Self‐disgust mediates the relationship between childhood adversities and psychosis

Simpson, Jane; Helliwell, Benjamin; Varese, Filippo; Powell, Philip A.

doi:10.1111/bjc.12245

Cited by 3 publications

(1 citation statement)

References 34 publications

(53 reference statements)

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“…Self‐disgust has been previously recognized as a transdiagnostic construct that may play a role in the development and maintenance of a range of mental health difficulties (see Simpson et al., 2020) and has also been implicated within the psychopathology of depressive, anxiety and EDs. In a study by Carrot et al (2017), who examined the co‐occurrence of anxiety and depressive symptoms in AN patients, 83.5% of them had at least one lifetime anxiety disorder and 85.6% of them presented with at least one lifetime major depressive episode.…”

Section: Discussionmentioning

confidence: 99%

Self‐disgust and disgust sensitivity are increased in anorexia nervosa inpatients, but only self‐disgust mediates between comorbid and core psychopathology

Kot

Grzegorzewski

Kostecka

et al. 2021

Euro Eating Disorders Rev

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Objective The possible role of abnormal disgust processing in the development and course of anorexia nervosa (AN) has been emphasized in theoretical models and research. However, disgust toward external stimuli and self‐disgust have not yet been investigated together in a clinical sample of AN patients. Therefore, the purpose of the study was to measure these constructs and examine their role in shaping eating pathology in AN patients and healthy controls (HCs), considering comorbid depressive and anxiety psychopathology. The study also aimed at testing the possible mediational roles of both disgust types in the associations between comorbid psychopathology and eating disorders (EDs) characteristics. Method Altogether, 63 inpatients with AN and 57 HCs partook in the study. Participants completed the Eating Disorder Inventory‐3, State‐Trait Anxiety Inventory, Beck Depression Inventory‐II, Disgust Scale–Revised and Self‐Disgust Scale. Results AN patients manifested higher self‐disgust and disgust sensitivity than HCs. In addition, self‐disgust predicted the severity of EDs characteristics and mediated the links of depressive symptoms and trait anxiety with EDs characteristics in both groups. Discussion Our findings imply the putative role of self‐disgust in the development of EDs psychopathology in HCs and in its maintenance in AN patients.

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Section: Discussionmentioning

confidence: 99%

Self‐disgust and disgust sensitivity are increased in anorexia nervosa inpatients, but only self‐disgust mediates between comorbid and core psychopathology

Kot

Grzegorzewski

Kostecka

et al. 2021

Euro Eating Disorders Rev

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Is self-disgust an implicit or explicit emotional schema?

Robson,

Ypsilanti,

Lazuras

et al. 2024

Journal of Affective Disorders

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Experiencing Psychosis and Shame: A Systematic Review and Meta-analysis of the Strength and Patterns of Association

Davies,

Lappin,

Gott

et al. 2024

Schizophrenia Bulletin

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Background and Hypothesis Shame has been linked to the experience of psychosis, with implications for clinical outcomes, however, a meta-analysis of the relationship has not yet been conducted. This systematic review and meta-analysis aimed to examine the strength of the association between shame and psychosis, and any variations between clinical and non-clinical populations and shame type (internal vs external shame). Study Design Searches were conducted in CINAHL, EMBASE, PsycInfo, PubMed, Scopus, and Web of Science from the inception of the e-databases until July 2023. For inclusion, studies reported a quantitative association between psychosis and shame, or data that could be used to identify a relationship. From 11 372 unique retrieved records, 40 articles met the inclusion criteria and 38 were included in the meta-analyses. Study Results A significant large pooled estimate of the psychosis-shame association was identified (Zr = 0.36, [95% CI: 0.28, 0.44], P < .001), indicating that higher levels of shame were associated with greater severity of psychotic symptoms. The strength of the association was similar across clinical and non-clinical populations, however, differed by type of shame and psychosis symptom measured. External shame was strongly associated with paranoia suggesting possible confounding. Only a minority of studies met the highest quality criteria. Conclusions Shame is strongly associated with the severity of psychotic symptoms in clinical and non-clinical populations. Given the overlap with paranoia, measurement of external shame alone is not advised. Larger studies in clinical populations, with measures of a range of psychosis symptoms, are needed to better understand the relationship between shame and specific symptoms.

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Self‐disgust mediates the relationship between childhood adversities and psychosis

Cited by 3 publications

References 34 publications

Self‐disgust and disgust sensitivity are increased in anorexia nervosa inpatients, but only self‐disgust mediates between comorbid and core psychopathology

Self‐disgust and disgust sensitivity are increased in anorexia nervosa inpatients, but only self‐disgust mediates between comorbid and core psychopathology

Is self-disgust an implicit or explicit emotional schema?

Experiencing Psychosis and Shame: A Systematic Review and Meta-analysis of the Strength and Patterns of Association

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