Clinical Psychology and Special Education
2026. Vol. 15, no. 1, 7–19
doi:10.17759/cpse.2026150101
ISSN: 2304-0394 (online)
The impact of urban stress factors on mental health: a review of foreign studies
Abstract
Context and relevance. The problem of the impact of urban stress factors on mental health is becoming increasingly relevant in the context of urbanization. Living in cities is accompanied by increased psychophysiological stress, which leads to an increase in the prevalence of mental disorders among urban residents. Objective. The purpose of the article is to review foreign studies studying the influence of stress factors of the urban environment on the formation of mental disorders such as anxiety and depressive disorders, psychotic disorders and schizophrenia. Results. The paper analyzes research on the following parameters: the types of stress factors in the urban environment and the mechanisms of their influence on the formation of mental disorders. The symptoms of stress associated with life in the city are considered, as well as statistics on the prevalence of mental disorders among urban residents. The review identified stress symptoms associated with living in a big city, including social isolation, increased anxiety, restlessness, emotional stress, and sleep disorders. The main mechanisms of the influence of urban stress on the functioning of the brain, endocrine, nervous and immune systems, as well as from the point of view of epigenetic influence are presented. The results of research on the prevalence of mental illness among urban residents are presented.
General Information
Keywords: mental health, urban stress, stress factors, depression, anxiety disorders, schizophrenia
Journal rubric: Theoretical Research
Article type: scientific article
DOI: https://doi.org/10.17759/cpse.2026150101
Received 23.04.2025
Revised 17.11.2025
Accepted
Published
For citation: Kiyanenko, I.K. (2026). The impact of urban stress factors on mental health: a review of foreign studies. Clinical Psychology and Special Education, 15(1), 7–19. (In Russ.). https://doi.org/10.17759/cpse.2026150101
© Kiyanenko I.K., 2026
License: CC BY-NC 4.0
References
- Резниченко, С.И. (2014). Привязанность к месту и чувство места: модели и феномены. Социальная психология и общество, 5(3), 15—27. URL: https://psyjournals.ru/journals/sps/archive/2014_n3/70676 (дата обращения: 04.12.2025)
Reznichenko, S.I. (2014). Attachment to place and sense of place: Models and phenomena. Social Psychology and Society, 5(3), 15—27. (In Russ.). URL: https://psyjournals.ru/journals/sps/archive/2014_n3/70676 (viewed: 04.12.2025) - Резниченко, С.И. (2017). Варианты старения в зависимости от способа жизнеустройства: опыт зарубежных исследований. Клиническая и специальная психология, 6(3), 1—22. https://doi.org/10.17759/cpse.2017060301
Reznichenko, S.I. (2017). Types of aging depending on the mode of life: Foreign experience. Clinical Psychology and Special Education, 6(3), 1—22. (In Russ.). https://doi.org/10.17759/cpse.2017060301 - Alotiby, A. (2024). Immunology of stress: A review article. Journal of Clinical Medicine, 13(21), art. 6394. https://doi.org/10.3390/jcm13216394
- Bhugra, D., Becker, M.A. (2005). Migration, cultural bereavement and cultural identity. World Psychiatry, 4(1), 18—24.
- Collins, P.Y., Sinha, M., Concepcion, T., Patton, G., Way, T., McCay, L., Mensa-Kwao, A., Herrman, H., de Leeuw, E., Anand, N., Atwoli, L., Bardikoff, N., Booysen, C., Bustamante, I., Chen, Y., Davis, K., Dua, T., Foote, N., Hughsam, M., Juma, D., … Zeitz, L. (2024). Making cities mental health friendly for adolescents and young adults. Nature, 627, 137—148. https://doi.org/10.1038/s41586-023-07005-4
- Costa e Silva, J.A., Steffen, R.E. (2019). Urban environment and psychiatric disorders: A review of the neuroscience and biology. Metabolism, 100S, art. 153940. https://doi.org/10.1016/j.metabol.2019.07.004
- Effenberger, P.S., Send, T.S., Gilles, M., Wolf, I.A.C., Frank, J., Bongard, S., Kumsta, R., Witt, S.H., Rietschel, M., Deuschle, M., Streit, F. (2022). Urbanicity, behavior problems and HPA axis regulation in preschoolers. Psychoneuroendocrinology, 137, art. 105660. https://doi.org/10.1016/j.psyneuen.2022.105660
- Evans, B.E., Huizink, A.C., Greaves-Lord, K., Tulen, J.H.M., Roelofs, K., van der Ende, J. (2020). Urbanicity, biological stress system functioning and mental health in adolescents. PLoS One, 15(3), art. e0228659. https://doi.org/10.1371/journal.pone.0228659
- Faris, R., Dunham, H. (1939). Mental Disorders in Urban Areas. Chicago, IL: University of Chicago Press.
