Department of Clinical Psychology and Psychotherapy, Babeş-Bolyai University, Cluj-Napoca, Romania.
The Institute for Research, Development and Innovation in Applied Natural Sciences, Babeş-Bolyai University, Cluj-Napoca, Romania.
Curr Psychiatry Rep. 2020 Feb 14;22(4):16. doi: 10.1007/s11920-020-1142-9.
Studies on the relations between shame and anxiety and obsessive-compulsive and related disorders (OCRDs) are reviewed, with a focus on recent work.
Medium-sized positive correlations have been consistently found across anxiety disorders and OCRDs, suggesting that this relation is transdiagnostic. Most studies focused on shame-proneness and found similar relations across multiple types (e.g. internal, external) and domains (e.g. bodily, characterological, behavioural) of shame, with little variation between clinical and non-clinical populations and different age categories. However, most studies are cross-sectional and correlational and by separately studying clinical and non-clinical populations, they do not give a unitary dimensional view of the relation between shame and symptoms. Emerging findings suggest that shame may be a marker of the response to treatment in these disorders, and its relation with symptoms may be bidirectional. The consistent but medium-sized associations between shame and symptoms of anxiety and OCRDs warrant the future search for mediators and moderators.
本文回顾了羞耻感与焦虑症及强迫及相关障碍（OCRD）之间关系的研究，重点介绍了近期的工作。
焦虑症和 OCRD 之间存在中等程度的正相关，表明这种关系具有跨诊断意义。大多数研究集中在羞耻易感性上，发现多种类型（如内在、外在）和领域（如身体、性格、行为）的羞耻感之间存在相似的关系，在临床和非临床人群以及不同年龄组之间差异很小。然而，大多数研究都是横断面的和相关的，通过分别研究临床和非临床人群，它们没有对羞耻感与症状之间的关系进行统一的维度观察。新出现的研究结果表明，羞耻感可能是这些障碍对治疗反应的一个标志物，其与症状的关系可能是双向的。羞耻感与焦虑症和 OCRD 症状之间的一致但中等程度的关联，需要进一步研究中介和调节因素。
