Evidence map›Paper›PMID 40657909›Full record

ArticleJournal of the International Neuropsychological Society : JINS2025

History of chronic pain and opioid use is associated with cognitive decline and mild cognitive impairment.

Tyler R Bell, Jeremy A Elman, Daniel E Gustavson, Michael J Lyons, Christine Fennema-Notestine, McKenna E Williams, Matthew S Panizzon, Rahul C Pearce, Chandra A Reynolds, Mark Sanderson-Cimino and 4 more

Abstract readTwin Study
In one paragraph

Article in Journal of the International Neuropsychological Society : JINS, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

6 citing papers in PubMed.

  1. Trial
  2. Article
  3. Article
  4. Review
  5. Article
  6. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

14 authors.

Tyler R BellDepartment of Psychiatry, University of California, San Diego, La Jolla, CA, USA.ORCID https://orcid.org/0000-0001-5702-5995
Jeremy A ElmanDepartment of Psychiatry, University of California, San Diego, La Jolla, CA, USA.ORCID https://orcid.org/0000-0002-5840-1769
Daniel E GustavsonInstitute for Behavioral Genetics and Department of Psychology and Neuroscience, University of Colorado Boulder, Boulder, CA, USA.ORCID https://orcid.org/0000-0002-1470-4928
Michael J LyonsDepartment of Psychological and Brain Sciences, Boston University, Boston, MA, USA.ORCID https://orcid.org/0000-0001-6516-9219
Christine Fennema-NotestineDepartment of Psychiatry, University of California, San Diego, La Jolla, CA, USA.ORCID https://orcid.org/0000-0002-6527-6361
McKenna E WilliamsDepartment of Psychiatry, University of California, San Diego, La Jolla, CA, USA.
Matthew S PanizzonDepartment of Psychiatry, University of California, San Diego, La Jolla, CA, USA.ORCID https://orcid.org/0000-0002-6449-2097
Rahul C PearceDepartment of Psychiatry, University of California, San Diego, La Jolla, CA, USA.
Chandra A ReynoldsInstitute for Behavioral Genetics and Department of Psychology and Neuroscience, University of Colorado Boulder, Boulder, CA, USA.ORCID https://orcid.org/0000-0001-6502-7173
Mark Sanderson-CiminoMemory and Aging Center, Weill Institute for Neurosciences, San Francisco, CA, USA.ORCID https://orcid.org/0000-0002-5872-3186
Rosemary ToomeyDepartment of Psychological and Brain Sciences, Boston University, Boston, MA, USA.
Amy JakDepartment of Psychiatry, University of California, San Diego, La Jolla, CA, USA.
Carol E FranzDepartment of Psychiatry, University of California, San Diego, La Jolla, CA, USA.ORCID https://orcid.org/0000-0002-8987-1755
William S KremenDepartment of Psychiatry, University of California, San Diego, La Jolla, CA, USA.ORCID https://orcid.org/0000-0002-8629-5609

Funding

The VETSA Longitudinal Twin Study of Cognition and Aging (VETSA 4)R01AG050595 · NIA · UNIVERSITY OF CALIFORNIA, SAN DIEGO · PI ELMAN, JEREMY A, FRANZ, CAROL ELAINE · 2015 to 2024
$28.0M
The VETSA Longitudinal MRI Twin Study of AgingR01AG022381 · NIA · UNIVERSITY OF CALIFORNIA, SAN DIEGO · PI KREMEN, WILLIAM S. · 2003 to 2019
$22.3M
Urban Air Pollution and Pathological Brain Aging: A Nationwide Twin Study in MenP01AG055367 · NIA · UNIVERSITY OF SOUTHERN CALIFORNIA · PI MACK, WILLIAM J · 2018 to 2022
$11.5M
The VETSA Longitudinal MRI Twin Study of Aging (VETSA MRI 4)R01AG076838 · NIA · UNIVERSITY OF CALIFORNIA, SAN DIEGO · PI ANDERS M DALE, Jeremy A Elman · 2022 to 2026
$8.7M
Fellowship on Biological Psychiatry and NeuroscienceT32MH018399 · NIMH · UNIVERSITY OF CALIFORNIA, SAN DIEGO · PI Pei-an (Betty) Shih · 1986 to 2026
$7.3M
Genetic Predictors, Transcriptomic Biomarkers, & Neurobiological Signatures of Resilience to Alzheimer's DiseaseR01AG064955 · NIA · UPSTATE MEDICAL UNIVERSITY · PI FENNEMA-NOTESTINE, CHRISTINE, GLATT, STEPHEN J · 2019 to 2023
$3.8M
Linking genetic subtypes of Alzheimer's disease to biological and cognitive heterogeneityK01AG063805 · NIA · UNIVERSITY OF CALIFORNIA, SAN DIEGO · PI ELMAN, JEREMY A · 2021 to 2024
$516k
Chronic Pain and Risk of Alzheimer's-Related NeurodegenerationK01AG081559 · NIA · UNIVERSITY OF CALIFORNIA, SAN DIEGO · PI Tyler Reed Bell · 2023 to 2026
$505k
NIA NIH HHS K01 AG063805NIA NIH HHS K01 AG081559NIA NIH HHS P01 AG055367NIA NIH HHS R01 AG022381NIA NIH HHS R01 AG050595NIA NIH HHS R01 AG064955NIA NIH HHS R01 AG076838NIMH NIH HHS T32 MH018399
6 · The paper itself

Abstract

backgroundThe impact of chronic pain and opioid use on cognitive decline and mild cognitive impairment (MCI) is unclear. We investigated these associations in early older adulthood, considering different definitions of chronic pain.

methodsMen in the Vietnam Era Twin Study of Aging (VETSA;

resultsModerate-to-severe, but not mild, chronic pain intensity ( DISCUSSION: Moderate-to-severe chronic pain intensity and interference related to executive function decline and greater risk of non-amnestic MCI; while opioid use related to verbal fluency decline and greater risk of amnestic MCI. Lowering chronic pain severity while reducing opioid exposure may help clinicians mitigate later cognitive decline and dementia risk.

Indexed as

Analgesics, OpioidChronic PainCognitive DysfunctionExecutive FunctionAgedHumansMaleMiddle AgedAnalgesics, OpioidChronic paincognitive declineexecutive functionmemorymild cognitive impairmentpain interference

Identifiers

PMID40657909
PMCPMC12404075

What OpenQuestion holds

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.