- Frick, U., Frick, H., Langguth, B., Landgrebe, M., Hübner-Liebermann, B., Hajak, G. (2013). The revolving door phenomenon revisited: time to readmission in 17,145 patients with 37,697 hospitalisations at a German psychiatric hospital. PLoS One, 8, art. e75612.
- Giggs, J.A. (1973). Distribution of schizophrenics in Nottingham. Transactions of the Institute of British Geographers, 59, 5—76.
- Giggs, J.A. (1986). Mental disorders and ecological structure in Nottingham. Social Science & Medicine, 23(10), 945—961. https://doi.org/10.1016/0277-9536(86)90252-2
- Giggs, J.A., Cooper, J.E. (1987). Ecological structure and the distribution of schizophrenia and affective psychoses in Nottingham. British Journal of Psychiatry, 151, 627—633. https://doi.org/10.1192/bjp.151.5.627
- Gruebner, O., Rapp, M.A., Adli, M., Kluge, U., Galea, S., Heinz, A. (2017). Cities and mental health. Deutsches Ärzteblatt International, 114(8), 121—127. https://doi.org/10.3238/arztebl.2017.0121
- Haslam, S.A., Fong, P., Haslam, C., Cruwys, T. (2024). Connecting to community: A social identity approach to neighborhood mental health. Personality and Social Psychology Review, 28(3), 251—275. https://doi.org/10.1177/10888683231216136
- Heinz, A., Deserno, L., Reininghaus, U. (2013). Urbanicity, social adversity and psychosis. World Psychiatry, 12(3), 187—197. https://doi.org/10.1002/wps.20056
- Hirotsu, C., Tufik, S., Andersen, M.L. (2015). Interactions between sleep, stress, and metabolism: From physiological to pathological conditions. Sleep Science, 8(3), 143—152. https://doi.org/10.1016/j.slsci.2015.09.002
- Jacobi, F., Höfler, M., Siegert, J., et al. (2014). Twelve-month prevalence, comorbidity and correlates of mental disorders in Germany: The mental health module of the German Health Interview and Examination Survey for Adults (DEGS1-MH). International Journal of Methods in Psychiatric Research, 23, 304—319.
- Krabbendam, L., van Os, J. (2005). Schizophrenia and urbanicity: A major environmental influence—conditional on genetic risk. Schizophrenia Bulletin, 31(4), 795—799. https://doi.org/10.1093/schbul/sbi060
- Litman, T. (2016). Urban Sanity: Understanding Urban Mental Health Impacts and How to Create Saner, Happier Cities. Victoria, Canada: Victoria Transport Policy Institute.
- Long, J., Huang, G., Liang, W., Liang, B., Chen, Q., Xie, J., Jiang, J., Su, L. (2014). The prevalence of schizophrenia in mainland China: evidence from epidemiological surveys. Acta Psychiatrica Scandinavica, 130, 244—256. https://doi.org/10.1111/acps.12296
- March, D., Hatch, S.L., Morgan, C., Kirkbride, J.B., Bresnahan, M., Fearon, P., Susser, E. (2008). Psychosis and place. Epidemiology Review, 30, 84—100. https://doi.org/10.1093/epirev/mxn006
- Maylaih, E., Weyerer, S., Hafner, H. (1980). Spatial concentration of the incidence of treated psychiatric disorders in Mannheim. Acta Psychiatrica Scandinavica, 80, 650—656. https://doi.org/10.1111/j.1600-0447.1989.tb03039.x
- Mikulska, J., Juszczyk, G., Gawrońska-Grzywacz, M., Herbet, M. (2021). HPA axis in the pathomechanism of depression and schizophrenia: New therapeutic strategies based on its participation. Brain Sciences, 11(10), 1298. https://doi.org/10.3390/brainsci11101298
- Montanari, A., Wang, L., Birenboim, A., Chaix, B. (2024). Urban environment influences on stress, autonomic reactivity and circadian rhythm: protocol for an ambulatory study of mental health and sleep. Frontiers in Public Health, 12, 1175109. https://doi.org/10.3389/fpubh.2024.1175109
- Mrug, S., Tyson, A., Turan, B., Granger, D.A. (2016). Sleep problems predict cortisol reactivity to stress in urban adolescents. Physiology & Behavior, 155, 95—101. https://doi.org/10.1016/j.physbeh.2015.12.003
- Nord-Baade, S., Ness, O., Rowe, M., Jensen, C.B., Landheim, A. (2025). “I've always felt like I'm on the outside”: identity and social inclusion among young adults with mental illness and complex needs — a qualitative study. International Journal of Qualitative Studies on Health and Well-being, 20(1), art. 2433320. https://doi.org/10.1080/17482631.2024.2433320
