{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,4]],"date-time":"2026-10-04T04:53:31Z","timestamp":1791089611338,"version":"4.1.0"},"reference-count":37,"publisher":"Elsevier BV","issue":"10","license":[{"start":{"date-parts":[[2026,10,1]],"date-time":"2026-10-01T00:00:00Z","timestamp":1790812800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/tdm\/userlicense\/1.0\/"},{"start":{"date-parts":[[2026,10,1]],"date-time":"2026-10-01T00:00:00Z","timestamp":1790812800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/legal\/tdmrep-license"},{"start":{"date-parts":[[2026,5,29]],"date-time":"2026-05-29T00:00:00Z","timestamp":1780012800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"DOI":"10.13039\/501100007949","name":"Swedish Rheumatism Association","doi-asserted-by":"publisher","award":["R-664091"],"award-info":[{"award-number":["R-664091"]}],"id":[{"id":"10.13039\/501100007949","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/501100003252","name":"Lund University","doi-asserted-by":"publisher","award":["ALFSKANE-446501"],"award-info":[{"award-number":["ALFSKANE-446501"]}],"id":[{"id":"10.13039\/501100003252","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/501100004359","name":"Vetenskapsr\u00e5det","doi-asserted-by":"publisher","id":[{"id":"10.13039\/501100004359","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100010805","name":"Research Council of Southeast Sweden","doi-asserted-by":"publisher","award":["2015-02228"],"award-info":[{"award-number":["2015-02228"]}],"id":[{"id":"10.13039\/100010805","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["ard.eular.org","elsevier.com","sciencedirect.com"],"crossmark-restriction":true},"short-container-title":["Annals of the Rheumatic Diseases"],"published-print":{"date-parts":[[2026,10]]},"DOI":"10.1016\/j.ard.2026.05.028","type":"journal-article","created":{"date-parts":[[2026,6,19]],"date-time":"2026-06-19T11:26:59Z","timestamp":1781868419000},"page":"1931-1941","update-policy":"https:\/\/doi.org\/10.1016\/elsevier_cm_policy","source":"Crossref","is-referenced-by-count":0,"title":["Predictors of unacceptable pain and the impact of sociodemographic factors and comorbidities\u2014results from a large, nationwide cohort of early rheumatoid arthritis"],"prefix":"10.1016","volume":"85","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-9408-4150","authenticated-orcid":false,"given":"Anna","family":"Eberhard","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Daniela Di","family":"Giuseppe","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Stefan","family":"Bergman","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jon","family":"Lampa","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Thomas","family":"Mandl","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tor","family":"Olofsson","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kristin","family":"Waldenlind","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Johan","family":"Askling","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Carl","family":"Turesson","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"78","reference":[{"issue":"5","key":"10.1016\/j.ard.2026.05.028_bib0001","doi-asserted-by":"crossref","first-page":"590","DOI":"10.1002\/acr.20005","article-title":"Report of the American College of Rheumatology Pain Management Task Force","volume":"62","year":"2010","journal-title":"Arthritis Care Res (Hoboken)."},{"issue":"2","key":"10.1016\/j.ard.2026.05.028_bib0002","doi-asserted-by":"crossref","first-page":"211","DOI":"10.1186\/ar3306","article-title":"The role of the central nervous system in the generation and maintenance of chronic pain in rheumatoid arthritis, osteoarthritis and fibromyalgia","volume":"13","author":"Lee","year":"2011","journal-title":"Arthritis Res Ther"},{"issue":"8","key":"10.1016\/j.ard.2026.05.028_bib0003","doi-asserted-by":"crossref","first-page":"1122","DOI":"10.1002\/acr.23994","article-title":"Association of Pain Centralization and Patient-Reported Pain in Active Rheumatoid Arthritis","volume":"72","author":"Heisler","year":"2020","journal-title":"Arthritis Care Res (Hoboken)."},{"issue":"4","key":"10.1016\/j.ard.2026.05.028_bib0004","doi-asserted-by":"crossref","first-page":"537","DOI":"10.5665\/sleep.1742","article-title":"Sleep loss exacerbates fatigue, depression, and pain in rheumatoid arthritis","volume":"35","author":"Irwin","year":"2012","journal-title":"Sleep."