The conclusions of a five-year longitudinal study in pain and rheumato
id arthritis (n = 112) are as follows: The majority of patients with r
heumatoid arthritis suffer from continous and severe pain. Pain increa
ses until the first two decades of medical history; there is a trend t
o decrease after this turning point. During a five-year period the pai
n increases, whereas complaints, functional restraints and anxiety dec
rease. The course of pain during a five-year period depends on the fir
st test value. Psychological therapy decreases pain, complaints and en
hances mental well-being.