Picard · Psychosomatic medicine 2018 · systematic review · n=23

Psychological Stress and Mitochondria: A Systematic Review.

Cited 350 times in the scientific literature.

Level 5 - mechanism / opinion, no new human data

Systematic review synthesizing preclinical animal experiments and observational human biomarker studies

PubMed 29389736 · doi:10.1097/PSY.0000000000000545 · record verified 2026-08-26

What was done

A systematic review was conducted examining experimentally controlled studies to evaluate the causal effects of acute and chronic psychological stress on mitochondrial structure and function.

What was found

Twenty-three experimental studies met inclusion criteria, all conducted in male laboratory animals. Nineteen studies reported significant adverse effects of stress on mitochondria (predominantly in the brain), and four showed increases in function or size. In humans, only six non-experimental observational studies were identified, most relying on indirect markers such as mitochondrial DNA copy number. No pooled effect sizes or specific numerical values were reported in the abstract.

Why it matters

This review synthesizes evidence demonstrating that psychological stress induces structural and functional mitochondrial recalibrations, proposing the concept of mitochondrial allostatic load to link psychosocial experiences with cellular bioenergetics.

Limits

Causal experimental evidence is entirely limited to male animal models, leaving sex differences unaddressed. Human evidence consists solely of a small number of observational studies using indirect biomarkers rather than direct functional measures.

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