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Childhood Maltreatment, Shame‐Proneness and Self‐Criticism in Social Anxiety Disorder: A Sequential Mediational Model

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Zeitschriftentitel: Clinical Psychology & Psychotherapy
Personen und Körperschaften: Shahar, Ben, Doron, Guy, Szepsenwol, Ohad
In: Clinical Psychology & Psychotherapy, 22, 2015, 6, S. 570-579
Medientyp: E-Article
Sprache: Englisch
veröffentlicht:
Wiley
Schlagwörter:
author_facet Shahar, Ben
Doron, Guy
Szepsenwol, Ohad
Shahar, Ben
Doron, Guy
Szepsenwol, Ohad
author Shahar, Ben
Doron, Guy
Szepsenwol, Ohad
spellingShingle Shahar, Ben
Doron, Guy
Szepsenwol, Ohad
Clinical Psychology & Psychotherapy
Childhood Maltreatment, Shame‐Proneness and Self‐Criticism in Social Anxiety Disorder: A Sequential Mediational Model
Clinical Psychology
author_sort shahar, ben
spelling Shahar, Ben Doron, Guy Szepsenwol, Ohad 1063-3995 1099-0879 Wiley Clinical Psychology http://dx.doi.org/10.1002/cpp.1918 <jats:sec><jats:label /><jats:p>Previous research has shown a robust link between emotional abuse and neglect with social anxiety symptoms. However, the mechanisms through which these links operate are less clear. We hypothesized a model in which early experiences of abuse and neglect create aversive shame states, internalized into a stable shame‐based cognitive–affective schema. Self‐criticism is conceptualized as a safety strategy designed to conceal flaws and prevent further experiences of shame. However, self‐criticism maintains negative self‐perceptions and insecurity in social situations. To provide preliminary, cross‐sectional support for this model, a nonclinical community sample of 219 adults from Israel (110 females, mean age = 38.7) completed measures of childhood trauma, shame‐proneness, self‐criticism and social anxiety symptoms. A sequential mediational model showed that emotional abuse, but not emotional neglect, predicted shame‐proneness, which in turn predicted self‐criticism, which in turn predicted social anxiety symptoms. These results provide initial evidence supporting the role of shame and self‐criticism in the development and maintenance of social anxiety disorder. The clinical implications of these findings are discussed Copyright © 2014 John Wiley &amp; Sons, Ltd.</jats:p></jats:sec><jats:sec><jats:title>Key Practitioner Message</jats:title><jats:p> <jats:list list-type="bullet"> <jats:list-item><jats:p>Previous research has shown that histories of emotional abuse and emotional neglect predict social anxiety symptoms, but the mechanisms that underlie these associations are not clear.</jats:p></jats:list-item> <jats:list-item><jats:p>Using psycho‐evolutionary and emotion‐focused perspectives, the findings of the current study suggest that shame and self‐criticism play an important role in social anxiety and may mediate the link between emotional abuse and symptoms.</jats:p></jats:list-item> <jats:list-item><jats:p>These findings also suggest that therapeutic interventions specifically targeting shame and self‐criticism should be incorporated into treatments for social anxiety, especially with socially anxious patients with abuse histories.</jats:p></jats:list-item> </jats:list></jats:p></jats:sec> Childhood Maltreatment, Shame‐Proneness and Self‐Criticism in Social Anxiety Disorder: A Sequential Mediational Model Clinical Psychology & Psychotherapy
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title Childhood Maltreatment, Shame‐Proneness and Self‐Criticism in Social Anxiety Disorder: A Sequential Mediational Model
title_unstemmed Childhood Maltreatment, Shame‐Proneness and Self‐Criticism in Social Anxiety Disorder: A Sequential Mediational Model
title_full Childhood Maltreatment, Shame‐Proneness and Self‐Criticism in Social Anxiety Disorder: A Sequential Mediational Model
title_fullStr Childhood Maltreatment, Shame‐Proneness and Self‐Criticism in Social Anxiety Disorder: A Sequential Mediational Model
title_full_unstemmed Childhood Maltreatment, Shame‐Proneness and Self‐Criticism in Social Anxiety Disorder: A Sequential Mediational Model
title_short Childhood Maltreatment, Shame‐Proneness and Self‐Criticism in Social Anxiety Disorder: A Sequential Mediational Model
title_sort childhood maltreatment, shame‐proneness and self‐criticism in social anxiety disorder: a sequential mediational model
