More than 50 percent of those with systemic autoimmune rheumatic diseases had never/rarely reported mental health symptoms to clinicians
<p>Nurse-led group cognitive behavioral therapy had no effect on objective sleep measures but did improve patient-reported secondary outcomes</p>
Existing sleep problems related mainly to disease-related measures, such as pain and reduced function, more so than disease duration
<p>Higher pain, fatigue, depressive symptoms linked to increased odds of being in high disability trajectory, irrespective of inflammation </p>