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MINDFULNESS AND UVB IN THE TREATMENT OF MODERATE PSORIASIS 29 Their application of coping mechanisms was not mentioned in the description of stressful situations. The coping of stressors was explained in a mixture of prevention, calming down, and using Yoga practices. The coping of stress was generally expressed as good, though some informants had clear challenges in dealing with stress. The knowledge of stress reduction methods was familiar for some informants, though the word “stress reduction intervention” may not be well known in the public. The acknowledgement of the distress impact on psoriasis should lead to actions for reducing stress such as stress reduction methods. Stress reduction methods can lower levels of stress and therefore prevent stress from further aggravating the symptoms. Life Quality The informants didn’t apply the word life quality to a large degree, though the researcher interpreted their statements to be about life quality. Their life quality seemed to vary regarding level of discomfort, the area of disease and social interactions. Many informants claimed that their long experience with psoriasis made them less affected in terms of reduced life quality. Area of disease. This sub-category is based on statements from all informants. They talked about the difference of having psoriasis in the face and other visible areas: Anne: Yes, it was during junior high school and I got it in the face (...). So, I think it was a bit horrible. Some informants mentioned that having psoriasis in the face was particularly difficult, and Anne describes it as an “horrible” experience. There seemed to be a mutual understanding that the worst places to have psoriasis was in the face, on the hands or other visible areas: Frank: That you see someone else who has it up in his face. So, I have the trifles in a way. Actually, that I have (it in) those areas. It's not visible in that sense. Many people have it visible on their hands and become sore on the hands and feet. By comparing his own case to those he considered worse, Frank began to think that his disease was less of an issue in his life. From his perspective, at least he wasn’t affected inPDF Image | Combining Mindfulness and Ultraviolet Phototherapy (UVB
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