Psychological and Psychiatric Correlates of Herpes Labialis

Authors

  • Kinneret Weissler Department of Communication Disorders, Achva Academic College
  • Orly Zelevich Department of Nursing, Lev Academic Center, Jerusalem
  • Shulamith Kreitler School of Psychological Sciences, Tel-Aviv University, Ramat-Aviv, Tel-Aviv

DOI:

https://doi.org/10.14738/assrj.1212.19478

Keywords:

Herpes labialis, alexithymia, anxiety, psychoticism, emotions

Abstract

Herpes labialis (HL) has been studied very little from a psychological point of view despite its interest as a relatively nonsevere affliction and a cognate disorder to herpes genitalis, that has been studied extensively. The purpose was to study the psychological correlates of HL in several domains so as to establish whether there is a psychological profile characteristic for HL. The subjects were 89 HL patients recruited from three outpatient clinics and 92 controls matched in demographic characteristics to the HL patients. The subjects were administered instruments assessing personality dimensions (the Eysenck Personality Inventory), emotional tendencies (the Profile of Mood States and the Schalling-Sifneos scale of alexithymia) and psychiatric features (the Brief Symptom Inventory by Derogatis). The results showed that HL patients differed from controls in scoring significantly lower on anxiety and psychoticism (each according to two instruments), obsessive-compulsive tendencies, interpersonal sensitivity (inferiority) and alexithymia and in scoring higher on defensiveness, and the emotions of anger, vigor and interest. A discriminant analysis with the psychiatric scales as predictors enabled correct identification of 73% (p < .001) of the subjects. The conclusions are that there is a psychological profile chracteristic of HL, that it differs from that identified for herpes genitalis and that it is characterised by better mental health features than in the controls.

References

Luborsky, L., Minz, J., Brightman, V. J. & Katcher, A. H. (1976). Herpes simplex virus and moods: A longitudinal study. Journal of Psychosomatic Research, 20, 543-548.

Schmidt, D. L. et al. (1985). Stress as a precipitating factor in subjects with recurrent herpes labialis. Journal of Family Practice, 20, 359-366.

Libikova, H., Pogady, J., Wiederman, V., & Breier, S. (1976). Presence of antibodies against herpes simplex Type 1 virus in persons with psychic disturbances and among a criminal population. Ceskoslovenska Psychiatrie, 72, 206-210.

Halonen, P. E., Rimon, R., Arohouka, K. & Jantti, V. (1974). Antibody levels to herpes simplex type I, measles and rubella viruses in psychiatric patients. British Journal of Psychiatry, 125, 461-465.

Glaser, R., Kiecolt-Glaser, J. K., Speicher, C. E., & Holliday, J. E. (1985). Stress, loneliness and changes in herpesvirus latency. Journal of Behavioral Medicine, 8, 249-260.

Stout, C. W., & Bloom, L. J. (1986). Genital Herpes and personality. Journal of Human Stress, 12 (3), 119-124.

Goldmeier, D., Johnson, A., Jeffries, D., Walker, D. G., et al. (1986). Psychological aspects of recurrences of genital herpes. Journal of Psychosomatic Research, 30, 601-608.

Lacroix, J. M., & Offutt, C. (1988). Type A and genital herpes. Journal of Psychosomatic Research, 32, 207-212.

Silver, P. S., Auerbach, S. M., Vishiniavsky, N. & Kaplowitz, L. G. (1986). Psychological factors in recurrent genital herpes infection: Stress, coping style, social support, emotional dysfunction, and symptom recurrence. Journal of Psychosomatic Research, 30, 163-171.

Hoon, E. F., Hoon, P. N., Rand, K. H., Johnson, J. et al. (1991). A psycho-behavioral model of genital herpes recurrence. Journal of Psychosomatic Resarch, 35, 25-36.

Longo, D. J. & Clum, G. A. (1989). Psychosocial factors affecting genital herpes recurrences. Journal of Psychosomatic Research, 33, 161-166.

VanderPlate C. & Aral, S. O. (1987). Psychosocial aspects if genital herpes virus infection. Health Psychology, 6, 57-72.

McLarmon, L. D., & Kaloupek, D. G. (1988. Prospective assessment of cognitive behavioral intervention for a chronic physical disorder. Health Psychology, 7, 231-249.

Levenson, J. L., Hamer, R. M. Myers, T., & Hart, R. P. et al. (1987). Psychological factors predicting symptoms of severe recurrent genital herpes infection. Journal of Psychosomatic Research, 31, 153-159.

VanderPlate, C., Aral, S. O., & Magder, L. (1988). The relationship among genital herpes simplex virus, stress, and social support. Health Psychology, 7, 159-168. 159

Burnette, M. M., Koehn, K. A., Kenyon-Jump, R., Hutton, K. et al. (1991). Control of genital herpes recurrences using progressive muscle relaxation. Behavior Therapy, 22, 237-247.

Houck, E. L., & Abramson, P. R. (1986). Masturbatory guilt and the psychological consequences of sexually transmitted diseases among women. Journal of Research in Personality, 20, 267-275.

Keller, M. L., Jadack, R. A., & Mims, L. F. (1991). Perceived stressors and coping responses in persons with recurrent genital herpes. Research in Nursing and Health, 14, 421-430.

Kemeny, M. E., Zegans, L. & Cohen, F. (1987). Stress, mood, immunity and recurrence of genital herpes. Annals of the NY Academy of Sciences, 496, 735-736.

Drob, S. L. (1986). Psychosexual implications of genital herpes. Medical Aspects of Human Sexuality, 20, 97-104.

