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MINDFULNESS AND UVB IN THE TREATMENT OF MODERATE PSORIASIS 31 what setting I am going to be in, is there a spot under my arm (...). So, a bit like feeling more free when it is better. Many pointed out as Anne that the disease has often improved in the summer and therefore there is likely a rise in life quality. There is a “freedom” in choosing what to wear and not having to hide in any way. Adaptation is no longer needed, and perceptions of others disappears along with the symptoms. Discomfort. All the informants had a discomfort in living with the disease. The degree of discomfort varied in terms of symptoms. Most of the informants presented a disappointment when the relapses occurred in the autumn, like Ellen: Ellen: This autumn, I think it was (...) I didn’t notice it that much, but suddenly, it came. It happened very quickly. I don’t like that, it was uncomfortable especially when it is cold. Then it becomes dry, and it itches, a then.. yes. And I also found it ugly, red and... When I saw that, I thought that I had to get treatment for it, before it manifested. The informants found cold climate to worsen their symptoms and increase discomfort. They also described the development from only having dry skin, to itching and a redness and perhaps becoming “ugly”. Ellen elaborated what she meant with “manifest”: Ellen: I do not know if it would become like that, but before it becomes thick crusts and scales, that’s what I am thinking on; that it develops, but it will certainly not happen. It must not become thick crust and such. It cannot be thick skin, for the light to work. Have you seen ugly cases? Then there are such scales, it becomes thick skin. Thick crust and scales makes an important difference in discomfort for Ellen as well as most of the other informants. She also argues also that the light therapy requires no thick skin for the best effect. The discomfort increases when the severity increases to the stage with thick crust and scales.PDF Image | Combining Mindfulness and Ultraviolet Phototherapy (UVB
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