“…Previous research indicates a chronic alcohol-induced, upregulated HPA axis system including corticotropinreleasing hormone (CRH) and noradrenergic signaling (Ajakaiye et al, 2011;Koob et al, 2004;Richardson, Lee, O'Dell, Koob, & Rivier, 2008;Sinha et al, 2009) in PLScircuit regions such as the amygdala with changes in related projections to the prefrontal cortex (Koob, 2009;Koob et al, 2004). Upregulation of these central stress pathways parallels changes in peripheral stress pathways as documented by higher basal adrenocorticotrophin (ACTH) and cortisol, blunted stress-induced ACTH and cortisol responses, and higher basal heart rate and lower heart rate variability in alcohol dependence (Adinoff, Iranmanesh, Veldhuis, & Fisher, 1998;Ingjaldsson, Laberg, & Thayer, 2003;Richardson et al, 2008;Shively et al, 2007;Sinha et al, 2009;Thayer, Hall, Sollers, & Fischer, 2006).…”