“…Regarding psychological adjustment, when one uses measures that are sensitive to the distinction between focusing on the self vs. the behavior [see 20], research on adults consistently shows a positive relationship between proneness to shame and a variety of psychological symptoms, including depression, anxiety, somatic symptoms, obsessive-compulsive tendencies, and paranoid ideation [21–26, see 27 for a meta-analytic review of shame and depression, 28, 29]. Although fewer studies in this domain focus on children and adolescents, results are similar to those found in adult samples, demonstrating a link between shame-proneness and psychological symptoms among youth [30–32, see 33 for a review, 34]. In contrast, proneness to “shame-free” guilt is generally negligibly or negatively related to psychological symptoms among children, adolescents, and adults [23, 28–30, 35–38].…”