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MINDFULNESS AND UVB IN THE TREATMENT OF MODERATE PSORIASIS 6 Psoriasis is a chronic inflammatory skin disease (Danielsen, Olsen, Wilsgaard, & Furberg, 2013). The most common version of this illness is Psoriasis Vulgaris, characterized by symptoms of red, scaly plaques. The disease affects the skin, nails and sporadically the joints. It is usually located at elbows, knees, and the scalp. The redness of the skin in psoriasis is due to an increased level of lymphocytes with amplified blood flow, better known as an inflammation. The precise mechanisms of psoriasis are still unknown, though psoriasis causes a higher frequency of skin cell productions and results in an incomplete outer layer of the skin, amplified blood flow, and lymphocyte infiltration (Health Quality, 2009; Kabat-Zinn et al., 2003; Kabat-Zinn et al., 1998) A Northern European study reported 1.5 - 3 % prevalence of psoriasis (Bethany Fordham et al., 2013. A 30 years’ follow-up cohort study in Tromsø, 2007-2008 found 11.8 % in age 20-79 years with psoriasis, compared to 4.8 % in 1979-1980 (Danielsen et al., 2013). A series of population based studies over three decades between 1970 to 2000, demonstrated that the prevalence of diagnosed psoriasis among ages >18 during was doubled (Icen et al., 2009). It has been argued that there seems to be a global rise in the disease at least documented in US and Norway (Icen M et al., 2009, Danielsen et al.,2013) A major weakness of these studies is that they rely on self-report measures. The validated standard would be a diagnostic judgement by a trained clinical dermatologist. The diagnostic procedure of psoriasis performed by the dermatologist includes an evaluation of the following aspects of the outer layer of the skin: scaling, redness, thickness, and area of severity. The diagnostic procedure includes a clinical measure of Psoriasis severity. PASI (Psoriasis Area Severity Index) scales the severity of the disease with scores from 0- 72(Health Quality, 2009). It has been argued that future cohort studies should examine the prevalence of psoriasis with more rigorous study design and apply established and clinically validated diagnostic procedures of psoriasis performed by a physician (Bø et al., 2008; Danielsen et al., 2013). Age onset and Climate influence The age onset of psoriasis varies widely between studies, but there may be peaking bimodal age groups between 20-39 and 50-69 years (Rook & Burns, 2010). This may be due to various reasons, such as climate. The climate affects the disease, with increasing rates documented in some countries at higher latitudes. The climate`s influence on psoriasis was also evident in a study from Minnesota with relatively more (68 % of cases) diagnosed duringPDF Image | Combining Mindfulness and Ultraviolet Phototherapy (UVB
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