The DOI matches its Crossref record; 146 of the 150 references it cites were found in a registry or an index.
Shame in the obsessive compulsive related disorders: A conceptual review
Open accessAbstract
Background Theoretical and anecdotal support for the role of shame in obsessive compulsive related disorders (OCRDs) is prominent. Developing our understanding of shame׳s role in OCRDs is important to building knowledge about this new diagnostic category. This review aims to consolidate our understanding of shame in each OCRD, through summarizing existing clinical, conceptual, and empirical work.Methods We provide an overview of shame, its measurement considerations, and a full review of 110 articles addressing shame in OCRDs.Results General shame and shame about having a mental illness are the broadest types of shame relevant to OCRDs; symptom-based shame and body shame may be more specific to OCRDs. In OCD, violent, sexual, or blasphemous obsessions may trigger symptom-based shame. In trichotillomania (TTM) and skin picking (SP), symptom-based shame may be related to pulling, picking, and post-pulling/picking behaviors. In hoarding disorder, symptom-based shame may accompany beliefs about being defective due to living with clutter. Body shame appears inherent to body dysmorphic disorder, while in TTM and SP it may arise as a secondary response to damage resulting from body focused repetitive behaviors.Limitations Much of the current knowledge on shame in OCRDs comes from anecdotal, case, and conceptual work. Empirical studies do not always assess specific types of shame, instead assessing shame as a general construct.Conclusions Shame is closely related to OCRDs. Clinical and research recommendations drawing from the literature are provided.
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“Poor self-compassion skills are implicated in feelings of guilt and shame and obsessive beliefs such as inflated personal responsibility, perfectionism, the belief that one should be able to exercise control over thoughts and moral thought-action fusion (e.g. Bream etal. 2017; Shapiro and Stewart 2011; Weingarden and Renshaw 2015; Wetterneck etal. 2013).”
From The Association of Trait Mindfulness and Self-compassion with Obsessive-Compulsive Disorder Symptoms: Results from a Large Survey with Treatment-Seeking Adults (2020) · cites this paper as Weingarden and Renshaw 2015
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“There is a well‐established link between shame and OCD (Laving et al., 2022; Visvalingam et al., 2022; Weingarden & Renshaw, 2015)”
From A preliminary investigation of the relationships between attachment insecurity, fear of compassion, and OCD severity (2025) · cites this paper as Weingarden & Renshaw, 2015
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“First, feelings of shame are strongly associated with BDD [19]”
From Treatment utilization and treatment barriers in individuals with body dysmorphic disorder (2020) · cites this paper as [19]
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“Most participants reported shame, stigma, and discrimination barriers, which is consistent with prior research on BDD [10, 16, 17, 19] and mental health problems [45].”
From Treatment utilization and treatment barriers in individuals with body dysmorphic disorder (2020) · cites this paper as [19]
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Diagnostic and Statistical Manual of Mental Disorders
Williams, J. B. W., & First, M. B. (2013) · Oxford University Press eBooks · doi:10.1093/acrefore/9780199975839.013.104 · Cited by 109,845
Diagnostic and Statistical Manual of Mental Disorders
(2012) · Springer eBooks · doi:10.1007/springerreference_121117 · Cited by 20,772
Self-discrepancy: A theory relating self and affect.
Higgins, E. T. (1987) · Psychological Review · doi:10.1037/0033-295x.94.3.319 · Cited by 7,219
SCL-90: an outpatient psychiatric rating scale--preliminary report.
Derogatis, L. R., Lipman, R. S., & Covi, L. (1973) · PubMed · Cited by 3,800
Leon, R. L. (1974) · Journal of the American Academy of Child Psychiatry · doi:10.1016/s0002-7138(09)61341-8 · Cited by 2,081
Tangney, J. P., & Dearing, R. L. (2002) · Medical Entomology and Zoology · Cited by 2,063
Obsessional-compulsive problems: A cognitive-behavioural analysis
Salkovskis, P. M. (1985) · Behaviour Research and Therapy · doi:10.1016/0005-7967(85)90105-6 · Cited by 1,842
Are shame, guilt, and embarrassment distinct emotions?
