The association between shame and substance use in young people: a systematic review

Rahim, Masuma; Patton, Robert

doi:10.7717/peerj.737

Cited by 30 publications

(15 citation statements)

References 44 publications

(71 reference statements)

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“…However, when shame and guilt are disproportionate to the situation, and/or triggered very easily and experienced in a variety of contexts, becoming the dominant way of emotional responding, they can be problematic [2]. Studies on children and adolescents have linked shame-proneness to negative outcomes such as anxiety and depression [12–14], eating disorders, delinquent behavior and substance use (for review see [2, 15, 16]). Data regarding the association between guilt-proneness and psychological problems are less consistent [2].…”

Section: Introductionmentioning

confidence: 99%

Individual Differences in Emotion Regulation, Childhood Trauma and Proneness to Shame and Guilt in Adolescence

Szentágotai‐Tătar

Miu

2016

PLoS ONE

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Dispositional shame and guilt have been associated with psychopathology and an increasing number of studies have traced this relation back to adolescence. This developmental period is thought to be characterized by maturational changes in emotion regulation, which also play an important role in vulnerability to psychopathology, but little is known about the links between emotion regulation and dispositional shame and guilt. The current study investigated the relations between individual differences in the habitual use of a wide range of emotion regulation strategies and proneness to shame and guilt in a large sample of adolescents (N = 706), aged 13 to 17 years. History of childhood trauma was also assessed. Our results showed that emotion regulation independently explained about 20% of the variance of shame-proneness and guilt-proneness. Higher use of maladaptive (e.g., Self-Blaming, Catastrophizing) and lower use of adaptive (e.g., Refocus on Planning, Positive Reappraisal) emotion regulation strategies were positively associated with shame-proneness. In contrast, lower use of maladaptive (e.g., Catastrophizing, Blaming Others) and higher use of adaptive (e.g., Refocus on Planning, Positive Reappraisal) emotion regulation strategies were associated with guilt-proneness, independent of the influence of childhood trauma, which also explained a relatively minor portion of guilt-proneness. Although there were age differences (i.e., rumination was used more by older adolescents, and the influence of emotion regulation on depression and anxiety symptoms increased with age) and sex differences (i.e., girls reported higher use of Putting into Perspective and Other Blaming compared to boys) in emotion regulation, age and sex were not significantly associated with proneness to shame and guilt. The positive relations with maladaptive emotion regulation underscores the dysfunctional nature of shame-proneness. Future studies could use longitudinal measures to establish that emotion regulation drives dispositional shame and guilt, and also investigate whether emotion regulation optimization is able to normalize proneness to shame and guilt and reduce risk for psychopathology.

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Section: Introductionmentioning

confidence: 99%

Individual Differences in Emotion Regulation, Childhood Trauma and Proneness to Shame and Guilt in Adolescence

Szentágotai‐Tătar

Miu

2016

PLoS ONE

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“…While researchers have not distinguished these types of shame as they relate to CSB, the limited research in this domain focused on the experience of negative self-evaluations (e.g., self-hostility) in relation to shame among individuals with CSB (Reid, Harper, & Anderson, 2009), thereby supporting the continued investigation of internal shame within this population. Shame was conceptualized as both a cause and consequence of addictive behaviors, including CSB and substance use (Gilliland, South, Carpenter, & Hardy, 2011; Masuma & Patton, 2015; Potter-Efron, 2002). Though many individuals who engaged in CSB harbored pre-existing shame (Gilliland et al, 2011), shame experienced as an adult may be exaggerated by CSB (Hall, 2011).…”

Section: Introductionmentioning

confidence: 99%

Dispositional Mindfulness, Shame, and Compulsive Sexual Behaviors Among Men in Residential Treatment for Substance Use Disorders

Brem

Shorey

Anderson³

et al. 2017

Mindfulness

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Approximately 31% of men in treatment for a substance use disorders (SUD) engage in compulsive sexual behavior (CSB). Shame, a well-documented consequence of CSB, increases the likelihood of relapse following treatment for SUDs. Despite the risk of relapse, prior research has not investigated factors that may attenuate the relation between CSB and shame. Dispositional mindfulness is one such factor known to mitigate shame. However, researchers have yet to examine dispositional mindfulness as a moderator of the relationship between CSB and shame among a sample of men in treatment for SUDs. In an effort to inform intervention efforts, the present study aimed to investigate the hypothesis that CSB would not relate to shame among men with high, as opposed to low, levels of dispositional mindfulness. The present study reviewed medical records of 184 men in residential treatment for SUDs who completed cross-sectional measures of shame, CSB, dispositional mindfulness, and substance use problems. Results demonstrated a significant interaction between CSB and dispositional mindfulness such that CSB positively related to shame at low, but not mean or high, levels of dispositional mindfulness. These results support and extend previous mindfulness and CSB treatment research. Findings suggested that intervention efforts for CSB may benefit from increasing dispositional mindfulness in an effort to reduce shame-related cognitions.

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“…Traumatized and stigmatized individuals often use drugs, both illicit and prescription, as a coping mechanism (Choi, DiNitto, Marti, & Choi, ; Rahim & Patton, ). The United Nations Office on Drugs and Crime (UNODC) estimated that worldwide, 250 million people used at least one illicit drug in 2014.…”

mentioning

confidence: 99%

Transgender Women's Experiences with Stigma, Trauma, and Attempted Suicide in the Dominican Republic

Budhwani

Hearld

Milner

et al. 2017

Suicide & Life Threat Behav

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Studies on attempted suicide in transgender populations, particularly those in resource-limited settings, are scarce. We examined the relationships between stigma, trauma, and suicide attempts in a national sample of transgender women from the Dominican Republic. Bivariate analysis examined differences between suicide attempters and nonattempters (n = 298). Multivariate analysis reported odds ratios with attempted suicide as the outcome (n = 260). About a quarter of respondents (23.9%) experienced sexual abuse, 12.3% were tortured, and 20.3% experienced a murder attempt. More than a quarter reported using illegal drugs. Independent sample t tests found significant differences between suicide attempters and nonattempters. Attempters were more likely to have experienced sexual abuse, psychological abuse, torture, and a murder attempt (p < .001 for all). Respondents who experienced psychological abuse had over three times higher odds of attempting suicide, compared to respondents who had not (OR = 3.203, p < .01). Experience with torture and attempted murder were associated with higher odds of attempting suicide (OR = 2.967, p < .05 and OR = 2.894, p < .05, respectively). Although some nations have implemented antidiscrimination policies protecting transgender citizens, these policies are often not consistently enforced. Eliminating stigmatizing policies may reduce rates of negative health outcomes and subsequently improving population health.

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The association between shame and substance use in young people: a systematic review

Cited by 30 publications

References 44 publications

Individual Differences in Emotion Regulation, Childhood Trauma and Proneness to Shame and Guilt in Adolescence

Individual Differences in Emotion Regulation, Childhood Trauma and Proneness to Shame and Guilt in Adolescence

Dispositional Mindfulness, Shame, and Compulsive Sexual Behaviors Among Men in Residential Treatment for Substance Use Disorders

Transgender Women's Experiences with Stigma, Trauma, and Attempted Suicide in the Dominican Republic

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