},{"issue":"3","key":"10.1016\/j.ard.2026.05.028_bib0005","doi-asserted-by":"crossref","first-page":"187","DOI":"10.1007\/s10865-007-9097-4","article-title":"Depression history, stress, and pain in rheumatoid arthritis patients","volume":"30","author":"Zautra","year":"2007","journal-title":"J Behav Med."},{"issue":"2","key":"10.1016\/j.ard.2026.05.028_bib0006","doi-asserted-by":"crossref","first-page":"354","DOI":"10.1016\/j.pain.2008.01.008","article-title":"The effects of anxiety and depression on weekly pain in women with arthritis","volume":"138","author":"Smith","year":"2008","journal-title":"Pain."},{"issue":"4","key":"10.1016\/j.ard.2026.05.028_bib0007","doi-asserted-by":"crossref","first-page":"591","DOI":"10.1111\/j.1526-4637.2010.00804.x","article-title":"Moderators of the negative effects of catastrophizing in arthritis","volume":"11","author":"Edwards","year":"2010","journal-title":"Pain Med."},{"issue":"8","key":"10.1016\/j.ard.2026.05.028_bib0008","doi-asserted-by":"crossref","first-page":"1061","DOI":"10.1002\/acr.22790","article-title":"Remaining pain in early rheumatoid arthritis patients treated with methotrexate","volume":"68","author":"Altawil","year":"2016","journal-title":"Arthritis Care Res (Hoboken)."},{"issue":"9","key":"10.1016\/j.ard.2026.05.028_bib0009","doi-asserted-by":"crossref","first-page":"1312","DOI":"10.1002\/acr.24264","article-title":"Pain over two years after start of biologic versus conventional combination treatment in early rheumatoid arthritis: results from a Swedish randomized controlled trial","volume":"73","author":"Olofsson","year":"2021","journal-title":"Arthritis Care Res (Hoboken)."},{"issue":"5","key":"10.1016\/j.ard.2026.05.028_bib0010","doi-asserted-by":"crossref","first-page":"371","DOI":"10.1080\/03009742.2020.1729404","article-title":"Unacceptable pain in the BARFOT inception cohort of patients with rheumatoid arthritis: a long-term study","volume":"49","author":"Svensson","year":"2020","journal-title":"Scand J Rheumatol."},{"issue":"3","key":"10.1016\/j.ard.2026.05.028_bib0011","doi-asserted-by":"crossref","first-page":"R83","DOI":"10.1186\/ar3353","article-title":"Pain persists in DAS28 rheumatoid arthritis remission but not in ACR\/EULAR remission: a longitudinal observational study","volume":"13","author":"Lee","year":"2011","journal-title":"Arthritis Res Ther."},{"issue":"11","key":"10.1016\/j.ard.2026.05.028_bib0012","doi-asserted-by":"crossref","first-page":"1485","DOI":"10.1136\/ard.2007.069765","article-title":"Changes in priorities for improvement in patients with rheumatoid arthritis during 1 year of anti-tumour necrosis factor treatment","volume":"66","author":"ten Klooster","year":"2007","journal-title":"Ann Rheum Dis."},{"issue":"4","key":"10.1016\/j.ard.2026.05.028_bib0013","doi-asserted-by":"crossref","first-page":"391","DOI":"10.1002\/art.10515","article-title":"Preferences for improved health examined in 1,024 patients with rheumatoid arthritis: pain has highest priority","volume":"47","author":"Heiberg","year":"2002","journal-title":"Arthritis Rheum."},{"issue":"1","key":"10.1016\/j.ard.2026.05.028_bib0014","doi-asserted-by":"crossref","first-page":"169","DOI":"10.1186\/s13075-021-02550-7","article-title":"Predictors of unacceptable pain with and without low inflammation over 5 years in early rheumatoid arthritis-an inception cohort study","volume":"23","author":"Eberhard","year":"2021","journal-title":"Arthritis Res Ther."},{"issue":"3","key":"10.1016\/j.ard.2026.05.028_bib0015","doi-asserted-by":"crossref","first-page":"734","DOI":"10.1093\/rheumatology\/kead278","article-title":"Joint tenderness at 3 months follow-up better predicts long-term pain than baseline characteristics in early rheumatoid arthritis patients","volume":"63","author":"Eberhard","year":"2024","journal-title":"Rheumatology (Oxford)."},{"issue":"1","key":"10.1016\/j.ard.2026.05.028_bib0016","doi-asserted-by":"crossref","first-page":"295","DOI":"10.1186\/s13075-016-1186-8","article-title":"Discordant inflammation and pain in early and established rheumatoid arthritis: latent Class Analysis of Early Rheumatoid Arthritis Network and British Society for Rheumatology Biologics Register data","volume":"18","author":"McWilliams","year":"2016","journal-title":"Arthritis Res Ther."