Functional decline and herpes zoster in older people: an interplay of multiple factors
Herpes zoster is a frequent painful infectious disease whose incidence and severity increase with age. In older people, there is a strong bidirectional link between herpes zoster and functional decline, which refers to a decrement in ability to perform activities of daily living due to ageing and di...
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Veröffentlicht in: | Aging clinical and experimental research 2015-12, Vol.27 (6), p.757-765 |
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description | Herpes zoster is a frequent painful infectious disease whose incidence and severity increase with age. In older people, there is a strong bidirectional link between herpes zoster and functional decline, which refers to a decrement in ability to perform activities of daily living due to ageing and disabilities. However, the exact nature of such link remains poorly established. Based on the opinion from a multidisciplinary group of experts, we here propose a new model to account for the interplay between infection, somatic/psychiatric comorbidity, coping skills, polypharmacy, and age, which may account for the functional decline related to herpes zoster in older patients. This model integrates the risk of decompensation of underlying disease; the risk of pain becoming chronic (e.g. postherpetic neuralgia); the risk of herpes zoster non-pain complications; the detrimental impact of herpes zoster on quality of life, functioning, and mood; the therapeutic difficulties due to multimorbidity, polypharmacy, and ageing; and the role of stressful life events in the infection itself and comorbid depression. This model underlines the importance of early treatment, strengthening coping, and vaccine prevention. |
doi_str_mv | 10.1007/s40520-015-0450-0 |
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In older people, there is a strong bidirectional link between herpes zoster and functional decline, which refers to a decrement in ability to perform activities of daily living due to ageing and disabilities. However, the exact nature of such link remains poorly established. Based on the opinion from a multidisciplinary group of experts, we here propose a new model to account for the interplay between infection, somatic/psychiatric comorbidity, coping skills, polypharmacy, and age, which may account for the functional decline related to herpes zoster in older patients. This model integrates the risk of decompensation of underlying disease; the risk of pain becoming chronic (e.g. postherpetic neuralgia); the risk of herpes zoster non-pain complications; the detrimental impact of herpes zoster on quality of life, functioning, and mood; the therapeutic difficulties due to multimorbidity, polypharmacy, and ageing; and the role of stressful life events in the infection itself and comorbid depression. This model underlines the importance of early treatment, strengthening coping, and vaccine prevention.</description><identifier>ISSN: 1720-8319</identifier><identifier>ISSN: 1594-0667</identifier><identifier>EISSN: 1720-8319</identifier><identifier>DOI: 10.1007/s40520-015-0450-0</identifier><identifier>PMID: 26440662</identifier><language>eng</language><publisher>Cham: Springer International Publishing</publisher><subject>Activities of Daily Living ; Aged ; Aging - physiology ; Aging - psychology ; Comorbidity ; Female ; Geriatric Assessment ; Geriatrics/Gerontology ; Herpes Zoster - complications ; Herpes Zoster - physiopathology ; Herpes Zoster - psychology ; Humans ; Incidence ; Male ; Medicine ; Medicine & Public Health ; Middle Aged ; Models, Theoretical ; Neuralgia, Postherpetic - diagnosis ; Neuralgia, Postherpetic - etiology ; Neuralgia, Postherpetic - physiopathology ; Older people ; Pain Measurement - methods ; Polypharmacy ; Quality of Life ; Review ; Stress, Psychological - diagnosis ; Stress, Psychological - etiology</subject><ispartof>Aging clinical and experimental research, 2015-12, Vol.27 (6), p.757-765</ispartof><rights>Springer International Publishing Switzerland 2015</rights><rights>Springer International Publishing Switzerland 2015.</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c442t-742a227e44c1ba1ade5d554a2ccba1d8000932a428693f8eaae97c9a3baa1c403</citedby><cites>FETCH-LOGICAL-c442t-742a227e44c1ba1ade5d554a2ccba1d8000932a428693f8eaae97c9a3baa1c403</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://link.springer.com/content/pdf/10.1007/s40520-015-0450-0$$EPDF$$P50$$Gspringer$$H</linktopdf><linktohtml>$$Uhttps://link.springer.com/10.1007/s40520-015-0450-0$$EHTML$$P50$$Gspringer$$H</linktohtml><link.rule.ids>314,780,784,27924,27925,41488,42557,51319</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/26440662$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Herpes Zoster and Functional Decline Consortium</creatorcontrib><creatorcontrib>Herpes Zoster and Functional Decline Consortium</creatorcontrib><title>Functional decline and herpes zoster in older people: an interplay of multiple factors</title><title>Aging clinical and experimental research</title><addtitle>Aging Clin Exp Res</addtitle><addtitle>Aging Clin Exp Res</addtitle><description>Herpes zoster is a frequent painful infectious disease whose incidence and severity increase with age. In older people, there is a strong bidirectional link between herpes zoster and functional decline, which refers to a decrement in ability to perform activities of daily living due to ageing and disabilities. However, the exact nature of such link remains poorly established. Based on the opinion from a multidisciplinary group of experts, we here propose a new model to account for the interplay between infection, somatic/psychiatric comorbidity, coping skills, polypharmacy, and age, which may account for the functional decline related to herpes zoster in older patients. This model integrates the risk of decompensation of underlying disease; the risk of pain becoming chronic (e.g. postherpetic neuralgia); the risk of herpes zoster non-pain complications; the detrimental impact of herpes zoster on quality of life, functioning, and mood; the therapeutic difficulties due to multimorbidity, polypharmacy, and ageing; and the role of stressful life events in the infection itself and comorbid depression. This model underlines the importance of early treatment, strengthening coping, and vaccine prevention.