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- Title
Childhood Maltreatment, Shame-Proneness and Self-Criticism in Social Anxiety Disorder: A Sequential Mediational Model.
- Authors
Shahar, Ben; Doron, Guy; Szepsenwol, Ohad
- Abstract
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, crosssectional 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 selfcriticism in the development and maintenance of social anxiety disorder.
- Subjects
ISRAEL; ADULT child abuse victims; CRITICISM; EXPERIENCE; PSYCHOANALYTIC interpretation; QUESTIONNAIRES; SHAME; STATISTICS; MULTIPLE regression analysis; SOCIAL anxiety; CROSS-sectional method; RETROSPECTIVE studies
- Publication
Clinical Psychology & Psychotherapy, 2015, Vol 22, Issue 6, p570
- ISSN
1063-3995
- Publication type
Article
- DOI
10.1002/cpp.1918