- Ochnik, D., Buława, B., Nagel, P., Gachowski, M., Budziński, M. (2024). Urbanization, loneliness and mental health model — A cross-sectional network analysis with a representative sample. Scientific Reports, 14(1), 24974. https://doi.org/10.1038/s41598-024-76813-z
- Peen, J., Schoevers, R.A., Beekman, A.T., Dekker, J. (2009). The current status of urban–rural differences in psychiatric disorders. Acta Psychiatrica Scandinavica, 121(2), 84—93. https://doi.org/10.1111/j.1600-0447.2009.01438.x
- Prina, A.M., Ferri, C.P., Guerra, M., Brayne, C., Prince, M. (2011). Prevalence of anxiety and its correlates among older adults in Latin America, India and China: cross-cultural study. British Journal of Psychiatry, 199(6), 485—491. https://doi.org/10.1192/bjp.bp.110.083915
- Pykett, J., Chrisinger, B., Kyriakou, K., Osborne, T., Resch, B., Stathi, A., Toth, E., Whittaker, A.C. (2020). Developing a Citizen Social Science approach to understand urban stress and promote wellbeing in urban communities. Humanities and Social Sciences Communications, Palgrave Communications, 6(1), 1—11. https://doi.org/10.1057/s41599-020-0460-1
- Rapp, M.A., Kluge, U., Penka, S., Vardar, A., Aichberger, M.C., Mundt, A.P., Schouler-Ocak, M., Mosko, M., Butler, J., Meyer-Lindenberg, A., Heinz, A. (2015). When local poverty is more important than your income: mental health in minorities in inner cities. World Psychiatry, 14, 249—250.
- Sadeghpoor, F., Ranjbar, E., Esmaeilinasab, M., Valiloo, M.H.S., Nieuwenhuijsen, M.J. (2024). Streets and stress: A pilot study on how quality and design of streets impacts on urban stress. Health Environments Research and Design, 17(1), 224—248. https://doi.org/10.1177/19375867231200584
- Sharifi, V., Amin-Esmaeili, M., Hajebi, A., Motevalian A, Radgoodarzi R, Hefazi M, Rahimi-Movaghar A. (2015). Twelve-month prevalence and correlates of psychiatric disorders in Iran: The Iranian Mental Health Survey 2011. Archives of Iranian Medicine, 18(2), 76—84.
- Slavich, G.M., Irwin, M.R. (2014). From stress to inflammation and major depressive disorder: A social signal transduction theory of depression. Psychological Bulletin, 140(3), 774—815. https://doi.org/10.1037/a0035302
- Steinheuser, V., Ackermann, K., Schönfeld, P., Schwabe, L. (2014). Stress and the city: impact of urban upbringing on the (re)activity of the hypothalamus-pituitary-adrenal axis. Psychosomatic Medicine, 76(9), 678—685. https://doi.org/10.1097/PSY.0000000000000113
- Stier, A.J., Schertz, K.E., Rim, N.W., Cardenas-Iniguez, C., Lahey, B.B., Bettencourt, L.M.A., Berman, M.G. (2021). Evidence and theory for lower rates of depression in larger US urban areas. Proceedings of the National Academy of Sciences, 118(31), art. e2022472118. https://doi.org/10.1073/pnas.2022472118
- United Nations, Department of Economic and Social Affairs, Population Division (2019). World Urbanization Prospects: The 2018 Revision (ST/ESA/SER.A/420). New York: United Nations.
- Ventriglio, A., Bellomo, A., Di Gioia, I., Di Sabatino, D., Favale, D., De Berardis, D., Cianconi, P. (2021). Environmental pollution and mental health: A narrative review of literature. CNS Spectrums, 26(1), 51—61. https://doi.org/1017/S1092852920001303
- Xu, J., Liu, N., Polemiti, E., Garcia-Mondragon, L., Tang, J., Liu, X., Lett, T., Yu, L., Nöthen, M.M., Feng, J., Yu, C., Marquand, A., Schumann, G., the environMENTAL Consortium (2023). Effects of urban living environments on mental health in adults. Nature Medicine, 29(6), 1456—1467. https://doi.org/10.1038/s41591-023-02365-w
Information About the Authors
Conflict of interest
The author declares no conflict of interest.
Metrics
Web Views
Whole time: 6
Previous month: 0
Current month: 6
PDF Downloads
Whole time: 1
Previous month: 0
Current month: 1
Total
Whole time: 7
Previous month: 0
Current month: 7