Comparison of Self-compassion and Shame between Adolescents with Anxiety Disorders and Depressive Disorders with Normal Adolescents
Comparison of Self-compassion and Shame between Adolescents with Anxiety Disorders and Depressive Disorders with Normal Adolescents
Background and aim: The purpose of this study was to compare self-compassion and shame in adolescent girls with anxiety disorders, depressive disorders, and normal adolescent girls.
Materials and Methods: The research was a causal-comparative study. The study population included all adolescent girls who with anxiety disorders, depressive disorders, and normal adolescent girls in Tehran from October to December 2022. Purposive sampling was used to select 192 samples. The data collection tools included Self-Compassion Questionnaire Short Form (SCS-SF) and Guilt and Shame Proneness Scale (GASP). The method of data analysis obtained in the research was using ANOVA and Games-Howell post hoc test by SPSS-27 software.
Results: The study found that the difference in the mean value of the Self-compassion variable was significant among anxiety disorders, depressive disorders, and healthy controls (P<0.001). Moreover, the difference in the mean value of the shame variable between anxiety and depressive disorder patients and healthy controls was also significant (P<0.001). Group-by-group comparisons revealed that all groups had a significant self-compassion variable (P<0.001). When comparing all groups, it was evident that adolescent girls had significant differences in the shame variable (P<0.001).
Conclusion: The results of this study indicate that the level of self-compassion in patients with anxiety disorders and depressive disorders is lower than in healthy people. Furthermore, the level of shame in patients with anxiety disorders and depressive disorders was higher than in healthy subjects. Increasing compassion gives people flexibility to deal with life's challenges.
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Lathren C, Bluth K, Park J. Adolescent Self-Compassion Moderates the Relationship Between Perceived Stress and Internalizing Symptoms. Pers Individ Dif. 2019 Jun 1; 143:36-41. doi: 10.1016/j.paid.2019.02.008. Epub 2019 Feb 16. PMID: 32042216; PMCID: PMC7009781.
Soleimanpour S, Geierstanger S, Brindis CD. Adverse Childhood Experiences and Resilience: Addressing the Unique Needs of Adolescents. Acad Pediatr. 2017 Sep-Oct;17(7S): S108-S114. doi: 10.1016/j.acap.2017.01.008. PMID: 28865641.
Sanchez AL, Becker-Haimes EM, Wolk CB. Anxiety Disorders in Childhood and Adolescence: Prevalence and Diagnostic Considerations. InHandbook of Stress and Academic Anxiety: Psychological Processes and Interventions with Students and Teachers 2022 Nov 11 (pp. 149-163). Cham: Springer International Publishing.
Tali E, Potharst ES, de Bruin EI, Utens EM. Self-Compassion and Anxiety in Adolescents with and without Anxiety Disorder. Children. 2023 Jul 7;10(7):1181.
So S, Coffey DM, Javier JR. Parental enculturation and youth mental health functioning among Filipino American families. Cultural Diversity and Ethnic Minority Psychology. 2023 Apr;29(2):279.
Twenge JM, Joiner TE, Rogers ML, Martin GN. Increases in depressive symptoms, suicide-related outcomes, and suicide rates among US adolescents after 2010 and links to increased new media screen time. Clinical Psychological Science. 2018 Jan;6(1):3-17.
Merikangas KR, He JP, Burstein M, Swanson SA, Avenevoli S, Cui L, Benjet C, Georgiades K, Swendsen J. Lifetime prevalence of mental disorders in US adolescents: results from the National Comorbidity Survey Replication–Adolescent Supplement (NCS-A). Journal of the American Academy of Child & Adolescent Psychiatry. 2010 Oct 1;49(10):980-9.
Yoon Y, Eisenstadt M, Lereya ST, Deighton J. Gender difference in the change of adolescents’ mental health and subjective wellbeing trajectories. European Child & Adolescent Psychiatry. 2023 Sep;32(9):1569-78.
