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19-09-2024

Shame, Guilt, and Pride Moderate the Relationship between Social Appearance Anxiety and Eating Disorder Symptoms

Auteurs: Luis E. Sandoval-Araujo, Jamie-Lee Pennesi, Cheri A. Levinson

Gepubliceerd in: Journal of Psychopathology and Behavioral Assessment

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Abstract

Eating disorders (EDs) and social anxiety disorder (SAD) are highly comorbid. Research to date suggests that social appearance anxiety (SAA), or fear of negative evaluation based on appearance is a type of social anxiety most related to EDs. Additionally, shame, guilt, and pride have each been shown to play a role in both EDs and SAD; however, they are yet to be explored as potential moderators of the relationship between SAA and ED symptoms. The current study tests if shame, guilt, and pride moderate the relationship between SAA and ED symptoms. Using an aggregate dataset of clinical and non-clinical samples (N = 1911), linear regressions were used to examine shame, guilt, and pride as moderators of the relationship between SAA and ED symptoms. We found that the relationship between SAA and ED symptoms was moderated by shame, guilt, and pride, such that at high levels of shame or guilt and low levels of pride, SAA was associated with increased ED symptoms. These findings suggest that shame and guilt may amplify, and pride may minimize, the relationship between SAA and ED symptoms. This research highlights the importance of assessing for high levels of SAA, shame, and guilt, and low levels of pride, independently, and in combination, to identify individuals at highest risk for developing ED symptoms. Future research should explore whether interventions targeting those with most at risk combinations helps to reduce ED symptoms.
Literatuur
go back to reference Berg, K. C., Crosby, R. D., Cao, L., Peterson, C. B., Engel, S. G., Mitchell, J. E., & Wonderlich, S. A. (2013). Facets of negative affect prior to and following binge-only, purge-only, and binge/purge events in women with bulimia nervosa. Journal of Abnormal Psychology, 122, 111–118. https://doi.org/10.1037/a0029703CrossRefPubMed Berg, K. C., Crosby, R. D., Cao, L., Peterson, C. B., Engel, S. G., Mitchell, J. E., & Wonderlich, S. A. (2013). Facets of negative affect prior to and following binge-only, purge-only, and binge/purge events in women with bulimia nervosa. Journal of Abnormal Psychology, 122, 111–118. https://​doi.​org/​10.​1037/​a0029703CrossRefPubMed
go back to reference Berg, K. C., Crosby, R. D., Cao, L., Crow, S. J., Engel, S. G., Wonderlich, S. A., & Peterson, C. B. (2015). Negative affect prior to and following overeating-only, loss of control eating-only, and binge eating episodes in obese adults. International Journal of Eating Disorders, 48, 641–653. https://doi.org/10.1002/eat.22401CrossRefPubMed Berg, K. C., Crosby, R. D., Cao, L., Crow, S. J., Engel, S. G., Wonderlich, S. A., & Peterson, C. B. (2015). Negative affect prior to and following overeating-only, loss of control eating-only, and binge eating episodes in obese adults. International Journal of Eating Disorders, 48, 641–653. https://​doi.​org/​10.​1002/​eat.​22401CrossRefPubMed
go back to reference Blythin, S. P. M., Nicholson, H. L., Macintyre, V. G., Dickson, J. M., Fox, J. R. E., & Taylor, P. J. (2020). Experiences of shame and guilt in anorexia and bulimia nervosa: A systematic review. Psychology and Psychotherapy: Theory Research and Practice, 93, 134–159. https://doi.org/10.1111/papt.12198CrossRef Blythin, S. P. M., Nicholson, H. L., Macintyre, V. G., Dickson, J. M., Fox, J. R. E., & Taylor, P. J. (2020). Experiences of shame and guilt in anorexia and bulimia nervosa: A systematic review. Psychology and Psychotherapy: Theory Research and Practice, 93, 134–159. https://​doi.​org/​10.​1111/​papt.​12198CrossRef
go back to reference Fairburn, C. G., & Beglin, S. J. (1994). Assessment of eating disorders: Interview or self-report questionnaire? The International Journal of Eating Disorders, 16, 363–370.CrossRefPubMed Fairburn, C. G., & Beglin, S. J. (1994). Assessment of eating disorders: Interview or self-report questionnaire? The International Journal of Eating Disorders, 16, 363–370.CrossRefPubMed
go back to reference First, M. B., Williams, J. B. W., Karg, R. S., & Spitzer, R. L. (2015). Structured Clinical Interview for Dsm-5 Disorders (Scid-5-cv): Clinician Version. First, M. B., Williams, J. B. W., Karg, R. S., & Spitzer, R. L. (2015). Structured Clinical Interview for Dsm-5 Disorders (Scid-5-cv): Clinician Version.
