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Stress and decision-making in humans: Performance is related to cortisol reactivity, albeit differently in men and women
Abstract
Acutely elevated levels of cortisol are associated with euphoria and reward-like properties related to sensation-seeking behaviour. Thus, acute stress and elevated levels of cortisol may promote risk-taking behaviour. High cortisol responders are more sensitive to immediate rewards than low cortisol responders. In this study we therefore tested whether acute stress in male and female subjects, induced by the Trier Social Stress Test (TSST), affects decision-making as measured by the Iowa Gambling Task (IGT) and to what extent this is related to cortisol reactivity. Control subjects did not receive the stress manipulation. We specifically predict that high responders show risk-taking behaviour in the IGT compared to low responders and controls. The data show that the more (salivary) cortisol levels are elevated after the TSST the poorer the subsequent performance in the IGT in male subjects. In female subjects an inverse relationship between cortisol levels and IGT performance is observed: slightly elevated levels of cortisol after the TSST improve IGT performance, while highly elevated levels decrease IGT performance. Thus, acute stress as induced by the TSST affects decision-making behaviour of men and women differently and cortisol reactivity is associated with decision-making performance.
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“HPA functioning has also been linked to risk-taking behavior in standardized laboratory tasks (e.g., Lighthall et al., 2009; van den Bos et al., 2009; van Honk, 2003)”
From The Adaptive Calibration Model of stress responsivity (2011) · cites this paper as van den Bos et al., 2009
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“Finally, van den Bos et al. (2009) have shown that men with cortisol levels that had been elevated by stress make poorer decisions, as do women with acute cortisol levels.”
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BackgroundResultMeasuring the Effects of Stress on Mobile Interaction
Sarsenbayeva, Z., van Berkel, N., Hettiachchi, D., Jiang, W., Dingler, T., Velloso, E., Kostakos, V., & Gonçalves, J. (2019) · Proceedings of the ACM on Interactive Mobile Wearable and Ubiquitous Technologies · doi:10.1145/3314411 · Cited by 45
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“Some studies did not find sex-related differences in IGT performance [10,38], whereas some other studies have found that men choose more advantageously and out-perform women on the IGT [70,71,72,73].”
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Verdejo‐García, A., Padilla, M. M., Ríos, M. D. C. G., López-Torrecillas, F., Delgado‐Rico, E., Schmidt‐RioValle, J., & Fernández-Serrano, M. J. (2015) · PLoS ONE · doi:10.1371/journal.pone.0123565 · Cited by 41
Testosterone, Cortisol and Financial Risk-Taking
Herbert, J. (2018) · Frontiers in Behavioral Neuroscience · doi:10.3389/fnbeh.2018.00101 · Cited by 47
“Moreover, there may be significant sex differences in the way that cortisol affects decision-making (van den Bos et al., 2009) since males make most of the financial decisions under the conditions considered here, this will be our focus.”
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Acute stress enhances tolerance of uncertainty during decision-making
Byrne, K. A., Peters, C., Willis, H. C., Phan, D., Cornwall, A. C., & Worthy, D. A. (2020) · Cognition · doi:10.1016/j.cognition.2020.104448 · Cited by 41
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“This possibility is suggested by a recent study in non-alcoholic participants, where greater cortisol response to the TSST was associated with more impulsive choices on a gambling task, but only in men (van den Bos et al., 2009).”
ResultFrom stress to functional syndromes: An internist's point of view
Lucini, D., & Pagani, M. (2011) · European Journal of Internal Medicine · doi:10.1016/j.ejim.2011.11.016 · Cited by 38
“The negative nature of stress appears when the final result is not adaptation, homeostasis, but when bodily (somatic symptoms or diseases such as coronary artery diseases, and functional syndromes [3,10,13,14]) or psychosocial effects (change of the mood, unwillingness to change, isolation [15,16]) appear.”
BackgroundSleep, cognition and cortisol in addison’s disease: a mechanistic relationship
Henry, M., Thomas, K. G. F., & Ross, I. L. (2021) · Frontiers in Endocrinology · doi:10.3389/fendo.2021.694046 · Cited by 34
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“Following van den Bos et al. (2009), we decided not to take oral contraceptives and menstrual cycle into account.”
MethodStress-Induced Impairment of Spatial Navigation in Females
Thomas, K. G. F., Laurance, H. E., Nadel, L., & Jacobs, W. J. (2010) · South African Journal of Psychology · doi:10.1177/008124631004000104 · Cited by 40
Effects of Stress on Economic Decision-Making: Evidence from Laboratory ExperimentsPreprint
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“Van den Bos, Harteveld, and Stoop (2009) found a significant difference between males and females on the Iowa Gambling Task (IGT) after stress was induced (Trier Social Stress Test; TSST).”
