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Neurophysiology, Clinical Applications and Technological Developments of Electrodermal Activity

Yıl 2025, Cilt: 47 Sayı: Beyin Farkındalığı 2025 Özel Sayısı, 87 - 95, 22.08.2025

Öz

Electrodermal activity (EDA) is a measurement method that reflects the electrical activity of eccrine sweat glands, which are controlled by the sympathetic nervous system. This review aims to comprehensively examine the neurophysiological foundations, clinical applications, and technological developments of EDA from the perspective of brain function and awareness. EDA consists of two main components — the skin conductance level and the skin conductance response — which provide objective information about an individual's emotional states and physiological arousal levels. EDA allows the non-invasive assessment of functional activities in critical brain structures such as the limbic system and prefrontal cortex. It is regulated by three main neural pathways: the limbic-hypothalamic pathway, the motor planning pathway, and the reticular formation-based pathway. In clinical applications, EDA is used as a reliable measurement method for evaluating neuropsychiatric conditions such as anxiety, depression, attention deficit hyperactivity disorder, post-traumatic stress disorder, and autism spectrum disorder. Recent advances in wearable technologies and signal processing algorithms have enhanced real-time EDA monitoring and improved its clinical accessibility. Furthermore, incorporating EDA technology into digital health systems offers the opportunity for continuous and non-invasive monitoring of physiological responses in personalized medicine applications. In conclusion, EDA emerges as a valuable tool for brain-based autonomic assessments and holds significant promise for future clinical applications.

