Salivary alpha-amylase and cortisol responsiveness following electrical stimulation stress in panic disorder patients

► We examined salivary α-amylase (sAA) and cortisol levels in panic disorder. ► We used the electrical stimulation stress in patients with panic disorder. ► SAA levels were significantly elevated both before and after electrical stimulation. ► These results suggest that sAA might be a useful biologi...

Ausführliche Beschreibung

Gespeichert in:
Bibliographische Detailangaben
Veröffentlicht in:Neuroscience research 2012-05, Vol.73 (1), p.80-84
Hauptverfasser: Tanaka, Yoshihiro, Ishitobi, Yoshinobu, Maruyama, Yoshihiro, Kawano, Aimi, Ando, Tomoko, Imanaga, Junko, Okamoto, Shizuko, Kanehisa, Masayuki, Higuma, Haruka, Ninomiya, Taiga, Tsuru, Jusen, Hanada, Hiroaki, Isogawa, Koichi, Akiyoshi, Jotaro
Format: Artikel
Sprache:eng
Schlagworte:
Online-Zugang:Volltext
Tags: Tag hinzufügen
Keine Tags, Fügen Sie den ersten Tag hinzu!
container_end_page 84
container_issue 1
container_start_page 80
container_title Neuroscience research
container_volume 73
creator Tanaka, Yoshihiro
Ishitobi, Yoshinobu
Maruyama, Yoshihiro
Kawano, Aimi
Ando, Tomoko
Imanaga, Junko
Okamoto, Shizuko
Kanehisa, Masayuki
Higuma, Haruka
Ninomiya, Taiga
Tsuru, Jusen
Hanada, Hiroaki
Isogawa, Koichi
Akiyoshi, Jotaro
description ► We examined salivary α-amylase (sAA) and cortisol levels in panic disorder. ► We used the electrical stimulation stress in patients with panic disorder. ► SAA levels were significantly elevated both before and after electrical stimulation. ► These results suggest that sAA might be a useful biological marker of panic disorder. Psychosocial stress-induced activation of salivary α-amylase (sAA) functions is as a marker of sympathoadrenal medullary system (SAM) activity. However, in contrast to salivary cortisol, sAA has been less extensively studied in panic disorder patients. The present study measured sAA and salivary cortisol levels in patients with panic disorder following electrical stimulation stress. The authors determined Profile of Mood State (POMS) scores and State-Trait anxiety Inventory (STAI) scores, heart rate variability (HRV), and levels of sAA and salivary cortisol in 34 patients with panic disorder and 41 healthy volunteers following the application of electrical stimulation stress. 34 alprazolam-treated patients with panic disorder were divided into non-responder and responder group. Vigor scores in patients with panic disorder were significantly decreased compared with healthy controls. Another score in POMS in patients with panic disorder were significantly increased compared with healthy controls. Trait and state anxiety of STAI in panic disorder patients were higher than healthy controls. There was no difference in either HRV or threshold of electrical stimulation applied between panic disorder patients and healthy controls. SAA levels in the responder group were significantly elevated compared with the non-responder group and controls both before and after electrical stimulation. In addition, there were no differences in salivary cortisol levels between responder and non-responder groups of patients with panic disorder and control. The sample may not be representative of the general population. These preliminary results suggest that sAA might be useful predictive biological markers of treatment responsiveness in patients with panic disorder.
