“…Although salivary cortisol is one useful index that reflects the activation of the HPA system, there are some other salivary indices that reflect activation of the sympathetic nervous system. Several studies have shown increased chromogranin A (Miyakawa et al, 2006;Takatsuji et al, 2008), and salivary alpha-amylase (Kawada, Fukusaki, Ohtani, & Kobayashi, 2009;Wagner et al, 2010) under psychological stress. It is reported that the response of salivary amylase, which is considered to reflect the activation of the sympathetic nervous system, is faster and larger than that of salivary cortisol (Takai et al, 2004); thus indices like salivary amylase might conceivably be changed by an improvised speech without an audience.…”