Attenuated cortisol reactivity to psychosocial stress is associated with greater visual dependency in postural control

Smyth, N., Flynn, M., Rajcani, J., Hucklebridge, F., Thorn, L., Wood, C., Golding, J.F., Evans, P. and Clow, A. 2019. Attenuated cortisol reactivity to psychosocial stress is associated with greater visual dependency in postural control. Psychoneuroendocrinology. 104, pp. 185-190. doi:10.1016/j.psyneuen.2019.02.028

TitleAttenuated cortisol reactivity to psychosocial stress is associated with greater visual dependency in postural control
TypeJournal article
AuthorsSmyth, N., Flynn, M., Rajcani, J., Hucklebridge, F., Thorn, L., Wood, C., Golding, J.F., Evans, P. and Clow, A.
Abstract

Despite known anatomical links between the hypothalamic-pituitary-adrenal (HPA) axis and the vestibular
system, there are no studies on the relationship between postural control and HPA axis function. Visual dependence in postural control, often measured by increased postural sway on exposure to visual motion, is an indication of altered visual-vestibular integration with greater weighting towards visual cues for balance. Visual dependence is more common in older age and a range of vestibular and non-vestibular health conditions. The relationship between visual dependence in postural control was investigated in relation to cortisol reactivity to psychosocial stress (using the Trier Social Stress Test for groups: TSST-G), as an index of HPA axis function, in healthy young females. In those who exhibited a cortisol response (> 2 nmol/l), a negative relationship betweenstress-induced cortisol reactivity and visual dependence in postural control was observed, since those with thelargest cortisol response showed less visual motion induced postural sway (measured by force platform). Thisfinding in healthy females indicates that subtle non-clinical differences in vestibular function are associated with dysregulated HPA axis activity as indicated by lower cortisol reactivity to psychosocial stress. It adds to the
growing body of evidence linking blunted cortisol reactivity to stress to poor homeostatic regulation and potential negative health and behavioural outcomes.

KeywordsVestibular function, Postural control , TSST-G Cortisol stress reactivity , Visual dependency
JournalPsychoneuroendocrinology
Journal citation104, pp. 185-190
ISSN0306-4530
Year2019
PublisherElsevier
Digital Object Identifier (DOI)doi:10.1016/j.psyneuen.2019.02.028
Publication dates
Published02 Mar 2019
Published in printJun 2019
LicenseCC BY-NC-ND 4.0

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Golding, J.F. and Gresty, M.A. 2013. Motion sickness and disorientation in vehicles. in: Bronstein, A.M. (ed.) Oxford textbook of vertigo and imbalance Oxford Oxford University Press. pp. 293-306

Vestibular perception following acute unilateral vestibular lesions
Cousins, S., Kaski, D., Cutfield, N., Seemungal, B., Golding, J.F., Gresty, M.A., Glasauer, S. and Bronstein, A.M. 2013. Vestibular perception following acute unilateral vestibular lesions. PLoS ONE. 8 (5), p. e61862. doi:10.1371/journal.pone.0061862

Vertigo and dizziness from environmental motion: visual vertigo, motion sickness, and drivers' disorientation
Bronstein, A.M., Golding, J.F. and Gresty, M.A. 2013. Vertigo and dizziness from environmental motion: visual vertigo, motion sickness, and drivers' disorientation. Seminars in Neurology. 33 (3), pp. 219-230.

The reliability of retrieval-induced forgetting
Potts, R., Law, R., Golding, J.F. and Groome, D.H. 2012. The reliability of retrieval-induced forgetting. European Psychologist. 17 (1), pp. 1-10. doi:10.1027/1016-9040/a000040

Diurnal patterns of salivary cortisol and DHEA in adolescent anorexia nervosa
Oskis, A., Clow, A., Thorn, L., Loveday, C. and Hucklebridge, F. 2012. Diurnal patterns of salivary cortisol and DHEA in adolescent anorexia nervosa. Stress. 15 (6), pp. 601-607. doi:10.3109/10253890.2012.661493

Differences between the diurnal patterns of salivary cortisol and DHEA in healthy female adolescents
Oskis, A., Clow, A., Thorn, L., Loveday, C. and Hucklebridge, F. 2012. Differences between the diurnal patterns of salivary cortisol and DHEA in healthy female adolescents. Stress. 15 (1), pp. 110-114. doi:10.3109/10253890.2011.582529

The relationship between retrieval-induced forgetting, anxiety, and personality
Law, R., Groome, D.H., Thorn, L., Potts, R. and Buchanan, T. 2012. The relationship between retrieval-induced forgetting, anxiety, and personality. Anxiety, Stress and Coping. 25 (6), pp. 711-718. doi:10.1080/10615806.2011.630070

The NFTI-QOL: a disease-specific quality of life questionnaire for neurofibromatosis 2
Hornigold, R.E., Golding, J.F., Leschziner, G., Obholzer, R., Gleeson, M., Thomas, N., Walsh, D., Saeed, S. and Ferner, R.E. 2012. The NFTI-QOL: a disease-specific quality of life questionnaire for neurofibromatosis 2. Journal of Neurological Surgery Part B: Skull Base. 73 (2), pp. 104-111. doi:10.1055/s-0032-1301396

Empathic and non-empathic routes to visuospatial perspective-taking
Gronholm, P.C., Flynn, M., Edmonds, C.J. and Gardner, M. 2012. Empathic and non-empathic routes to visuospatial perspective-taking. Consciousness and Cognition. 21 (1), pp. 494-500. doi:10.1016/j.concog.2011.12.004

Cognitive cues and visually induced motion sickness
Golding, J.F., Doolan, K., Achary, A., Tribak, M. and Gresty, M.A. 2012. Cognitive cues and visually induced motion sickness. Aviation, Space, and Environmental Medicine. 83 (5), pp. 477-482.

