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MINDFULNESS AND UVB IN THE TREATMENT OF MODERATE PSORIASIS 28 Whenever Anne was in a stressful situation, she applied a breathing exercise. The practice was based on her experience from doing Yoga, and the sense of being more “mentally calm whenever she performed Yoga. She related her well-being to the times when she practiced more Yoga. Some focused on the coping after the occurrence of stress as Ellen did here: Ellen: I do (I can handle it), I notice when it is "enough", (I have) a lot of experience. If I notice that it gets too much, then I try to get back in. Maybe try to take me some days off, a little off from work .. yes. Also at home I take it a little more easy, do not participate in that much. It also helps to be outdoors. Go for a walk, I do that every day. I'm trying to collect myself again, by slowing down, take it easy. Do things that I find more fun (to do). Read and...things that I like to do but I really do not get time to do. Ellen referred to her stress as a general load in her life. She mastered the load, by taking some time off from work, going for walks, and doing fun things which she usually lacks the time to do. The coping of stress was a real challenge for Kaja. She expressed a general worry about being stressed. The discomfort of stress may become an additional stressor for her. She mentioned the need for more time than normal in completing assignments, and therefore the hindrance of time limits and stress. The general feeling of not being able to make it to work by a specific time is something she experienced as a hindrance in life and that creates clear distress: Kaja: Rather bad. No I have always been late in working, all the time since elementary school. Why, I do not know, but I have always needed to spend more time to do the same task as others. (...) While I also do not have a job that I normally have to meet up at, then I become worried that I won't be able to get there in time or able to get things done when, when there is something. Distress summarized. The informants urged the importance of acknowledging stress as an aggravating factor to their disease. Indications of worsening in symptoms was often related to their experience with stress. The situations of stress varied between work, everyday life, or disease in family. The informants gave indications that these stressors were long-lasting.PDF Image | Combining Mindfulness and Ultraviolet Phototherapy (UVB
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