Understanding the Link Between Stress and Shingles: Fact vs. Fiction

February 29, 2024

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This guide explores the relationship between stress and shingles, addressing common concerns and providing evidence-based information. It clarifies the established causes of shingles while acknowledging the potential influence of stress on the condition.

Shingles: Understanding the Cause

The Varicella-Zoster Virus (VZV)

Shingles is caused by the varicella-zoster virus (VZV), the same virus that causes chickenpox. When a person recovers from chickenpox, the VZV virus stays inactive or “dormant” in the body’s nervous system. Years later, the virus can reactivate to cause shingles.

So while stress does not introduce VZV or any external virus into the body, having had chickenpox earlier in life is a prerequisite for developing shingles.

Reactivation of VZV causing Shingles

When VZV reactivates, it causes shingles. Reactivation is often triggered by a weakened immune system that allows the dormant virus to “wake up.” As we age or develop other health conditions, immunity can weaken and make us susceptible to shingles outbreaks.

Symptoms of shingles include:

  • Burning, tingling skin
  • Sensitive and painful rash
  • Fluid-filled blisters
  • Fever, headache, chills
  • Feeling unwell

While most rashes clear up within 2-4 weeks, the associated nerve pain can persist for months or years. This long-term shingles pain is termed postherpetic neuralgia (PHN).

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Can Stress Cause Shingles?

Stress is not a direct cause of shingles.

To definitively state – stress does not directly introduce VZV into the body or cause shingles on its own. Only a prior VZV infection from chickenpox can eventually prompt shingles.

However, research suggests stress may act as a contributing factor in other ways.

Stress might be a contributing factor for reactivation

Some studies propose links between chronic stress and shingles reactivation, though much more research is still needed.

The potential mechanisms are complex. Long-term stress might weaken immunity over time, allowing viruses like VZV to reactivate more easily. Stress also causes inflammation in the body, which can directly damage nerves and skin tissues.

However, many unknowns remain regarding if and how stress might promote shingles reactivation. The relationship is difficult to study in controlled trials. So while an association is possible, we cannot claim stress unambiguously causes shingles outbreaks.

Managing Stress for Overall Health

Importance of stress management

Whether or not stress is a definitive trigger for shingles, managing stress remains vital for both physical and mental health. High stress linked to poor health outcomes like high blood pressure, heart disease, obesity, depression, and anxiety disorders.

Some healthy ways to manage life stresses include:

  • Regular exercise
  • Relaxation techniques like meditation, yoga, deep breathing
  • Maintaining social connections
  • Getting professional help from counselors or support groups when needed
  • Re-framing negative thought patterns
  • Prioritizing proper sleep, nutrition, etc.

Learning stress management empowers individuals to take control over their health, promoting overall wellbeing.

In conclusion:

Main Takeaways

  • The varicella-zoster virus, not stress itself, directly causes shingles.
  • While research proposes a potential link between stress and shingles reactivation, the relationship requires further verification through studies.
  • Managing stress is crucial for overall good health and quality of life.

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5 FAQs

What are the symptoms of shingles?

Shingles symptoms often start with tingling skin or burning pain on usually just one side of the body or face, followed by a painful rash with fluid-filled blisters about 1-4 days later. Other common shingles symptoms include fever, headache, chills, and generally feeling unwell. Postherpetic neuralgia (PHN) is severe nerve pain that persists for months/years after the rash clears.

What are the risk factors for developing shingles?

  • Having had chickenpox, since shingles is caused by reactivation of the dormant varicella-zoster virus (VZV)
  • Older age, with about half of cases occurring in ages 50+
  • Weakened immunity conditions like HIV, cancer/chemotherapy, certain medications
  • High levels of psychological stress may also potentially contribute

How is shingles diagnosed?

Healthcare providers often diagnose shingles based on recognizing the characteristic painful shingles rash, typically only on one side of the torso or face. They may also order tests on a sample of fluid from the blisters or blood tests to detect VZV antibodies that confirm shingles infection.

What are the treatment options for shingles?

Antiviral medications can help reduce the severity and duration of a shingles outbreak. Over-the-counter and prescription pain medications may provide symptom relief. Cool compresses, calamine lotion, and colloidal oatmeal baths can soothe skin irritation. Postherpetic neuralgia nerve pain may require additional specialized medications or procedures.

Who should get the shingles vaccine?

The CDC recommends healthy adults 50 years and older get two doses of recombinant zoster vaccine (RZV) to prevent shingles, regardless of whether they recall having had chickenpox. Even individuals who have already had shingles can get RZV to prevent future occurrences of the infection. Talk to your doctor about whether vaccination is appropriate for you.


In closing, scientific evidence definitively traces shingles to the reactivation of a previous varicella-zoster viral infection—not stress itself. However, stress may indirectly play a role in triggering outbreaks. Ongoing studies continue investigating these intricate links. Regardless of its involvement in shingles though, keeping stress levels well-managed through healthy lifestyle approaches remains vital for overall wellness.


  • [1] U.S. Department of Health and Human Services. (2022). Shingles: Signs, symptoms, causes, and treatment
  • [2] American Psychological Association. (2022). How stress affects the body.
  • [3] Mayo Clinic. (2021). Shingles – Symptoms & causes.
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