Differences between diurnal patterns of salivary cortisol and dehydroepiandrosterone in healthy female adolescents
Oskis, A., Clow, A., Thorn, L., Loveday, C. and Hucklebridge, F. 2012. Differences between diurnal patterns of salivary cortisol and dehydroepiandrosterone in healthy female adolescents. Stress. 15 (1), pp. 110-114. doi:10.3109/10253890.2011.582529

Respiratory vulnerability to vehicle buffeting
Sung, W.L., Kohli, N., Qu’adir, S., Golding, J.F., Bronstein, A.M. and Gresty, M.A. 2011. Respiratory vulnerability to vehicle buffeting. Clinical Autonomic Research. 21 (6), pp. 365-371. doi:10.1007/s10286-011-0124-8

Seasonal differences in the diurnal pattern of cortisol secretion in healthy participants and those with self-assessed seasonal affective disorder
Thorn, L., Evans, P., Cannon, A., Hucklebridge, F. and Clow, A. 2011. Seasonal differences in the diurnal pattern of cortisol secretion in healthy participants and those with self-assessed seasonal affective disorder. Psychoneuroendocrinology. 36 (6), pp. 816-823. doi:10.1016/j.psyneuen.2010.11.003

A randomised placebo-controlled trial of oral hydrocortisone for treating tobacco withdrawal symptoms
Ussher, M., Aveyard, P., Reid, F., West, R., Evans, P., Clow, A., Hucklebridge, F., Fuller, J., Ibison, J. and Steptoe, A. 2011. A randomised placebo-controlled trial of oral hydrocortisone for treating tobacco withdrawal symptoms. Psychopharmacology. 216 (1), pp. 43-51. doi:10.1007/s00213-011-2191-x

Neurofibromatosis 2: a novel risk factor for hypertension?
Hornigold, R.E., Golding, J.F., Ferner, R.E. and Ferner, R.E. 2011. Neurofibromatosis 2: a novel risk factor for hypertension? American Journal of Medical Genetics Part A. 155 (7), pp. 1721-1722. doi:10.1002/ajmg.a.34035

Associations between the cortisol awakening response and heart rate variability
Stalder, T., Evans, P., Hucklebridge, F. and Clow, A. 2011. Associations between the cortisol awakening response and heart rate variability. Psychoneuroendocrinology. 36 (4), pp. 454-462. doi:10.1016/j.psyneuen.2010.07.020

The diurnal cortisol cycle and cognitive performance in the healthy old
Evans, P., Fredhoi, C., Loveday, C., Hucklebridge, F., Aitchison, E., Forte, D. and Clow, A. 2011. The diurnal cortisol cycle and cognitive performance in the healthy old. International Journal of Psychophysiology. 79 (3), pp. 371-377. doi:10.1016/j.ijpsycho.2010.12.006

The diurnal cortisol cycle and cognitive performance in the healthy old
Evans, P., Fredhoi, C., Loveday, C., Hucklebridge, F., Aitchison, E., Forte, D. and Clow, A. 2011. The diurnal cortisol cycle and cognitive performance in the healthy old. International Journal of Psychophysiology. 79 (3), pp. 371-377. doi:10.1016/j.ijpsycho.2010.12.006

The effect of smoking nicotine tobacco versus smoking deprivation on motion sickness
Golding, J.F., Prosyanikova, O., Flynn, M. and Gresty, M.A. 2011. The effect of smoking nicotine tobacco versus smoking deprivation on motion sickness. Autonomic Neuroscience: Basic and Clinical. 160 (1-2), pp. 53-58. doi:10.1016/j.autneu.2010.09.009

Anxious attachment style and salivary cortisol dysregulation in healthy female children and adolescents
Oskis, A., Loveday, C., Hucklebridge, F., Thorn, L. and Clow, A. 2011. Anxious attachment style and salivary cortisol dysregulation in healthy female children and adolescents. Journal of Child Psychology and Psychiatry. 52 (2), pp. 111-118. doi:10.1111/j.1469-7610.2010.02296.x

Health Values from Ecosystems
Pretty, J., Barton, J., Colbeck, I., Hine, R., Mourato, S., Mackerron, G. and Wood, C. 2011. Health Values from Ecosystems. in: UK National Ecosystem Assessment: Technical Report Cambridge UK National Ecosystem Assessment, UNEP-WCMC. pp. 1153-1181

Managing motion sickness
Murdin, L., Golding, J.F. and Bronstein, A.M. 2011. Managing motion sickness. BMJ.

