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MINDFULNESS AND UVB IN THE TREATMENT OF MODERATE PSORIASIS 25 Distress Sara: “Stress influence psoriasis. (...) So that... in stressful periods it flourish”. Most informants presented stress as Sara did here. The belief that stress “influence” psoriasis with adverse effects. In addition, the informants elaborated specific life events regarding their distress and disease. life event. This sub-category is based on statements from Frank, Anne and Sara. During talk about past incidence, they presented a link between a stressed life event and the onset of psoriasis. The events varied in content, however the common understanding of that stressed situations triggered the disease: Sara: But I can the tell why Psoriasis broke out (...). I had always , for many years a circular spot on an ankle as a crowned piece. For many years. There was a time that I hurt myself and scrubbed myself, while I was in (on vacation in a warm climate. And it became a dry spot. It stayed there all the time. And then I got a daughter. And when she was one year old, she had fever cramp. (...). She had spasms just like epileptic seizure a. It looks really bad. And she was very bothered by this. And when it is like that and it's a huge stress moment. (...) To avoid her getting these cramps, you need to keep her out so she stays cool. Out and cold. (...) And it was huge stress. No one else could take care of her. (...) When she was young, she had this fever every other day for about three years or so. And this triggered my psoriasis. It spread out on my foot and my elbows. Sara mentioned a physical damage to the skin and the distress of having a sick child. The child had a disease, which gave frequent seizures. She had to be constant alert, whenever the seizures could occur, which she mentioned as “a huge stress moment”. Sara explicitly related this as an “psychological relapse”, where her “resistance” was weakened as cause of this life event: Frank: I was very good the first few months after, after the divorce, but they came these, these periods afterwards. Then, suddenly you felt the itching on these areas, and then itPDF Image | Combining Mindfulness and Ultraviolet Phototherapy (UVB
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