topic Clinical Psychology
url http://dx.doi.org/10.1002/cpp.1918
publishDate 2015
physical 570-579
description <jats:sec><jats:label /><jats:p>Previous research has shown a robust link between emotional abuse and neglect with social anxiety symptoms. However, the mechanisms through which these links operate are less clear. We hypothesized a model in which early experiences of abuse and neglect create aversive shame states, internalized into a stable shame‐based cognitive–affective schema. Self‐criticism is conceptualized as a safety strategy designed to conceal flaws and prevent further experiences of shame. However, self‐criticism maintains negative self‐perceptions and insecurity in social situations. To provide preliminary, cross‐sectional support for this model, a nonclinical community sample of 219 adults from Israel (110 females, mean age = 38.7) completed measures of childhood trauma, shame‐proneness, self‐criticism and social anxiety symptoms. A sequential mediational model showed that emotional abuse, but not emotional neglect, predicted shame‐proneness, which in turn predicted self‐criticism, which in turn predicted social anxiety symptoms. These results provide initial evidence supporting the role of shame and self‐criticism in the development and maintenance of social anxiety disorder. The clinical implications of these findings are discussed Copyright © 2014 John Wiley &amp; Sons, Ltd.</jats:p></jats:sec><jats:sec><jats:title>Key Practitioner Message</jats:title><jats:p> <jats:list list-type="bullet"> <jats:list-item><jats:p>Previous research has shown that histories of emotional abuse and emotional neglect predict social anxiety symptoms, but the mechanisms that underlie these associations are not clear.</jats:p></jats:list-item> <jats:list-item><jats:p>Using psycho‐evolutionary and emotion‐focused perspectives, the findings of the current study suggest that shame and self‐criticism play an important role in social anxiety and may mediate the link between emotional abuse and symptoms.</jats:p></jats:list-item> <jats:list-item><jats:p>These findings also suggest that therapeutic interventions specifically targeting shame and self‐criticism should be incorporated into treatments for social anxiety, especially with socially anxious patients with abuse histories.</jats:p></jats:list-item> </jats:list></jats:p></jats:sec>
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author Shahar, Ben, Doron, Guy, Szepsenwol, Ohad
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description <jats:sec><jats:label /><jats:p>Previous research has shown a robust link between emotional abuse and neglect with social anxiety symptoms. However, the mechanisms through which these links operate are less clear. We hypothesized a model in which early experiences of abuse and neglect create aversive shame states, internalized into a stable shame‐based cognitive–affective schema. Self‐criticism is conceptualized as a safety strategy designed to conceal flaws and prevent further experiences of shame. However, self‐criticism maintains negative self‐perceptions and insecurity in social situations. To provide preliminary, cross‐sectional support for this model, a nonclinical community sample of 219 adults from Israel (110 females, mean age = 38.7) completed measures of childhood trauma, shame‐proneness, self‐criticism and social anxiety symptoms. A sequential mediational model showed that emotional abuse, but not emotional neglect, predicted shame‐proneness, which in turn predicted self‐criticism, which in turn predicted social anxiety symptoms. These results provide initial evidence supporting the role of shame and self‐criticism in the development and maintenance of social anxiety disorder. The clinical implications of these findings are discussed Copyright © 2014 John Wiley &amp; Sons, Ltd.</jats:p></jats:sec><jats:sec><jats:title>Key Practitioner Message</jats:title><jats:p> <jats:list list-type="bullet"> <jats:list-item><jats:p>Previous research has shown that histories of emotional abuse and emotional neglect predict social anxiety symptoms, but the mechanisms that underlie these associations are not clear.</jats:p></jats:list-item> <jats:list-item><jats:p>Using psycho‐evolutionary and emotion‐focused perspectives, the findings of the current study suggest that shame and self‐criticism play an important role in social anxiety and may mediate the link between emotional abuse and symptoms.</jats:p></jats:list-item> <jats:list-item><jats:p>These findings also suggest that therapeutic interventions specifically targeting shame and self‐criticism should be incorporated into treatments for social anxiety, especially with socially anxious patients with abuse histories.</jats:p></jats:list-item> </jats:list></jats:p></jats:sec>
