“…CRH then triggers the pituitary glands to release adrenocorticotropic hormone, which in turn triggers the adrenal glands to release cortisol (Frodl & O'Keane, 2013;Kemeny, 2003). As the end product of the HPA axis, cortisol directly reflects the stress level in both actual and perceived stress (Allen, Kennedy, Cryan, Dinan, & Clarke, 2014;Dedovic, Duchesne, Andrews, Engert, & Pruessner, 2009;Dickerson & Kemeny, 2004;Foley & Kirschbaum, 2010;Miller, Margolin, Shapiro, & Timmons, 2017).…”