},{"issue":"6","key":"10.1016\/j.ard.2026.05.028_bib0017","doi-asserted-by":"crossref","first-page":"1080","DOI":"10.1093\/rheumatology\/keu449","article-title":"Predictors of satisfactory improvements in pain for patients with early rheumatoid arthritis in a treat-to-target study","volume":"54","author":"Ten Klooster","year":"2015","journal-title":"Rheumatology (Oxford)."},{"issue":"1","key":"10.1016\/j.ard.2026.05.028_bib0018","doi-asserted-by":"crossref","first-page":"140","DOI":"10.1186\/s13075-024-03369-8","article-title":"Predictors of functional improvement and pain reduction in rheumatoid arthritis patients who achieved low disease activity with disease-modifying antirheumatic drugs: a retrospective study of the FIRST Registry","volume":"26","author":"Ochi","year":"2024","journal-title":"Arthritis Res Ther."},{"issue":"4","key":"10.1016\/j.ard.2026.05.028_bib0019","first-page":"291","article-title":"Determinants of non-nociceptive pain in Rheumatoid Arthritis","volume":"43","author":"Martins Rocha","year":"2018","journal-title":"Acta Reumatol Port."},{"issue":"1","key":"10.1016\/j.ard.2026.05.028_bib0020","doi-asserted-by":"crossref","first-page":"22","DOI":"10.3109\/03009742.2014.927918","article-title":"How good is the coverage and how accurate are exposure data in the Swedish Biologics Register (ARTIS)?","volume":"44","author":"Wadstrom","year":"2015","journal-title":"Scand J Rheumatol."},{"issue":"2","key":"10.1016\/j.ard.2026.05.028_bib0021","doi-asserted-by":"crossref","first-page":"600","DOI":"10.1002\/art.21570","article-title":"The LUNDEX, a new index of drug efficacy in clinical practice - Results of a five-year observational study of treatment with infliximab and etanercept among rheumatoid arthritis patients in southern Sweden","volume":"54","author":"Kristensen","year":"2006","journal-title":"Arthritis and Rheumatism."},{"issue":"4","key":"10.1016\/j.ard.2026.05.028_bib0022","doi-asserted-by":"crossref","first-page":"263","DOI":"10.3109\/03009748809098795","article-title":"Assessing disability in patients with rheumatoid arthritis. Use of a Swedish version of the Stanford Health Assessment Questionnaire","volume":"17","author":"Ekdahl","year":"1988","journal-title":"Scand J Rheumatol."},{"issue":"2","key":"10.1016\/j.ard.2026.05.028_bib0023","doi-asserted-by":"crossref","first-page":"rkab030","DOI":"10.1093\/rap\/rkab030","article-title":"Rheumatoid arthritis patients with predominantly tender joints rarely achieve clinical remission despite being in ultrasound remission","volume":"5","author":"Hammer","year":"2021","journal-title":"Rheumatol Adv Pract."},{"issue":"5","key":"10.1016\/j.ard.2026.05.028_bib0024","doi-asserted-by":"crossref","first-page":"924","DOI":"10.1093\/rheumatology\/kep458","article-title":"Fibromyalgic rheumatoid arthritis and disease assessment","volume":"49","author":"Pollard","year":"2010","journal-title":"Rheumatology (Oxford)."},{"issue":"8","key":"10.1016\/j.ard.2026.05.028_bib0025","first-page":"1674","article-title":"Assessment of pain in rheumatoid arthritis: minimal clinically significant difference, predictors, and the effect of anti-tumor necrosis factor therapy","volume":"34","author":"Wolfe","year":"2007","journal-title":"J Rheumatol."},{"issue":"11","key":"10.1016\/j.ard.2026.05.028_bib0026","doi-asserted-by":"crossref","first-page":"1699","DOI":"10.1002\/acr.21747","volume":"64","author":"Tubach","year":"2012","journal-title":"Arthritis Care Res (Hoboken)."},{"issue":"2","key":"10.1016\/j.ard.2026.05.028_bib0027","doi-asserted-by":"crossref","first-page":"205","DOI":"10.1002\/acr.23245","article-title":"Dietary intake of polyunsaturated fatty acids and pain in spite of inflammatory control among methotrexate-treated early rheumatoid arthritis patients","volume":"70","author":"Lourdudoss","year":"2018","journal-title":"Arthritis Care Res (Hoboken)."},{"issue":"1","key":"10.1016\/j.ard.2026.05.028_bib0028","doi-asserted-by":"crossref","first-page":"55","DOI":"10.1097\/j.pain.0000000000000314","article-title":"A systematic review and meta-analysis of the prevalence of chronic widespread pain in the general population","volume":"157","author":"Mansfield","year":"2016","journal-title":"Pain."},{"issue":"12","key":"10.1016\/j.ard.2026.05.028_bib0029","doi-asserted-by":"crossref","first-page":"1977","DOI":"10.3899\/jrheum.130493","article-title":"Chronic widespread pain in patients with rheumatoid arthritis and the relation between pain and disease activity measures over the first 5 years","volume":"40","author":"Andersson","year":"2013","journal-title":"J Rheumatol."