Shame Memories and Depression Symptoms: The Role of Cognitive Fusion and Experiential Avoidance

• Autores: Alexandra Dinis, Sérgio Andrade Carvalho, José Pinto Gouveia, Cátia Estanqueiro
• Localización: International journal of psychology and psychological therapy, ISSN 1577-7057, Vol. 15, Nº. 3, 2015, págs. 63-86
• Idioma: inglés
• Enlaces
  • Texto completo (pdf)
• Dialnet Métricas: 5 Citas
• Resumen

  • Previous studies have suggested that shame memories can have a pervasive impact on depression symptoms, and avoidant-focused processes may play a mediating role. In addition, it is stated in Acceptance and Commitment Therapy (ACT) literature that experiential avoidance is a consequence of cognitive fusion. This study aims to explore the role of cognitive fusion and experiential avoidance in the relationship between shame memories (with caregivers and traumatic shame memories with others) and depression symptoms. In order to do that, we used Structural Equation Modeling to conduct a path analysis in a sample of 181 subjects of the general population. Our results add new information on the processes through which shame memories impacts on both experiential avoidance and depression symptoms. It is suggested that shame memories are not itself pervasive, but the entanglement with painful internal experiences (cognitive fusion) and/or the attempts to control them (experiential avoidance). This suggests the importance of planning an intervention that targets these processes when dealing with shame memories, particularly in patients with depression symptoms.

• Referencias bibliográficas
  • Andrews B, Quian M, & Valentine JD (2002). Predicting depressive symptoms with a new measure of shame: The experience of Shame Scale....
  • Arbuckle JL (2008). AMOS 17 User’s Guide, Chicago: SPSS Inc. Barnes-Holmes D, Barnes-Holmes Y, Hayes SC, & McHugh L (2004). Relational...
  • Batten SV, Follette VM, & Aban I (2001). Experiential Avoidance and high risk sexual behavior in survivors of child sexual abuse. Journal...
  • Benetti-McQuoid J & Bursik K (2005). Individual differences in experiences of and responses to guilt and shame: Examining the lenses of...
  • Blackledge JT & Hayes SC (2001). Emotion Regulation in Acceptance and Commitment Therapy. JCLP/ In Session: Psychotherapy in Practice,...
  • Bond FW, Hayes SC, Baer RA, Carpenter KC, Guenole N, Orcutt HK, Waltz T, & Zettle RD (2011). Preliminary psychometric properties of the...
  • Brewin C, Andrews B, & Gotlib I (1993). Psychopathology and early experience: a reappraisal of retrospective reports. Psychological Bulletin,...
  • Boulanger J, Hayes SC & Pistorello J (2010). Experiential Avoidance as a functional contextual concept. In A Kring & A Sloan (Ed.)....
  • Brewin CR, Andrews B, & Gotlib IH (1993). Psychopathology and early experience: A reappraisal of retrospective reports. Psychological...
  • Briggs ES & Price IR (2009). The relationship between adverse childhood experience and obsessivecompulsive symptoms and beliefs: The role...
  • Campbell-Sills L, Barlow DH, Brown TA, & Hofmann SG (2006). Effects of suppression and acceptance on emotional responses on individuals...
  • Castro J (2000). Perceived Rearing Practices and Anorexia Nervosa. Clinical Psychology and Psychotherapy, 7, 320-325. doi: 10.1002/1099-0879(200010)7:4<320::AID-CPP265>3.0.CO;2-L
  • Cheung MS-P, Gilbert P, & Irons C (2004). An exploration of shame, social rank and rumination in relation to depression. Personality and...
  • Claesson K & Sohlberg S (2002). Internalized shame and early interactions characterized by indifference, abandonment and rejection: Replicated...
  • Costa J & Pinto-Gouveia J (2011). The mediation effect of experiential avoidance between coping and psychopathology in chronic pain. Clinical...
  • Cribb G, Moulds M, & Carter S (2006). Rumination and experiential avoidance in depression. Behaviour Change, 23, 165-176. DOI: http://dx.doi.org/10.1375/bech.23.3.165.
  • Cunha M, Matos M, Faria D, & Zagalo S (2013). Shame memories and psychopathology in adolescence: the mediator effect of shame. International...
  • Eisenberg N, Cumberland A, & Spinrad TL (1998). Parental Socialization of Emotion. Psychology Inquire, 9 , 241-273.
  • Eisenberg N, Losoya S, Fabes RA, Guthrie IK, Reiser M, Murphy B, Shepard SA, Poulin R, & Padjgett SJ (2001). Parental socialization of...
