Shame and guilt in women with eating-disorder symptomatology

Abstract

The relationship of shame and guilt to eating-disorder symptomatology was investigated in a sample of 97 Australian women. In terms of the objective of predicting the severity of eating disturbance, the study explored the predictive utility of proneness to shame and guilt in a global sense, shame and guilt associated specifically with eating contexts, and shame associated with the body. The study also sought to determine if shame is a more prominent emotion than guilt among women who have eating difficulties. Shame associated with eating behavior was the strongest predictor of the severity of eating-disorder symptomatology. Other effective predictors were guilt associated with eating behavior and body shame. Eating disturbance was unrelated to proneness to shame and guilt in a global sense. Discussion of these findings focuses on the issue of determining whether self-conscious affects are best regarded as causes or as consequences of eating disturbance.

Body Shame dan Gangguan Makan Kajian Meta-Analisis

“…Hasil penelitian menemukan bahwa malu yang berfokus pada rasa malu yang berhubungan secara khusus dengan tubuh (malu fisik) lebih berpengaruh daripada rasa malu yang umum (Rørtveit, Åström, & Severinsson, 2009). Satu studi nonklinis lintas-seksional menemukan bahwa malu tubuh adalah prediktor yang lebih kuat dari patologi makan daripada rasa malu umum (Burney & Irwin, 2000).…”

“…Burney dan Irwin (2000) menambahkan bahwa tingkat keparahan gangguan makan yang patologis terkait erat dengan malu dalam konteks makan dan malu yang terkait tubuh. Malu terkait tubuh memiliki peran kausal pada perkembangan gangguan makan (Burney & Irwin, 2000). Artinya, malu dalam konteks gangguan makan sangat spesifik.…”

Seeking a perfect body look: feeding the pathogenic impact of shame?

“…Notwithstanding the consideration of shame as an adaptive emotion, high levels of shame are associated with severe social difficulties, and have been consistently linked to the development and maintenance of different mental health conditions [11,12], specifically depression [e.g., 4,13,26] and eating psychopathology [14][15][16][17].…”

Towards a Comprehensive Model of Recovery

“…Shame is related to symptoms and compensatory and concealing strategies. Shame may be more profound than in many other clinical groups (Frank, 1991;Sanfther & Crowther, 1998), and may also predict more symptom severity (Burney & Irwin, 2000). Shame may foster ambivalence to change, i.e.…”