Managing motion sickness
Murdin, L., Golding, J.F. and Bronstein, A.M. 2011. Managing motion sickness. British Medical Journal. 343, pp. 1213-1217. doi:10.1136/bmj.d7430

Off vertical axis rotation motion sickness and field dependence
Cian, C., Ohlmann, T., Ceyte, H., Gresty, M.A. and Golding, J.F. 2011. Off vertical axis rotation motion sickness and field dependence. Aviation, Space, and Environmental Medicine. 82 (10), pp. 959-963.

State associations with the cortisol awakening response in healthy females
Stalder, T., Evans, P., Hucklebridge, F. and Clow, A. 2010. State associations with the cortisol awakening response in healthy females. Psychoneuroendocrinology. 35 (8), pp. 1245-1252. doi:10.1016/j.psyneuen.2010.02.014

The cortisol awakening response: more than a measure of HPA axis function
Clow, A., Hucklebridge, F., Stalder, T., Evans, P. and Thorn, L. 2010. The cortisol awakening response: more than a measure of HPA axis function. Neuroscience & Biobehavioral Reviews. 35 (1), pp. 97-103. doi:10.1016/j.neubiorev.2009.12.011

Slalom walking with prism disorientation: impact on verbal and spatial tasks
Green, D.A., Zhu, J.L., Shah, A., Golding, J.F. and Gresty, M.A. 2010. Slalom walking with prism disorientation: impact on verbal and spatial tasks. Aviation, Space, and Environmental Medicine. 81 (8), pp. 728-734. doi:10.3357/ASEM.2732.2010

Humor attenuates the cortisol awakening response in healthy older men
Lai, J.C.L., Chong, A.M.L., Siu, O.T., Evans, P., Chan, C.L.W. and Ho, R.T.H. 2010. Humor attenuates the cortisol awakening response in healthy older men. Biological Psychology. 84 (2), pp. 375-380. doi:10.1016/j.biopsycho.2010.03.012

Associations between psychosocial state variables and the cortisol awakening response in a single case study
Stalder, T., Evans, P., Hucklebridge, F. and Clow, A. 2010. Associations between psychosocial state variables and the cortisol awakening response in a single case study. Psychoneuroendocrinology. 35 (2), pp. 209-214. doi:10.1016/j.psyneuen.2009.06.006

The social impact of dizziness in London and Siena
Bronstein, A.M., Golding, J.F., Gresty, M.A., Mandalà, M., Nuti, D., Shetye, A. and Silove, Y. 2010. The social impact of dizziness in London and Siena. Journal of Neurology. 257 (2), pp. 183-190. doi:10.1007/s00415-009-5287-z

The cortisol awakening response in context
Clow, A., Hucklebridge, F. and Thorn, L. 2010. The cortisol awakening response in context. International Review of Neurobiology. 93, pp. 153-175.

Effect of temporal relationship between respiration and body motion on motion sickness
Denise, P., Vouriot, A., Normand, H., Golding, J.F. and Gresty, M.A. 2009. Effect of temporal relationship between respiration and body motion on motion sickness. Autonomic Neuroscience. 151 (2), pp. 142-146. doi:10.1016/j.autneu.2009.06.007

Students who self-harm: coping style, rumination and alexithymia
Borrill, J., Fox, P., Flynn, M. and Roger, D. 2009. Students who self-harm: coping style, rumination and alexithymia. Counselling Psychology Quarterly. 22 (4), pp. 361-372. doi:10.1080/09515070903334607

Can illusory deviant stimuli be used as attentional distractors to record vMMN in a passive three stimulus oddball paradigm?
Flynn, M., Liasis, A., Gardner, M., Boyd, S. and Towell, A. 2009. Can illusory deviant stimuli be used as attentional distractors to record vMMN in a passive three stimulus oddball paradigm? Experimental Brain Research. 197 (2), pp. 153-161. doi:10.1007/s00221-009-1901-7

Off-vertical axis rotation of the visual field and nauseogenicity
Golding, J.F., Arun, S., Wortley, E., Wotton-Hamrioui, K., Cousins, S. and Gresty, M.A. 2009. Off-vertical axis rotation of the visual field and nauseogenicity. Aviation, Space, and Environmental Medicine. 80 (6), pp. 516-521. doi:10.3357/ASEM.2433.2009

Use of a single case study design to examine state variation in the cortisol awakening response: relationship with time of awakening
Stalder, T., Hucklebridge, F., Evans, P. and Clow, A. 2009. Use of a single case study design to examine state variation in the cortisol awakening response: relationship with time of awakening. Psychoneuroendocrinology. 34 (4), pp. 607-614. doi:10.1016/j.psyneuen.2008.10.023

Impact of vertigo and spatial disorientation on concurrent cognitive tasks
Gresty, M.A. and Golding, J.F. 2009. Impact of vertigo and spatial disorientation on concurrent cognitive tasks. Annals of the New York Academy of Sciences. 1164, pp. 263-267. doi:10.1111/j.1749-6632.2008.03744.x