Kaynakça

  • 1. Tran HT, Kong Y, Talati A, Posada-Quintero HF, Chon KH, Chen I. The use of electrodermal activity in pulpal diagnosis and dental pain assessment. Int Endod J. 2023;56(3):356-368.
  • 2. Critchley H, Nagai Y. Comment: what does left-right autonomic asymmetry signify? Emot Rev. 2012;4(2):163-168.
  • 3. Michael L, Paßmann S, Becker R. Electrodermal lability as an indicator for subjective sleepiness during total sleep deprivation. J Sleep Res. 2012;21(4):470-478.
  • 4. Tamura A, Iwamoto T, Ozaki H, Kimura M, Tsujimoto Y, Wada Y. Wrist-worn electrodermal activity as a novel neurophysiological biomarker of autonomic symptoms in spatial disorientation. Front Neurol. 2018;9:1056.
  • 5. Drachen A, Nacke LE, Yannakakis GN, Pedersen AL. Correlation between heart rate, electrodermal activity and player experience in first-person shooter games. Proceedings of the 5th International Conference on the Foundations of Digital Games. 2010:49-54.
  • 6. Boucsein W. Electrodermal activity. 2nd ed. New York: Springer; 2012.
  • 7. Boucsein W, Fowles D, Grimnes S, Ben-Shakhar G, Roth W, Dawson M, et al. Publication recommendations for electrodermal measurements. Psychophysiology. 2012;49(8):1017-1034.
  • 8. Peskin MF, Raine A, Gao Y, Venables PH, Mednick SA. A developmental increase in allostatic load from ages 3 to 11 years is associated with increased schizotypal personality at age 23 years. Dev Psychopathol. 2011;23(4):1059-1068. 9. Doberenz S, Roth WT, Wollburg E, Maslowski NI, Kim S. Methodological considerations in ambulatory skin conductance monitoring. Int J Psychophysiol. 2011;80(2):87-95.
  • 10. Dang R, Wang M, Li X, Wang H, Liu L, Wu Q, et al. Edaravone ameliorates depressive and anxiety-like behaviors via Sirt1/Nrf2/Ho-1/Gpx4 pathway. J Neuroinflammation. 2022;19(1):41.
  • 11. Belleau EL, Treadway MT, Pizzagalli DA. The impact of stress and major depressive disorder on hippocampal and medial prefrontal cortex morphology. Biol Psychiatry. 2019;85(5):443-453.
  • 12. Dawson ME, Schell AM, Filion DL. The electrodermal system. In: Berntson GG, Cacioppo JT, Tassinary LG, editors. Handbook of psychophysiology. 4th ed. Cambridge: Cambridge University Press; 2016. p. 217-243.
  • 13. Edelberg R. The effects of initial levels of sweat duct filling and skin hydration on electrodermal response amplitude. Psychophysiology. 1983;20(5):550-557.
  • 14. Boucsein W, Schaefer F, Kefel M, Busch P, Eisfeld W. Objective emotional assessment of tactile hair properties and their modulation by different product worlds. Int J Cosmet Sci. 2002;24(3):135-150.
  • 15. Esen F. Scientific basis of electrodermal activity. Acta Physiol (Oxf). 2023;240(Suppl):20.
  • 16. Kasos K, Kekecs Z, Csirmaz L, Zimonyi S, Vikor F, Kasos E, et al. Bilateral comparison of traditional and alternate electrodermal measurement sites. Psychophysiology. 2020;57(11):e13645.
  • 17. Payne H, Schell AM, Dawson ME. Lapses in skin conductance responding across anatomical sites: comparison of fingers, feet, forehead, and wrist. Psychophysiology. 2016;53(7):1984-1992.
  • 18. Esen F, Esen H. Hemispheric modulatory influence on skin resistance response latency: unilateral stimulation, bilateral recording. Int J Neurosci. 2002;112(12):1397-1406.
  • 19. Edwards M, Benoit J, Schondorf R. Electrodermal activity in patients with neurally mediated syncope. Clin Auton Res. 2004;14(4):228-232.
  • 20. Subramanian S, Barbieri R, Brown EN. Point process temporal structure characterizes electrodermal activity. Proc Natl Acad Sci U S A. 2020;117(42):26422-26428.
  • 21. Leiner D, Fahr A, Früh H. EDA positive change: a simple algorithm for electrodermal activity to measure general audience arousal during media exposure. Commun Methods Meas. 2012;6(4):237-250.
  • 22. Dolu N, Acer H, Kara AY. Investigation of dose-related effects of carnosine on anxiety with sympathetic skin response and T-maze. Acta Med (Hradec Kralove). 2014;57(3):112-118.
  • 23. Elmarzouki H, Aboussaleh Y, Bitiktas S, Suer C, Artis AS, Dolu N, et al. Effects of cold exposure on behavioral and electrophysiological parameters related with hippocampal function in rats. Front Cell Neurosci. 2014;8:253.
  • 24. Zhang Y, Qin F, Liu B, Xuan Q, Zhao Y, Zhang D. Wearable neurophysiological recordings in middle-school classroom correlate with students' academic performance. Front Hum Neurosci. 2018;12:457.
