McGarity-Shipley Ellen C, Lee Eun-Young, Pyke Kyra E
Cardiovascular Stress Response Laboratory, School of Kinesiology and Health Studies, Queen's University, Kingston, ON, Canada.
In Situ Population Health Research Group, School of Kinesiology and Health Studies, Queen's University, Kingston, ON, Canada.
Health Psychol Behav Med. 2023 Oct 11;11(1):2268697. doi: 10.1080/21642850.2023.2268697. eCollection 2023.
Subjective social status (SSS) is an important independent predictor of health outcomes, however, the pathways through which it affects health are poorly understood. Chronic shame has previously been suggested as a potential mechanism but this has never been investigated and the relationship between chronic shame and health is under-researched. The purpose of this pilot study was to explore whether chronic shame explains a significant portion of the association between SSS and self rated health (SRH). Two-hundred American adults aged 30-55 years were recruited via a crowd-sourcing platform and were asked to provide information on their SSS, level of chronic shame, and SRH. Chronic shame significantly mediated the relationship between SSS and SRH. This pilot study provides initial evidence that shame explains a significant portion of the relationship between subjective social status and self-rated health. These findings support the initiation of larger, longitudinal investigations into chronic shame as a mediator of the subjective social status and self-rated health relationship.
主观社会地位（SSS）是健康结果的一个重要独立预测因素，然而，人们对其影响健康的途径知之甚少。此前有人提出慢性羞耻感是一种潜在机制，但从未对此进行过研究，而且慢性羞耻感与健康之间的关系也研究不足。这项试点研究的目的是探讨慢性羞耻感是否能解释SSS与自评健康（SRH）之间关联的很大一部分。通过一个众包平台招募了200名年龄在30至55岁之间的美国成年人，并要求他们提供有关其SSS、慢性羞耻感水平和SRH的信息。慢性羞耻感显著介导了SSS与SRH之间的关系。这项试点研究提供了初步证据，表明羞耻感解释了主观社会地位与自评健康之间关系的很大一部分。这些发现支持开展更大规模的纵向调查，以研究慢性羞耻感作为主观社会地位与自评健康关系的中介因素。