go back to reference Lecrubier, Y., Sheehan, D., Weiller, E., Amorim, P., Bonora, I., Sheehan, H., Janavs, K., J., & Dunbar, G. (1997). The Mini International Neuropsychiatric interview (MINI). A short diagnostic structured interview: Reliability and validity according to the CIDI. European Psychiatry, 12, 224–231. https://doi.org/10.1016/S0924-9338(97)83296-8CrossRef Lecrubier, Y., Sheehan, D., Weiller, E., Amorim, P., Bonora, I., Sheehan, H., Janavs, K., J., & Dunbar, G. (1997). The Mini International Neuropsychiatric interview (MINI). A short diagnostic structured interview: Reliability and validity according to the CIDI. European Psychiatry, 12, 224–231. https://​doi.​org/​10.​1016/​S0924-9338(97)83296-8CrossRef
go back to reference Levinson, C. A., Brosof, L. C., Vanzhula, I., Christian, C., Jones, P., Rodebaugh, T. L., Langer, J. K., White, E. K., Warren, C., Weeks, J. W., Menatti, A., Lim, M. H., & Fernandez, K. C. (2018). Social anxiety and eating disorder comorbidity and underlying vulnerabilities: Using network analysis to conceptualize comorbidity. The International Journal of Eating Disorders, 51, 693–709. https://doi.org/10.1002/eat.22890CrossRefPubMed Levinson, C. A., Brosof, L. C., Vanzhula, I., Christian, C., Jones, P., Rodebaugh, T. L., Langer, J. K., White, E. K., Warren, C., Weeks, J. W., Menatti, A., Lim, M. H., & Fernandez, K. C. (2018). Social anxiety and eating disorder comorbidity and underlying vulnerabilities: Using network analysis to conceptualize comorbidity. The International Journal of Eating Disorders, 51, 693–709. https://​doi.​org/​10.​1002/​eat.​22890CrossRefPubMed
go back to reference Marschall, D., Sanftner, J., & Tangney, J. (1994). The state shame and guilt scale. George Mason University. Marschall, D., Sanftner, J., & Tangney, J. (1994). The state shame and guilt scale. George Mason University.
go back to reference Oluyori, T. (2013). A systematic review of qualitative studies on shame, guilt and eating disorders. Counselling Psychology Review, 28, 47–59.CrossRef Oluyori, T. (2013). A systematic review of qualitative studies on shame, guilt and eating disorders. Counselling Psychology Review, 28, 47–59.CrossRef
go back to reference Schaumberg, K., Reilly, E. E., Gorrell, S., Levinson, C. A., Farrell, N. R., Brown, T. A., Smith, K. M., Schaefer, L. M., Essayli, J. H., Haynos, A. F., & Anderson, L. M. (2021). Conceptualizing eating disorder psychopathology using an anxiety disorders framework: Evidence and implications for exposure-based clinical research. Clinical Psychology Review, 83, 101952. https://doi.org/10.1016/j.cpr.2020.101952CrossRefPubMed Schaumberg, K., Reilly, E. E., Gorrell, S., Levinson, C. A., Farrell, N. R., Brown, T. A., Smith, K. M., Schaefer, L. M., Essayli, J. H., Haynos, A. F., & Anderson, L. M. (2021). Conceptualizing eating disorder psychopathology using an anxiety disorders framework: Evidence and implications for exposure-based clinical research. Clinical Psychology Review, 83, 101952. https://​doi.​org/​10.​1016/​j.​cpr.​2020.​101952CrossRefPubMed
go back to reference Shahnawaz, S., & Malik, J. A. (2016). Effect of shame and guilt in development of psychological distress among adolescents. FWU Journal of Social Sciences, 2, 54–63. Shahnawaz, S., & Malik, J. A. (2016). Effect of shame and guilt in development of psychological distress among adolescents. FWU Journal of Social Sciences, 2, 54–63.
go back to reference Swinbourne, J. M., Hunt, C., Abbott, M., Russell, J., Clare, S., T., & Touyz, S. (2012). The comorbidity between eating disorders and anxiety disorders: Prevalence in an eating disorder sample and anxiety disorder sample. Australian & New Zealand Journal of Psychiatry, 46, 118–131. https://doi.org/10.1177/0004867411432071CrossRef Swinbourne, J. M., Hunt, C., Abbott, M., Russell, J., Clare, S., T., & Touyz, S. (2012). The comorbidity between eating disorders and anxiety disorders: Prevalence in an eating disorder sample and anxiety disorder sample. Australian & New Zealand Journal of Psychiatry, 46, 118–131. https://​doi.​org/​10.​1177/​0004867411432071​CrossRef
Metagegevens
Titel
Shame, Guilt, and Pride Moderate the Relationship between Social Appearance Anxiety and Eating Disorder Symptoms
Auteurs
Luis E. Sandoval-Araujo
Jamie-Lee Pennesi
Cheri A. Levinson
Publicatiedatum
19-09-2024
Uitgeverij
Springer US
Gepubliceerd in
Journal of Psychopathology and Behavioral Assessment
Print ISSN: 0882-2689
Elektronisch ISSN: 1573-3505
DOI
https://doi.org/10.1007/s10862-024-10170-z