Substance use and shame: A systematic and meta-analytic review

Luoma, Jason B.; Chwyl, Christina; Kaplan, Josh

doi:10.1016/j.cpr.2019.03.002

Cited by 52 publications

(54 citation statements)

References 67 publications

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“…Shame and pride also influence health outcomes. Meta-analyses find shame to be significantly associated with depression, anxiety, self-harm, and substance use among the general population (Cândea & Szentagotai-Tătar, 2018; Kim et al, 2011; López-Castro et al, 2019; Luoma et al, 2019; Sheehy et al, 2019). Research with SMAs demonstrates similar findings.…”

Section: Introductionmentioning

confidence: 99%

The Construction of Shame and Pride: A Grounded Theory Model of Identity, Emotions, and Wellbeing among Sexual Minority Adolescents

2021

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This study explored the development and impact of shame and pride among sexual minority adolescents (SMA) to better understand emotions as psychosocial mechanisms of wellbeing. Shame and pride are salient to understanding the experiences of SMAs because American society has culturally constructed their identities to be dichotomized as shameful and something to be hidden, or prideful, and something to be celebrated. However, little empirical research has been conducted to understand the influence these emotions have on this population. This study conducted a secondary qualitative analysis of life-history interviews from 36 racially diverse SMAs. The grounded theory model suggests shame and pride emerge through an interaction between social reality, life experiences of minority stress and resilience, and perceptions of self. Furthermore, these emotions influenced health behaviors through the way they were managed. Findings are discussed in light of current literature and implications for research and practice are shared.

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Section: Introductionmentioning

confidence: 99%

The Construction of Shame and Pride: A Grounded Theory Model of Identity, Emotions, and Wellbeing among Sexual Minority Adolescents

2021

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“…It is intuitive that self-compassion be applied to SUD as substances are often used to avoid shame and self-criticism, while self-compassion targets the biological threat system which gives rise to both (Gilbert, 2014;Luoma et al, 2019). Selfcompassion was described by Neff and Tirch (2013) as a combination of self-kindness, common humanity, and mindfulness.…”

Section: Act and Self-compassionmentioning

confidence: 99%

The Choice Point Model of Acceptance and Commitment Therapy With Inpatient Substance Use and Co-occurring Populations: A Pilot Study

Berman¹,

Kurlancheek²

2021

Front. Psychol.

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Objectives: Acceptance and Commitment Therapy (ACT) is an empirically supported treatment which aims to enhance self-acceptance and a commitment to core values. The present study examined the effectiveness of the Choice Point model of ACT in a residential substance use disorder (SUD) setting. Choice Point is a contemporary approach to ACT and targets transdiagnostic processes.Methods: This uncontrolled quasi-experimental design assessed 47 participants taking part in Choice Point for Substances (CHOPS) in order to investigate its influence on psychological inflexibility, values-based action, and self-compassion over time. The study additionally assessed for sleeper effects and associations between transdiagnostic processes and warning signs of relapse.Results: Findings demonstrated a decrease in psychological inflexibility and increases in values-based action and self-compassion over time. Gains were maintained at follow-up, and sleeper effects were observed for psychological inflexibility and mindfulness. Correlational analysis suggested that all transdiagnostic processes were related to warning signs of relapse at follow-up.Conclusion: These results provide preliminary evidence for the feasibility, acceptability, and effectiveness of CHOPS for SUD. Observed sleeper effects in psychological inflexibility and mindfulness indicate that CHOPS may provide longer-term benefits critical to a population where relapse is common. While encouraging, these findings should be interpreted with caution. Future research should utilize comparison groups when investigating CHOPS.

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“…B. Luoma et al, 2019), and self-injurious behavior (Gilbert et al, 2010). The link between shame and psychopathology has given rise to a growing research base assessing shame as a predisposing and maintaining factor for psychological problems, underscoring the need for reliable and valid self-report measures to assess shame.…”

Section: Introductionmentioning

confidence: 99%

“…Shame is a self‐conscious emotion that can promote healthy social and moral development at typical levels, but at chronic and intense levels has been reliably linked to numerous psychological problems including depression (Kim et al, 2011), posttraumatic stress disorder (Lopez‐Castro et al, 2019), problems of substance misuse (J. B. Luoma et al, 2019), and self‐injurious behavior (Gilbert et al, 2010). The link between shame and psychopathology has given rise to a growing research base assessing shame as a predisposing and maintaining factor for psychological problems, underscoring the need for reliable and valid self‐report measures to assess shame.…”

Section: Introductionmentioning

confidence: 99%

A systematic review of self‐report measures of generalized shame

et al. 2022

Self Cite

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Objective: Shame is a transdiagnostic emotion of strong clinical and research interest. Yet, there is a lack of consensus on the definition and varying methods employed across self-report measures, potentially affecting our ability to accurately study shame and examine whether clinical interventions to alter shame are effective. This paper offers a systematic review of self-report measures of generalized shame. Methods: PubMed, PsycInfo, and Web of Science were searched. Studies were included when they were available in English and the primary aim was to evaluate measurement properties of scales or subscales designed to measure generalized shame in adults. Results: Thirty-six papers examining 19 scales were identified, with measures of trait shame more common than state shame. Construct validity, internal consistency, and structural validity were relative strengths. Development and content validity studies were lacking and suffered from low methodological quality.

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Substance use and shame: A systematic and meta-analytic review

Cited by 52 publications

References 67 publications

The Construction of Shame and Pride: A Grounded Theory Model of Identity, Emotions, and Wellbeing among Sexual Minority Adolescents

The Construction of Shame and Pride: A Grounded Theory Model of Identity, Emotions, and Wellbeing among Sexual Minority Adolescents

The Choice Point Model of Acceptance and Commitment Therapy With Inpatient Substance Use and Co-occurring Populations: A Pilot Study

A systematic review of self‐report measures of generalized shame

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