Z","timestamp":1556333817000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.cambridge.org\/core\/product\/identifier\/S0033291711000092\/type\/journal_article"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2011,2,2]]},"references-count":36,"journal-issue":{"issue":"9","published-print":{"date-parts":[[2011,9]]}},"alternative-id":["S0033291711000092"],"URL":"https:\/\/doi.org\/10.1017\/s0033291711000092","relation":{},"ISSN":["0033-2917","1469-8978"],"issn-type":[{"value":"0033-2917","type":"print"},{"value":"1469-8978","type":"electronic"}],"subject":[],"published":{"date-parts":[[2011,2,2]]}}}