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Shame in Anxiety and Obsessive-Compulsive Disorders

Overview
Publisher Current Science
Specialty Psychiatry
Date 2020 Feb 21
PMID 32076847
Citations 3
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Abstract

Purpose Of Review: Studies on the relations between shame and anxiety and obsessive-compulsive and related disorders (OCRDs) are reviewed, with a focus on recent work.

Recent Findings: 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.

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Mirabile M, Gnatt I, Sharp J, Mackelprang J J Interpers Violence. 2023; 39(7-8):1853-1876.

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Phenomenological Considerations of the World of the Obsessive Patient.

Demaria F, Pontillo M, Bellantoni D, Di Vincenzo C, Vicari S J Clin Med. 2023; 12(13).

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Recognizing obsessive-compulsive disorder: how suitable is the German Zohar-Fineberg obsessive-compulsive screen?.

Kuhne F, Paunov T, Weck F BMC Psychiatry. 2021; 21(1):450.

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