“…Thus, previous studies indicate the cold pressor has the attributes of a psychological stressor (eg aversiveness and productive of anticipatory responses), and that these tend to increase HPA activity (al'Absi and Petersen, 2003;Bullinger et al, 1984;Ehrenreich et al, 1997;Gregg et al, 1999), whereas its systemic effects (eg cold, hypertension) tend to decrease activity (Edelson and Robertson, 1986;Kendler et al, 1978;Wittert et al, 1992). Group responses to a systemic stimulus (Hennig et al, 2000;Jacob et al, 1998), which produced an equivalent HPA and perhaps greater AVP response (compare Figure 2 and Supplementary Figure 2), were similar. We must acknowledge, however, that although the effects of the systemic stimulus in normals is attributable to its systemic actions, we cannot exclude the possibility that psychological factors contribute to its actions in persons with schizophrenia.…”