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Witbracht, M. G., Laugero, K. D., Loan, M. D. V., Adams, S. H., & Keim, N. L. (2011) · Physiology & Behavior · doi:10.1016/j.physbeh.2011.04.035 · Cited by 35
FRN and P3 during the Iowa gambling task: The importance of gender
Garrido‐Chaves, R., Perez‐Alarcón, M., Pérez, V., Hidalgo, V., Pulopulos, M. M., & Salvador, A. (2020) · Psychophysiology · doi:10.1111/psyp.13734 · Cited by 35
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The Neuropeptide Oxytocin Enhances Information Sharing and Group Decision Making Quality
de Wilde, T. R. W., Velden, F. S. T., & Dreu, C. K. W. D. (2017) · Scientific Reports · doi:10.1038/srep40622 · Cited by 32
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“…negatively affects decision making differently for men and women; men’s performance in the IOWA test deteriorates as stress levels increase, whereas the performance of women improved to a point and then deteriorates as stress levels increase (van den Bos et al., 2009; Wemm and Wulfert, 2017).”
BackgroundThe Iowa Gambling Task: Men and Women Perform Differently. A Meta-analysis
Zanini, L., Picano, C., & Spitoni, G. F. (2024) · Neuropsychology Review · doi:10.1007/s11065-024-09637-3 · Cited by 34
“Specifically, higher cortisol levels in men are associated with a poorer performance, whereas an inverse relationship is observed in women, suggesting that women may make better long-term decisions than men under stress (Van den Bos et al., 2009).”
Corruption and anxiety in Sub-Saharan Africa
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Acute stress improves long-term reward maximization in decision-making under uncertainty
Byrne, K. A., Cornwall, A. C., & Worthy, D. A. (2019) · Brain and Cognition · doi:10.1016/j.bandc.2019.02.005 · Cited by 31
Exposure to Unsolvable Anagrams Impairs Performance on the Iowa Gambling Task
Starcke, K., Agorku, J. D., & Brand, M. (2017) · Frontiers in Behavioral Neuroscience · doi:10.3389/fnbeh.2017.00114 · Cited by 31
“The IGT is also sensitive to external manipulations such as stress induction (Preston et al., 2007; van den Bos et al., 2009; Wemm and Wulfert, 2017) and mood induction (de Vries et al., 2008).”
BackgroundSekel, N. M., Beckner, M. E., Conkright, W. R., LaGoy, A. D., Proessl, F., Lovalekar, M., Martin, B. J., Jabloner, L. R., Beck, A. L., Eagle, S. R., et al. (2023) · Frontiers in Psychology · doi:10.3389/fpsyg.2023.1102425 · Cited by 28
Glucocorticoids, male sexual signals, and mate choice by females: Implications for sexual selection
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“Related studies of risk taking in gambling tasks suggest that acute social or physiological stress can alter risk aversion during decision making (Porcelli et al. 2012; Preston et al. 2007; van den Bos et al. 2009).”
Deuter, C. E., Wingenfeld, K., Schultebraucks, K., Hellmann‐Regen, J., Piber, D., & Otte, C. (2016) · Psychoneuroendocrinology · doi:10.1016/j.psyneuen.2016.10.018 · Cited by 26
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“In another study, slightly elevated levels of cortisol after acute stress induction were associated with improved cognitive performance, while highly elevated levels of cortisol were associated with impaired cognitive performance [32].”
BackgroundResultBrunelin, J., & Fecteau, S. (2020) · Journal of Psychiatric Research · doi:10.1016/j.jpsychires.2020.12.068 · Cited by 24
Time-Dependent Effect of Hydrocortisone Administration on Intertemporal ChoicePreprint
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“Van den Bos et al. (2009) and Preston et al. (2007) found that performance on the Iowa Gambling Task was impaired under stress, particularly in men.”
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Stress‐related changes in financial risk taking: Considering joint effects of cortisol and affect
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Use anger to guide your stock market decision-making: results from Pakistan
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“However, other studies using social stressors and other decision tasks have also observed enhanced differences between men and women (e.g., Preston et al., 2007; van den Bos et al., 2009), as did one study using a psychological stressor (Daughters et al., 2013).”
BackgroundResultCan decision-making skills affect responses to psychological stress in healthy women?
