Newswise — August 30, 2019Adolescents exposed to higher levels of fine-particle air pollutants have heightened autonomic nervous system reactions to social stress, reports a study in Psychosomatic Medicine: Journal of Biobehavioral Medicine,theofficial journal of the American Psychosomatic SocietyThe journal is published in the Lippincott Portfolioby Wolters Kluwer.

Teens with anxiety and depression appear to be particularly vulnerable to the effects of air pollution on physiological reactions to stress, according to the new research by Jonas G. Miller, PhD, of Stanford University and colleagues. They write, "These findings contribute to a growing literature suggesting that physical pollutants play a significant role in psychosocial functioning." 

Psychological Factors May Affect Physiological Reactions to Pollutants

The experimental study included 144 California adolescents of diverse race/ethnicity and socioeconomic backgrounds. They performed a test designed to elicit heightened levels of stress: being evaluated while giving a five-minute speech and performing a math test. Bodily responses to social stress were measured, including heart rate variability and skin conductance level.

Air pollution monitoring data were used to assess levels of fine-particle air pollutants (PM2.5) in the neighborhoods where the teens lived. Exposure to PM2.5has been linked to increased autonomic imbalance, negative emotional states, and possible short- and long-term health risks.

The investigators found that the social stress test produced increased reactivity of the autonomic nervous system – characteristic of the so-called "fight or flight" response to stress. The increase in autonomic reactivity was greater for teens living in neighborhoods with high levels of PM2.5. Socioeconomic factors did not explain the association between air pollution and autonomic responses to stress.

However, the degree to which PM2.5 and stress reactivity wererelated depended on the adolescents’ mental health symptoms. Teens who reported higher levels of anxiety and depression symptoms showed the strongest association between PM2.5and autonomic reactivity to social stress. "In fact, there was not a significant association between PM2.5 and autonomic reactivity in adolescents who reported the least severe anxiety and depression symptoms," Dr. Miller and colleagues note.

The study adds to a growing body of research suggesting that psychological factors influence vulnerability to the negative health effects of environmental pollution. The association might be especially relevant in adolescence, which is already a time of high sensitivity to social stress and evaluation. Pollution-related increases in stress reactivity might play a role in the development of mental and physical health problems.

The links between PM2.5, autonomic reactivity to stress, and mental health symptoms may have important policy and clinical implications, Dr. Miller and colleagues believe. They write, "Limiting exposure to PM2.5might help reduce adolescent reactivity to social stress and evaluation, which appears to be particularly helpful for youth who are experiencing symptoms of anxiety and depression."

Click here to read "Fine Particle Air Pollution and Physiological Reactivity to Social Stressin Adolescence"

DOI: 10.1097/PSY.0000000000000714



About Psychosomatic Medicine

Psychosomatic Medicine: Journal of Biobehavioral Medicinefounded in 1939, is the official peer-reviewed journal of the American Psychosomatic Society. It publishes experimental and clinical studies dealing with various aspects of the relationships among social, psychological, and behavioral factors and bodily processes in humans and animals. Psychosomatic Medicine: Journal of Biobehavioral Medicine is an international, interdisciplinary journal devoted to experimental and clinical investigation in behavioral biology, psychiatry, psychology, physiology, anthropology, and clinical medicine. The print journal is published nine times a year; most articles are published online ahead of print.

About the American Psychosomatic Society

The mission of the American Psychosomatic Society is to promote and advance the scientific understanding and multidisciplinary integration of biological, psychological, behavioral and social factors in human health and disease, and to foster the dissemination and application of this understanding in education and health care. 

The American Psychosomatic Society is a worldwide community of scholars and clinicians dedicated to the scientific understanding of the interaction of mind, brain, body and social context in promoting health. The organization is devoted to biopsychosocial research and integrated clinical care, and to providing a forum via its website, Annual Meeting andjournal, Psychosomatic Medicine, for sharing this research. Its members are from around the world, including specialists from all medical and health-related disciplines, the behavioral sciences, and the social sciences.

About Wolters Kluwer

Wolters Kluwer is a global leader in professional information, software solutions, and services for the health, tax & accounting, finance, risk & compliance, and legal sectors. We help our customers make critical decisions every day by providing expert solutions that combine deep domain knowledge with specialized technology and services. 

Wolters Kluwer reported 2018 annual revenues of €4.3 billion. The group serves customers in over 180 countries, maintains operations in over 40 countries, and employs approximately 18,600 people worldwide. The company is headquartered in Alphen aanden Rijn, the Netherlands.

Wolters Kluwer provides trusted clinical technology and evidence-based solutions that engage clinicians, patients, researchers and students with advanced clinical decision support, learning and research and clinical intelligence. For more information about our solutions, visit and follow us on LinkedIn and Twitter @WKHealth.

For more information, visit, follow us on TwitterFacebookLinkedIn, and YouTube.

Register for reporter access to contact details

Psychosomatic Medicine