Combining Mindfulness and Ultraviolet Phototherapy (UVB

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MINDFULNESS AND UVB IN THE TREATMENT OF MODERATE PSORIASIS 10 definition is well adapted to the concept of mindfulness; however, it lacks in clarifying the specifics of mindfulness as a trait, practice, state, or process. There are different kinds of mindfulness interventions as the 8-week group Mindfulness based stress reduction ( MBSR) and Mindfulness based Cognitive Therapy( MBCT) (Fjorback, Arendt, Ørnbøl, Fink, & Walach, 2011). MBSR have formal practices of sitting meditation, body scan and mindful Yoga, and combining this in the informal process of coping with physical symptoms such as stress and challenging emotional contexts. The participants in such courses have approximately practiced 10 hours of Mindfulness in groups as well as individually with recommendation of 45-60 minutes daily training. MBSR is an supplement for medical treatment, and MBCT is an prevention program (Fjorback et al., 2011). In home intervention, participants are more likely to differ in time and regularity practicing mindfulness and thus the need for reporting time and frequency (Vettese, Toneatto, Stea, Nguyen, & Wang, 2009).Mindfulness practice has shown benefits on symptoms of heart disease, chronical pain, depression, stress, cancer, and anxiety(Bohlmeijer, Prenger, Taal, & Cuijpers, 2010). The intervention often result in better subjective well-being (Keng et al., 2011). Jon Kabat- Zinn stated in a documentary called” The Connection” that he was having lunch with some physicians, who told him about patients giving up on their treatments, and in particular those with the skin disease psoriasis. In 1998, he and colleagues examined the influence of brief mindfulness intervention for psoriasis patients treated with light therapy (Kabat-Zinn et al., 1998). They received a mindfulness intervention by audio tape during the minutes in the light booth. The participant was asked to follow instructions from moment to moment with a non-judgmental awareness. The treatment lasted for 13 weeks and three sessions per week. The participants were clinically rated by their symptoms and photographed every fifth treatment. The control group received treatment as usual. The intervention group had a significant (p = .033) faster endpoint of clearing from the symptoms compared to the control group. There was no significant difference between the intervention group and the controls regarding depression and anxiety. Kabat-Zinn replicated the study in 2003, where he got the same results of significant results of faster clearing for those practicing mindfulness during light therapy(p =.033) (Kabat-Zinn et al., 2003). The major weaknesses of the Kabat-Zinn studies were the

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