Santos‐Ruiz, A., Ríos, M. D. C. G., Fernández-Sánchez, J. C., Pérez-García, M., Muñoz, M. Á., & Peralta‐Ramírez, M. I. (2012) · Psychoneuroendocrinology · doi:10.1016/j.psyneuen.2012.04.002 · Cited by 26
“Presumably, in the study by van den Bos et al. (2009), those participants that did not respond to the TSST were not stressed, as they showed the same low cortisol levels as the subjects that did not engage in the TSST.”
BackgroundResultInfluentialDoes personalized information improve health plan choices when individuals are distracted?
Kaufmann, C., Müller, T., Hefti, A., & Boes, S. (2018) · Journal of Economic Behavior & Organization · doi:10.1016/j.jebo.2018.03.013 · Cited by 24
“For example, it has been shown that experimental subjects who are placed under stress make less economically rational decisions when forced to choose among different alternatives (Banerjee and Duflo 2011; van den Bos et al. 2009; Porcelli and Delgado 2009).”
BackgroundMagrys, S. A., Olmstead, M. C., Wynne‐Edwards, K. E., & Balodis, I. M. (2012) · Psychophysiology · doi:10.1111/psyp.12007 · Cited by 24
Diurnal cortisol rhythm is associated with increased risky decision-making in older adults.
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Hot or Cool Processing? Adolescent Decision-Making and Delinquency
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Prolonged Effects of Acute Stress on Decision-Making under Risk: A Human Psychophysiological Study
Yamakawa, K., Ohira, H., Matsunaga, M., & Isowa, T. (2016) · Frontiers in Human Neuroscience · doi:10.3389/fnhum.2016.00444 · Cited by 22
“Because previous studies (Preston et al., 2007; van den Bos et al., 2009) reported sex differences in stress effects on risktaking, the generalizability of present findings must be further examined with samples including both sexes.”
ResultDelay discounting and health risk behaviors: the potential role of stress
Fields, S. A., Ramos, A. M., & Reynolds, B. A. (2015) · Current Opinion in Psychology · doi:10.1016/j.copsyc.2015.07.003 · Cited by 21
Koot, S., Koukou, M., Baars, A. M., Hesseling, P., Klooster, J. G. L. T., Joëls, M., & van den Bos, R. (2014) · Frontiers in Behavioral Neuroscience · doi:10.3389/fnbeh.2014.00127 · Cited by 23
“Men have been shown to display more risk-taking behavior under acutely stressful conditions in both the IGT (Preston et al., 2007; van den Bos et al., 2009) and other decision-making tasks (Balloon Analogue Risk Task, Lighthall et al., 2009; Game of Dice Task, Starcke et al., 2008; Starcke and…”
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Sex-Differences, Handedness, and Lateralization in the Iowa Gambling Task
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Competitive behavior, stress, and gender
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“Regarding ambiguous decision-making, men perform better than women and show a more goal-directed behavioral pattern in the classic Iowa Gambling Task (IGT: see below for details; Overman et al., 2004; Van den Bos et al. 2007, 2009).”
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“[21] pointed out that social stress seemed to affect decision-making in a different way in paradigms where subjects were tested singly vs.”
Singh, V. (2021) · Frontiers in Neuroscience · doi:10.3389/fnins.2021.631195 · Cited by 17
“Male long-term decision-making is most prominent in the risk phase (e.g., van den Bos et al., 2009, 2013; Stanton et al., 2011; Evans and Hampson, 2014), suggesting that males tend to choose consistent long-term rewards in the risk phase rather than in the uncertainty phase.”
BackgroundMethodResultInfluentialWang, Y., Guo, X., Wang, M., Kan, Y., Zhang, H., Zhao, H., Wu, M., & Duan, H. (2021) · International Journal of Psychophysiology · doi:10.1016/j.ijpsycho.2021.11.001 · Cited by 17
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“We also reproduced several previously published results in these populations (Cavedini et al., 2004; Van den Eynde et al., 2012; Chan et al., 2013; Wu et al., 2013) and in healthy controls (Lighthall et al., 2009; Porcelli and Delgado, 2009; van den Bos et al., 2009; Starcke et al., 2011).”
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Expectations, gender, and choking under pressure: Evidence from alpine skiing
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Gathmann, B., Pawlikowski, M., Schöler, T., & Brand, M. (2013) · Cognitive Processing · doi:10.1007/s10339-013-0584-y · Cited by 18
“This was already shown for decisions under ambiguity (Laier et al. 2013; Preston et al. 2007; Van den Bos et al. 2009): Task-irrelevant affect created interference with task-related affect (somatic marker) necessary for advantageous decisions.”