Tangney, J. P., Miller, R. S., Flicker, L., & Barlow, D. H. (1996) · Journal of Personality and Social Psychology · doi:10.1037/0022-3514.70.6.1256 · Cited by 1,556
Schema Therapy: A Practitioner’s Guide
TEMPLE, S. D. (2003) · American Journal of Psychiatry · doi:10.1176/appi.ajp.160.11.2074-a · Cited by 1,211
Clark, A. N. G., Mankikar, G. D., & Gray, I. (1975) · The Lancet · doi:10.1016/s0140-6736(75)91280-5 · Cited by 697
Flagged first, then by citations
4 of the 150 references couldn’t be matched to a known paper.
Research works printed but not linked: 2
- Beşiroğlu, 2010, Mental health literacy concerning categories of obsessive-compulsive symptoms, Arch. Neuropsychiatry, 47, 133
- Shapiro, 2006, 3, 157
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Items 101–171 of 171
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Shariatzadeh, M., Vaziri, S., & Mirhashemi, M. (2015) · Mediterranean Journal of Social Sciences · doi:10.5901/mjss.2015.v6n4s2p171 · Cited by 4
Relationship of Body-Focused Repetitive Behavior Disorders to OCD
Murphy, Y. E., Flessner, C. A., & Smith, A. C. G. (2016) · Current Treatment Options in Psychiatry · doi:10.1007/s40501-016-0097-2 · Cited by 4
Montali, L., & Garnieri, S. (2023) · Current Psychology · doi:10.1007/s12144-023-05377-4 · Cited by 4
Moritz, S., Weidinger, S., & Schmotz, S. (2023) · Journal of Contemporary Psychotherapy · doi:10.1007/s10879-023-09609-3 · Cited by 4
The road to improvement in obsessive-compulsive disorder
Torres, A. R. (2016) · The Lancet Psychiatry · doi:10.1016/s2215-0366(16)30118-3 · Cited by 4
Associations Between Fear of Guilt and Obsessive–Compulsive Symptoms
Kenny, N. C., Starčević, V., & Berle, D. (2022) · Behaviour Change · doi:10.1017/bec.2022.14 · Cited by 3
Kapadia, A., Machry, K., & Levinson, C. A. (2025) · Eating Behaviors · doi:10.1016/j.eatbeh.2025.102012 · Cited by 5
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Ujjwal, P., Sanjita, D., & Fuloria, N. K. (2024) · Pharmacophore · doi:10.51847/7qc5z7dkco · Cited by 3
Ralph, S., & Cooper, M. (2022) · Counselling and Psychotherapy Research · doi:10.1002/capr.12499 · Cited by 4
Inside OCD: Perspectives on the Value of Storytelling with Individuals with OCD and Family Members
Pufahl, J., Nainaparampil, J. J., & Mathews, C. A. (2021) · Healthcare · doi:10.3390/healthcare9080920 · Cited by 3
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Comprehensive Behavioral Treatment of an Older Adult Man with Trichotillomania
Coyne, A. F., Carlson, E., Flannery, M. K., de Oliveira, F. B. R., & Haaga, D. (2022) · Clinical Case Studies · doi:10.1177/15346501221130500 · Cited by 1
Rector, N. A., Hawley, L. L., McCabe, R. E., Rowa, K., Key, B. L., Kassardjian, K., Richter, M. A., Sittampalam, S., & Shifrin, A. (2026) · Cognitive Therapy and Research · doi:10.1007/s10608-025-10669-z · Cited by 2
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Ferrão, J. V. B., do Rosário, M. C., Fontenelle, L. F., & Ferrão, Y. A. (2023) · Clinical Psychology & Psychotherapy · doi:10.1002/cpp.2890 · Cited by 4
Isibor, M., & Sagan, O. (2023) · Mental Health and Social Inclusion · doi:10.1108/mhsi-10-2023-0110 · Cited by 4
Meier, M., Buhlmann, U., & Dietel, F. A. (2024) · CBT: science into practice · doi:10.1007/978-3-031-65339-1_4 · Cited by 1
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Mouton‐Odum, S., & Houghton, D. C. (2018) · Bulletin of the Menninger Clinic · doi:10.1521/bumc.2018.82.4.288 · Cited by 2