The cortisol awakening response, seasonality, stress and arousal: a study of trait and state influences
Thorn, L., Hucklebridge, F., Evans, P. and Clow, A. 2009. The cortisol awakening response, seasonality, stress and arousal: a study of trait and state influences. Psychoneuroendocrinology. 34 (3), pp. 299-306. doi:10.1016/j.psyneuen.2008.11.005

Diurnal patterns of salivary cortisol across the adolescent period in healthy females
Oskis, A., Loveday, C., Hucklebridge, F., Thorn, L. and Clow, A. 2009. Diurnal patterns of salivary cortisol across the adolescent period in healthy females. Psychoneuroendocrinology. 34 (3), pp. 307-316. doi:10.1016/j.psyneuen.2008.09.009

Adaptation of ventilation to 'buffeting' in vehicles
Green, D.A., Golding, J.F., Mandip, A., Faldon, M.C., Murphy, K.G., Bronstein, A.M. and Gresty, M.A. 2008. Adaptation of ventilation to 'buffeting' in vehicles. Clinical Autonomic Research. 18 (6), pp. 346-351. doi:10.1007/s10286-008-0491-y

Nauseogenicity of off-vertical axis rotation vs. equivalent visual motion
Bijveld, M.M.C., Bronstein, A.M., Golding, J.F. and Gresty, M.A. 2008. Nauseogenicity of off-vertical axis rotation vs. equivalent visual motion. Aviation, Space, and Environmental Medicine. 79 (7), pp. 661-665. doi:10.3357/ASEM.2241.2008

Caregiving is associated with low secretion rates of immunoglobulin A in saliva
Gallagher, S., Phillips, A.C., Evans, P., Der, G., Hunt, K. and Carroll, D. 2008. Caregiving is associated with low secretion rates of immunoglobulin A in saliva. Brain, Behavior, and Immunity. 22 (4), pp. 565-572. doi:10.1016/j.bbi.2007.11.007

Cognitive impairment by spatial disorientation
Gresty, M.A., Golding, J.F., Le, H. and Nightingale, K. 2008. Cognitive impairment by spatial disorientation. Aviation, Space, and Environmental Medicine. 79 (2), pp. 105-111. doi:10.3357/ASEM.2143.2008

[18F]2-fluoro-2-deoxy-D-glucose positron emission tomography (FDG PET) as a diagnostic tool for neurofibromatosis 1 (NF1) associated malignant peripheral nerve sheath tumours (MPNSTs): a long-term clinical study
Ferner, R.E., Golding, J.F., Smith, M., Calonje, E., Jan, W., Sanjayanathan, V. and O'Doherty, M. 2008. [18F]2-fluoro-2-deoxy-D-glucose positron emission tomography (FDG PET) as a diagnostic tool for neurofibromatosis 1 (NF1) associated malignant peripheral nerve sheath tumours (MPNSTs): a long-term clinical study. Annals of Oncology. 19 (2), pp. 390-394. doi:10.1093/annonc/mdm450

Cortisol secretory activity in older people in relation to positive and negative well-being
Evans, P., Forte, D., Jacobs, C., Fredhoi, C., Aitchison, E., Hucklebridge, F. and Clow, A. 2007. Cortisol secretory activity in older people in relation to positive and negative well-being. Psychoneuroendocrinology. 32 (8-10), pp. 922-930. doi:10.1016/j.psyneuen.2007.06.017

Cognitive performance in light current users and ex-users of ecstasy (MDMA) and controls
Golding, J.F., Groome, D.H., Rycroft, N. and Denton, Z. 2007. Cognitive performance in light current users and ex-users of ecstasy (MDMA) and controls. American Journal of Drug and Alcohol Abuse. 33 (2), pp. 301-307. doi:10.1080/00952990601175052

Genetic influences on motion sickness susceptibility in adult women: a classical twin study
Reavley, C.M., Golding, J.F., Cherkas, L.F., Spector, T.D. and MacGregor, A.J. 2006. Genetic influences on motion sickness susceptibility in adult women: a classical twin study. Aviation, Space, and Environmental Medicine. 77 (11), pp. 1148-1152.

Motion sickness susceptibility
Golding, J.F. 2006. Motion sickness susceptibility. Autonomic Neuroscience. 129 (1-2), pp. 67-76. doi:10.1016/j.autneu.2006.07.019

Increasing cognitive load with increasing balance challenge: recipe for catastrophe
Barra, J., Bray, A., Vishal, S., Golding, J.F. and Gresty, M.A. 2006. Increasing cognitive load with increasing balance challenge: recipe for catastrophe. Experimental Brain Research. 174 (4), pp. 734-745. doi:10.1007/s00221-006-0519-2

Suspected non-adherence and weekend versus week day differences in the awakening cortisol response
Thorn, L., Hucklebridge, F., Evans, P. and Clow, A. 2006. Suspected non-adherence and weekend versus week day differences in the awakening cortisol response. Psychoneuroendocrinology. 31 (8), pp. 1009-1018. doi:10.1016/j.psyneuen.2006.05.012