BackgroundCompassion International: Holistic Child Development through Sponsorship and Church Partnership
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The dorsal striatum and ventral striatum play different roles in the programming of social behaviour
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Effects of Acute Stress on Decision Making under Ambiguous and Risky Conditions in Healthy Young Men
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“In fact, studies focused on DM using the Iowa Gambling Task have reported an increase in disadvantageous decisions – suggesting impairments in contingency learning that are associated with cortisol changes (Preston et al., 2007; van den Bos et al., 2009).”
BackgroundMethodResultInfluentialSex difference in the weighting of expected uncertainty under chronic stress
Lei, H., Mochizuki, Y., Chen, C., Hagiwara, K., Hirotsu, M., Matsubara, T., & Nakagawa, S. (2021) · Scientific Reports · doi:10.1038/s41598-021-88155-1 · Cited by 15
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“In particular, they confirm previous studies that found that stress amplifies sex differences in the use of strategies during risky decisions, since males made more risk-taking choices and females made more risk-aversive choices [24,49].”
BackgroundResultInfluentialCortisol acutely reduces selective attention for erotic words in healthy young men
Putman, P., & Berling, S. (2011) · Psychoneuroendocrinology · doi:10.1016/j.psyneuen.2011.03.015 · Cited by 15
Acute psychosocial stress enhances visuospatial memory in healthy males
Human, R., Thomas, K. G. F., Dreyer, A. J., Amod, A. R., Wolf, P. S. A., & Jacobs, W. J. (2013) · South African Journal of Psychology · doi:10.1177/0081246313496913 · Cited by 17
“Second, and again following previous stress research (e.g., Schoofs et al., 2008; Thomas, Laurance, Nadel, & Jacobs, 2010; van den Bos et al., 2009), we used only one measure of cognitive performance.”
ResultYılmaz, S., & Kafadar, H. (2022) · Applied Neuropsychology Adult · doi:10.1080/23279095.2022.2122829 · Cited by 18
“…problems may be derived from some mechanisms, such as decreased cortisol levels, difficulties in processing feedback (Mather et al., 2009, Van den Bos et al., 2009), delaying learning of the decision-making task by suppression of controlled processes (Preston et al., 2007), using…”
Probst, F., Meng‐Hentschel, J., Golle, J., Stucki, S., Akyildiz-Kunz, C., & Lobmaier, J. S. (2016) · Psychoneuroendocrinology · doi:10.1016/j.psyneuen.2016.11.005 · Cited by 14
DiMenichi, B. C., Lempert, K. M., Bejjani, C., & Tricomi, E. M. (2018) · Frontiers in Behavioral Neuroscience · doi:10.3389/fnbeh.2018.00045 · Cited by 14
“Although some research has suggested that stress may affect performance in a U-shaped manner (Yerkes and Dodson, 1908; Lupien et al., 2009), others have found that increases in stress result in linear decreases in performance (Domes et al., 2004; Van den Bos et al., 2009).”
BackgroundScared or Attached? Unraveling Important Links in Strain–Crime Relationships Among School Students
Timmer, A., Antonaccio, O., Botchkovar, E. V., & Smith, W. R. (2018) · International Journal of Offender Therapy and Comparative Criminology · doi:10.1177/0306624x18814342 · Cited by 14
Emotional stress & decision-making: an emotional stressor significantly reduces loss aversion
Molins, F., Ayuso, C., & Serrano, M. Á. (2021) · Stress · doi:10.1080/10253890.2021.1919617 · Cited by 18
Women Leaders During a Global Crisis
Soares, S., & Sidun, N. M. (2021) · International Perspectives in Psychology · doi:10.1027/2157-3891/a000020 · Cited by 18
Delayed effects of psychosocial stress on risk taking
Nowacki, J., Duesenberg, M., Deuter, C. E., Otte, C., & Wingenfeld, K. (2019) · Stress · doi:10.1080/10253890.2019.1593364 · Cited by 13
Males with low risk-taking propensity overestimate risk under acute psychological stress
Wang, P., Gu, R., Zhang, J., Sun, X., & Zhang, L. (2021) · Stress · doi:10.1080/10253890.2021.1957824 · Cited by 12
“Researchers have found stressed participants (especially males) showed more deficient explicit knowledge and weaker performance in the IGT, indicating the deficits in feedback learning (Preston et al., 2007; van den Bos et al., 2009; Wemm & Wulfert, 2017).”