  • Eisenberg N, Valiente C, Morris AS, Fabes RA, Cumberland AJ, Reiser M, Gershoff ET, Shepard SA, & Losoya SH (2003). Longitudinal relations...
  • Feldner M, Zvolensky M, Eifert G, & Spira A (2003). Emotional avoidance: an experimental test of individual differences and response suppression...
  • Fletcher L & Hayes SC (2005). Relational Frame Theory, Acceptance and Commitment Therapy, and a functional analytic definition of mindfulness....
  • Gilbert P (1998). What is shame? Some core issues and controversies. In Gilbert, P. & Andrews, B. Shame: interpersonal behavior, psychopathology...
  • Gilbert P (2000). The relationship of shame, social anxiety and depression: The role of the evaluation of social rank. Clinical Psychology...
  • Gilbert P (2002). Body Shame: A Biopsychosocial Conceptualisation and Overview, with Treatment Implications. In P Gilbert and J Miles (Eds)....
  • Gilbert P (2003). Evolution, social roles, and the differences in shame and guilt. Social Research, 70(4), 1205-1230. Gilbert P (2005). Compassion...
  • Gilbert P, Allan S, & Goss K (1996). Parental Representations, Shame, Interpersonal Problems, And Vulnerability To Psychopathology. Clinical...
  • Gilbert P, Cheung M, Grandfield T, Campey F, & Irons C (2003). Recall of threat and submissiveness in childhood: Development of a new...
  • Gilbert P & Gerlsma C (1999). Recall of Shame and Favouritism in Relation to Psychopathology. The British Journal of Clinical Psychology,...
  • Gilbert P & Irons, C. (2005). Focused therapies and compassionate mind training for shame and selfattacking. In P Gilbert (Ed.), Compassion:...
  • Gilbert P, McEwan K, Mitra R, Franks L, Richter A, & Rockliff H (2008). Feeling safe and content: A specific affect regulation system?...
  • Gilbert P & McGuire, M. (1998). Shame, status and social roles: psychobiology and evolution. In P., Gilbert & B., Andrews, (Eds)....
  • Gilbert P & Procter, S. (2006). Compassion Mind Training for People with High Shame and SelfCriticism: Overview and Pilot Study of a Group...
  • Giorgio JM, Sanflippo J, Kleiman E, Reilly D, Bender RE, Wagner CA, Liu RT, & Alloy LB (2010). An experiential avoidance conceptualization...
  • Goss K & Allan S (2009). Shame, pride and eating disorders, Clinical Psychology and Psychotherapy, 16, 303-316. doi: 10.1002/cpp.627.
  • Gottman JM, Katz LF, & Hooven C (1997). Meta-emotion. How families communicate emotionally. Mahwah, NJ: Erlbaum.
  • Grabhorn R, Stenner H, Stangier U, & Kaufhold J (2006). Social anxiety in anorexia and bulimia nervosa: The mediating role of shame. Clinical...
  • Gratz KL, Bornovalova MA, Delany-Brumsey A, Nick B, & Lejuez CW (2007). A laboratory-based study of the relationship between childhood...
  • Greco LA, Lambert W, & Baer RA (2008). Psychological inflexibility in childhood and adolescence: Development and evaluation of the Avoidance...
  • Gross JJ (1998). Antecedentand ResponseFocused Emotion Regulation. Journal of Personality and Social Psychology, 74, 224-237.
  • Gross JJ & Levenson RW (1993). Emotional suppression: Physiology, self-report, and expressive behavior. Journal of Personality and Social...
  • Gillanders DT, Bolderston H, Bond FW, Dempster M, Flaxman PE, Campbell L, Kerr S, Tansey L, Noel P, Ferenbach C, Masley S, Roach L, Lloyd...
  • Hair JE, Anderson RE, Tatham RL, & Black WC (1998). Multivariate data analysis. (5th Ed.). Upper Saddle River, NJ: Prentice-Hall.
  • Halberstadt AG (1986). Family socialisation of emotional expression and nonverbal communication styles and skills. Journal of Personality...
  • Hankin B, Abramson L, Moffitt T, Silva P, McGee R, & Angell K (1998). Development of depression from preadolescence to young adulthood:...
  • Hayes AF (2009). Beyond Baron and Kenny: Statistical mediation analysis in the new millennium. Communication Monographs, 76, 408-420. DOI:10.1080/03637750903310360.
  • Hayes SC (1994). Content, context, and the types of psychological acceptance. In SC Hayes, NS Jacobson, VM Follette, & MJ Dougher (Eds.),...
