“…Several researchers have examined quality of life as an outcome measure in herpes patients, finding generally that higher numbers of outbreaks were associated with lower quality of life scores (Patel et al, 2001;Spencer, Leplege, & Ecosse, 1999;Wild, Patrick, Johnson, Berson, & Wald, 1995). Other researchers have identified herpes-specific stressors, such as difficulty in intimate relationships, fear of transmission, disruption of daily activity, and worry about negative health effects (Jadack, Keller, & Hyde, 1990;Keller, Jadack, & Mims, 1991).…”