P36.42 Identification of a pre-attentive visual discrimination response
Flynn, M., Liasis, A., Gardner, M. and Towell, A. 2006. P36.42 Identification of a pre-attentive visual discrimination response. Clinical Neurophysiology. 117 (Supplement 1), p. 194. doi:10.1016/j.clinph.2006.06.651

Tachypnea and hypocapnia are induced by 'buffeting' in vehicles
Green, D.A., Bray, A., Golding, J.F., Bronstein, A.M. and Gresty, M.A. 2006. Tachypnea and hypocapnia are induced by 'buffeting' in vehicles. Clinical Autonomic Research. 16 (4), pp. 281-285. doi:10.1007/s10286-006-0360-5

Predicting individual differences in motion sickness susceptibility by questionnaire
Golding, J.F. 2006. Predicting individual differences in motion sickness susceptibility by questionnaire. Personality and Individual Differences. 41 (2), pp. 237-248. doi:10.1016/j.paid.2006.01.012

Reduction in cortisol after smoking cessation among users of nicotine patches
Ussher, M., West, R., Evans, P., Steptoe, A., McEwen, A., Clow, A. and Hucklebridge, F. 2006. Reduction in cortisol after smoking cessation among users of nicotine patches. Psychosomatic Medicine. 68 (2), pp. 299-306. doi:10.1016/j.psyneuen.2004.04.007

'I think that it's a pain in the ass that I have to stand outside in the cold and have a cigarette': representations of smoking and experiences of disapproval in UK and Greek smokers
Louka, P., Maguire, M., Evans, P. and Worrell, M. 2006. 'I think that it's a pain in the ass that I have to stand outside in the cold and have a cigarette': representations of smoking and experiences of disapproval in UK and Greek smokers. Journal of Health Psychology. 11 (3), pp. 441-451. doi:10.1177/1359105306063317

Post-awakening cortisol secretion during basic military training
Clow, A., Edwards, S., Owen, G., Evans, G., Evans, P., Hucklebridge, F. and Casey, A. 2006. Post-awakening cortisol secretion during basic military training. International Journal of Psychophysiology. 60 (1), pp. 88-94. doi:10.1016/j.ijpsycho.2005.05.007

Stressful life events are associated with low secretion rates of immunoglobulin A in saliva in the middle aged and elderly
Phillips, A.C., Carroll, D., Evans, P., Bosch, J.A., Clow, A., Hucklebridge, F. and Der, G. 2006. Stressful life events are associated with low secretion rates of immunoglobulin A in saliva in the middle aged and elderly. Brain, Behavior, and Immunity. 20 (2), pp. 191-197. doi:10.1016/j.bbi.2005.06.006

Salivary cortisol, stress and arousal following five weeks training in kinesthetic meditation to undergraduate students
Bullen, V., Fredhoi, C., Bloom, W., Povey, J., Hucklebridge, F., Evans, P. and Clow, A. 2006. Salivary cortisol, stress and arousal following five weeks training in kinesthetic meditation to undergraduate students. Journal of Holistic Healthcare. 3 (3), pp. 34-38.

Optimism, positive affectivity, and salivary cortisol
Lai, J.C.L., Evans, P., Ng, S.H., Chong, A.M.L., Siu, O.T., Chan, C.L.W., Ho, S.M.Y., Ho, R.T.H., Chan, P. and Chan, C.C. 2005. Optimism, positive affectivity, and salivary cortisol. British Journal of Health Psychology. 10 (4), pp. 467-484. doi:10.1348/135910705X26083

Motion sickness susceptibility fluctuates through the menstrual cycle
Golding, J.F., Kadzere, P. and Gresty, M.A. 2005. Motion sickness susceptibility fluctuates through the menstrual cycle. Aviation, Space, and Environmental Medicine. 76 (10), pp. 970-973.

Can tamoxifen relieve motion sickness?
Gianni, M.C., Golding, J.F. and Goldhirsch, A. 2005. Can tamoxifen relieve motion sickness? Annals of Oncology. 16 (10), pp. 1713-1714. doi:10.1093/annonc/mdi304

Motion sickness
Golding, J.F. and Gresty, M.A. 2005. Motion sickness. Current Opinion in Neurology. 18 (1), pp. 29-34.

The brain-sex theory of occupational choice: a counterexample
Esgate, A. and Flynn, M. 2005. The brain-sex theory of occupational choice: a counterexample. Perceptual and Motor Skills. 100 (1), pp. 25-37.

Effect of a novel motion desensitization training regime and controlled breathing on habituation to motion sickness
Yen Pik Sang, F., Billar, J., Gresty, M.A. and Golding, J.F. 2005. Effect of a novel motion desensitization training regime and controlled breathing on habituation to motion sickness. Perceptual and Motor Skills. 18 (1), pp. 29-34.

