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Fine Particle Air Pollution and Physiological Reactivity to Social Stress in Adolescence

The Moderating Role of Anxiety and Depression

Miller, Jonas G. PhD; Gillette, Julia S.; Manczak, Erika M. PhD; Kircanski, Katharina PhD; Gotlib, Ian H. PhD

doi: 10.1097/PSY.0000000000000714

Objective Exposure to high levels of fine particle air pollution (PM2.5) is associated with adolescent pathophysiology. It is unclear, however, if PM2.5 is associated with physiology within psychosocial contexts, such as social stress, and whether some adolescents are particularly vulnerable to PM2.5-related adverse effects. This study examined the association between PM2.5 and autonomic reactivity to social stress in adolescents and tested whether symptoms of anxiety and depression moderated this association.

Methods Adolescents from Northern California (N = 144) participated in a modified Trier Social Stress Test while providing high-frequency heart rate variability and skin conductance level data. PM2.5 data were recorded from CalEnviroScreen. Adolescents reported on their own symptoms of anxiety and depression using the Youth Self-Report, which has been used in prior studies and has good psychometric properties (Cronbach’s α in this sample was .86).

Results Adolescents residing in neighborhoods characterized by higher concentrations of PM2.5 demonstrated greater autonomic reactivity (i.e., indexed by lower heart rate variability and higher skin conductance level) (β = .27; b = .44, p = .001, 95% CI = 0.19 to 0.68) in response to social stress; this association was not accounted for by socioeconomic factors. In addition, adolescents who reported more severe anxiety and depression symptoms showed the strongest association between PM2.5 and autonomic reactivity to social stress= .53; b = .86, p < .001, 95% CI = 0.48 to 1.23).

Conclusions Exposure to PM2.5 may heighten adolescent physiological reactivity to social stressors. Moreover, adolescents who experience anxiety and depression may be particularly vulnerable to the adverse effects of PM2.5 on stress reactivity.

From the Department of Psychiatry and Behavioral Sciences (Miller), School of Medicine, and Department of Psychology (Gillett, Gotlib), Stanford University, California; Department of Psychology (Manczak), University of Denver, Colorado; and Emotion and Development Branch, National Institute of Mental Health (Kircanski), Bethesda, Maryland.

Address correspondence to Jonas G. Miller, PhD, Department of Psychiatry and Behavioral Sciences, Stanford University, 401 Quarry Rd, Stanford, CA 94305. E-mail:

Received for publication October 26, 2018; revision received May 21, 2019.

Copyright © 2019 by American Psychosomatic Society
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