},{"issue":"1","key":"10.1016\/j.ard.2026.05.028_bib0030","doi-asserted-by":"crossref","first-page":"R7","DOI":"10.1186\/ar2591","article-title":"Women, men, and rheumatoid arthritis: analyses of disease activity, disease characteristics, and treatments in the QUEST-RA study","volume":"11","author":"Sokka","year":"2009","journal-title":"Arthritis Res Ther."},{"issue":"Suppl 116(1)","key":"10.1016\/j.ard.2026.05.028_bib0031","first-page":"58","article-title":"Fibromyalgia in patients with rheumatoid arthritis. A 10-year follow-up study, results from the Oslo Rheumatoid Arthritis Register","volume":"37","author":"Provan","year":"2019","journal-title":"Clin Exp Rheumatol."},{"issue":"6","key":"10.1016\/j.ard.2026.05.028_bib0032","first-page":"1369","article-title":"Chronic musculoskeletal pain, prevalence rates, and sociodemographic associations in a Swedish population study","volume":"28","author":"Bergman","year":"2001","journal-title":"J Rheumatol."},{"issue":"4","key":"10.1016\/j.ard.2026.05.028_bib0033","doi-asserted-by":"crossref","first-page":"203","DOI":"10.1177\/2049463715569806","article-title":"Can large surveys conducted on highly selected populations provide valid information on the epidemiology of common health conditions? An analysis of UK Biobank data on musculoskeletal pain","volume":"9","author":"Macfarlane","year":"2015","journal-title":"Br J Pain."},{"issue":"3","key":"10.1016\/j.ard.2026.05.028_bib0034","doi-asserted-by":"crossref","first-page":"364","DOI":"10.1016\/j.pain.2004.12.033","article-title":"Socio-economic differences in the prevalence of acute, chronic and disabling chronic pain among ageing employees","volume":"114","author":"Saastamoinen","year":"2005","journal-title":"Pain."},{"issue":"6","key":"10.1016\/j.ard.2026.05.028_bib0035","doi-asserted-by":"crossref","first-page":"1065","DOI":"10.1037\/a0025544","article-title":"Pain, nicotine, and smoking: research findings and mechanistic considerations","volume":"137","author":"Ditre","year":"2011","journal-title":"Psychol Bull."},{"issue":"2","key":"10.1016\/j.ard.2026.05.028_bib0036","doi-asserted-by":"crossref","first-page":"231","DOI":"10.3899\/jrheum.080147","article-title":"Symptoms of depression predict the trajectory of pain among patients with early inflammatory arthritis: a path analysis approach to assessing change","volume":"36","author":"Schieir","year":"2009","journal-title":"J Rheumatol."},{"key":"10.1016\/j.ard.2026.05.028_bib0037","series-title":"Lifestyle in the treatment of rheumatic diseases [Web page]","year":"2025"}],"container-title":["Annals of the Rheumatic Diseases"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S0003496726003390?httpAccept=text\/xml","content-type":"text\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S0003496726003390?httpAccept=text\/plain","content-type":"text\/plain","content-version":"vor","intended-application":"text-mining"}],"deposited":{"date-parts":[[2026,10,4]],"date-time":"2026-10-04T04:08:21Z","timestamp":1791086901000},"score":1,"resource":{"primary":{"URL":"https:\/\/linkinghub.elsevier.com\/retrieve\/pii\/S0003496726003390"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,10]]},"references-count":37,"journal-issue":{"issue":"10","published-print":{"date-parts":[[2026,10]]}},"alternative-id":["S0003496726003390"],"URL":"https:\/\/doi.org\/10.1016\/j.ard.2026.05.028","relation":{},"ISSN":["0003-4967"],"issn-type":[{"value":"0003-4967","type":"print"}],"subject":[],"published":{"date-parts":[[2026,10]]},"assertion":[{"value":"Elsevier","name":"publisher","label":"This article is maintained by"},{"value":"Predictors of unacceptable pain and the impact of sociodemographic factors and comorbidities\u2014results from a large, nationwide cohort of early rheumatoid arthritis","name":"articletitle","label":"Article Title"},{"value":"Annals of the Rheumatic Diseases","name":"journaltitle","label":"Journal Title"},{"value":"https:\/\/doi.org\/10.1016\/j.ard.2026.05.028","name":"articlelink","label":"CrossRef DOI link to publisher maintained version"},{"value":"article","name":"content_type","label":"Content Type"},{"value":"\u00a9 2026 The Authors. Published by Elsevier B.V. on behalf of European Alliance of Associations for Rheumatology (EULAR).","name":"copyright","label":"Copyright"}]}}