a small trendP = 0.06
For the mental component score there were only subtle differences between disease activity states, but still a small trend toward better outcomes with lower disease activity (mental component score: SDAI-REM: 49.9 ± 11.1; LDA, 47.9 ± 12.3; MDA/HDA: 46.6 ± 12.3; P = 0.06).