  • 25. Kushki A, Drumm E, Mobarak MP, Tanel N, Dupuis A, Chau T, et al. Investigating the autonomic nervous system response to anxiety in children with autism spectrum disorders. PLoS One. 2013;8(4):e59730.
  • 26. Czaplik M, Hübner C, Köny M, Kaliciak J, Kezze F, Leonhardt S, et al. Acute pain therapy in postanesthesia care unit directed by skin conductance: a randomized controlled trial. PLoS One. 2012;7(12):e50633.
  • 27. Liu X, Zhang Y. Re-examining cognitive load measures in real-world learning: evidence from both subjective and neurophysiological data. Br J Educ Psychol. 2024;95(2):446-463.
  • 28. Hickey BA, Chalmers T, Newton PJ, Lin C, Sibbritt D, McLachlan CS, et al. Smart devices and wearable technologies to detect and monitor mental health conditions and stress: a systematic review. Sensors (Basel). 2021;21(4):1143.
  • 29. Sarchiapone M, Gramaglia C, Iosue M, Carli V, Mandelli L, Serretti A, et al. The association between electrodermal activity (EDA), depression and suicidal behaviour: a systematic review and narrative synthesis. BMC Psychiatry. 2018;18(1):110.
  • 30. Alacreu-Crespo A, Sebti E, Moret RM, Courtet P. From social stress and isolation to autonomic nervous system dysregulation in suicidal behavior. Curr Psychiatry Rep. 2024;26(6):312-322.
  • 31. Goltermann J, Redlich R, Grotegerd D, Dohm K, Leehr EJ, Böhnlein J, et al. Childhood maltreatment and cognitive functioning: the role of depression, parental education, and polygenic predisposition. Neuropsychopharmacology. 2021;46(5):891-899.
  • 32. Rietz ED, James S, Banaschewski T, Brandeis D, Asherson P, Kuntsi J. Autonomic arousal profiles in adolescents and young adults with ADHD as a function of recording context. Psychiatry Res. 2019;275:212-220.
  • 33. O'Connell RG, Bellgrove MA, Dockree PM, Robertson IH. Reduced electrodermal response to errors predicts poor sustained attention performance in attention deficit hyperactivity disorder. Neuroreport. 2004;15(16):2535-2538.
  • 34. Kim HJ, Yang JW, Lee M. Changes of heart rate variability during methylphenidate treatment in attention-deficit hyperactivity disorder children: a 12-week prospective study. Yonsei Med J. 2015;56(5):1365-1371.
  • 35. Dolu N, Elalmiş DD, Keloğlan S. Examination of attention level in nurses working night shifts in terms of the relationship between electrodermal activity and sex hormones. Noro Psikiyatri Ars. 2013;50(3):197-201.
  • 36. Dolu N, Yüksek A, Sizer A, Alay M. Arousal and continuous attention during Ramadan intermittent fasting. J Basic Clin Physiol Pharmacol. 2007;18(4):315-322.
  • 37. Wong ASK, Burns S, Woodruff E. Examining the impact of social stressor stimuli in eliciting physiological reactivity in children and adolescents with autism spectrum disorder: a systematic review and meta-analysis protocol. BMJ Open. 2022;12(11):e063541.
  • 38. Ozkul Y, Taheri S, Bayram KK, Sener EF, Mehmetbeyoglu E, Öztop DB, et al. A heritable profile of six miRNAs in autistic patients and mouse models. Sci Rep. 2020;10(1):9011.
  • 39. Esen F, Çelebi G, Ertekin C, Çolakoğlu Z. Electrodermal activity in patients with Parkinson's disease. Clin Auton Res. 1997;7(1):35-40.
  • 40. Djumaeva N, Akhundjanova G, Djumaeva L, Urunova D. Medicament testing in the diagnosis of long COVID syndrome. OBM Integr Complement Med. 2024;9(1):010.
  • 41. AlSharif DS, Tucker CA, Coffman DL, Keshner EA. Electrodermal and postural responses in dizzy adults: diagnostic indicators of vestibular migraine. J Vestib Res. 2023;33(1):51-62.
  • 42. Posada-Quintero HF, Reljin N, Mills C, Mills IM, Florian JP, VanHeest JL, et al. Time-varying analysis of electrodermal activity during exercise. PLoS One. 2018;13(1):e0190480.
  • 43. Correia Goussain BG, Silva MB, Souza Andrade H de, Dale Luche JR. Electrodermal activity applied in education: an integrative literature review. J Eng Res. 2022;10(2):1-8.
  • 44. Jussila J, Venho N, Salonius H, Moilanen J, Liukkonen J, Rinnetmäki M. Towards ecosystem for research and development of electrodermal activity applications. In: Proceedings of the 22nd International Academic Mindtrek Conference. New York: Association for Computing Machinery; 2018. p. 79-87.
  • 45. Kappeler-Setz C, Gravenhorst F, Schumm J, Arnrich B, Tröster G. Towards long term monitoring of electrodermal activity in daily life. Pers Ubiquitous Comput. 2011;15(3):247-259.
  • 46. Critchley H, Corfield DR, Chandler MP, Mathias CJ, Dolan RJ. Cerebral correlates of autonomic cardiovascular arousal: a functional neuroimaging investigation in humans. J Physiol. 2000;523(1):259-270.