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spelling Shahar, Ben Doron, Guy Szepsenwol, Ohad 1063-3995 1099-0879 Wiley Clinical Psychology http://dx.doi.org/10.1002/cpp.1918 <jats:sec><jats:label /><jats:p>Previous research has shown a robust link between emotional abuse and neglect with social anxiety symptoms. However, the mechanisms through which these links operate are less clear. We hypothesized a model in which early experiences of abuse and neglect create aversive shame states, internalized into a stable shame‐based cognitive–affective schema. Self‐criticism is conceptualized as a safety strategy designed to conceal flaws and prevent further experiences of shame. However, self‐criticism maintains negative self‐perceptions and insecurity in social situations. To provide preliminary, cross‐sectional support for this model, a nonclinical community sample of 219 adults from Israel (110 females, mean age = 38.7) completed measures of childhood trauma, shame‐proneness, self‐criticism and social anxiety symptoms. A sequential mediational model showed that emotional abuse, but not emotional neglect, predicted shame‐proneness, which in turn predicted self‐criticism, which in turn predicted social anxiety symptoms. These results provide initial evidence supporting the role of shame and self‐criticism in the development and maintenance of social anxiety disorder. The clinical implications of these findings are discussed Copyright © 2014 John Wiley &amp; Sons, Ltd.</jats:p></jats:sec><jats:sec><jats:title>Key Practitioner Message</jats:title><jats:p> <jats:list list-type="bullet"> <jats:list-item><jats:p>Previous research has shown that histories of emotional abuse and emotional neglect predict social anxiety symptoms, but the mechanisms that underlie these associations are not clear.</jats:p></jats:list-item> <jats:list-item><jats:p>Using psycho‐evolutionary and emotion‐focused perspectives, the findings of the current study suggest that shame and self‐criticism play an important role in social anxiety and may mediate the link between emotional abuse and symptoms.</jats:p></jats:list-item> <jats:list-item><jats:p>These findings also suggest that therapeutic interventions specifically targeting shame and self‐criticism should be incorporated into treatments for social anxiety, especially with socially anxious patients with abuse histories.</jats:p></jats:list-item> </jats:list></jats:p></jats:sec> Childhood Maltreatment, Shame‐Proneness and Self‐Criticism in Social Anxiety Disorder: A Sequential Mediational Model Clinical Psychology & Psychotherapy
spellingShingle Shahar, Ben, Doron, Guy, Szepsenwol, Ohad, Clinical Psychology & Psychotherapy, Childhood Maltreatment, Shame‐Proneness and Self‐Criticism in Social Anxiety Disorder: A Sequential Mediational Model, Clinical Psychology
title Childhood Maltreatment, Shame‐Proneness and Self‐Criticism in Social Anxiety Disorder: A Sequential Mediational Model
title_full Childhood Maltreatment, Shame‐Proneness and Self‐Criticism in Social Anxiety Disorder: A Sequential Mediational Model
title_fullStr Childhood Maltreatment, Shame‐Proneness and Self‐Criticism in Social Anxiety Disorder: A Sequential Mediational Model
title_full_unstemmed Childhood Maltreatment, Shame‐Proneness and Self‐Criticism in Social Anxiety Disorder: A Sequential Mediational Model
title_short Childhood Maltreatment, Shame‐Proneness and Self‐Criticism in Social Anxiety Disorder: A Sequential Mediational Model
title_sort childhood maltreatment, shame‐proneness and self‐criticism in social anxiety disorder: a sequential mediational model
title_unstemmed Childhood Maltreatment, Shame‐Proneness and Self‐Criticism in Social Anxiety Disorder: A Sequential Mediational Model
topic Clinical Psychology
url http://dx.doi.org/10.1002/cpp.1918