Facing the challenge of rheumatoid arthritis.

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1 Facing the challenge of rheumatoid arthritis. A 13-year prospective study among patients and cross-sectional study among their partners. Mathilde Strating

2 Funding: The research reported in this thesis was partly supported by the "Dutch Arthritis Association" and the Ministry of Public Health, Welfare and Sports (formerly called Ministry of Welfare, Health and Cultural Affairs). Strating, M.M.H. Facing the challenge of rheumatoid arthritis. A 13-year prospective study among patients and cross-sectional study among their partners. Dissertation University of Groningen, The Netherlands With ref. - With summary in Dutch ISBN Copyright M.M.H. Strating, 2006 All rights reserved. No part of this publication may be reproduced, stored in a retrieval system, or transmitted, in any form or by any means, electronically, mechanically, by photocopying, recording, or otherwise, without the prior written permission of the author. Drawing cover: Printed by: Hilda Strating Grafimedia, Groningen

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7 Contents Chapter 1 General introduction 1 Chapter 2 Predictors of attrition 25 Chapter 3 Long-term course and outcomes in recent onset rheumatoid arthritis: 55 results from a 13-year prospective study. Chapter 4 Disability, social support and distress in rheumatoid arthritis: 79 results from a 13-year prospective study. In press: Arthritis Care and Research Chapter 5 Predictors of functional disability in rheumatoid arthritis: 99 results from a 13-year prospective study. Chapter 6 Contribution of partner support in self-management of rheumatoid 121 arthritis patients. An application of the Theory of Planned Behavior. Published online in: Journal of Behavioral Medicine January 9, 2006 Chapter 7 The differential effects of rheumatoid arthritis on distress of patient 141 and partner. In press: Psychology and Health Chapter 8 General discussion 165 Summary 197 Samenvatting 203 Appendices 210 Dankwoord 216 ICS dissertation series 219

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