Elektrodermal Aktivitenin Nörofizyolojisi, Klinik Uygulamaları ve Teknolojik Gelişmeler

Yıl 2025, Cilt: 47 Sayı: Beyin Farkındalığı 2025 Özel Sayısı, 87 - 95, 22.08.2025

Öz

Elektrodermal aktivite (EDA), sempatik sinir sistemi tarafından kontrol edilen ekrin ter bezlerinin elektriksel aktivitesini yansıtan bir ölçüm yöntemidir. Bu inceleme, beyin fonksiyonu ve farkındalık açısından EDA'nın nörofizyolojik temellerini, klinik uygulamalarını ve teknolojik gelişmelerini kapsamlı bir şekilde incelemeyi amaçlamaktadır. EDA, bir bireyin duygusal durumları ve fizyolojik uyarılma düzeyleri hakkında objektif bilgi sağlayan iki ana bileşenden oluşur: deri iletkenlik düzeyi ve deri iletkenlik yanıtı. EDA, limbik sistem ve prefrontal korteks gibi kritik beyin yapıları içindeki fonksiyonel aktivitelerin invaziv olmayan değerlendirilmesine olanak tanıyarak, üç ana sinir yoluyla düzenlenir: limbik-hipotalamik yol, motor planlama yolu ve retiküler oluşuma dayalı yol. Klinik uygulamalarda EDA, anksiyete, depresyon, dikkat eksikliği hiperaktivite bozukluğu, travma sonrası stres bozukluğu ve otizm spektrum bozukluğu gibi nöropsikiyatrik durumları değerlendirmek için güvenilir bir ölçüm yöntemi olarak kullanılmaktadır. Giyilebilir teknolojilerin gelişimi ve gelişmiş sinyal işleme algoritmalarının entegrasyonu, EDA verilerinin gerçek zamanlı izlenmesini kolaylaştırmış ve klinik uygulamada erişilebilirliğini artırmıştır. Ayrıca, EDA teknolojisinin dijital sağlık sistemlerine entegre edilmesi, kişiselleştirilmiş tıp uygulamalarında fizyolojik tepkilerin sürekli ve invaziv olmayan bir şekilde izlenmesi fırsatı sunmaktadır. Sonuç olarak, EDA beyin temelli otonom değerlendirmeler için değerli bir araç olarak ortaya çıkıyor ve gelecekteki klinik uygulamalar için önemli umutlar taşıyor. A

