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OBJECTIVES Fatigue is common among people with inflammatory arthritis but is hard to manage. The aim of this study was to investigate how daily fluctuations in psychological variables correspond with changes in fatigue-related disability in the daily lives of people with inflammatory arthritis to identify factors to target in psychological interventions and routine clinical practice. METHODS A cohort of 143 patients with rheumatoid arthritis (n=97) or ankylosing spondylitis (n=46) participated in a 10-day online diary study. Each evening participants comple