</description><subject>Activities of Daily Living</subject><subject>Aged</subject><subject>Aging - physiology</subject><subject>Aging - psychology</subject><subject>Comorbidity</subject><subject>Female</subject><subject>Geriatric Assessment</subject><subject>Geriatrics/Gerontology</subject><subject>Herpes Zoster - complications</subject><subject>Herpes Zoster - physiopathology</subject><subject>Herpes Zoster - psychology</subject><subject>Humans</subject><subject>Incidence</subject><subject>Male</subject><subject>Medicine</subject><subject>Medicine & Public Health</subject><subject>Middle Aged</subject><subject>Models, Theoretical</subject><subject>Neuralgia, Postherpetic - diagnosis</subject><subject>Neuralgia, Postherpetic - etiology</subject><subject>Neuralgia, Postherpetic - physiopathology</subject><subject>Older people</subject><subject>Pain Measurement - methods</subject><subject>Polypharmacy</subject><subject>Quality of Life</subject><subject>Review</subject><subject>Stress, Psychological - 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physiology</topic><topic>Aging - psychology</topic><topic>Comorbidity</topic><topic>Female</topic><topic>Geriatric Assessment</topic><topic>Geriatrics/Gerontology</topic><topic>Herpes Zoster - complications</topic><topic>Herpes Zoster - physiopathology</topic><topic>Herpes Zoster - psychology</topic><topic>Humans</topic><topic>Incidence</topic><topic>Male</topic><topic>Medicine</topic><topic>Medicine & Public Health</topic><topic>Middle Aged</topic><topic>Models, Theoretical</topic><topic>Neuralgia, Postherpetic - diagnosis</topic><topic>Neuralgia, Postherpetic - etiology</topic><topic>Neuralgia, Postherpetic - physiopathology</topic><topic>Older people</topic><topic>Pain Measurement - methods</topic><topic>Polypharmacy</topic><topic>Quality of Life</topic><topic>Review</topic><topic>Stress, Psychological - diagnosis</topic><topic>Stress, Psychological - etiology</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Herpes Zoster and Functional Decline Consortium</creatorcontrib><creatorcontrib>Herpes Zoster and Functional Decline Consortium</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>ProQuest Central</collection><collection>ProQuest One Community College</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>MEDLINE - Academic</collection><jtitle>Aging clinical and experimental research</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><aucorp>Herpes Zoster and Functional Decline Consortium</aucorp><aucorp>Herpes Zoster and Functional Decline Consortium</aucorp><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Functional decline and herpes zoster in older people: an interplay of multiple factors</atitle><jtitle>Aging clinical and experimental research</jtitle><stitle>Aging Clin Exp Res</stitle><addtitle>Aging Clin Exp Res</addtitle><date>2015-12-01</date><risdate>2015</risdate><volume>27</volume><issue>6</issue><spage>757</spage><epage>765</epage><pages>757-765</pages><issn>1720-8319</issn><issn>1594-0667</issn><eissn>1720-8319</eissn><abstract>Herpes zoster is a frequent painful infectious disease whose incidence and severity increase with age. In older people, there is a strong bidirectional link between herpes zoster and functional decline, which refers to a decrement in ability to perform activities of daily living due to ageing and disabilities. However, the exact nature of such link remains poorly established. Based on the opinion from a multidisciplinary group of experts, we here propose a new model to account for the interplay between infection, somatic/psychiatric comorbidity, coping skills, polypharmacy, and age, which may account for the functional decline related to herpes zoster in older patients. This model integrates the risk of decompensation of underlying disease; the risk of pain becoming chronic (e.g. postherpetic neuralgia); the risk of herpes zoster non-pain complications; the detrimental impact of herpes zoster on quality of life, functioning, and mood; the therapeutic difficulties due to multimorbidity, polypharmacy, and ageing; and the role of stressful life events in the infection itself and comorbid depression. This model underlines the importance of early treatment, strengthening coping, and vaccine prevention.</abstract><cop>Cham</cop><pub>Springer International Publishing</pub><pmid>26440662</pmid><doi>10.1007/s40520-015-0450-0</doi><tpages>9</tpages><oa>free_for_read</oa></addata></record> |
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subjects | Activities of Daily Living Aged Aging - physiology Aging - psychology Comorbidity Female Geriatric Assessment Geriatrics/Gerontology Herpes Zoster - complications Herpes Zoster - physiopathology Herpes Zoster - psychology Humans Incidence Male Medicine Medicine & Public Health Middle Aged Models, Theoretical Neuralgia, Postherpetic - diagnosis Neuralgia, Postherpetic - etiology Neuralgia, Postherpetic - physiopathology Older people Pain Measurement - methods Polypharmacy Quality of Life Review Stress, Psychological - diagnosis Stress, Psychological - etiology |
title | Functional decline and herpes zoster in older people: an interplay of multiple factors |
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