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MINDFULNESS AND UVB IN THE TREATMENT OF MODERATE PSORIASIS 13 The participants were invited to alternate among these four audio files throughout the intervention period of six weeks. The student researcher presented the intervention to each of the patients of the intervention group separately, and they were introduced to and invited to use visual instructional videos provided online by the headspace.com. The Headspace is a mindfulness app for English users. They logged their exercises on a record sheet. The student researcher offered instruction and practice in a room at the hospital, close to the clinic. The intervention patients were recommended to perform the exercises at home daily. Three chose to do exercises in the assigned room at the hospital when visiting the clinic for their light therapy. Narrow-band Ultraviolet Phototherapy(NB-UVB) The patients(N=16) used the following two machines (brand Waldmann): UV7001K and UV7000. UV7001K had a small proportion of UVA, but overall most UVB light. UV7000 had 100 % UVB-light. The wavelength was 311 nm for the mentioned devices. The most common criteria of effect are clearance rate, reduction in PASI (clinical assessment), and the number of treatments to clear. 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). Assessment of skin is done by the Fitzpatrick skin types from one-six. The skin type assessment maximizes the effect of NB- UVB while reducing the risk of burning. Physicians assessed the skin type of the participants as within the 1-2 range. The recommended start-dose for skin type 1- 2 is 0.2 Joule/ cm2, which is the energy(Joule) of UV-light put into each square inch(cm2) of the skin. Type 1-2 prescribes increase of 0,1 Joule/ cm2, though the need for regulation due to individually reactivity to UVB- treatment. The machines are programmed to calculate the time by conditions of dose, previous use of the device, and the temperature in the room. 18 sessions were distributed into three sessions a week. The time under treatment had an interval from few seconds to several minutes at the end. Clinical assessment The physician evaluated the severity and area of disease with PASI (Psoriasis area severity index). The assessment differentiates between the following four sections of the body (head, trunk, upper and lower extremities) and the average assessment of these areasPDF Image | Combining Mindfulness and Ultraviolet Phototherapy (UVB
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