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The aim of this study was to identify the associated factor of lower self-esteem and restriction in community reintegration in SpA patientsMethods: This study was a cross-sectional study conducted including SpA patients (ASAS criteria) aged 18-50 years. The level of self-esteem was assessed using the Rosenberg Self-Esteem Scale (RSES). The Reintegration to Normal Living Index (RNLI) evaluated the degree of reintegration to normal social activities. Anxiety, depression, and fibromyalgia were screened by the Hospital Anxiety and Depression Scale (HADS)-A, HADS-D, and FiRST, respectively. Statistical analysis was performed.Results:A total of 72 patients were enrolled (sex-ratio=1.88), with median (IQR) age at 39 years (28.25-46). Median (IQR) disease duration was 10 (6-14) years. Median (IQR) BASDAI and ASDAS were 3 (2.1-4.7) and 2.7 (1.9-3.48), respectively. Anxiety symptoms were screened in 10% of SpA patients, depression in 11%; and fibromyalgia in 10%. The median (IQR) RSES and RNLI scores were 30 (23.25 -34), and 83 (53.25 - 93.25), respectively.