Evidence map›Paper›PMID 40042512›Full record

ArticleAlzheimer's & dementia : the journal of the Alzheimer's Association2025

Chronic stress, social support, and Alzheimer's blood-based biomarkers in the HABS-HD study.

Jillian K Lee, Leigh Johnson, James R Hall, James R Bateman, Lisa L Barnes, Sid O'Bryant, Michelle M Mielke

Abstract read
In one paragraph

Article in Alzheimer's & dementia : the journal of the Alzheimer's Association, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers.

0numbers the graph read from it
0cells of the map it votes in
9citing 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

9 citing papers in PubMed.

  1. Chronic stress, social support, and domain-specific cognitive decline in HABS-HD.Alzheimer's & dementia : the journal of the Alzheimer's Association · 2026
    Article
  2. Article
  3. Substituting blood-based biomarkers for imaging measures in Alzheimer's disease studies: implications for sample size and bias.The journals of gerontology. Series A, Biological sciences and medical sciences · 2026
    Article
  4. Social determinants of brain structure and cognition.Social science & medicine (1982) · 2026
    Article
  5. Ancestry-specific effects ofmedRxiv : the preprint server for health sciences · 2026
    Article
  6. Article
  7. Review
  8. Article
  9. Chronic stress, social support, and Alzheimer's blood-based biomarkers in the HABS-HD study.Alzheimer's & dementia : the journal of the Alzheimer's Association · 2025
    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

7 authors.

Jillian K LeeDepartment of Epidemiology and Prevention, Wake Forest University School of Medicine, Winston-Salem, North Carolina, USA.
Leigh JohnsonInstitute for Translational Research, University of North Texas Health Science Center, Fort Worth, USA.
James R HallInstitute for Translational Research, University of North Texas Health Science Center, Fort Worth, USA.
James R BatemanDepartment of Neurology, Wake Forest Baptist Medical Center, Winston-Salem, North Carolina, USA.
Lisa L BarnesDepartment of Neurological Sciences and Rush Alzheimer's Disease Center, Rush University Medical Center, Chicago, Illinois, USA.
Sid O'BryantInstitute for Translational Research, University of North Texas Health Science Center, Fort Worth, USA.
Michelle M MielkeDepartment of Epidemiology and Prevention, Wake Forest University School of Medicine, Winston-Salem, North Carolina, USA.ORCID 0000-0001-7177-1185

Funding

The Health & Aging Brain Study - Health Disparities (HABS-HD)U19AG078109 · NIA · UNIVERSITY OF NORTH TEXAS HLTH SCI CTR · PI LEIGH A JOHNSON · 2022 to 2026
$181.1M
Health and Aging Brain among Latino Elders (HABLE-AT(N)) StudyR01AG058533 · NIA · UNIVERSITY OF NORTH TEXAS HLTH SCI CTR · PI JOHNSON, LEIGH A, O'BRYANT, SID E · 2020 to 2025
$45.4M
TR&D3: Intrinsic Surface MappingP41EB015922 · NIBIB · UNIVERSITY OF SOUTHERN CALIFORNIA · PI TOGA, ARTHUR W · 2012 to 2022
$14.1M
Health Disparities in Alzheimer's Disease and Mild Cognitive Impairment among Mexican AmericansR01AG054073 · NIA · UNIVERSITY OF NORTH TEXAS HLTH SCI CTR · PI O'BRYANT, SID E, TOGA, ARTHUR W · 2017 to 2021
$12.6M
Epigenetic Risk Factors for AD Age at Onset and Health Disparities: HABLE Epigenetics StudyR01AG070862 · NIA · UNIVERSITY OF NORTH TEXAS HLTH SCI CTR · PI BARBER, ROBERT CLINTON · 2021 to 2025
$3.4M
Neuroscience Training at Wake ForestT32NS115704 · NINDS · WAKE FOREST UNIVERSITY HEALTH SCIENCES · PI CZOTY, PAUL W. · 2021 to 2025
$1.4M
The Impact of Early and Later-life Stress on Later-life Cognition and Plasma Biomarkers of Alzheimer's Disease and Related DementiasF31AG087696 · NIA · WAKE FOREST UNIVERSITY HEALTH SCIENCES · PI LEE, JILLIAN · 2024 to 2025
$99k
NIA NIH HHS F31 AG087696NIA NIH HHS R01 AG054073NIA NIH HHS R01 AG058533NIA NIH HHS R01 AG070862NIA NIH HHS U19 AG078109NIA NIH HHS U19AG078109NIBIB NIH HHS P41 EB015922NIH HHS 5T32NS115704-02NIH HHS F31AG087696-01NINDS NIH HHS T32 NS115704
6 · The paper itself

Abstract

introductionHigh levels of chronic stress and low social support have been associated with worse cognition among older adults, but the underlying mechanisms remain unclear.

methodsWe included 2117 older adults (mean age 65.5 years) enrolled in the Health and Aging Brain Study - Health Disparities (HABS-HD). Linear regression models evaluated the associations between social support or chronic stress and Alzheimer's-related blood-based biomarkers (BBMs), including amyloid beta (Aβ) 42/40 ratio, neurofilament light chain (NfL), phosphorylated tau (p-tau)181, and total tau (t-tau). Interactions between chronic stress or social support and gender or race/ethnicity in relation to BBMs were assessed.

resultsHigher chronic stress was associated with higher levels of t-tau. Higher social support was associated with lower levels of NfL. Neither gender nor race/ethnicity modified the associations between chronic stress or social support and BBM levels. DISCUSSION: Chronic stress and social support are associated with BBMs of neurodegeneration. HIGHLIGHTS: Higher chronic stress was associated with higher levels of plasma total tau. Higher social support was associated with lower levels of plasma neurofilament light chain. Neither gender nor race/ethnicity modified the associations between chronic stress or social support and levels of blood-based biomarkers. Chronic stress and social support affect pathways related to neurodegeneration.

Indexed as

Alzheimer DiseaseBiomarkersSocial SupportStress, Psychologicaltau ProteinsAgedAmyloid beta-PeptidesFemaleHumansMaleMiddle AgedNeurofilament ProteinsAmyloid beta-PeptidesBiomarkersneurofilament protein LNeurofilament Proteinstau ProteinsAlzheimer's diseaseblood‐based biomarkerschronic stressepidemiologyethnicitygenderracesocial support

Identifiers

PMID40042512
PMCPMC11881613

What Socratic holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

Registered trials

None linked

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 Socratic graph.