Surman, O. S. & Crumpacker, C. (1987). Psychological aspects of herpes simplex viral infection: Report of six cases. American Journal of Clinical Hypnosis, 30, 125-131.

Cappel, R., Gregoire, F., Thiry, L., & Sprecher, S. (1978). Antibody and cell-mediated immunity to herpes simplex virus in psychotic depression. Journal of Clinical Psychiatry, 39, 266-268.

Peloreno, A. L., Panndurangi, A. K., & Calabrese, V. P. (1990). Serum IgG antibody to herpes viruses in schizophrenia. Psychiatry Research, 33, 11-17.

Fux, M., Sarov, I., Ginot, Y., & Sarov, B. (1992). Herpes simplex virus and cytomegalovirus in the serum of schizophrenic patients versus other psychosis and normal controls. Israel Journal of Psychiatry and Related Sciences, 29, 33-35.

Delisi, L. E., Smith, S. B., Hamovit, J. R., Maxwell, M. E., et al. (1986). Herpex simplex virus, cytomegalovirus and Epstein-Barr virus antibody titres in sera from schizophrenic patients. Psychological Medicine, 16, 757-763.

Lesser, I. M. (1981). A review of the alexithymia concept. Psychosomatic Medicine, 43, 531-543.

Papciak, A. S., Feuerstein, M., & Spiegel, J. A. (1985). Stress reactivity in alexitymia: Decoupling physiological and cognitive responses. Journal of Human Stress, 11 (3), 135-142.

Folks, D. G., & Kinney, F. C. (1991). Dermatology. In Stoudemire, A. & Fogel, B. S. (Eds.), Medical psychiatric practice, Vol. 1, pp. 287-308. Washinton, DC: American Psychiatric Press.

Eysenck, H., & Eysenck, S. B. G. (1975). Manual of the Eysenck Personality Questionnaire (EPQ). London: Hodder & Stroughton.

McNair, D. M., Lorr, M., & Droppleman, L. F. (1971). EdiTS Manual: Profile of Mood States (POMS). San Diego, CA: Educational and Industrial Testing Service.

Kreitler, S., & Kreitler, H. (submitted). The Positive Emotions Check List (PECL).

Derogatis, L. R., & Spencer, P. M. (1982). The Brief Symptom Inventory (BSI): Administration, scoring and procedures manual-I. Baltimore: Authors.

Derogatis, L. R. (1975). The SCL-90-R. Baltimore: Clinical Psychometrics Research.

Sifneos, P. E. (1986). The Schalling-Sifneos Personality Scale revised. Psychotherapy and Psychosomatics, 45, 161-165.

Rosenthal, R., & Rubin, D. B. (1984). Multiple contrasts and ordered Bonferroni procedures. Journal of Educational Psychology, 76, 1028-1034.

Weinberger, D. A., Schwartz, G. E., & Davidson, R. J. (1979). Low anxious, high anxious, and repressive coping styles: Psychometric patterns and behavioral and physiological responses to stress. Journal of Abnormal pPsychology, 88, 369-380.

Kreitler, S. & Kreitler, H. (1990). Repression and the anxiety-defensiveness factor: Psychological correlates and manifestations. Personality and Individual Differences, 11, 559-570. 160

Singer, J. L. (Ed.), (1990). Represssion and dissociation: Implictions for personality theory, psychopathology and health. Chicago, Il.: Chicago University Press.

Phillips, L. & Zigler, E. (1964). Role orientation, the action-thought parameter and outcome of psychiatric disorders. Journal of Abnormal and Social Psychology, 63, 381-389.

Feder, C. Z. (1967). Relationship of repression-sensitization to adjustment status, social desirability, and acquiescence response set. Journal of Consulting Psychology, 31, 401-406.

Dziokonski, W., &Weber, S. J. (1977). Repression-sensitization, perceived vulnerability, and the fear appeal communication. Journal of Social Psychology, 102, 105-112.

Kreitler, S., & Kreitler, H. (1990). The pschological profile of the health-oriented individual. European Journal of Personality, 5, 1-26.

Taylor, S. E. (1989). Positive illusions. New York: Basic Books.

Filipp, S.-H., Klauer, T., Ferring, D., & Freudenberg, E. (1990). Coping with life-threatening disease: Some research problems and selected findings. In Schmidt, L. E., Schwenkmezger, P., Weinman, J. & Maes, S. (Eds.), Theoretical and applied aspects of health psychology (pp. 385-398). Chur, Switzerland: Harwood.

Watson, M., Pettingale, K. W., & Greer, S. (1985). Stress reactions and autonomic arousal in breast cancer patients. In M. Watson & T. Morris (Eds.), Psychological aspects of cancer (pp. 31-39). Oxford: Pergamon Press.

Temoshok,L. (1985). Biopsychosocial studies on cutaneous malignant melanoma: Psychosocial factors associated with prognostic indicators, progression, psychophysiology and tumor-host response. Social Science and Medicine, 20, 833-840.

Kreitler, S., Chaitchik, S., & Kreitler, H. (1993). Repressiveness: Cause or result of cancer? Psycho-Oncology, 2, 43-54.

Antonovsky, A. (1987). Unravelling the mystery of health. San Francisco, CA: Jossey-Bass.

Justice, B. (1988). Who gets sick. Los Angeles, CA: Jeremy P. Tarcher.

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Published

2025-12-16

How to Cite

Weissler, K., Zelevich, O., & Kreitler, S. (2025). Psychological and Psychiatric Correlates of Herpes Labialis. Advances in Social Sciences Research Journal, 12(12), 149–161. https://doi.org/10.14738/assrj.1212.19478