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. 1997 Aug;73(4):253–258. doi: 10.1136/sti.73.4.253

Psychological factors in recurrent genital herpes.

J Green 1, A Kocsis 1
PMCID: PMC1195852  PMID: 9389944

Abstract

OBJECTIVES: To review recent research into psychological aspects of genital herpes and assess possible implications for clinical practice. METHODS: Review of all papers in the field on Medline 1985-96. RESULTS: Much attention has been paid to possible links between stress and recurrent genital herpes. There is no convincing evidence that stress in itself causes recurrences. It may be that recurrences are preceded by a prodromal period of altered mood. Patients with recurrences show considerable stress as a result of the disease, although most individuals eventually adjust psychologically. The impact of social support on adjustment remains unclear. The little evidence available suggests that antiviral treatments can help adjustment and the effects may perhaps outlast the period of active treatment. CONCLUSIONS: Existing research gives some clues to optimal patient management but there is a need for future research to focus much more clearly on clinical issues, particularly on means of alleviating psychological distress and on the impact of antivirals.

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Selected References

These references are in PubMed. This may not be the complete list of references from this article.

  1. Brookes J. L., Haywood S., Green J. Adjustment to the psychological and social sequelae of recurrent genital herpes simplex infection. Genitourin Med. 1993 Oct;69(5):384–387. doi: 10.1136/sti.69.5.384. [DOI] [PMC free article] [PubMed] [Google Scholar]
  2. Brookes J. L., Haywood S., Green J. Prodromal symptoms in genital herpes simplex infection. Genitourin Med. 1992 Oct;68(5):347–348. doi: 10.1136/sti.68.5.347. [DOI] [PMC free article] [PubMed] [Google Scholar]
  3. Carney O., Ross E., Bunker C., Ikkos G., Mindel A. A prospective study of the psychological impact on patients with a first episode of genital herpes. Genitourin Med. 1994 Feb;70(1):40–45. doi: 10.1136/sti.70.1.40. [DOI] [PMC free article] [PubMed] [Google Scholar]
  4. Carney O., Ross E., Ikkos G., Mindel A. The effect of suppressive oral acyclovir on the psychological morbidity associated with recurrent genital herpes. Genitourin Med. 1993 Dec;69(6):457–459. doi: 10.1136/sti.69.6.457. [DOI] [PMC free article] [PubMed] [Google Scholar]
  5. Cassidy L. C., Holder M. A., Barton S. E., Meadows J., Catalan J. Are doctors in genitourinary medicine clinics perceiving the psychological impact of recurrent genital herpes? Genitourin Med. 1994 Oct;70(5):357–359. doi: 10.1136/sti.70.5.357. [DOI] [PMC free article] [PubMed] [Google Scholar]
  6. Catotti D. N., Clarke P., Catoe K. E. Herpes revisited. Still a cause of concern. Sex Transm Dis. 1993 Mar-Apr;20(2):77–80. [PubMed] [Google Scholar]
  7. Dalkvist J., Wahlin T. B., Bartsch E., Forsbeck M. Herpes simplex and mood: a prospective study. Psychosom Med. 1995 Mar-Apr;57(2):127–137. doi: 10.1097/00006842-199503000-00005. [DOI] [PubMed] [Google Scholar]
  8. Drob S., Loemer M., Lifshutz H. Genital herpes: the psychological consequences. Br J Med Psychol. 1985 Dec;58(Pt 4):307–315. doi: 10.1111/j.2044-8341.1985.tb02647.x. [DOI] [PubMed] [Google Scholar]
  9. Forsgren M. Genital herpes simplex virus infection and incidence of neonatal disease in Sweden. Scand J Infect Dis Suppl. 1990;69:37–41. [PubMed] [Google Scholar]
  10. Goldmeier D., Johnson A., Byrne M., Barton S. Psychosocial implications of recurrent genital herpes simplex virus infection. Genitourin Med. 1988 Oct;64(5):327–330. doi: 10.1136/sti.64.5.327. [DOI] [PMC free article] [PubMed] [Google Scholar]
  11. Goldmeier D., Johnson A. Does psychiatric illness affect the recurrence rate of genital herpes? Br J Vener Dis. 1982 Feb;58(1):40–43. doi: 10.1136/sti.58.1.40. [DOI] [PMC free article] [PubMed] [Google Scholar]
  12. Goldmeier D., Johnson A., Jeffries D., Walker G. D., Underhill G., Robinson G., Ribbans H. Psychological aspects of recurrences of genital herpes. J Psychosom Res. 1986;30(5):601–608. doi: 10.1016/0022-3999(86)90033-4. [DOI] [PubMed] [Google Scholar]
  13. Janssen H. L., Brouwer J. T., van der Mast R. C., Schalm S. W. Suicide associated with alfa-interferon therapy for chronic viral hepatitis. J Hepatol. 1994 Aug;21(2):241–243. doi: 10.1016/s0168-8278(05)80402-7. [DOI] [PubMed] [Google Scholar]
  14. Keller M. L., Jadack R. A., Mims L. F. Perceived stressors and coping responses in persons with recurrent genital herpes. Res Nurs Health. 1991 Dec;14(6):421–430. doi: 10.1002/nur.4770140606. [DOI] [PubMed] [Google Scholar]
