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Updated: Aug 14, 2026

The Trier Social Stress Test Protocol for Inducing Psychological Stress
Published on: October 19, 2011
The relationship between salivary biomarkers and state-trait anxiety inventory score under mental arithmetic stress:
Yuka Noto1, Tetsumi Sato, Mihoko Kudo
1Department of *Nursing, †Anesthesiology, and ‡First Department of Physiology, Hirosaki University School of Health Sciences, Japan.
Abstract:
Measurement of stress hormones is a common objective method for assessment of mental stress. However, the stress of blood sampling alone may also increase stress hormone levels. In the present study, we sampled salivary biomarkers from healthy volunteers under noninvasive conditions and determined their efficacy to assess mental stress. Specifically, we examined the relationship between State Anxiety Inventory score (STAI-s) in subjects exposed to arithmetic stress and salivary chromogranin-A, alpha-amylase, or cortisol. The STAI-s was significantly correlated to salivary alpha-amylase (r = 0.589; P < 0.01) but not to salivary chromogranin-A or cortisol. Therefore, salivary alpha-amylase is a useful indicator of psychosocial stress.
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