Kaynakça

  • 1. Tran HT, Kong Y, Talati A, Posada-Quintero HF, Chon KH, Chen I. The use of electrodermal activity in pulpal diagnosis and dental pain assessment. Int Endod J. 2023;56(3):356-368.
  • 2. Critchley H, Nagai Y. Comment: what does left-right autonomic asymmetry signify? Emot Rev. 2012;4(2):163-168.
  • 3. Michael L, Paßmann S, Becker R. Electrodermal lability as an indicator for subjective sleepiness during total sleep deprivation. J Sleep Res. 2012;21(4):470-478.
  • 4. Tamura A, Iwamoto T, Ozaki H, Kimura M, Tsujimoto Y, Wada Y. Wrist-worn electrodermal activity as a novel neurophysiological biomarker of autonomic symptoms in spatial disorientation. Front Neurol. 2018;9:1056.
  • 5. Drachen A, Nacke LE, Yannakakis GN, Pedersen AL. Correlation between heart rate, electrodermal activity and player experience in first-person shooter games. Proceedings of the 5th International Conference on the Foundations of Digital Games. 2010:49-54.
  • 6. Boucsein W. Electrodermal activity. 2nd ed. New York: Springer; 2012.
  • 7. Boucsein W, Fowles D, Grimnes S, Ben-Shakhar G, Roth W, Dawson M, et al. Publication recommendations for electrodermal measurements. Psychophysiology. 2012;49(8):1017-1034.
  • 8. Peskin MF, Raine A, Gao Y, Venables PH, Mednick SA. A developmental increase in allostatic load from ages 3 to 11 years is associated with increased schizotypal personality at age 23 years. Dev Psychopathol. 2011;23(4):1059-1068. 9. Doberenz S, Roth WT, Wollburg E, Maslowski NI, Kim S. Methodological considerations in ambulatory skin conductance monitoring. Int J Psychophysiol. 2011;80(2):87-95.
  • 10. Dang R, Wang M, Li X, Wang H, Liu L, Wu Q, et al. Edaravone ameliorates depressive and anxiety-like behaviors via Sirt1/Nrf2/Ho-1/Gpx4 pathway. J Neuroinflammation. 2022;19(1):41.
  • 11. Belleau EL, Treadway MT, Pizzagalli DA. The impact of stress and major depressive disorder on hippocampal and medial prefrontal cortex morphology. Biol Psychiatry. 2019;85(5):443-453.
  • 12. Dawson ME, Schell AM, Filion DL. The electrodermal system. In: Berntson GG, Cacioppo JT, Tassinary LG, editors. Handbook of psychophysiology. 4th ed. Cambridge: Cambridge University Press; 2016. p. 217-243.
  • 13. Edelberg R. The effects of initial levels of sweat duct filling and skin hydration on electrodermal response amplitude. Psychophysiology. 1983;20(5):550-557.
  • 14. Boucsein W, Schaefer F, Kefel M, Busch P, Eisfeld W. Objective emotional assessment of tactile hair properties and their modulation by different product worlds. Int J Cosmet Sci. 2002;24(3):135-150.
  • 15. Esen F. Scientific basis of electrodermal activity. Acta Physiol (Oxf). 2023;240(Suppl):20.
  • 16. Kasos K, Kekecs Z, Csirmaz L, Zimonyi S, Vikor F, Kasos E, et al. Bilateral comparison of traditional and alternate electrodermal measurement sites. Psychophysiology. 2020;57(11):e13645.
  • 17. Payne H, Schell AM, Dawson ME. Lapses in skin conductance responding across anatomical sites: comparison of fingers, feet, forehead, and wrist. Psychophysiology. 2016;53(7):1984-1992.
  • 18. Esen F, Esen H. Hemispheric modulatory influence on skin resistance response latency: unilateral stimulation, bilateral recording. Int J Neurosci. 2002;112(12):1397-1406.
  • 19. Edwards M, Benoit J, Schondorf R. Electrodermal activity in patients with neurally mediated syncope. Clin Auton Res. 2004;14(4):228-232.
  • 20. Subramanian S, Barbieri R, Brown EN. Point process temporal structure characterizes electrodermal activity. Proc Natl Acad Sci U S A. 2020;117(42):26422-26428.
  • 21. Leiner D, Fahr A, Früh H. EDA positive change: a simple algorithm for electrodermal activity to measure general audience arousal during media exposure. Commun Methods Meas. 2012;6(4):237-250.
  • 22. Dolu N, Acer H, Kara AY. Investigation of dose-related effects of carnosine on anxiety with sympathetic skin response and T-maze. Acta Med (Hradec Kralove). 2014;57(3):112-118.
  • 23. Elmarzouki H, Aboussaleh Y, Bitiktas S, Suer C, Artis AS, Dolu N, et al. Effects of cold exposure on behavioral and electrophysiological parameters related with hippocampal function in rats. Front Cell Neurosci. 2014;8:253.
  • 24. Zhang Y, Qin F, Liu B, Xuan Q, Zhao Y, Zhang D. Wearable neurophysiological recordings in middle-school classroom correlate with students' academic performance. Front Hum Neurosci. 2018;12:457.
  • 25. Kushki A, Drumm E, Mobarak MP, Tanel N, Dupuis A, Chau T, et al. Investigating the autonomic nervous system response to anxiety in children with autism spectrum disorders. PLoS One. 2013;8(4):e59730.
  • 26. Czaplik M, Hübner C, Köny M, Kaliciak J, Kezze F, Leonhardt S, et al. Acute pain therapy in postanesthesia care unit directed by skin conductance: a randomized controlled trial. PLoS One. 2012;7(12):e50633.
