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Increased sympathetic and decreased parasympathetic activity rather than changes in hypothalamic-pituitary-adrenal axis activity is associated with metabolic abnormalities.
Licht CM, Vreeburg SA, van Reedt Dortland AK, Giltay EJ, Hoogendijk WJ, DeRijk RH, Vogelzangs N, Zitman FG, de Geus EJ, Penninx BW. Licht CM, et al. Among authors: vreeburg sa. J Clin Endocrinol Metab. 2010 May;95(5):2458-66. doi: 10.1210/jc.2009-2801. Epub 2010 Mar 17. J Clin Endocrinol Metab. 2010. PMID: 20237163
Antidepressant use and salivary cortisol in depressive and anxiety disorders.
Manthey L, Leeds C, Giltay EJ, van Veen T, Vreeburg SA, Penninx BW, Zitman FG. Manthey L, et al. Among authors: vreeburg sa. Eur Neuropsychopharmacol. 2011 Sep;21(9):691-9. doi: 10.1016/j.euroneuro.2011.03.002. Epub 2011 Apr 1. Eur Neuropsychopharmacol. 2011. PMID: 21458959 Free article.
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