Shame and emotion regulation in inflammatory bowel disease: Effects on psychosocial functioning
Open accessAbstract
Although patients with inflammatory bowel disease seem to be prone to high levels of shame, the mechanisms behind the impact of chronic illness–related shame on patients’ functioning have not been explored yet. This study aims to address these gaps using a sample of 161 patients with inflammatory bowel disease who completed self-report measures on an online survey. The results from path analyses showed that chronic illness–related shame presented direct and indirect effects on psychological health ( R 2 = .66) and social relationships ( R 2 = .46). The indirect effects were mediated by experiential avoidance and uncommitted living. Possible explanations to these findings and clinical implications are discussed.
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The Chronic Illness-related Shame Scale was developed and evaluated in a Portuguese sample of adults with chronic illnesses.
“The scale was developed and evaluated in a Portuguese sample of adults with chronic illnesses (Trindade, Ferreira, and Pinto 2017).”
From Illness Stigma and Shame in People With Chronic Illnesses vs. SARS‐CoV‐2 Survivors: Associations With Psychological Distress Through Psychological Flexibility and Self‐Compassion. (2024) · cites this paper as Trindade, Ferreira, and Pinto 2017
The Measures section says the scale showed good psychometric properties in an original study of Portuguese chronic patients. The References section identifies that earlier work as the scale-development study. The cited paper reports that development and evaluation but did not itself conduct the original study. (LLM, conf=0.86)
Experimental — accuracy not yet measuredPrevious research has shown a positive direct effect of shame on symptoms of depression.
“This was unexpected, in light of previous research showing a positive direct effect of shame on symptoms of depression (Matos-Pina, Trindade, and Ferreira 2022;Trindade, Ferreira, and Pinto 2017).”
From Illness Stigma and Shame in People With Chronic Illnesses vs. SARS‐CoV‐2 Survivors: Associations With Psychological Distress Through Psychological Flexibility and Self‐Compassion. (2024) · cites this paper as Trindade, Ferreira, and Pinto 2017
The path-analysis results report a direct negative effect of chronic illness-related shame on psychological health in patients with inflammatory bowel disease. The Measures section shows that psychological health includes an item mentioning depression, but the paper does not report a direct effect on depressive symptoms specifically. (LLM, conf=0.88)
Experimental — accuracy not yet measuredThere is a negative correlation between shame and mental health in chronic illness samples.
“and a negative correlation between shame and mental health in chronic illness samples (Trindade et al. 2018;Trindade, Ferreira, and Pinto-Gouveia 2020;Carvalho et al. 2021).”
From Illness Stigma and Shame in People With Chronic Illnesses vs. SARS‐CoV‐2 Survivors: Associations With Psychological Distress Through Psychological Flexibility and Self‐Compassion. (2024) · cites this paper as Trindade, Ferreira, and Pinto-Gouveia 2020
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- Authors
- Trindade, I. A., Ferreira, C., & Pinto-Gouveia, J.
- Affiliations
- University of Coimbra (PT)
- University of Coimbra, Portugal
- Corresponding author
- Trindade, Inês A
- Venue
- Journal of Health Psychology
- Publisher
- SAGE Publications
- Published
- 2017-07-24
- Volume
- 25
- Issue
- 4
- Pages
- 511-521
- ISSN
- 1359-1053 (ISSN-L)
- 1461-7277
- OpenAlex
- W2738083459
- Cited by
- 41
- References
- 64
- Citations by year
- 2026: 3 · 2025: 4 · 2024: 5 · 2023: 8 · 2022: 6 · 2021: 5 · 2020: 1 · 2019: 6 · 2018: 3
- FWCI
- 3.91
- Type
- journal article
- Language
- en
- Open access
- green
- hdl.handle.net
- Locations
- Journal of Health Psychology (publishedVersion)
- PubMed (publishedVersion)
- Portuguese National Funding Agency for Science, Research and Technology (RCAAP Project by FCT) (submittedVersion, other-oa)
- Portuguese National Funding Agency for Science, Research and Technology (RCAAP Project by FCT) (submittedVersion)
- Funders
- Fundação para a Ciência e a Tecnologia (SFRH/BD/101906/2014)
- Topics
- Social Sciences › Psychology › Social Psychology › Emotions and Moral Behavior
- Health Sciences › Medicine › Psychiatry and Mental health › Psychosomatic Disorders and Their Treatments
- Life Sciences › Biochemistry, Genetics and Molecular Biology › Genetics › Inflammatory Bowel Disease
- Keywords
- shame, inflammatory bowel disease, emotion regulation, psychosocial functioning, experiential avoidance, interpersonal relationships, mental health, chronic disease, mediation
- MeSH terms
- Emotional Regulation, Psychosocial Functioning, Adult, Chronic Disease, Female, Humans, Male, Middle Aged, Shame, Inflammatory Bowel Diseases
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