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Biological markers and psychosocial factors predict chronic pain conditions

Bibliographic Data

ID4615140
AuthorsMatt Fillingim (0000-0002-4774-1565, McGill University Health Centre, corresponding author), Christophe Tanguay-Sabourin (0000-0003-0426-8322, McGill University), Marc Parisien (0000-0003-2924-5960, McGill University), Azin Zare (0000-0002-7476-9897, McGill University), Gianluca V Guglietti (0000-0003-3488-1558, McGill University), Jax Norman (0000-0002-3657-356X, McGill University), Bogdan Petre (0000-0002-8437-168X, Dartmouth College), Andrey Bortsov, Andrey V Bortsov (0000-0002-6838-5854, Duke University), Mark Ware (0000-0003-2859-7411), Mark A Ware (0000-0002-1286-1719, McGill University Health Centre), Jordi Pérez (0000-0003-2303-1339, McGill University Health Centre), Mathieu Roy (0000-0001-6405-6765, McGill University), Luda Diatchenko (0000-0002-1350-6727, McGill University), Etienne Vachon-Presseau (0000-0002-8681-3154, McGill University Health Centre, corresponding author)
Year2025
Volume9
Issue8
Pages1710-1725
Publication date2025-05-12
Peer ReviewedYes
Open AccessYes
TypeARTICLE
VenueNature Human Behaviour (JOURNAL)
Journal identifiersISSN: 2397-3374 • E-ISSN: 2397-3374
PublisherSpringer Science and Business Media LLC (PUBLISHER)
DOI10.1038/s41562-025-02156-y
PMID40355673
OpenAlexW4410309278
LanguageEN
References cited48

Chronic pain is a multifactorial condition presenting significant diagnostic and prognostic challenges. Biomarkers for the classification and the prediction of chronic pain are therefore critically needed. Here, in this multidataset study of over 523,000 participants, we applied machine learning to multidimensional biological data from the UK Biobank to identify biomarkers for 35 medical conditions associated with pain (for example, rheumatoid arthritis and gout) or self-reported chronic pain (for example, back pain and knee pain). Biomarkers derived from blood immunoassays, brain and bone imaging, and genetics were effective in predicting medical conditions associated with chronic pain (area under the curve (AUC) 0.62-0.87) but not self-reported pain (AUC 0.50-0.62). Notably, all biomarkers worked in synergy with psychosocial factors, accurately predicting both medical conditions (AUC 0.69-0.91) and self-reported pain (AUC 0.71-0.92). These findings underscore the necessity of adopting a holistic approach in the development of biomarkers to enhance their clinical utility

Biobank · Bioinformatics · Chronic pain · Physical therapy · Psychiatry · Psychosocial · Rheumatoid arthritis · Fibromyalgia and Chronic Fatigue Syndrome Research · Infrared Thermography in Medicine · Medicine · Musculoskeletal pain and rehabilitation · Internal Medicine

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  • The revised International Association for the Study of Pain definition of pain

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    Robert J Gatchel, Yuan Bo Peng et al.•Psychological Bulletin•2007

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