Shame proneness and eating disorders: a comparison between clinical and non-clinical samples

Cavalera, Cesare; Pagnini, Francesco; Zurloni, Valentino; Diana, Barbara; Realdon, Olivia; Castelnuovo, Gianluca; Todisco, Patrizia; Molinari, Enrico

doi:10.1007/s40519-016-0328-y

Cited by 29 publications

(10 citation statements)

References 28 publications

(46 reference statements)

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“…Cesare et al . () found no significant association between shame proneness and ED symptoms in either AN or BN subgroups, though a moderately sized but non‐significant correlation between drive for thinness and shame proneness was reported in the AN group ( r = .33).…”

Section: Resultsmentioning

confidence: 89%

“…A summary of results and effect sizes is reported in Table for studies investigating shame using group comparison designs. Individuals with AN or BN presentations reported greater shame compared to non‐clinical control groups, with typically large effect sizes (Cardi, Di Matteo, Gilbert, & Treasure, ; Cesare et al ., ; Doran & Lewis, ; Ferreira, Pinto‐Gouveia, & Duarte, ; Kollei, Brunhoeber, Rauh, de Zwaan, & Martin, ; Overton, Selway, Strongman, & Houston, ; Swan & Andrews, ). These differences were apparent across multiple forms of shame (shame related to body/physical appearance; shame related to personal attributes/character; shame related to behaviour; external shame; shame related to eating) with the largest differences apparent for eating‐related shame ( k = 1; d = 2.77; ΔPOMS = 70%) and the smallest differences apparent for shame proneness ( k = 1; d = 0.88; ΔPOMS = 15%).…”

Section: Resultsmentioning

confidence: 99%

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Experiences of shame and guilt in anorexia and bulimia nervosa: A systematic review

Blythin

Nicholson²,

Macintyre

et al. 2018

Psychol Psychother

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Elevated shame appears to be a feature of anorexia (AN) and bulimia nervosa (BN). Shame appears to fluctuate with the occurrence of eating disordered behaviours like binging, purging or restricted eating. Guilt is less consistently linked to AN and BN presentations. Interventions directed at shame may be helpful for these populations. A lack of longitudinal data means the temporal features of these relationships are still unclear.

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Section: Resultsmentioning

confidence: 89%

Section: Resultsmentioning

confidence: 99%

Experiences of shame and guilt in anorexia and bulimia nervosa: A systematic review

Blythin

Nicholson²,

Macintyre

et al. 2018

Psychol Psychother

View full text Add to dashboard Cite

show abstract

“…Six studies examined internal shame, which describes an inwardly focussed sense of inadequacy, inferiority and badness compared to others. Four studies used group comparison design, three of which identified greater levels of internal shame in samples with BED or subthreshold BED than in healthy controls ( d = 0.78 to 1.36; Cesare et al, 2016; Masheb et al, 1999; Sanftner & Crowther, 1998). The study by Sanftner and Crowther (1998) found that university students who engaged in subthreshold binge eating experienced higher levels of and greater daily fluctuations in internal shame compared to healthy controls, although levels of internal shame did not increase across the 9 h leading up to binge eating episodes.…”

Section: Resultsmentioning

confidence: 99%

Shame and binge eating pathology: A systematic review

O’Loghlen

Grant

Galligan

2021

Clin Psychology and Psychoth

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Objective: Shame is broadly implicated in the development and maintenance of eating pathology. However, the relationship between shame and binge eating symptoms specifically is less clear. This review aimed to clarify what types of shame are associated with binge eating symptoms and the antecedents and maintenance factors in these relationships.Method: A systematic search for quantitative and qualitative empirical studies was conducted to identify evidence of the relationship between shame and binge eating symptoms. Altogether, 270 articles were identified and screened for eligibility in the review.Results: Results of the relevant empirical studies (n = 31) identified several types of shame associated with binge eating pathology: (i) internal shame, (ii) external shame, (iii) body shame and (iv) binge eating-related shame, as well as several mechanisms and pathways through which shame was associated with binge eating symptoms.Discussion: Drawing from the research findings, this review presents an original, integrated model of the cyclical shame-binge eating relationship. Clinical interventions that might break this cycle are discussed, as well as methodological weaknesses which limit causal inferences and important areas of future research.

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“…These characteristics also typify individuals with depression and disordered eating (e.g., Fairburn, Cooper, & Shafran, 2003; Jacobi, Paul, de Zwaan, Nutzinger, & Dahme, 2004; Orth, Berking, & Burkhardt, 2006). Previous research shows that SP and SC are both strongly associated with depression and disordered eating (Cesare et al, 2016; Tangney & Dearing, 2002; Dunkley & Grilo, 2007). Surprisingly, SP and SC have never been simultaneously examined in relation to these psychopathologies, making it difficult to distinguish their unique contributions to the comorbidity between these outcomes.…”

Section: Introductionmentioning

confidence: 99%

The unique associations of self-criticism and shame-proneness to symptoms of disordered eating and depression

2018

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This study examined the unique associations of shame-proneness and self-criticism to symptoms of disordered eating and depression among 186 undergraduate students. The study also tested the degree to which self-criticism and shame-proneness accounted for the association between disordered eating and depressive symptoms. Both shame-proneness and self-criticism were significantly related to disordered eating and depressive symptoms. Self-criticism was significantly associated with disordered eating and depressive symptoms, over-and-above shame-proneness, but the reverse was not true. Controlling for shame-proneness, self-criticism also accounted for a significant proportion of the covariance between disordered eating and depressive symptoms, suggesting that self-criticism could account for some of the comorbidity between depression and eating disorders. Findings suggest that self-criticism may have incremental utility above-and-beyond shame-proneness as part of a transdiagnostic underlying cognitive substrate for depression and disordered eating. Implications emerge for future research and clinical practice.

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Shame proneness and eating disorders: a comparison between clinical and non-clinical samples

Abstract: Shame proneness can be an important component for the development and the maintenance of ED due to a strong correlation not only with ED symptoms but also with psychological aspects of this disease, in both clinical and non-clinical samples.

Cited by 29 publications

References 28 publications

Experiences of shame and guilt in anorexia and bulimia nervosa: A systematic review

Experiences of shame and guilt in anorexia and bulimia nervosa: A systematic review

Shame and binge eating pathology: A systematic review

The unique associations of self-criticism and shame-proneness to symptoms of disordered eating and depression

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