PMID: 3383831Jan 1, 1988Paper

Psychological investigation of genital herpes recurrence: prospective assessment and cognitive-behavioral intervention for a chronic physical disorder

Health Psychology : Official Journal of the Division of Health Psychology, American Psychological Association
L D McLarnon, D G Kaloupek

Abstract

Previous studies suggest that anxiety and/or depressed mood are associated with recurrence of genital herpes lesions. The present study sought to extend the assessment of factors associated with genital herpes and to investigate the impact of psychological therapy on features of the disorder. Sixteen genital herpes patients received 5 weeks of either structured discussion or cognitive restructuring (CR) therapy in a group format. Measures of attitude about herpes, global coping, distress, loneliness, health locus of control, and recurrence frequency were administered at pretreatment, posttreatment, and 3 months follow-up. Patients also made daily reports during the 5 weeks of treatment from which information was extracted regarding their herpes symptoms, dysphoria, anxiety, and ongoing coping process. Therapy did not produce the expected reductions in reported distress or loneliness. The CR procedure, however, was associated with reduced frequency of lesion recurrence at follow-up. Avoidant coping was associated with lower recurrence rates, and loneliness scores were associated with higher recurrence rates. Prospective data indicated that recurrences were preceded by elevated anxiety that was independent of prodromal symptoms. ...Continue Reading

Citations

Dec 1, 1993·Journal of Behavior Therapy and Experimental Psychiatry·K A KoehnC Stark
Jan 1, 1989·Journal of Psychosomatic Research·D J Longo, G A Clum
Jan 1, 1997·Clinics in Dermatology·C White, A G Wardropper
Aug 1, 1997·Genitourinary Medicine·J Green, A Kocsis
Aug 19, 2010·Personality and Social Psychology Review : an Official Journal of the Society for Personality and Social Psychology, Inc·Christopher M MasiJohn T Cacioppo
Jun 7, 2000·Public Health Nursing·S L Dibble, J M Swanson

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