Chronic pain

Exposure

6 papers10 findings

  • 3 independent labs in 2 countries
  • Humans6

Outcomes

4

Aβ42

downin humans2

2 studies
  1. Chronic pain decreases Aβ42 in humans.

    “faster accumulation of Aβ pathology (CSF Aβ42 decline: b=‐.07, all p 's < .05).”

    Humansrelative to mild or none

    Association of Moderate‐to‐Severe Chronic Pain with Cognitive Decline and Alzheimer's Biomarkers in the Alzheimer's Disease Neuroimaging Initiative

    AAIC 2025 abstract25 Dec 2025

  2. Chronic pain decreases Aβ42 in humans (b=-.07, p < .05).

    “faster accumulation of Aβ pathology (CSF Aβ42 decline: b=‐.07, all p ’s < .05).”

    Humansrelative to mild or none

    Association of Moderate‐to‐Severe Chronic Pain with Cognitive Decline and Alzheimer’s Biomarkers in the Alzheimer’s Disease Neuroimaging Initiative

    AAIC 2025 abstract23 Dec 2025

More on Aβ42

Whole brain volume

downin humans2

2 studies
  1. Chronic pain decreases whole brain volume in humans.

    “Moderate‐to‐severe chronic pain relative to mild or none was associated with accelerated decline in global cognition (increase in CDR‐SB: b = .05), memory, executive function (b=‐.04), and whole brain volume (b=‐.02)”

    Humansrelative to mild or none

    Association of Moderate‐to‐Severe Chronic Pain with Cognitive Decline and Alzheimer's Biomarkers in the Alzheimer's Disease Neuroimaging Initiative

    AAIC 2025 abstract25 Dec 2025

  2. Chronic pain decreases whole brain volume in humans (b=-.02, p < .05).

    “whole brain volume (b=‐.02), and faster accumulation of Aβ pathology (CSF Aβ42 decline: b=‐.07, all p ’s < .05).”

    Humansrelative to mild or none

    Association of Moderate‐to‐Severe Chronic Pain with Cognitive Decline and Alzheimer’s Biomarkers in the Alzheimer’s Disease Neuroimaging Initiative

    AAIC 2025 abstract23 Dec 2025

More on Whole brain volume

Executive function

downin humans2

2 studies
  1. Chronic pain impairs executive function in humans.

    “Moderate‐to‐severe chronic pain relative to mild or none was associated with accelerated decline in global cognition (increase in CDR‐SB: b = .05), memory, executive function (b=‐.04)”

    Humansrelative to mild or none

    Association of Moderate‐to‐Severe Chronic Pain with Cognitive Decline and Alzheimer's Biomarkers in the Alzheimer's Disease Neuroimaging Initiative

    AAIC 2025 abstract25 Dec 2025

  2. Chronic pain impairs executive function in humans (b=-.04, p < .05).

    “Moderate‐to‐severe chronic pain relative to mild or none was associated with accelerated decline in global cognition (increase in CDR‐SB: b=.05), memory, executive function (b=‐.04)”

    Humansrelative to mild or none

    Association of Moderate‐to‐Severe Chronic Pain with Cognitive Decline and Alzheimer’s Biomarkers in the Alzheimer’s Disease Neuroimaging Initiative

    AAIC 2025 abstract23 Dec 2025

Cognitive function

downin humans1

1 study
  1. Chronic pain impairs cognitive function in humans (b = .05, p < .05).

    “Moderate‐to‐severe chronic pain relative to mild or none was associated with accelerated decline in global cognition (increase in CDR‐SB: b = .05)”

    Humansrelative to mild or none

    Association of Moderate‐to‐Severe Chronic Pain with Cognitive Decline and Alzheimer's Biomarkers in the Alzheimer's Disease Neuroimaging Initiative

    AAIC 2025 abstract25 Dec 2025

Associations

2

ADL disability

upin humans1OR 1.86–2.27

1 study
  1. Chronic pain predicts ADL disability in humans (OR = 2.27, 95% CI: 1.71–3.01).

    “baseline pain predicted higher risks of new-onset ADL disability in China (OR = 2.27, 1.71–3.01)”

    Humansself-reported CVD3-year

    Cross-National Pain And Functional Impairment In Older Adults With CVD: Insights From India, China, And Mexico

    GSA 2025 abstract31 Dec 2025

  2. Chronic pain is associated with ADL disability in humans (OR = 1.86, 95% CI: 1.70–2.04).

    “Adjusted models revealed significant associations between pain and ADL disability across all countries: India (OR = 1.86, 95% CI:1.70–2.04)”

    Humansself-reported CVD

    Cross-National Pain And Functional Impairment In Older Adults With CVD: Insights From India, China, And Mexico

    GSA 2025 abstract31 Dec 2025

Dementia

upin humans1OR 1.78

1 study
  1. Chronic pain raises the risk of dementia in humans (OR = 1.78, p < 0.05).

    “Furthermore, a longer pain duration (>24 months) was associated with a significantly increased risk of dementia compared to a shorter duration (3-24 months) (OR = 2.60, p < 0.05; OR = 1.78, p < 0.05).”

    Humanschronic pain duration 3-24 monthsn = 1,096

    A dual-pathway model of depression's mediation between chronic pain and dementia

    Experimental gerontology10 Feb 2026

More on Dementia

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