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Updated: Aug 10, 2026

The Trier Social Stress Test Protocol for Inducing Psychological Stress
Published on: October 19, 2011
Effectiveness in learning complex problem solving and salivary ion indices of psychological stress and activation
P Richter1, J W Hinton, S Reinhold
1Department of Work and Organizational Psychology, Technological University of Dresden, Faculty of Mathematics and Natural Sciences, Germany.
Abstract:
Following Hinton et al. (1992, Biol. Psychol. 33, 63-71) and Richter et al. (1995, Biol. Psychol. 39, 131-142) ionic concentration of [K+] in unstimulated saliva was predicted to rise with perceived challenge, while lowered [Na+] was expected when experiencing psychological stress (PS). Subjects had to learn an engaging complex problem-solving 'game', via positive and negative feed-back on three 'games' lasting 2.5-3.0 h overall. Comparisons were made between three groups: (1) high success; (2) partial success ('strugglers'); and (3) total failure to learn. Saliva was sampled after resting and after each of three 'games'. Successful learners had a significant rise in [K+] on the first 'game' followed by a significant fall, consistent with task-challenge reaction followed by fast autonomic adaptation with successful learning. The 'strugglers' [Na+] fell significantly over the 'games', indicating mineralocorticoid-induced PS response of Na+ reabsorption. The 'total failure' subjects had generally significantly higher [K+] than the successful ones, showing raised tonic sympathetic relative to parasympathetic activity--this outcome being interpreted from interference theories. The 'failures' also had significantly higher tonic [Na+] on 'games'--indicating low PS as predicted from McGrath's (1976) theory.
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