The diurnal patterns of the adrenal steroids cortisol and dehydroepiandrosterone (DHEA) in relation to awakening
Hucklebridge, F., Hussain, T., Evans, P. and Clow, A. 2005. The diurnal patterns of the adrenal steroids cortisol and dehydroepiandrosterone (DHEA) in relation to awakening. Psychoneuroendocrinology. 30 (1), pp. 51-57. doi:10.1016/j.psyneuen.2004.04.007

Acute reduction in secretory immunoglobulin A following smoking cessation
Ussher, M., West, R., Evans, P., Steptoe, A., McEwen, A., Clow, A. and Hucklebridge, F. 2004. Acute reduction in secretory immunoglobulin A following smoking cessation. Psychoneuroendocrinology. 29 (10), pp. 1335-1340. doi:10.1016/j.psyneuen.2004.04.004

The effect of dawn simulation on the cortisol response to awakening in healthy participants
Thorn, L., Hucklebridge, F., Esgate, A., Evans, P. and Clow, A. 2004. The effect of dawn simulation on the cortisol response to awakening in healthy participants. Psychoneuroendocrinology. 29 (7), pp. 925-930. doi:10.1016/j.psyneuen.2003.08.005

We are most aware of our place in the world when about to fall
Bray, A., Subanandan, A., Isableu, B., Ohlmann, T., Golding, J.F. and Gresty, M.A. 2004. We are most aware of our place in the world when about to fall. Current Biology. 14 (15), pp. R609-R610. doi:10.1016/j.cub.2004.07.040

Perceived control, locus of control and preparatory information: effects on the perception of an acute pain stimulus
Williams, D., Golding, J.F., Phillips, K. and Towell, A. 2004. Perceived control, locus of control and preparatory information: effects on the perception of an acute pain stimulus. Personality and Individual Differences. 36 (7), pp. 1681-1691. doi:10.1016/j.paid.2003.07.009

The awakening cortisol response: methodological issues and significance
Clow, A., Thorn, L., Evans, P. and Hucklebridge, F. 2004. The awakening cortisol response: methodological issues and significance. Stress. 7 (1), pp. 29-37. doi:10.1080/10253890410001667205

Suppression of sickness by controlled breathing during mildly nauseogenic motion
Yen Pik Sang, F., Golding, J.F. and Gresty, M.A. 2003. Suppression of sickness by controlled breathing during mildly nauseogenic motion. Aviation, Space, and Environmental Medicine. 74 (9), pp. 998-1002.

Effect of breathing supplemental oxygen on motion sickness in healthy adults
Ziavra, N., Yen Pik Sang, F., Golding, J.F., Bronstein, A.M. and Gresty, M.A. 2003. Effect of breathing supplemental oxygen on motion sickness in healthy adults. Mayo Clinic Proceedings. 78 (5), pp. 574-578.

Components of the diurnal cortisol cycle in relation to upper respiratory symptoms and perceived stress
Edwards, S., Hucklebridge, F., Clow, A. and Evans, P. 2003. Components of the diurnal cortisol cycle in relation to upper respiratory symptoms and perceived stress. Psychosomatic Medicine. 65 (2), pp. 320-327. doi:10.1097/01.PSY.0000033123.70631.8E

Behavioral methods of alleviating motion sickness: effectiveness of controlled breathing and a music audiotape
Yen Pik Sang, F., Billar, J., Golding, J.F. and Gresty, M.A. 2003. Behavioral methods of alleviating motion sickness: effectiveness of controlled breathing and a music audiotape. Journal of Travel Medicine. 10 (2), pp. 108-112.

Impairment of spatial cognitive function with preservation of verbal performance during spatial disorientation
Gresty, M.A., Waters, S., Bray, A., Bunday, K. and Golding, J.F. 2003. Impairment of spatial cognitive function with preservation of verbal performance during spatial disorientation. Current Biology. 13 (21), pp. R829-R830. doi:10.1016/j.cub.2003.10.013

Motion sickness and tilts of the inertial force environment: active suspension systems vs. active passengers
Golding, J.F., Bles, W., Bos, E., Haynes, T. and Gresty, M.A. 2003. Motion sickness and tilts of the inertial force environment: active suspension systems vs. active passengers. Aviation, Space, and Environmental Medicine. 74 (3), pp. 220-227.

An investigation into asymmetrical cortical regulation of salivary S-IgA in conscious man using transcranial magnetic stimulation
Clow, A., Lambert, S., Evans, P., Hucklebridge, F. and Higuchi, K. 2003. An investigation into asymmetrical cortical regulation of salivary S-IgA in conscious man using transcranial magnetic stimulation. International Journal of Psychophysiology. 47 (1), pp. 57-64. doi:10.1016/S0167-8760(02)00093-4

The awakening cortisol response: no evidence for an influence of body posture
Hucklebridge, F., Mellins, J., Evans, P. and Clow, A. 2002. The awakening cortisol response: no evidence for an influence of body posture. Life Sciences. 71 (6), pp. 639-646. doi:10.1016/S0024-3205(02)01726-5

Ultrasound measures of bone and the diurnal free cortisol cycle: a positive association with the awakening cortisol response in healthy premenopausal women
Brooke-Wavell, K., Clow, A., Ghazi-Noori, S., Evans, P. and Hucklebridge, F. 2002. Ultrasound measures of bone and the diurnal free cortisol cycle: a positive association with the awakening cortisol response in healthy premenopausal women. Calcified Tissue International. 70 (6), pp. 463-468. doi:10.1007/s00223-001-2085-8