Ghasemi N, Goudarzi M, Ghazanfari F. The Effectiveness of compassion-based therapy on cognitive emotion regulation, Shame and Guilt-Proneness and mindfulness components in patients with mixed anxiety-depression disorder. Clinical Psychology Studies. 2019 May 22;9(34):145-66. doi: 10.22054/jcps.2019.41020.2108
Miratashi Yazdi M S, Mollazadeh's J, Aflakseir A, Sarafraz M R. The Effectiveness of Emotion-Focused Therapy on Internalized and External Shame in People with Social Anxiety. IJPN 2023; 10 (6) :51-63.URL: doi:10.22034/IJPN.10.6.51
Swee MB, Hudson CC, Heimberg RG. Examining the relationship between shame and social anxiety disorder: A systematic review. Clinical psychology review. 2021 Dec 1;90:102088. https://doi.org/10.1016/j.cpr.2021.102088
Muris P, Meesters C, van Asseldonk M. Shame on me! Self-conscious emotions and big five personality traits and their relations to anxiety disorders symptoms in young, non-clinical adolescents. Child Psychiatry & Human Development. 2018 Apr;49:268-78. https://doi.org/10.1007/s10578-017-0747-7
Fjermestad-Noll J, Ronningstam E, Bach BS, Rosenbaum B, Simonsen E. Perfectionism, shame, and aggression in depressive patients with narcissistic personality disorder. Journal of personality disorders. 2020 Mar;34(Supplement):25-41. https://doi.org/10.1521/pedi.2020.34.supp.25
Proeve M, Anton R, Kenny M. Effects of mindfulness‐based cognitive therapy on shame, self‐compassion and psychological distress in anxious and depressed patients: A pilot study. Psychology and Psychotherapy: Theory, Research and Practice. 2018 Dec;91(4):434-49. https://doi.org/10.1111/papt.12170
Zhang H, Carr ER, Garcia-Williams AG, Siegelman AE, Berke D, Niles-Carnes LV, Patterson B, Watson-Singleton NN, Kaslow NJ. Shame and depressive symptoms: Self-compassion and contingent self-worth as mediators?. Journal of clinical psychology in medical settings. 2018 Dec;25:408-19. https://doi.org/10.1007/s10880-018-9548-9
Porter AC, Zelkowitz RL, Cole DA. The unique associations of self-criticism and shame-proneness to symptoms of disordered eating and depression. Eating behaviors. 2018 Apr 1;29:64-7. https://doi.org/10.1016/j.eatbeh.2018.02.008
Rad Hossein, Zahedi Tajrishi Kamil, Ramezani Farani Abbas, Asgharanjad Farid Ali Asghar. The mediating role of shame and self-criticism in the relationship between attachment styles and severity of depressive symptoms. Iranian Journal of Psychiatry and Clinical Psychology (thought and behavior) .1401;28(4):480-495. Available from: https://sid.ir/paper/1071293/fa
Nasiri B, Shahgholian M. investigating the mediating role of shame and self-esteem in the relationship between self-compassion and depressive symptoms among students. Rooyesh 2021; 10 (5) :67-78.URL: http://frooyesh.ir/article-1-2609-fa.html
Murray CV, Jacobs JI, Rock AJ, Clark GI. Attachment style, thought suppression, self-compassion and depression: Testing a serial mediation model. PloS one. 2021 Jan 14;16(1):e0245056. https://doi.org/10.1371/journal.pone.0245056
Callow TJ, Moffitt RL, Neumann DL. External shame and its association with depression and anxiety: the moderating role of self-compassion. Australian Psychologist. 2021 Jan 2;56(1):70-80. https://doi.org/10.1080/00050067.2021.1890984
Dabiri S. The Role of Self-Control, Emotions, and Self-Compassion in the Prediction of Addiction Readiness. etiadpajohi 2022; 16 (65) :311-332. http://etiadpajohi.ir/article-1-2691-fa.html. 10.52547/etiadpajohi.16.65.311
Trindade IA, Sirois FM. The prospective effects of self-compassion on depressive symptoms, anxiety, and stress: A study in inflammatory bowel disease. Journal of Psychosomatic Research. 2021 Jul 1;146:110429. https://doi.org/10.1016/j.jpsychores.2021.110429
Mirsaifi Fard L S, Rafiee Ashiani A, Fadaei M, Bavafa A, karamian E. Comparison of Hexaco Personality Model and Self-Compassion in Clinical Depressed and Normal People in Isfahan. Int J Med Invest 2019; 8 (2) :50-60.URL: http://intjmi.com/article-1-399-en.html
Abdolshahi HR, Mehdi Reza S. The relationship between self-compassion and procrastination: The mediating role of shame and guilt. Journal of Fundamentals of Mental Health. 2019 Jun 22;21(4):233-9. doi: 10.22038/jfmh.2019.14398.
