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Official Journal of the American College of Rheumatology
EDITORIAL
New Directions for Arthritis Care and Research
Gene G. Hunder 1
Arthritis Care and Research On-Line
Gene G. Hunder 2
ORIGINAL ARTICLES
Characteristics of Rheumatoid Arthritis Patients: Who Participates in Long-Term Research and Who Drops Out?
Susan Reisine, Judith Fifield, and Darlene K. Winkelman 3
Loss of Physical Independence in Rheumatoid Arthritis: Interview Data from a Representative Sample of Patients in Rheumatologic Care
Gisela Westhoff, Joachim Listing, and Angela Zink 11
Implications of Depression in Rheumatoid Arthritis: Do Subtypes Really Matter?
Karen L. Smarr, Jerry C. Parker, John F. Kosciulek, Janda L. Buchholz, Karen D. Multon, John E. Hewett, and Geetha R. Komatireddy 23
The Relationship of Daily Mood and Stressful Events to Symptoms in Juvenile Rheumatic Disease
Laura E. Schanberg, Marlene J. Sandstrom, Kathleen Starr, Karen M. Gil, John C. Lefebvre, Francis J. Keefe, Glenn Affleck, and Howard Tennen 33
Quality of Life Issues for Fibromyalgia Patients
Amy L. Bernard, Alice Prince, and Patricia Edsall 42
A Naturalistic Evaluation of Cortisol Secretion in Persons with Fibromyalgia and Rheumatoid Arthritis
Delwyn Catley, Alan T. Kaell, Clemens Kirschbaum, and Arthur A. Stone 51
BRIEF REPORT
Determining Sensitivity to Change in Outcome Measures Used to Evaluate Hydrotherapy Exercise Programs for People with Rheumatic Diseases
Sydney C. Lineker, Elizabeth M. Badley, Gillian Hawker, and Annette Wilkins 62
LETTER
Which Factors Really Influence the Course of Ankylosing Spondylitis?
Albrecht Falkenbach 66