doi_str_mv 10.1016/j.neures.2012.01.006
format Article
fullrecord <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_miscellaneous_993104267</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><els_id>S0168010212000077</els_id><sourcerecordid>1011210693</sourcerecordid><originalsourceid>FETCH-LOGICAL-c484t-48ad2553f9b99d047f29a9108843a8f0c8c140d77e6c428e6db00da19f59ac963</originalsourceid><addsrcrecordid>eNp9kU2LFDEQhoMo7rj6D0T6ppduq9KZ7uQiyOIXLHhQzyGTVGuGdNIm3SP7780wq8c9pQJP1QvPy9hLhA4Bh7fHLtKWqXQckHeAHcDwiO1QjryViPiY7SomW0DgV-xZKUcA6JXon7IrznuFKPY7tn0zwZ9MvmtMWH6Z1sx3wRRqTHSNTXn1JYWmpiwpFn-iSKU0Uwoh_fHxZ0OB7Jq9NaEpq5-3YFafYp3zmfOxWUz0tnH1SnaU63f1FNfynD2ZTCj04v69Zj8-fvh-87m9_frpy83729YKKdZWSOP4ft9P6qCUAzFOXBmFIKXojZzASosC3DjSYAWXNLgDgDOopr0yVg39NXt9ubvk9HujsurZF0shmEhpK1qpHkHwYazkmwfJqhw5wqD6iooLanMqJdOkl-znqrBCZ27QR32pRp-r0YC6VlPXXt0nbIeZ3P-lf11U4N0FoGrk5CnrYqstS87nqlm75B9O-AtIfqQU</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>1011210693</pqid></control><display><type>article</type><title>Salivary alpha-amylase and cortisol responsiveness following electrical stimulation stress in panic disorder patients</title><source>MEDLINE</source><source>Access via ScienceDirect (Elsevier)</source><creator>Tanaka, Yoshihiro ; Ishitobi, Yoshinobu ; Maruyama, Yoshihiro ; Kawano, Aimi ; Ando, Tomoko ; Imanaga, Junko ; Okamoto, Shizuko ; Kanehisa, Masayuki ; Higuma, Haruka ; Ninomiya, Taiga ; Tsuru, Jusen ; Hanada, Hiroaki ; Isogawa, Koichi ; Akiyoshi, Jotaro</creator><creatorcontrib>Tanaka, Yoshihiro ; Ishitobi, Yoshinobu ; Maruyama, Yoshihiro ; Kawano, Aimi ; Ando, Tomoko ; Imanaga, Junko ; Okamoto, Shizuko ; Kanehisa, Masayuki ; Higuma, Haruka ; Ninomiya, Taiga ; Tsuru, Jusen ; Hanada, Hiroaki ; Isogawa, Koichi ; Akiyoshi, Jotaro</creatorcontrib><description>► We examined salivary α-amylase (sAA) and cortisol levels in panic disorder. ► We used the electrical stimulation stress in patients with panic disorder. ► SAA levels were significantly elevated both before and after electrical stimulation. ► These results suggest that sAA might be a useful biological marker of panic disorder. Psychosocial stress-induced activation of salivary α-amylase (sAA) functions is as a marker of sympathoadrenal medullary system (SAM) activity. However, in contrast to salivary cortisol, sAA has been less extensively studied in panic disorder patients. The present study measured sAA and salivary cortisol levels in patients with panic disorder following electrical stimulation stress. The authors determined Profile of Mood State (POMS) scores and State-Trait anxiety Inventory (STAI) scores, heart rate variability (HRV), and levels of sAA and salivary cortisol in 34 patients with panic disorder and 41 healthy volunteers following the application of electrical stimulation stress. 34 alprazolam-treated patients with panic disorder were divided into non-responder and responder group. Vigor scores in patients with panic disorder were significantly decreased compared with healthy controls. Another score in POMS in patients with panic disorder were significantly increased compared with healthy controls. Trait and state anxiety of STAI in panic disorder patients were higher than healthy controls. There was no difference in either HRV or threshold of electrical stimulation applied between panic disorder patients and healthy controls. SAA levels in the responder group were significantly elevated compared with the non-responder group and controls both before and after electrical stimulation. In addition, there were no differences in salivary cortisol levels between responder and non-responder groups of patients with panic disorder and control. The sample may not be representative of the general population. These preliminary results suggest that sAA might be useful predictive biological markers of treatment responsiveness in patients with panic disorder.