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MINDFULNESS AND UVB IN THE TREATMENT OF MODERATE PSORIASIS 32 Life quality summarized. The life quality improved in the summer and after treatment, though it worsened during relapse. Certain areas like hands and face were considered as more visual for others to see, and the degree of discomfort was also greater when the skin was affected in those areas. In social settings, they felt uncomfortable when symptoms were visible, and therefore made efforts hiding it with clothes, such as wearing long sleeves. The behavior of hiding the symptoms during relapse may indicate an embarrassment and perhaps also a disappointment that the disease returned. Whenever the symptoms were gone, the behavior of hiding the skin vanished in thin ear. A relapse with more severe symptoms seemed to lower their life quality. A relapse was also assumed to potentially develop into more permanent and manifest symptoms of the disease, with areas of thick and scaled skin, and this seemed to raise concerns of future disease progression. Light therapy All informants performed light therapy and most of them were interviewed when they attended their final treatment session. Some of them had received light therapy previously, often many years ago: Anne: “So, it is several years since (previous light therapy treatment). I consult my doctor only when I think it is a total crisis. So, I live with spots here and there, all the time. Adherence. This subcategory is based on statements from Anne, Sara, Frank and Kaja. Most of the informants had not completed light therapy in several years, and some had relapses during this period. Among the informants there seemed to be an acceptance of living with the “constant” disease. Anne elaborated that it had to be a “crisis” before she went to the doctor. The informants in general presented a high threshold to seek treatment. The exact reason for treatment varied, but the common description was a fast-adverse development of disease. This was how Frank described it: Frank: well, it may go for a while, and like the dots suddenly disappeared, perhaps for a month, and then they came up again. And now when it was at the worst, I had small-dotsPDF Image | Combining Mindfulness and Ultraviolet Phototherapy (UVB
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