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Combining Mindfulness and Ultraviolet Phototherapy (UVB

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Combining Mindfulness and Ultraviolet Phototherapy (UVB ( combining-mindfulness-and-ultraviolet-phototherapy-uvb )

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MINDFULNESS AND UVB IN THE TREATMENT OF MODERATE PSORIASIS 44 lead to caution when reading results. A power analysis would give indications of how many participants are needed for a larger study. The quantitative data are reliable and valid, though they are mostly self-report except for PASI. PASI is one of the major strengths with three measures for each patient and respected as the most reliable and valid assessment for measuring the severity of psoriasis (Cabrera et al., 2015). In intervention studies the control group is an important aspect for detecting the difference as we did with Mindfulness in adjunct to light therapy. The registration of practice during mindfulness is an advantage, which is recommended for home interventions (Vettese et al., 2009). The short introduction to mindfulness as a practice and concept proved to be shortcoming in terms of giving accurate expectations of what the intervention could contribute. The qualitative data provides extensive insight in how patients perceive their mindfulness practice, own disease, and treatment. Future directions and contributions This study contributes to methods of measuring mindfulness in a medical setting, as well as increased understanding of patients experiences with their disease and treatment. Our findings have a clear clinical relevance for patients experiences in light treatment and reported troubles using cortisone for guttate psoriasis. There is a need for more research in supplementing mindfulness to psoriasis populations. A larger study should include informational meetings with a mindfulness instructor, which is common for MBSR (Mindfulness based stress reduction) and MBCT( Mindfulness based Cognitive Therapy) (Fjorback et al., 2011). The meeting would ensure meaningful and realistic expectations about the process in practicing Mindfulness. Qualitative studies with IPA could give a deeper understanding of psoriasis as a disease and concerning the adherence of treatment. The practice during mindfulness intervention should be logged for relating effort and effect, especially since time and frequency in training mindfulness could differ more than MBSR and MBCT (Vettese et al., 2009).

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