</description><identifier>ISSN: 0168-0102</identifier><identifier>EISSN: 1872-8111</identifier><identifier>DOI: 10.1016/j.neures.2012.01.006</identifier><identifier>PMID: 22391145</identifier><language>eng</language><publisher>Ireland: Elsevier Ireland Ltd</publisher><subject>Adolescent ; Adrenal glands ; Adult ; alpha -Amylase ; Anxiety ; biomarkers ; Biomarkers - metabolism ; Electric Stimulation - methods ; Electrical stimuli ; Enzyme Activation - physiology ; Female ; Heart rate ; HPA axis ; Humans ; Hydrocortisone ; Hydrocortisone - metabolism ; Inventories ; Male ; Mood ; Nervous system ; Panic disorder ; Panic Disorder - diagnosis ; Panic Disorder - metabolism ; Panic Disorder - psychology ; Saliva - chemistry ; Saliva - metabolism ; Salivary alpha-Amylases - metabolism ; Salivary cortisol ; Salivary α-amylase ; SAM activity ; Stress ; Stress, Psychological - metabolism ; Stress, Psychological - psychology ; Sympathetic nervous system ; Vigor ; Young Adult</subject><ispartof>Neuroscience research, 2012-05, Vol.73 (1), p.80-84</ispartof><rights>2012 Elsevier Ireland Ltd and the Japan Neuroscience Society</rights><rights>Copyright © 2012 Elsevier Ireland Ltd and the Japan Neuroscience Society. All rights reserved.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c484t-48ad2553f9b99d047f29a9108843a8f0c8c140d77e6c428e6db00da19f59ac963</citedby><cites>FETCH-LOGICAL-c484t-48ad2553f9b99d047f29a9108843a8f0c8c140d77e6c428e6db00da19f59ac963</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://dx.doi.org/10.1016/j.neures.2012.01.006$$EHTML$$P50$$Gelsevier$$H</linktohtml><link.rule.ids>314,780,784,3550,27924,27925,45995</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/22391145$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Tanaka, Yoshihiro</creatorcontrib><creatorcontrib>Ishitobi, Yoshinobu</creatorcontrib><creatorcontrib>Maruyama, Yoshihiro</creatorcontrib><creatorcontrib>Kawano, Aimi</creatorcontrib><creatorcontrib>Ando, Tomoko</creatorcontrib><creatorcontrib>Imanaga, Junko</creatorcontrib><creatorcontrib>Okamoto, Shizuko</creatorcontrib><creatorcontrib>Kanehisa, Masayuki</creatorcontrib><creatorcontrib>Higuma, Haruka</creatorcontrib><creatorcontrib>Ninomiya, Taiga</creatorcontrib><creatorcontrib>Tsuru, Jusen</creatorcontrib><creatorcontrib>Hanada, Hiroaki</creatorcontrib><creatorcontrib>Isogawa, Koichi</creatorcontrib><creatorcontrib>Akiyoshi, Jotaro</creatorcontrib><title>Salivary alpha-amylase and cortisol responsiveness following electrical stimulation stress in panic disorder patients</title><title>Neuroscience research</title><addtitle>Neurosci Res</addtitle><description>► We examined salivary α-amylase (sAA) and cortisol levels in panic disorder. ► We used the electrical stimulation stress in patients with panic disorder. ► SAA levels were significantly elevated both before and after electrical stimulation. ► These results suggest that sAA might be a useful biological marker of panic disorder. Psychosocial stress-induced activation of salivary α-amylase (sAA) functions is as a marker of sympathoadrenal medullary system (SAM) activity. However, in contrast to salivary cortisol, sAA has been less extensively studied in panic disorder patients. The present study measured sAA and salivary cortisol levels in patients with panic disorder following electrical stimulation stress. The authors determined Profile of Mood State (POMS) scores and State-Trait anxiety Inventory (STAI) scores, heart rate variability (HRV), and levels of sAA and salivary cortisol in 34 patients with panic disorder and 41 healthy volunteers following the application of electrical stimulation stress. 