Cohen L, Manion L, Morrison K. Research methods in education [5 th edn] London: Routledge Falmer. Teaching in higher education. 2000;41(4):19-30. doi.org/10.4324/9780203224342
Cohen TR, Wolf ST, Panter AT, Insko CA. Introducing the GASP Scale: A New Measure of Guilt and Shame Proneness. J Pers Soc Psychol. 2011;100:947-66
Dehghani S, Khormaei F. The Relationship between Moral Characters and Aggression among University Students: The Mediating Role of Shame and Guilt Emotions. Social Psychology Research. 2022 Feb 20;11(44):47-72.
Raes F, Pommier E, Neff KD, Van Gucht D. Construction and factorial validation of a short form of the self‐compassion scale. Clinical psychology & psychotherapy. 2011 May;18(3):250-5.
Abedini M, Akbari B, Sadeghi A, Asadi Majreh S. The Effect of self-control with emotional well-being on the role of self-compassion & emotion regulation in cancer patients. Knowledge & Research in Applied Psychology. 2022 Feb 13.
Cândea DM, Szentagotai-Tătar A. Shame-proneness, guilt-proneness and anxiety symptoms: A meta-analysis. Journal of anxiety disorders. 2018 Aug 1;58:78-106. https://doi.org/10.1016/j.janxdis.2018.07.005
Asgariyan Z, Rezaei Kheirabadi M. Predicting adolescent’s internalized shame based on social anxiety, relationship with parent, self-esteem and self- efficacy. Rooyesh 2021; 10 (2) :103-112.URL: http://frooyesh.ir/article-1-2492-fa.html
Gaziel-Guttman M, Anaki D, Mashal N. Social anxiety and shame among young adults with autism spectrum disorder compared to typical adults. Journal of Autism and Developmental Disorders. 2023 Jun;53(6):2490-8. https://doi.org/10.1007/s10803-022-05526-x
Gambin M, Sharp C. The relations between empathy, guilt, shame and depression in inpatient adolescents. Journal of Affective Disorders. 2018 Dec 1;241:381-7. https://doi.org/10.1016/j.jad.2018.08.068
Ghadampour, E., Mansouri, L. The Effectiveness of Compassion Focused Therapy on Increasing Optimism and Self-compassion in Female Students with Generalized Anxiety Disorder. Journal of Psychological Studies, 2018; 14(1): 59-74. doi: 10.22051/psy.2017.13705.1329. https://psychstudies.alzahra.ac.ir/article_3120.html
Roohi R, Soltani A A, Zinedine Meimand Z, Razavi Nematollahi V. The Effect of Acceptance and Commitment Therapy (ACT) on Increasing the Self-Compassion, Distress Tolerance, and Emotion Regulation in Students with Social Anxiety Disorder. J Child Ment Health 2019; 6 (3) :173-187
URL: http://childmentalhealth.ir/article-1-432-fa.html. 10.29252/jcmh.6.3.16
Navabi M A, Goodarzi K, Roozbahani M, Kordestani D. Comparison of the Effectiveness of Happiness Education and Problem Solving Skills Training on Social Anxiety and Self-Compassion in Adolescents. Islamic Life Style 2020; 4 (4) :103-110.URL: http://islamiclifej.com/article-1-577-fa.html. https://islamiclifej.com/browse.php?a_id=577&sid=1&slc_lang=fa
Arch JJ, Landy LN, Schneider RL, Koban L, Andrews-Hanna JR. Self-compassion induction enhances recovery from social stressors: Comparing adults with social anxiety disorder and healthy controls. Anxiety, Stress, & Coping. 2018 Sep 3;31(5):594-609. https://doi.org/10.1080/10615806.2018.1504033
McBride NL, Bates GW, Elphinstone B, Whitehead R. Self‐compassion and social anxiety: The mediating effect of emotion regulation strategies and the influence of depressed mood. Psychology and Psychotherapy: Theory, Research and Practice. 2022 Dec;95(4):1036-55. https://doi.org/10.1111/papt.12417
Hughes M, Brown SL, Campbell S, Dandy S, Cherry MG. Self-compassion and anxiety and depression in chronic physical illness populations: A systematic review. Mindfulness. 2021 Jul;12:1597-610. https://link.springer.com/article/10.1007/s12671-021-01602-y
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