The role of shame and guilt in social anxiety disorder
Research suggests that shame and guilt may play a role in anxiety disorders. For social anxiety disorder (SAD), however, only a few studies investigated patients with the primary diagnosis of SAD. Thus, further research on shame and guilt in SAD is required.A secondary analysis of Data from the SOPH...
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| Format: | Article |
| Language: | English |
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Elsevier
2021-12-01
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| Series: | Journal of Affective Disorders Reports |
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| Online Access: | http://www.sciencedirect.com/science/article/pii/S2666915321001347 |
| _version_ | 1818871933381378048 |
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| author | Patrick Schuster Manfred E. Beutel Jürgen Hoyer Eric Leibing Björn Nolting Simone Salzer Bernhard Strauss Joerg Wiltink Christiane Steinert Falk Leichsenring |
| author_facet | Patrick Schuster Manfred E. Beutel Jürgen Hoyer Eric Leibing Björn Nolting Simone Salzer Bernhard Strauss Joerg Wiltink Christiane Steinert Falk Leichsenring |
| author_sort | Patrick Schuster |
| collection | DOAJ |
| description | Research suggests that shame and guilt may play a role in anxiety disorders. For social anxiety disorder (SAD), however, only a few studies investigated patients with the primary diagnosis of SAD. Thus, further research on shame and guilt in SAD is required.A secondary analysis of Data from the SOPHO-NET multicenter treatment study was performed. In a large sample of N = 495 patients with the primary diagnosis of SAD the relationship between shame and guilt with symptoms of social anxiety, depression, and interpersonal problems was examined by means of correlation analysis and additionally, a hierarchical linear regression analysis. To assess SAD, the German version of the Structured Clinical Interview for DSM-IV was used. Shame and guilt were assessed by the Test of Self-Conscious Affect.Results showed significant associations between internal shame and SAD symptoms, depression, and interpersonal problems. Internal shame contributed significantly to the variation in SAD symptoms over and above depression. Contextual-legitimate guilt was neither correlated with SAD symptoms nor with interpersonal problems. For depression, a significant but very small correlation with SAD symptoms was found that did not persist after controlling for internal shame by partial correlation.Internal shame but not contextual-legitimate guilt plays a role in SAD. It seems to be not only associated with symptoms of social anxiety but also with depression and interpersonal problems. Future studies should examine whether a focus on internal shame may be useful in treating SAD. |
| first_indexed | 2024-12-19T12:30:47Z |
| format | Article |
| id | doaj.art-c097ea26c7b1456f93b5375dd9ce074d |
| institution | Directory Open Access Journal |
| issn | 2666-9153 |
| language | English |
| last_indexed | 2024-12-19T12:30:47Z |
| publishDate | 2021-12-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Journal of Affective Disorders Reports |
| spelling | doaj.art-c097ea26c7b1456f93b5375dd9ce074d2022-12-21T20:21:24ZengElsevierJournal of Affective Disorders Reports2666-91532021-12-016100208The role of shame and guilt in social anxiety disorderPatrick Schuster0Manfred E. Beutel1Jürgen Hoyer2Eric Leibing3Björn Nolting4Simone Salzer5Bernhard Strauss6Joerg Wiltink7Christiane Steinert8Falk Leichsenring9Department of Psychosomatics and Psychotherapy, University of Giessen, Ludwigstrasse 76, Gießen, Germany; Corresponding author.Clinic of Psychosomatic Medicine and Psychotherapy, University Medical Center, Johannes Gutenberg University, Mainz, GermanyClinical Psychology and Psychotherapy, Technische Universität Dresden, GermanyClinic of Psychosomatic Medicine and Psychotherapy, University Medicine, Georg-August-University Goettingen, GermanyClinic of Psychosomatic Medicine and Psychotherapy, Klinikum Esslingen, GermanyInternational Psychoanalytic University Berlin, GermanyInstitute of Psychosocial Medicine and Psychotherapy, Jena University Hospital, GermanyClinic of Psychosomatic Medicine and Psychotherapy, University Medical Center, Johannes Gutenberg University, Mainz, GermanyDepartment of Psychosomatics and Psychotherapy, University of Giessen, Ludwigstrasse 76, Gießen, Germany; International Psychoanalytic University Berlin, GermanyDepartment of Psychosomatics and Psychotherapy, University of Giessen, Ludwigstrasse 76, Gießen, Germany; Department of Psychosomatics and Psychotherapy, University of Rostock, GermanyResearch suggests that shame and guilt may play a role in anxiety disorders. For social anxiety disorder (SAD), however, only a few studies investigated patients with the primary diagnosis of SAD. Thus, further research on shame and guilt in SAD is required.A secondary analysis of Data from the SOPHO-NET multicenter treatment study was performed. In a large sample of N = 495 patients with the primary diagnosis of SAD the relationship between shame and guilt with symptoms of social anxiety, depression, and interpersonal problems was examined by means of correlation analysis and additionally, a hierarchical linear regression analysis. To assess SAD, the German version of the Structured Clinical Interview for DSM-IV was used. Shame and guilt were assessed by the Test of Self-Conscious Affect.Results showed significant associations between internal shame and SAD symptoms, depression, and interpersonal problems. Internal shame contributed significantly to the variation in SAD symptoms over and above depression. Contextual-legitimate guilt was neither correlated with SAD symptoms nor with interpersonal problems. For depression, a significant but very small correlation with SAD symptoms was found that did not persist after controlling for internal shame by partial correlation.Internal shame but not contextual-legitimate guilt plays a role in SAD. It seems to be not only associated with symptoms of social anxiety but also with depression and interpersonal problems. Future studies should examine whether a focus on internal shame may be useful in treating SAD.http://www.sciencedirect.com/science/article/pii/S2666915321001347Social anxiety disorderShameGuilt |
| spellingShingle | Patrick Schuster Manfred E. Beutel Jürgen Hoyer Eric Leibing Björn Nolting Simone Salzer Bernhard Strauss Joerg Wiltink Christiane Steinert Falk Leichsenring The role of shame and guilt in social anxiety disorder Journal of Affective Disorders Reports Social anxiety disorder Shame Guilt |
| title | The role of shame and guilt in social anxiety disorder |
| title_full | The role of shame and guilt in social anxiety disorder |
| title_fullStr | The role of shame and guilt in social anxiety disorder |
| title_full_unstemmed | The role of shame and guilt in social anxiety disorder |
| title_short | The role of shame and guilt in social anxiety disorder |
| title_sort | role of shame and guilt in social anxiety disorder |
| topic | Social anxiety disorder Shame Guilt |
| url | http://www.sciencedirect.com/science/article/pii/S2666915321001347 |
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