34 alprazolam-treated patients with panic disorder were divided into non-responder and responder group. Vigor scores in patients with panic disorder were significantly decreased compared with healthy controls. Another score in POMS in patients with panic disorder were significantly increased compared with healthy controls. Trait and state anxiety of STAI in panic disorder patients were higher than healthy controls. There was no difference in either HRV or threshold of electrical stimulation applied between panic disorder patients and healthy controls. SAA levels in the responder group were significantly elevated compared with the non-responder group and controls both before and after electrical stimulation. In addition, there were no differences in salivary cortisol levels between responder and non-responder groups of patients with panic disorder and control. The sample may not be representative of the general population. These preliminary results suggest that sAA might be useful predictive biological markers of treatment responsiveness in patients with panic disorder.</description><subject>Adolescent</subject><subject>Adrenal glands</subject><subject>Adult</subject><subject>alpha -Amylase</subject><subject>Anxiety</subject><subject>biomarkers</subject><subject>Biomarkers - metabolism</subject><subject>Electric Stimulation - methods</subject><subject>Electrical stimuli</subject><subject>Enzyme Activation - physiology</subject><subject>Female</subject><subject>Heart rate</subject><subject>HPA axis</subject><subject>Humans</subject><subject>Hydrocortisone</subject><subject>Hydrocortisone - metabolism</subject><subject>Inventories</subject><subject>Male</subject><subject>Mood</subject><subject>Nervous system</subject><subject>Panic disorder</subject><subject>Panic Disorder - diagnosis</subject><subject>Panic Disorder - metabolism</subject><subject>Panic Disorder - psychology</subject><subject>Saliva - chemistry</subject><subject>Saliva - metabolism</subject><subject>Salivary alpha-Amylases - metabolism</subject><subject>Salivary cortisol</subject><subject>Salivary α-amylase</subject><subject>SAM activity</subject><subject>Stress</subject><subject>Stress, Psychological - metabolism</subject><subject>Stress, Psychological - psychology</subject><subject>Sympathetic nervous system</subject><subject>Vigor</subject><subject>Young Adult</subject><issn>0168-0102</issn><issn>1872-8111</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2012</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp9kU2LFDEQhoMo7rj6D0T6ppduq9KZ7uQiyOIXLHhQzyGTVGuGdNIm3SP7780wq8c9pQJP1QvPy9hLhA4Bh7fHLtKWqXQckHeAHcDwiO1QjryViPiY7SomW0DgV-xZKUcA6JXon7IrznuFKPY7tn0zwZ9MvmtMWH6Z1sx3wRRqTHSNTXn1JYWmpiwpFn-iSKU0Uwoh_fHxZ0OB7Jq9NaEpq5-3YFafYp3zmfOxWUz0tnH1SnaU63f1FNfynD2ZTCj04v69Zj8-fvh-87m9_frpy83729YKKdZWSOP4ft9P6qCUAzFOXBmFIKXojZzASosC3DjSYAWXNLgDgDOopr0yVg39NXt9ubvk9HujsurZF0shmEhpK1qpHkHwYazkmwfJqhw5wqD6iooLanMqJdOkl-znqrBCZ27QR32pRp-r0YC6VlPXXt0nbIeZ3P-lf11U4N0FoGrk5CnrYqstS87nqlm75B9O-AtIfqQU</recordid><startdate>201205</startdate><enddate>201205</enddate><creator>Tanaka, Yoshihiro</creator><creator>Ishitobi, Yoshinobu</creator><creator>Maruyama, Yoshihiro</creator><creator>Kawano, Aimi</creator><creator>Ando, Tomoko</creator><creator>Imanaga, Junko</creator><creator>Okamoto, Shizuko</creator><creator>Kanehisa, Masayuki</creator><creator>Higuma, Haruka</creator><creator>Ninomiya, Taiga</creator><creator>Tsuru, Jusen</creator><creator>Hanada, Hiroaki</creator><creator>Isogawa, Koichi</creator><creator>Akiyoshi, Jotaro</creator><general>Elsevier Ireland Ltd</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7TK</scope><scope>7X8</scope></search><sort><creationdate>201205</creationdate><title>Salivary alpha-amylase and cortisol responsiveness