ArticleInternational journal of behavioral medicine2020
Salivary Alpha-Amylase as a Biomarker of Stress in Behavioral Medicine.
Article in International journal of behavioral medicine, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT04454736 (Psychological and Biological Responses to Choral Singing in Mentally Ill, Socially Underprivileged and Privileged Healthy Children and Adolescents), which is not on this map. Cited by 144 papers, 4 of them syntheses that pooled it.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Psychological and Biological Responses to Choral Singing in Mentally Ill, Socially Underprivileged and Privileged Healthy Children and Adolescents: An Open, Single-Arm, Controlled Study
Who cites it
144 citing papers in PubMed, 4 syntheses or guidelines pooled it, 284 citations in OpenAlex.
- Biological Markers of Burnout Severity: A Systematic Review.Stress and health : journal of the International Society for the Investigation of Stress · 2026Pooled it
- Pooled it
- Music listening and stress recovery in healthy individuals: A systematic review with meta-analysis of experimental studies.PloS one · 2022Pooled it
- The Effect of Acute Hypohydration on Indicators of Glycemic Regulation, Appetite, Metabolism and Stress: A Systematic Review and Meta-Analysis.Nutrients · 2020Pooled it
- Social buffering of the cortisol stress response during the Minnesota Imaging Stress Test in Children.Psychoneuroendocrinology · 2026Trial
- Stress management training for managers in small and medium-sized enterprises (KMU-GO): results of a randomized controlled trial.BMC public health · 2026Trial
- The Effects of Light Therapy on Cognitive Function and Stress in Women With Breast Cancer Before Systemic Treatment.Cancer medicine · 2025Trial
- Evaluating effects of animal-assisted therapy on pediatric dental care patients: A pilot clinical trial.Journal of the American Dental Association (1939) · 2025Trial
- Acute effect of lower-limb peristaltic pulse external pneumatic compression on segmental arterial stiffness in healthy young adults.Physiological reports · 2025Trial
- Minimal couple intervention to improve psychobiological stress resilience.British journal of health psychology · 2025Trial
- Regulation of Stress Physiology While Parenting: a Randomized Micro-trial of Loving-Kindness Meditation on Parenting and Salivary Alpha Amylase.Prevention science : the official journal of the Society for Prevention Research · 2025Trial
- Salivary cortisol and alpha-amylase as stress markers to evaluate an individualized music intervention for people with dementia: feasibility and pilot analyses.BMC research notes · 2024Trial
- The chronic effects of a combination of herbal extracts (EuphytoseJournal of psychopharmacology (Oxford, England) · 2022Trial
- The Effect of Continuous Intake ofNutrients · 2021Trial
- The effects of suppressing the biological stress systems on social threat-assessment following acute stress.Psychopharmacology · 2020Trial
- Key Salivary Proteins Implicated in the Inhibition of Staphylococcus Aureus Biofilms by Chlorogenic Acid.European journal of dentistry · 2026Article
- Assessment methods for surgeons' ergonomics in the operating room: a scoping review.Surgical endoscopy · 2026Article
- Article
- The effect of mental training on muscle damage, stress, and immune response biomarkers in tennis athletes.BMC sports science, medicine & rehabilitation · 2026Article
- Different mucosal immunity and hormonal responses to routine physical training in the follicular and the luteal phases of elite female athletes.European journal of applied physiology · 2026Article
84 more citing papers are in PubMed but not listed here.
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
2 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
In recent years, research in behavioral medicine has become increasingly focused on understanding how chronic and acute exposure to stress impacts health outcomes. During stress, the body's physiological stress systems are activated. These systems closely interact with the immune system and are, thus, importantly implicated in the onset and maintenance of disease states. While much of the research in behavioral medicine that has investigated the effects of stress on disease has focused on the role of the hypothalamic-pituitary-adrenal axis and its downstream biomarker, cortisol, it is evident that the autonomic nervous system (ANS) also plays a crucial role in both the biological stress process and the manifestation and maintenance of stress-related symptoms. In recent years salivary alpha-amylase (sAA) has emerged as a valid and reliable marker of ANS activity in stress research and is therefore an important biomarker to consider in behavioral medicine. In this commentary, we will highlight research relevant for behavioral medicine that has utilized sAA measurements, both basally, and in response to stress, to examine ANS function in clinical populations. We will additionally summarize findings from studies that have examined the effects of various targeted interventions on changes in sAA levels. Through this, our aim is to present evidence that sAA can serve as a feasible biomarker of ANS (dys)function in health and disease. To this end, we will also highlight important methodological considerations for readers to keep in mind when including sAA assessments in their own studies. The overarching goal of this brief commentary is to highlight how a multidimensional approach toward physiological stress measurement can allow researchers to develop a better understanding of physical health and disease states.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.