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MINDFULNESS AND UVB IN THE TREATMENT OF MODERATE PSORIASIS 7 winter and spring months (Cox, 2010). The effects of seasons may also be beneficial for psoriasis in the summer due to sunlight exposure (Bethany Fordham et al., 2013; Kabat-Zinn et al., 1998; Rook & Burns, 2010). Unfortunately, seasonal variations are not widely controlled for in clinical psoriasis studies. Future research is recommended to control for seasonal variations, based on the documentation of its importance and relevance in predicting the clinical outcome measures of severity (Bethany Fordham et al., 2013; Vedhara et al., 2007). Ultraviolet Phototherapy (UVB) Ultraviolet phototherapy was licensed in 1993 in Canada. Ultraviolet phototherapy is an effective treatment for moderate to severe psoriasis. This certain treatment is an good option when other topical treatments fails, like dithranol, calcipritol (vitamin D analogue), and corticosteroids(cortisone) (Cox, 2010). A literature review of impact studies estimated ca. 70 % clearance rate, though the studies had small sample size with large confidence intervals. The number of needed treatment to clear symptoms is about 25 sessions (Archier et al., 2012). Light treatment requires an extended commitment of the patient, following treatment procedure over six-eight-weeks, with three sessions per week. An extensive study followed 851 psoriasis patients in phototherapy, 53% received fewer than 20 treatments, and just about one-third received less than ten treatment sessions. The patients lived within 1- 20 km of the Phototherapy center. Only 47% completed the prescribed treatment necessary to obtain a 75 % improvement or clearing. The reasons for a lowered adherence is hugely due to time consume, resources and age (Kalia et al., 2014). The specific pathological pathways of the disease are unclear, but the examining of medications and other treatment methods leads to a better understanding of illness and questions of cause and effects. Other treatments such as psychological interventions have also demonstrated significant effects on skin diseases (Lavda, Webb, & Thompson, 2012). Psychological distress and burden of living with Psoriasis Stress is documented by global research of Dermatology to contribute to aggravating the severity and reducing the life quality of psoriasis- patients (DoĢnal G. Fortune, Richards, Griffiths, & Main, 2002; D. G. Fortune et al., 2002; Griffiths, 2014; Griffiths & Richards, 2001; Kabat-Zinn et al., 1998; Rook & Burns, 2010; Seneschal, Clark, Gehad, Baecher-Allan,PDF Image | Combining Mindfulness and Ultraviolet Phototherapy (UVB
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