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Munslow-Davies, S., & Anderson, R. (2021) · Journal of Obsessive-Compulsive and Related Disorders · doi:10.1016/j.jocrd.2021.100707 · Cited by 2
Darroudi, H., Najafi, M., & Khosravani, V. (2023) · Journal of Family Trauma, Child Custody & Child Development · doi:10.1080/26904586.2023.2289413 · Cited by 2
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Schmidt, R., Haiduk, M., & Grocholewski, A. (2019) · Laryngo-Rhino-Otologie · doi:10.1055/a-0834-4217 · Cited by 2
Laitinen, K. (1999) · Tampere University Institutional Repository (Tampere University) · Cited by 2
McNeil, A., & Purdon, C. (2025) · British Journal of Clinical Psychology · doi:10.1111/bjc.12533 · Cited by 1
“There is a well-established link between shame and OCD (Laving et al., 2022; Visvalingam et al., 2022; Weingarden & Renshaw, 2015), and CBT interventions can reduce distress over an obsession while underlying shame-based schemas about defectiveness remain intact conceptualizing OCD.”
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Veeraraghavan, V. (2022) · Springer eBooks · doi:10.1007/978-981-16-9881-1_13 · Cited by 1
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Parsons, C. A., Kim, H. J., Singh, S., Lkhagva, T., Wang, J., & Alden, L. E. (2025) · Journal of Anxiety Disorders · doi:10.1016/j.janxdis.2025.103057 · Cited by 1
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Waite, P., Bradley, B., & Mackay, C. E. (2026) · Lancet psychiatry · doi:10.1016/s2215-0366(26)00063-5 · Cited by 1
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Mahoney, A., Chu, A., Shiner, C. T., Millard, M., & Brakoulias, V. (2025) · Journal of Obsessive-Compulsive and Related Disorders · doi:10.1016/j.jocrd.2025.100937
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Xu, L., Wu, Y., Zhang, L., Liu, H., & Zhu, S. (2026) · Frontiers in Psychiatry · doi:10.3389/fpsyt.2026.1823876
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Metadata
- Authors
- Weingarden, H., & Renshaw, K. D.
- Affiliations
- George Mason University (US)
- Corresponding author
- Weingarden, Hilary
- Venue
- Journal of Affective Disorders
- Publisher
- Elsevier BV
- Published
- 2015-01
- Volume
- 171
- Pages
- 74-84
- ISSN
- 0165-0327 (ISSN-L)
- PMC
- PMC4252512
- OpenAlex
- W2120530707
- Cited by
- 171
- References
- 150
- Citations by year
- 2026: 16 · 2025: 14 · 2024: 11 · 2023: 16 · 2022: 19 · 2021: 18 · 2020: 20 · 2019: 11 · 2018: 11 · 2017: 11 · 2016: 11 · 2015: 8
- FWCI
- 1.62
- Type
- journal article
- Language
- en
- Open access
- green
- www.ncbi.nlm.nih.gov
- Locations
- Journal of Affective Disorders (publishedVersion)
- PubMed (publishedVersion)
- PubMed Central (acceptedVersion)
- Funders
- National Institute of Mental Health (F31MH100845)
- Topics
- Social Sciences › Psychology › Clinical Psychology › Obsessive-Compulsive Spectrum Disorders
- Social Sciences › Psychology › Experimental and Cognitive Psychology › Anxiety, Depression, Psychometrics, Treatment, Cognitive Processes
- Social Sciences › Psychology › Social Psychology › Emotions and Moral Behavior
- Keywords
- shame, obsessive-compulsive and related disorders, obsessive-compulsive disorder, trichotillomania, skin picking, hoarding disorder, body dysmorphic disorder, body shame, obsession, body-focused repetitive behaviors
- MeSH terms
- Hoarding Disorder, Attitude to Health, Humans, Obsessive-Compulsive Disorder, Shame, Trichotillomania, Body Dysmorphic Disorders
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