“…When mathematically expressed as cortisol divided by DHEA-S (rather than the obverse), CDR should show direct associations with stress, since stress increases levels of the numerator (cortisol) and decreases levels of the denominator (DHEA-S) (see Parker, Levin, & Lifrak, 1985). Previous investigations have demonstrated that CDR is directly associated with multiple diverse forms of stress, including surgical stress (Ozasa, Kita, Inoue, & Mori, 1990), bodily stress due to anorexia nervosa (Zumoff et al, 1983) or injury (Butcher, Killampalli, Lascelles, Wang, Alpar, & Lord, 2005), laboratory induced stress (Whetzel et al, 2006) or fear (Grillon, Pine, Baas, Lawley, Ellis, & Charney, 2005), and the stress of military school (Morgan et al, 2004), and can be significantly decreased by a cognitivebehavioral stress management intervention (Cruess et al, 1999).…”