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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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Prevalence of Hoarding Disorder: A systematic review and meta-analysis
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Treatment utilization and treatment barriers in individuals with body dysmorphic disorder
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Body-focused repetitive behaviors: More prevalent than once thought?
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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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