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Combining Mindfulness and Ultraviolet Phototherapy (UVB

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Combining Mindfulness and Ultraviolet Phototherapy (UVB ( combining-mindfulness-and-ultraviolet-phototherapy-uvb )

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MINDFULNESS AND UVB IN THE TREATMENT OF MODERATE PSORIASIS 11 lack of any objective clinical assessment, measurement of perceived stress, and instrument for measuring Mindfulness. The Five Facet Mindfulness Questionnaire (FFMQ) is a valid instrument measuring dimensions of mindfulness. FFMQ includes the following five facets : a) “observing” is detecting the internal and external experiences; b) “describing” is phrasing the inner experiences with words; c) “acting with awareness” is regarding the attention of the present moment; d) “non-judging” of inner experience is defined as not evaluating thoughts and feelings; e) “non-reactivity” to internal experiences, concerns the approval of thought circulation and feelings without being held or carried away. Few studies have examined the effect of mindfulness on psoriasis (Kabat-Zinn et al., 2003; Kabat-Zinn et al., 1998). Fordham performed a mindfulness based cognitive therapy on psoriasis patients at a skin clinic. Thirty patients were randomized to a control or an intervention group. The control group received treatment as usual. Patients with psoriasis arthritis were excluded. Mindfulness based cognitive therapy is aiming to detach the bodily sensations from the cognitive mind and thus, increase the acceptance of the physical state. The study measured Perceived stress, Self-Assessed Psoriasis Area Severity Index (SAPSI), and quality of life and performed the therapy in the summer. The results gave no significant changes in perceived stress, but a significant difference for self-reported psoriasis severity (38 %) and quality of life. The authors conclude the encouraging nature of their results but also, assert that the low number of participants prevents them from drawing definite conclusions. The weakness of this research is not using PASI, considered more objective than the SAPSI (self-assessed psoriasis severity index). Given the few studies on the effect of mindfulness in psoriasis treatment, there is a need to reassess the impact, including clinical assessment of patients, instruments of Mindfulness, and logs for the amount and regularity practicing mindfulness (Vettese et al., 2009). To our knowledge at the current moment, we are the first in Norway to study the effect of mindfulness during light therapy for moderate psoriasis patients. We followed four endorsements from Fordham et.al 2013: a) seasonal variations, b) PASI, c) reported years having Psoriasis, d) The intervention developer was chosen in criteria of experience and skill performing mindfulness intervention(B. Fordham, Griffiths, & Bundy, 2013). The aim for this pilot study was to develop a study design for assessing the effect of Mindfulness intervention combined with Ultraviolet Phototherapy(UVB) in moderate psoriasis patients.

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