Although researchers still don’t fully understand the precise connection, a 2010 review of 16 studies published in the journal Arthritis Research & Therapy concluded
that there is enough evidence to support the belief that stress likely
plays a role in triggering RA flares or worsening RA symptoms. This is
certainly something I can confirm from personal experience!
Being stressed seems to trigger an endless cycle: stress makes you
feel crummy, which generates additional stress, which only makes you
feel worse. For this reason, it is especially important that people
living with RA have tools for dealing with stress.
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