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Patients reported a significant worsening of perceived GH (36% vs. 7%; p less then 0.001), a significantly higher mean CPDI score (p less then 0.001) than controls. Using multivariate analysis, arthritis patients had significantly higher CPDI scores (+3.67 points; p = 0.019), independent of depression, anxiety, and stress symptoms, comorbidities, and sociodemographic and lifestyle characteristics. Logistic regression analysis showed that the risk of reporting worsened GH was 9-fold higher in patients than controls (p less then 0.001). Pa
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