following electrical stimulation stress in panic disorder patients</title><author>Tanaka, Yoshihiro ; Ishitobi, Yoshinobu ; Maruyama, Yoshihiro ; Kawano, Aimi ; Ando, Tomoko ; Imanaga, Junko ; Okamoto, Shizuko ; Kanehisa, Masayuki ; Higuma, Haruka ; Ninomiya, Taiga ; Tsuru, Jusen ; Hanada, Hiroaki ; Isogawa, Koichi ; Akiyoshi, Jotaro</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c484t-48ad2553f9b99d047f29a9108843a8f0c8c140d77e6c428e6db00da19f59ac963</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2012</creationdate><topic>Adolescent</topic><topic>Adrenal glands</topic><topic>Adult</topic><topic>alpha -Amylase</topic><topic>Anxiety</topic><topic>biomarkers</topic><topic>Biomarkers - metabolism</topic><topic>Electric Stimulation - methods</topic><topic>Electrical stimuli</topic><topic>Enzyme Activation - physiology</topic><topic>Female</topic><topic>Heart rate</topic><topic>HPA axis</topic><topic>Humans</topic><topic>Hydrocortisone</topic><topic>Hydrocortisone - metabolism</topic><topic>Inventories</topic><topic>Male</topic><topic>Mood</topic><topic>Nervous system</topic><topic>Panic disorder</topic><topic>Panic Disorder - diagnosis</topic><topic>Panic Disorder - metabolism</topic><topic>Panic Disorder - psychology</topic><topic>Saliva - chemistry</topic><topic>Saliva - metabolism</topic><topic>Salivary alpha-Amylases - metabolism</topic><topic>Salivary cortisol</topic><topic>Salivary α-amylase</topic><topic>SAM activity</topic><topic>Stress</topic><topic>Stress, Psychological - metabolism</topic><topic>Stress, Psychological - psychology</topic><topic>Sympathetic nervous system</topic><topic>Vigor</topic><topic>Young Adult</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Tanaka, Yoshihiro</creatorcontrib><creatorcontrib>Ishitobi, Yoshinobu</creatorcontrib><creatorcontrib>Maruyama, Yoshihiro</creatorcontrib><creatorcontrib>Kawano, Aimi</creatorcontrib><creatorcontrib>Ando, Tomoko</creatorcontrib><creatorcontrib>Imanaga, Junko</creatorcontrib><creatorcontrib>Okamoto, Shizuko</creatorcontrib><creatorcontrib>Kanehisa, Masayuki</creatorcontrib><creatorcontrib>Higuma, Haruka</creatorcontrib><creatorcontrib>Ninomiya, Taiga</creatorcontrib><creatorcontrib>Tsuru, Jusen</creatorcontrib><creatorcontrib>Hanada, Hiroaki</creatorcontrib><creatorcontrib>Isogawa, Koichi</creatorcontrib><creatorcontrib>Akiyoshi, Jotaro</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>Neurosciences Abstracts</collection><collection>MEDLINE - Academic</collection><jtitle>Neuroscience research</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Tanaka, Yoshihiro</au><au>Ishitobi, Yoshinobu</au><au>Maruyama, Yoshihiro</au><au>Kawano, Aimi</au><au>Ando, Tomoko</au><au>Imanaga, Junko</au><au>Okamoto, Shizuko</au><au>Kanehisa, Masayuki</au><au>Higuma, Haruka</au><au>Ninomiya, Taiga</au><au>Tsuru, Jusen</au><au>Hanada, Hiroaki</au><au>Isogawa, Koichi</au><au>Akiyoshi, Jotaro</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Salivary alpha-amylase and cortisol responsiveness following electrical stimulation stress in panic disorder patients</atitle><jtitle>Neuroscience research</jtitle><addtitle>Neurosci Res</addtitle><date>2012-05</date><risdate>2012</risdate><volume>73</volume><issue>1</issue><spage>80</spage><epage>84</epage><pages>80-84</pages><issn>0168-0102</issn><eissn>1872-8111</eissn><abstract>► We examined salivary α-amylase (sAA) and cortisol levels in panic disorder. ► We used the electrical stimulation stress in patients with panic disorder. ► SAA levels were significantly elevated both before and after electrical stimulation. ► These results suggest that sAA might be a useful biological marker of panic disorder. Psychosocial stress-induced activation of salivary α-amylase (sAA) functions is as a marker of