Low frequency noise enhances cortisol among noise sensitive subjects during work performance
Persson Waye, K., Bengtsson, J., Rylander, R., Hucklebridge, F., Evans, P. and Clow, A. 2002. Low frequency noise enhances cortisol among noise sensitive subjects during work performance. Life Sciences. 70 (7), pp. 745-758. doi:10.1016/S0024-3205(01)01450-3

Association between time of awakening and diurnal cortisol secretory activity
Edwards, S., Evans, P., Hucklebridge, F. and Clow, A. 2001. Association between time of awakening and diurnal cortisol secretory activity. Psychoneuroendocrinology. 26 (6), pp. 613-622. doi:10.1016/S0306-4530(01)00015-4

A motion sickness maximum around the 0.2 Hz frequency range of horizontal translational oscillation
Golding, J.F., Mueller, A.G. and Gresty, M.A. 2001. A motion sickness maximum around the 0.2 Hz frequency range of horizontal translational oscillation. Aviation, Space, and Environmental Medicine. 72 (3), pp. 188-192.

Exploration of the awakening cortisol response in relation to diurnal cortisol secretory activity
Edwards, S., Clow, A., Evans, P. and Hucklebridge, F. 2001. Exploration of the awakening cortisol response in relation to diurnal cortisol secretory activity. Life Sciences. 68 (18), pp. 2093-2103. doi:10.1016/S0024-3205(01)00996-1

Modulation of secretory immunoglobulin A in saliva; response to manipulation of mood
Hucklebridge, F., Lambert, S., Clow, A., Warburton, D.M., Evans, P. and Sherwood, N. 2000. Modulation of secretory immunoglobulin A in saliva; response to manipulation of mood. Biological Psychology. 53 (1), pp. 25-35. doi:10.1016/S0301-0511(00)00040-5

The cortisol response to normal and nocturnal awakening
Hucklebridge, F., Clow, A., Rahman, H. and Evans, P. 2000. The cortisol response to normal and nocturnal awakening. Journal of Psychophysiology. 14 (1), pp. 24-28. doi:10.1027//0269-8803.14.1.24

Mind, immunity and health: the science of psychoneuroimmunology
Evans, P., Hucklebridge, F. and Clow, A. 2000. Mind, immunity and health: the science of psychoneuroimmunology. London Free Association.

Endogenous monoamine oxidase inhibitory activity and HPA activation in the pig
Clow, A., Vellucci, S.V., Parrott, R.F., Hucklebridge, F., Sen, S. and Evans, P. 1999. Endogenous monoamine oxidase inhibitory activity and HPA activation in the pig. Life Sciences. 66 (1), pp. 35-41. doi:10.1016/S0024-3205(99)00559-7

The awakening cortisol response and blood glucose levels
Hucklebridge, F., Clow, A., Abeyguneratne, T., Huezo-Diaz, P. and Evans, P. 1999. The awakening cortisol response and blood glucose levels. Life Sciences. 64 (11), pp. 931-937. doi:10.1016/S0024-3205(99)00019-3

The relationship between salivary secretory immunoglobulin A and cortisol: neuroendocrine response to awakening and the diurnal cycle
Hucklebridge, F., Clow, A. and Evans, P. 1998. The relationship between salivary secretory immunoglobulin A and cortisol: neuroendocrine response to awakening and the diurnal cycle. International Journal of Psychophysiology. 31 (1), pp. 69-76. doi:10.1016/S0167-8760(98)00042-7

Mind-body influences on immunity: lateralised control, stress, individual differences, and prophylaxis
Gruzelier, J., Clow, A., Evans, P., Lazar, I. and Walker, L. 1998. Mind-body influences on immunity: lateralised control, stress, individual differences, and prophylaxis. Annals of the New York Academy of Sciences. 851, pp. 487-494. doi:10.1111/j.1749-6632.1998.tb09027.x

The relationship between circadian patterns of salivary cortisol and endogenous inhibitor of monoamine oxidase A
Hucklebridge, F., Sen, S., Evans, P. and Clow, A. 1998. The relationship between circadian patterns of salivary cortisol and endogenous inhibitor of monoamine oxidase A. Life Sciences. 62 (25), pp. 2321-2328. doi:10.1016/S0024-3205(98)00213-6

Secretory immunoglobulin A and cardiovascular responses to mental arithmetic and cold pressor
Willemsen, G., Ring, C., Evans, P. and Clow, A. 1998. Secretory immunoglobulin A and cardiovascular responses to mental arithmetic and cold pressor. Psychophysiology. 35 (3), pp. 252-259. doi:10.1111/1469-8986.3530252

Regional and molecular separation of the four bioactivities of ‘tribulin’
Hucklebridge, F., Doyle, A., Pang, F.Y., Adlard, M., Evans, P. and Clow, A. 1998. Regional and molecular separation of the four bioactivities of ‘tribulin’. Neuroscience Letters. 240 (1), pp. 29-32. doi:10.1016/S0304-3940(97)00916-6