  15. Koehn K. A., Burnette M. M., Stark C. Applied relaxation training in the treatment of genital herpes. J Behav Ther Exp Psychiatry. 1993 Dec;24(4):331–341. doi: 10.1016/0005-7916(93)90058-5. [DOI] [PubMed] [Google Scholar]
  16. Lacroix J. M., Offutt C. Type A and genital herpes. J Psychosom Res. 1988;32(2):207–212. doi: 10.1016/0022-3999(88)90056-6. [DOI] [PubMed] [Google Scholar]
  17. Lehtinen M., Dillner J., Knekt P., Luostarinen T., Aromaa A., Kirnbauer R., Koskela P., Paavonen J., Peto R., Schiller J. T. Serologically diagnosed infection with human papillomavirus type 16 and risk for subsequent development of cervical carcinoma: nested case-control study. BMJ. 1996 Mar 2;312(7030):537–539. doi: 10.1136/bmj.312.7030.537. [DOI] [PMC free article] [PubMed] [Google Scholar]
  18. Levenson J. L., Hamer R. M., Myers T., Hart R. P., Kaplowitz L. G. Psychological factors predict symptoms of severe recurrent genital herpes infection. J Psychosom Res. 1987;31(2):153–159. doi: 10.1016/0022-3999(87)90071-7. [DOI] [PubMed] [Google Scholar]
  19. Longo D. J., Clum G. A. Psychosocial factors affecting genital herpes recurrences: linear vs mediating models. J Psychosom Res. 1989;33(2):161–166. doi: 10.1016/0022-3999(89)90043-3. [DOI] [PubMed] [Google Scholar]
  20. Luby E. D., Klinge V. Genital herpes. A pervasive psychosocial disorder. Arch Dermatol. 1985 Apr;121(4):494–497. [PubMed] [Google Scholar]
  21. Manne S., Sandler I., Zautra A. Coping and adjustment to genital herpes: the effects of time and social support. J Behav Med. 1986 Apr;9(2):163–177. doi: 10.1007/BF00848475. [DOI] [PubMed] [Google Scholar]
  22. McLarnon L. D., Kaloupek D. G. Psychological investigation of genital herpes recurrence: prospective assessment and cognitive-behavioral intervention for a chronic physical disorder. Health Psychol. 1988;7(3):231–249. doi: 10.1037//0278-6133.7.3.231. [DOI] [PubMed] [Google Scholar]
  23. Mertz G. J., Benedetti J., Ashley R., Selke S. A., Corey L. Risk factors for the sexual transmission of genital herpes. Ann Intern Med. 1992 Feb 1;116(3):197–202. doi: 10.7326/0003-4819-116-3-197. [DOI] [PubMed] [Google Scholar]
  24. Patel R., Cowan F. M., Barton S. E. Advising patients with genital herpes. BMJ. 1997 Jan 11;314(7074):85–86. doi: 10.1136/bmj.314.7074.85. [DOI] [PMC free article] [PubMed] [Google Scholar]
  25. Roberts S. W., Cox S. M., Dax J., Wendel G. D., Jr, Leveno K. J. Genital herpes during pregnancy: no lesions, no cesarean. Obstet Gynecol. 1995 Feb;85(2):261–264. doi: 10.1016/0029-7844(94)00346-F. [DOI] [PubMed] [Google Scholar]
  26. Silver P. S., Auerbach S. M., Vishniavsky N., Kaplowitz L. G. Psychological factors in recurrent genital herpes infection: stress, coping style, social support, emotional dysfunction, and symptom recurrence. J Psychosom Res. 1986;30(2):163–171. doi: 10.1016/0022-3999(86)90046-2. [DOI] [PubMed] [Google Scholar]
  27. Stout C. W., Bloom L. J. Genital herpes and personality. J Human Stress. 1986 Fall;12(3):119–124. doi: 10.1080/0097840X.1986.9936776. [DOI] [PubMed] [Google Scholar]
  28. Stronks D. L., Rijpma S. E., Passchier J., Verhage F., van der Meijden W., Stolz E. Psychological consequences of genital herpes, an exploratory study with a gonorrhea control-group. Psychol Rep. 1993 Oct;73(2):395–400. doi: 10.2466/pr0.1993.73.2.395. [DOI] [PubMed] [Google Scholar]
  29. Swanson J. M., Dibble S. L., Chenitz W. C. Clinical features and psychosocial factors in young adults with genital herpes. Image J Nurs Sch. 1995 Spring;27(1):16–22. doi: 10.1111/j.1547-5069.1995.tb00808.x. [DOI] [PubMed] [Google Scholar]
  30. Swanson J. M., Dibble S. L. Genital herpes: clinical features, sources of information, recurrences, and treatment in young adults. Dermatol Nurs. 1993 Oct;5(5):365–377. [PubMed] [Google Scholar]
  31. Thompson S. C., Nanni C., Levine A. Primary versus secondary and central versus consequence-related control in HIV-positive men. J Pers Soc Psychol. 1994 Sep;67(3):540–547. doi: 10.1037//0022-3514.67.3.540. [DOI] [PubMed] [Google Scholar]
  32. VanderPlate C., Aral S. O., Magder L. The relationship among genital herpes simplex virus, stress, and social support. Health Psychol. 1988;7(2):159–168. doi: 10.1037//0278-6133.7.2.159. [DOI] [PubMed] [Google Scholar]
  33. VanderPlate C., Aral S. O. Psychosocial aspects of genital herpes virus infection. Health Psychol. 1987;6(1):57–72. doi: 10.1037//0278-6133.6.1.57. [DOI] [PubMed] [Google Scholar]
  34. van Everdingen J. J., Peeters M. F., ten Have P. Neonatal herpes policy in The Netherlands. Five years after a consensus conference. J Perinat Med. 1993;21(5):371–375. doi: 10.1515/jpme.1993.21.5.371. [DOI] [PubMed] [Google Scholar]

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