sympathoadrenal medullary system (SAM) activity. However, in contrast to salivary cortisol, sAA has been less extensively studied in panic disorder patients. The present study measured sAA and salivary cortisol levels in patients with panic disorder following electrical stimulation stress. The authors determined Profile of Mood State (POMS) scores and State-Trait anxiety Inventory (STAI) scores, heart rate variability (HRV), and levels of sAA and salivary cortisol in 34 patients with panic disorder and 41 healthy volunteers following the application of electrical stimulation stress. 34 alprazolam-treated patients with panic disorder were divided into non-responder and responder group. Vigor scores in patients with panic disorder were significantly decreased compared with healthy controls. Another score in POMS in patients with panic disorder were significantly increased compared with healthy controls. Trait and state anxiety of STAI in panic disorder patients were higher than healthy controls. There was no difference in either HRV or threshold of electrical stimulation applied between panic disorder patients and healthy controls. SAA levels in the responder group were significantly elevated compared with the non-responder group and controls both before and after electrical stimulation. In addition, there were no differences in salivary cortisol levels between responder and non-responder groups of patients with panic disorder and control. The sample may not be representative of the general population. These preliminary results suggest that sAA might be useful predictive biological markers of treatment responsiveness in patients with panic disorder.</abstract><cop>Ireland</cop><pub>Elsevier Ireland Ltd</pub><pmid>22391145</pmid><doi>10.1016/j.neures.2012.01.006</doi><tpages>5</tpages></addata></record>
fulltext fulltext
identifier ISSN: 0168-0102
ispartof Neuroscience research, 2012-05, Vol.73 (1), p.80-84
issn 0168-0102
1872-8111
language eng
recordid cdi_proquest_miscellaneous_993104267
source MEDLINE; Access via ScienceDirect (Elsevier)
subjects Adolescent
Adrenal glands
Adult
alpha -Amylase
Anxiety
biomarkers
Biomarkers - metabolism
Electric Stimulation - methods
Electrical stimuli
Enzyme Activation - physiology
Female
Heart rate
HPA axis
Humans
Hydrocortisone
Hydrocortisone - metabolism
Inventories
Male
Mood
Nervous system
Panic disorder
Panic Disorder - diagnosis
Panic Disorder - metabolism
Panic Disorder - psychology
Saliva - chemistry
Saliva - metabolism
Salivary alpha-Amylases - metabolism
Salivary cortisol
Salivary α-amylase
SAM activity
Stress
Stress, Psychological - metabolism
Stress, Psychological - psychology
Sympathetic nervous system
Vigor
Young Adult
title Salivary alpha-amylase and cortisol responsiveness following electrical stimulation stress in panic disorder patients
url https://sfx.bib-bvb.de/sfx_tum?ctx_ver=Z39.88-2004&ctx_enc=info:ofi/enc:UTF-8&ctx_tim=2025-01-04T00%3A46%3A59IST&url_ver=Z39.88-2004&url_ctx_fmt=infofi/fmt:kev:mtx:ctx&rfr_id=info:sid/primo.exlibrisgroup.com:primo3-Article-proquest_cross&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rft.genre=article&rft.atitle=Salivary%20alpha-amylase%20and%20cortisol%20responsiveness%20following%20electrical%20stimulation%20stress%20in%20panic%20disorder%20patients&rft.jtitle=Neuroscience%20research&rft.au=Tanaka,%20Yoshihiro&rft.date=2012-05&rft.volume=73&rft.issue=1&rft.spage=80&rft.epage=84&rft.pages=80-84&rft.issn=0168-0102&rft.eissn=1872-8111&rft_id=info:doi/10.1016/j.neures.2012.01.006&rft_dat=%3Cproquest_cross%3E1011210693%3C/proquest_cross%3E%3Curl%3E%3C/url%3E&disable_directlink=true&sfx.directlink=off&sfx.report_link=0&rft_id=info:oai/&rft_pqid=1011210693&rft_id=info:pmid/22391145&rft_els_id=S0168010212000077&rfr_iscdi=true