Cepni Aliye B, Ma Hayle Y, Irshad Ammar M, Yoe Grace K, Johnston Craig A
Department of Health and Human Performance, University of Houston, Houston, TX, USA (ABC, HYM, AMI, GKY, CAJ).
Am J Lifestyle Med. 2024 Oct 23:15598276241292993. doi: 10.1177/15598276241292993.
Shame is a common experience for individuals living with chronic diseases related to lifestyle, such as obesity and diabetes. It is often characterized by feelings of stigma and worthlessness, leading many patients to feel judged and unworthy of respect, which can profoundly affect health outcomes and overall quality of life. Despite the severe consequences of shame, therapeutic approaches to address it remain underexplored. This paper highlights the role of Acceptance and Commitment Therapy and Compassion Focused Therapy as effective strategies to mitigate shame, cultivate self-compassion, and, therefore, enhance health outcomes for individuals with chronic lifestyle-related conditions. These therapies have demonstrated positive effects on treatment adherence and self-management among patients with chronic diseases. Therefore, healthcare providers can improve patients' overall well-being by adopting strategies from these therapies, such as using compassionate language that emphasizes empathy, non-judgmental support, and validation, all of which help reduce shame and stigma.
羞耻感是患有与生活方式相关的慢性疾病(如肥胖症和糖尿病)的个体的常见经历。它通常表现为耻辱感和无价值感,导致许多患者感到被评判且不值得尊重,这会深刻影响健康结果和整体生活质量。尽管羞耻感会带来严重后果,但针对它的治疗方法仍未得到充分探索。本文强调了接受与承诺疗法和以慈悲为中心的疗法的作用,它们是减轻羞耻感、培养自我慈悲心从而改善患有与生活方式相关慢性病个体健康结果的有效策略。这些疗法已在慢性病患者的治疗依从性和自我管理方面显示出积极效果。因此,医疗服务提供者可以通过采用这些疗法中的策略来改善患者的整体幸福感,比如使用强调同理心、无评判支持和认可的富有同情心的语言,所有这些都有助于减少羞耻感和耻辱感。