  • 27. Liu X, Zhang Y. Re-examining cognitive load measures in real-world learning: evidence from both subjective and neurophysiological data. Br J Educ Psychol. 2024;95(2):446-463.
  • 28. Hickey BA, Chalmers T, Newton PJ, Lin C, Sibbritt D, McLachlan CS, et al. Smart devices and wearable technologies to detect and monitor mental health conditions and stress: a systematic review. Sensors (Basel). 2021;21(4):1143.
  • 29. Sarchiapone M, Gramaglia C, Iosue M, Carli V, Mandelli L, Serretti A, et al. The association between electrodermal activity (EDA), depression and suicidal behaviour: a systematic review and narrative synthesis. BMC Psychiatry. 2018;18(1):110.
  • 30. Alacreu-Crespo A, Sebti E, Moret RM, Courtet P. From social stress and isolation to autonomic nervous system dysregulation in suicidal behavior. Curr Psychiatry Rep. 2024;26(6):312-322.
  • 31. Goltermann J, Redlich R, Grotegerd D, Dohm K, Leehr EJ, Böhnlein J, et al. Childhood maltreatment and cognitive functioning: the role of depression, parental education, and polygenic predisposition. Neuropsychopharmacology. 2021;46(5):891-899.
  • 32. Rietz ED, James S, Banaschewski T, Brandeis D, Asherson P, Kuntsi J. Autonomic arousal profiles in adolescents and young adults with ADHD as a function of recording context. Psychiatry Res. 2019;275:212-220.
  • 33. O'Connell RG, Bellgrove MA, Dockree PM, Robertson IH. Reduced electrodermal response to errors predicts poor sustained attention performance in attention deficit hyperactivity disorder. Neuroreport. 2004;15(16):2535-2538.
  • 34. Kim HJ, Yang JW, Lee M. Changes of heart rate variability during methylphenidate treatment in attention-deficit hyperactivity disorder children: a 12-week prospective study. Yonsei Med J. 2015;56(5):1365-1371.
  • 35. Dolu N, Elalmiş DD, Keloğlan S. Examination of attention level in nurses working night shifts in terms of the relationship between electrodermal activity and sex hormones. Noro Psikiyatri Ars. 2013;50(3):197-201.
  • 36. Dolu N, Yüksek A, Sizer A, Alay M. Arousal and continuous attention during Ramadan intermittent fasting. J Basic Clin Physiol Pharmacol. 2007;18(4):315-322.
  • 37. Wong ASK, Burns S, Woodruff E. Examining the impact of social stressor stimuli in eliciting physiological reactivity in children and adolescents with autism spectrum disorder: a systematic review and meta-analysis protocol. BMJ Open. 2022;12(11):e063541.
  • 38. Ozkul Y, Taheri S, Bayram KK, Sener EF, Mehmetbeyoglu E, Öztop DB, et al. A heritable profile of six miRNAs in autistic patients and mouse models. Sci Rep. 2020;10(1):9011.
  • 39. Esen F, Çelebi G, Ertekin C, Çolakoğlu Z. Electrodermal activity in patients with Parkinson's disease. Clin Auton Res. 1997;7(1):35-40.
  • 40. Djumaeva N, Akhundjanova G, Djumaeva L, Urunova D. Medicament testing in the diagnosis of long COVID syndrome. OBM Integr Complement Med. 2024;9(1):010.
  • 41. AlSharif DS, Tucker CA, Coffman DL, Keshner EA. Electrodermal and postural responses in dizzy adults: diagnostic indicators of vestibular migraine. J Vestib Res. 2023;33(1):51-62.
  • 42. Posada-Quintero HF, Reljin N, Mills C, Mills IM, Florian JP, VanHeest JL, et al. Time-varying analysis of electrodermal activity during exercise. PLoS One. 2018;13(1):e0190480.
  • 43. Correia Goussain BG, Silva MB, Souza Andrade H de, Dale Luche JR. Electrodermal activity applied in education: an integrative literature review. J Eng Res. 2022;10(2):1-8.
  • 44. Jussila J, Venho N, Salonius H, Moilanen J, Liukkonen J, Rinnetmäki M. Towards ecosystem for research and development of electrodermal activity applications. In: Proceedings of the 22nd International Academic Mindtrek Conference. New York: Association for Computing Machinery; 2018. p. 79-87.
  • 45. Kappeler-Setz C, Gravenhorst F, Schumm J, Arnrich B, Tröster G. Towards long term monitoring of electrodermal activity in daily life. Pers Ubiquitous Comput. 2011;15(3):247-259.
  • 46. Critchley H, Corfield DR, Chandler MP, Mathias CJ, Dolan RJ. Cerebral correlates of autonomic cardiovascular arousal: a functional neuroimaging investigation in humans. J Physiol. 2000;523(1):259-270.
Toplam 45 adet kaynakça vardır.

Ayrıntılar

Birincil Dil Türkçe
Konular Koruyucu Sağlık Hizmetleri
Bölüm Derleme
Yazarlar

Gülbahar Böyük Özcan 0000-0002-3453-2967

Ali Yücel Kara 0000-0003-3119-8542

Nazan Dolu 0000-0002-3104-7587

Ferhan Esen 0000-0002-1633-2734

Gönderilme Tarihi 4 Ağustos 2025
Kabul Tarihi 18 Ağustos 2025
Yayımlanma Tarihi 22 Ağustos 2025
Yayımlandığı Sayı Yıl 2025 Cilt: 47 Sayı: Beyin Farkındalığı 2025 Özel Sayısı

Kaynak Göster

Vancouver Böyük Özcan G, Kara AY, Dolu N, Esen F. Elektrodermal Aktivitenin Nörofizyolojisi, Klinik Uygulamaları ve Teknolojik Gelişmeler. Osmangazi Tıp Dergisi. 2025;47(Beyin Farkındalığı 2025 Özel Sayısı):87-95.


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