Evidence map›Paper›PMID 39936474›Full record

ArticlePhysiological reports2025

Transcutaneous auricular vagus nerve stimulation inhibits mental stress-induced cortisol release-Potential implications for inflammatory conditions.

Ely Cuberos Paredes, Domenica Goyes, Sadie Mak, Raffi Yardimian, Nickolas Ortiz, Ayana McLaren, Harald M Stauss

Registry-linked trialAbstract read
In one paragraph

Article in Physiological reports, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT07411846 (Effects of Transcutaneous Auricular Vagus Nerve Stimulation on Perceived Stress and Psychological Distress in University Students With High Distress Levels), which is not on this map. Cited by 17 papers.

0numbers the graph read from it
0cells of the map it votes in
17citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

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.

2 · The registry

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.

NCT07411846 nacompletednot on this map

Effects of Transcutaneous Auricular Vagus Nerve Stimulation on Perceived Stress and Psychological Distress in University Students With High Distress Levels: A Randomized Blinded Clinical Trial

TypeinterventionalSponsorEgas Moniz - Cooperativa de Ensino Superior, CRLRan2025 to 2025Enrolled40ConditionsPsychological Distress, Stress (Psychology), Perceived StressArmstaVNS, Sham
3 · Its place in the literature

Who cites it

17 citing papers in PubMed.

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  7. Viewing art as a pathway to psychological well-being and physical health.Applied psychology. Health and well-being · 2026
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors.

Ely Cuberos ParedesDepartment of Biomedical Sciences, Burrell College of Osteopathic Medicine, Las Cruces, New Mexico, USA.
Domenica GoyesDepartment of Biomedical Sciences, Burrell College of Osteopathic Medicine, Las Cruces, New Mexico, USA.
Sadie MakDepartment of Biomedical Sciences, Burrell College of Osteopathic Medicine, Las Cruces, New Mexico, USA.
Raffi YardimianDepartment of Biomedical Sciences, Burrell College of Osteopathic Medicine, Las Cruces, New Mexico, USA.
Nickolas OrtizDepartment of Biomedical Sciences, Burrell College of Osteopathic Medicine, Las Cruces, New Mexico, USA.
Ayana McLarenDepartment of Biomedical Sciences, Burrell College of Osteopathic Medicine, Las Cruces, New Mexico, USA.
Harald M StaussDepartment of Biomedical Sciences, Burrell College of Osteopathic Medicine, Las Cruces, New Mexico, USA.ORCID https://orcid.org/0000-0001-6647-1903

Funding

American Osteopathic Association (AOA) 19137759National Psoriasis Foundation (NPF)Office of Research and Sponsored Programs at Burrell College of Osteopathic Medicine
6 · The paper itself

Abstract

Elevated glucocorticoid levels with reduced glucocorticoid responsiveness have been reported in chronic inflammatory conditions. Activation of neurons in the nucleus of the solitary tract by transcutaneous auricular vagus nerve stimulation (taVNS) may activate inhibitory pathways projecting to the hypothalamic paraventricular nucleus (PVN), thus inhibiting corticotropin-releasing hormone (CRH) release and improving glucocorticoid dysfunction in chronic inflammatory conditions. Healthy adults (n = 12) participated in experimental (taVNS) and control (sham-taVNS) sessions at least 4 days apart. A 30-min baseline recording was followed by 30 min of taVNS or sham-taVNS and 40 min of recovery. Ten minutes into taVNS or sham-taVNS, a mental arithmetic stress test (MAST) was conducted for 15 min. The MAST increased heart rate, low frequency (LF) heart rate variability (HRV), and the LF to high frequency ratio of HRV, confirming sympathetic activation. Salivary cortisol levels during the MAST were lower during taVNS (49.5 ± 48.0% from baseline; mean ± SD) compared to sham-taVNS (106.0 ± 81.1% from baseline; mean ± SD; p < 0.05). In a psoriasis patient, daily taVNS for 3 months reduced diurnal salivary cortisol levels from 58.2 ± 35.2 (ng/mL)*h (mean ± SD) to 34.9 ± 13.8 (ng/mL)*h (mean ± SD). While it is possible that taVNS inhibited CRH-releasing neurons in the PVN, our study design did not allow to confirm this potential mechanism.

Indexed as

HydrocortisoneStress, PsychologicalTranscutaneous Electric Nerve StimulationVagus Nerve StimulationAdultCorticotropin-Releasing HormoneFemaleHeart RateHumansMaleMiddle AgedSalivaYoung AdultCorticotropin-Releasing HormoneHydrocortisoneanti‐inflammatory reflexglucocorticoid resistancehypothalamus‐pituitary–adrenal axispsoriasis

Identifiers

PMID39936474
PMCPMC11815478

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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.