"Fear avoidance was assessed with six items including ‘Doing less helps symptoms’ and ‘I should avoid exercise when I have symptoms’. Therefore, the items on this scale do not simply reflect post-exertional malaise."
What does she think post exertional malaise is?
With rheumatoid arthritis you are told not to exercise when you have symptoms but to keep active when they abate. When my son was a child he was not active when his symptoms flared, we did not set out on a long walk when he was struggling to breath, we let him rest.
Sorry, these people are idiots who lack common sense not to mention compassion