Keith Laura, Gillanders David, Simpson Susan
Psychology Department, Lynebank Hospital, Fife, UK.
Clin Psychol Psychother. 2009 Jul-Aug;16(4):317-27. doi: 10.1002/cpp.629.
Shame has received increased attention over recent years and has been shown to be a feature of many forms of psychopathology, including eating disorders. The current study contributes to this field by exploring relationships between shame and a variety of factors hypothesized to contribute to shame in a sample of 52 females with eating disorders.
A cross-sectional questionnaire design was used.
Participants were 52 women with eating disorders. They completed six questionnaires: The Experience of Shame Scale, the Parental Bonding Inventory, the Social Isolation Subscale of the Young Schema Questionnaire, the Eating Disorder Diagnostic Scale and the Hospital Anxiety & Depression Scale.
High levels of shame were observed, and not only shame around eating. A multiple regression analysis, with shame as the dependent variable and other variables as predictor variables revealed that the Social Isolation schema explained a substantial amount of total shame scores. Negative experiences of maternal care and eating disorder pathology also contributed a small but significant amount to the variance in shame scores.
People with eating disorders experience generalized shame in relation to many aspects of their self and behaviour, not just shame around eating. Implications for future research, including the importance of prospective longitudinal designs, are discussed.
近年来，羞耻感受到了越来越多的关注，并已被证明是多种心理病理学形式的一个特征，包括饮食失调。本研究通过在52名患有饮食失调的女性样本中探索羞耻感与多种假设会导致羞耻感的因素之间的关系，为该领域做出了贡献。
采用横断面问卷调查设计。
参与者为52名患有饮食失调的女性。她们完成了六份问卷：羞耻感体验量表、父母教养方式问卷、青年图式问卷的社会隔离分量表、饮食失调诊断量表以及医院焦虑抑郁量表。
观察到高水平的羞耻感，且不仅仅是围绕饮食的羞耻感。以羞耻感为因变量，其他变量为预测变量的多元回归分析表明，社会隔离图式解释了羞耻感总分的很大一部分。母亲关爱方面的负面经历和饮食失调病理也对羞耻感得分的方差有小但显著的贡献。
患有饮食失调的人在自我和行为的许多方面都体验到普遍的羞耻感，而不仅仅是围绕饮食的羞耻感。讨论了对未来研究的启示，包括前瞻性纵向设计的重要性。