The role and regulation of monoamines in stress
Clow, A., Hucklebridge, F. and Evans, P. 1998. The role and regulation of monoamines in stress. in: Levi, A., Grauer, E., Ben-Nathan, D. and de Kloet, E.R. (ed.) New frontiers in stress research: modulation of brain function Amsterdam Harwood Academic. pp. 21-31

The cortisol response to psychological challenge is preceded by a rise in endogenous inhibitor of monoamine oxidase.
Clow, A., Patel, S., Najafi, M., Evans, P. and Hucklebridge, F. 1997. The cortisol response to psychological challenge is preceded by a rise in endogenous inhibitor of monoamine oxidase. Life Sciences. 61 (5), pp. 567-575. doi:10.1016/S0024-3205(97)00416-5

Endogenous monoamine oxidase A inhibitory activity (tribulin), measured in saliva, is related to cardiovascular reactivity in normal individuals
Clow, A., Doyle, A., Hucklebridge, F., Carroll, D., Ring, C., Shrimpton, J., Willemsen, G. and Evans, P. 1997. Endogenous monoamine oxidase A inhibitory activity (tribulin), measured in saliva, is related to cardiovascular reactivity in normal individuals. Journal of Neural Transmission (supplement). 52, pp. 77-83.

Modulation of secretory immunoglobulin A in saliva in relation to an acute episode of stress and arousal
Bristow, M., Hucklebridge, F., Clow, A. and Evans, P. 1997. Modulation of secretory immunoglobulin A in saliva in relation to an acute episode of stress and arousal. Journal of Psychophysiology. 11 (3), pp. 248-255.

Positive but not negative life events predict vulnerability to upper respiratory illness
Evans, P., Doyle, A., Hucklebridge, F. and Clow, A. 1996. Positive but not negative life events predict vulnerability to upper respiratory illness. British Journal of Health Psychology. 1 (4), pp. 339-348. doi:10.1111/j.2044-8287.1996.tb00514.x

Salivary monoamine oxidase A and B inhibitory activities correlate with stress
Doyle, A., Hucklebridge, F., Evans, P. and Clow, A. 1996. Salivary monoamine oxidase A and B inhibitory activities correlate with stress. Life Sciences. 59 (16), pp. 1357-1362. doi:10.1016/0024-3205(96)00461-4

Urinary output of endogenous monoamine oxidase inhibitory activity is related to everyday stress
Doyle, A., Hucklebridge, F., Evans, P. and Clow, A. 1996. Urinary output of endogenous monoamine oxidase inhibitory activity is related to everyday stress. Life Sciences. 58 (20), pp. 1723-1730. doi:10.1016/0024-3205(96)00153-1

Tribulin and stress in normal individuals
Doyle, A., Pang, F.Y., Hucklebridge, F., Evans, P. and Clow, A. 1996. Tribulin and stress in normal individuals. in: McCarty, R., Aguilera, G., Sabban, E. and Kvetnansky, R. (ed.) Stress: molecular genetic and neurobiological advances Amsterdam Harwood Academic.

Urinary cortisol and endogenous monoamine oxidase inhibitor(s), but not isatin, are raised in anticipation of stress and/or arousal in normal individuals
Doyle, A., Pang, F.Y., Bristow, M., Hucklebridge, F., Evans, P. and Clow, A. 1996. Urinary cortisol and endogenous monoamine oxidase inhibitor(s), but not isatin, are raised in anticipation of stress and/or arousal in normal individuals. Stress Medicine. 12 (1), pp. 43-49. doi:10.1002/(SICI)1099-1700(199601)12:1<43::AID-SMI677>3.0.CO;2-4

Secretory immunoglobulin A as convenient biomarker in health survey work
Evans, P., Hucklebridge, F., Clow, A. and Doyle, A. 1995. Secretory immunoglobulin A as convenient biomarker in health survey work. in: Rodriguez-Martin, J. (ed.) Health psychology and quality of life research: Proceedings of the 8th Annual Conference of the European Health Psychology Society Alicante University of Alicante.

Stress, arousal, Cortisol and secretory immunoglobulin A in students undergoing assessment
Evans, P., Bristow, M., Hucklebridge, F., Clow, A. and Pang, F.Y. 1994. Stress, arousal, Cortisol and secretory immunoglobulin A in students undergoing assessment. British Journal of Clinical Psychology. 33 (4), pp. 575-576. doi:10.1111/j.2044-8260.1994.tb01154.x

Dysphoria and immune status in postpartum women
Hucklebridge, F., Smith, M.D., Clow, A., Evans, P., Glover, V., Taylor, A., Adams, D. and Lydyard, P.M. 1994. Dysphoria and immune status in postpartum women. Biological Psychology. 37 (3), pp. 199-206. doi:10.1016/0301-0511(94)90002-7

The relationship between secretory immunity, mood and life-events
Evans, P., Bristow, M., Hucklebridge, F., Clow, A. and Walters, N. 1993. The relationship between secretory immunity, mood and life-events. British Journal of Clinical Psychology. 32 (2), pp. 227-236. doi:10.1111/j.2044-8260.1993.tb01050.x

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