Inclusion Criteria:  diagnosed with rheumatoid arthritis, who can read and write in Turkish, participant's admission participating in the study, participants who do not have exclusion criteria  Exclusion Criteria:  participant's refusal to participate in the study, lack of cooperation due to cognitive impairment, participant's who have a neurological disease, presence of drug abuse, presence of malignancy in any organ or system, serious psychiatric problems (psychosis, etc.), the presence of another rheumatological disease other than Rheumatoid Arthritis, serious and unstable metabolic disease.