University of Hertfordshire

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Original languageEnglish
Article number173
Number of pages1
Pages (from-to)114
Journal publication dateMay 2012
IssueSupp 3
Publication statusPublished - May 2012


The longitudinal relationship between somatic symptoms and psychological distress in rheumatoid arthritis (RA) is often assumed to be strong and bidirectional. However, despite previous research identifying strong cross-sectional associations, only weak longitudinal associations have been observed. This may be due to the
failure to differentiate the impact of symptoms relating to underlying disease progression on distress, from symptoms relating to disease flare. Using data from a prospective observational study, synchronous changes in distress and symptoms of pain and functional limitation over 5 years are assessed, differentiating between the impact of disease progression and disease-flare

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