Mind training, stress and behaviour—A randomised experiment
Alem, Y., Behrendt, H., Belot, M. V. K., & Bíró, A. (2021) · PLoS ONE · doi:10.1371/journal.pone.0258172 · Cited by 13
Atchley, A., Barr, H. M., O’Hear, E. H., Weger, K., Mesmer, B. L., Gholston, S. E., & Tenhundfeld, N. L. (2023) · Theoretical Issues in Ergonomics Science · doi:10.1080/1463922x.2023.2223251 · Cited by 14
“However, the effects of stress on trust in the human-human studies have produced conflicting results with some reporting decreases in trust following stress (FeldmanHall et al. 2015; Potts et al. 2019; Steinbeis et al. 2015), while others report increases (van den Bos et al. 2009).”
Stress influences decisions to break a safety rule in a complex simulation task in females
Starcke, K., Brand, M., & Kluge, A. (2016) · Biological Psychology · doi:10.1016/j.biopsycho.2016.04.067 · Cited by 13
Wolfe, M. T., & Patel, P. C. (2017) · Journal of Business Venturing Insights · doi:10.1016/j.jbvi.2017.07.002 · Cited by 13
Peer problems, bullying involvement, and affective decision‐making in adolescence
Flouri, E., & Papachristou, E. (2019) · British Journal of Developmental Psychology · doi:10.1111/bjdp.12287 · Cited by 13
Lees, T., Chalmers, T., Burton, D., Zilberg, E., Penzel, T., & Lal, S. (2023) · Behavioral Sciences · doi:10.3390/bs13100788 · Cited by 20
“Nonetheless, men and women have been shown to experience various states differently, such as stress [71] and, more importantly, fatigue and sleepiness [72,73].”
BackgroundGender Differences in Cannabis Addiction and Dependence
Davis, C. A., & Fattore, L. (2015) · Springer eBooks · doi:10.1007/978-1-4939-2294-9_12 · Cited by 12
Adjeroud, N., Yagüe, S., Yu-Taeger, L., Bozon, B., Leblanc-Veyrac, P., Rieß, O., Allain, P., Nguyen, H. P., Doyère, V., & Massioui, N. E. (2015) · Neurobiology of Learning and Memory · doi:10.1016/j.nlm.2015.10.003 · Cited by 12
Cortisol and moral decisions among young men: The moderating role of motivation toward closure
Kossowska, M., Czernatowicz‐Kukuczka, A., Szumowska, E., & Czarna, A. Z. (2016) · Personality and Individual Differences · doi:10.1016/j.paid.2016.06.017 · Cited by 12
Baugh, A. T., Gall, M. D., Silver, S., & Bee, M. A. (2021) · Hormones and Behavior · doi:10.1016/j.yhbeh.2021.104950 · Cited by 12
Metadata
- Authors
- van den Bos, R., Harteveld, M., & Stoop, H.
- Affiliations
- Utrecht University (NL)
- Venue
- Psychoneuroendocrinology
- Publisher
- Elsevier BV
- Published
- 2009-11
- Volume
- 34
- Issue
- 10
- Pages
- 1449-1458
- ISSN
- 0306-4530 (ISSN-L)
- OpenAlex
- W2107723514
- Cited by
- 369
- References
- 30
- Citations by year
- 2026: 6 · 2025: 10 · 2024: 20 · 2023: 37 · 2022: 13 · 2021: 23 · 2020: 21 · 2019: 22 · 2018: 18 · 2017: 23 · 2016: 41 · 2015: 31 · 2014: 31 · 2013: 23 · 2012: 24
- FWCI
- 6.25
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Psychoneuroendocrinology (publishedVersion)
- PubMed (publishedVersion)
- Utrecht University Repository (Utrecht University) (submittedVersion)
- Topics
- Life Sciences › Neuroscience › Behavioral Neuroscience › Stress Responses and Cortisol
- Life Sciences › Neuroscience › Cognitive Neuroscience › Neural and Behavioral Psychology Studies
- Life Sciences › Neuroscience › Cellular and Molecular Neuroscience › Neurotransmitter Receptor Influence on Behavior
- Keywords
- acute stress, cortisol response, decision-making, risk-taking, sex differences, Trier Social Stress Test, Iowa Gambling Task, salivary cortisol, reward sensitivity, sensation seeking
- MeSH terms
- Adolescent, Adult, Decision Making, Female, Humans, Hydrocortisone, Male, Psychomotor Performance, Risk-Taking, Saliva, Sex Characteristics, Stress, Psychological
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