  • Hayes SC (2004). Acceptance and commitment therapy and the new behavior therapies: mindfulness acceptance and relationship. In SC Hayes, VM...
  • Hayes SC, Strosahl K, & Wilson KG (1999). Acceptance and commitment therapy: An experiential approach to behavior change. New York: Guilford...
  • Hayes SC, Luoma JB, Bond FW, Masuda A, & Lillis J (2006). Acceptance and Commitment Therapy: Model, process and outcomes. Behaviour Research...
  • Hayes SC & Wilson KG (1993). Some applied implications of a contemporary behavior analytic account of verbal behavior. The Behavior Analyst,...
  • Hayes SC, Wilson KG, Gifford EV, Follette VM, & Strosahl K (1996). Experiential avoidance and Behavioral disorders: A functional dimensional...
  • Hu LT & Bentler PM (1999). Cutoff Criteria for Fit Indexes in Covariance Structure Analysis: Conventional Criteria Versus New Alternatives....
  • Irons C, Gilbert P, Baldwin MW, Baccus JR, & Palmer M (2006). Parental recall, attachment relating and self-attacking/self-reassurance:...
  • Iverson KM, Follette VM, Pistorello J, & Fruzzetti AE (2011). An investigation of experiential avoidance, emotion dysregulation, and distress...
  • Jose PE & Brown I (2008). When does the Gender Difference in Rumination Begin? Gender and Age Differences in the Use of Rumination by...
  • Kashdan TB, Barrios V, Forsyth JP, & Steger MF (2006). Experimental avoidance as a generalized psychological vulnerability: Comparisons...
  • Kaufman J (1989). The Psychology of Shame: Theory and treatment of shame-based syndromes. (2nd Ed). New York: Springer Publishing Company.
  • Keith L, Gillanders D, & Simpson S (2009). An exploration of the main sources of shame in an eating disordered population. Clinical Psychology...
  • Kim J, Talbot NL, & Cicchetti D (2009). Childhood abuse and current interpersonal conflict: The mediating role of shame. Child Abuse &...
  • Koufteros X & Marcoulides GA (2006). Product development practices and performance: A structural equation modeling-based multi-group analysis....
  • Kline RB (2005). Principles and Practice of Structural Equation Modeling (2nd Ed.). New York: Guilford Press.
  • Krause ED, Mendelson T, & Lynch TR (2003). Childhood emotional invalidation and adult psychological distress: The mediating role of emotional...
  • Kumpula MJ, Orcutt HK, Bardeen JR, & Varkovitzky RL (2011). Peritraumatic Dissociation and Experiential Avoidance as Prospective Predictors...
  • Lewis M (1992). The socialization of Shame: From parent to child. In M Lewis (Ed.), Shame: The exposed self (pp. 98-118). New York: Free Press.
  • Lovibond PF & Lovibond SH (1995). The structure of negative emotional states: Comparison of the Depression Anxiety Stress Scales (DASS)...
  • Luoma JB, Hayes SC, & Walser RD (2007). Learning ACT: An Acceptance & Commitment Therapy Skills-Training Manual for Therapists. Oakland,...
  • MacKinnon DP, Lockwood CM, & Williams J (2004). Confidence limits for the indirect effect: distribution of the product and resampling...
  • Marôco J (2010). Análise Estatística com o PASW Statistics. Pêro Pinheiro: Report Number, Lda.
  • Martell CR, Addis ME, & Jacobson NS (2001). Depression in context: Strategies for guided action.
  • New York: WW Norton Matos M & Pinto Gouveia J (2009). Shame as a Traumatic Memory. Clinical Psychology and Psychotherapy, 17, 299-312....
  • Matos M, Pinto Gouveia J, & Costa V (2011). Understanding the Importance of Attachment in Shame Traumatic Memory Relation to Depression:...
  • Matos M, Pinto Gouveia J, Gilbert P, Duarte C, & Figueiredo C (2014). The Other as Shamer scale -2: Development and validation of a short...
  • Matos M, Pinto Gouveia J, & Martins S (2011). O impacto traumático de experiências de vergonha: estudo das propriedades psicométricas...
  • Merwin RM, Rosenthal MZ, & Coffey KA (2009). Experiential avoidance mediates the relationship between sexual victimization and psychological...
  • Mills RSL (2005). Taking stock of the developmental literature on shame. Developmental Review, 25, 26-63.
  • Mills RSL, Imm GP, Walling BR, & Weiler HA (2008). Cortisol reactivity and regulation associated with shame responding in early childhood....
  • Moulds ML, Kandris E, Starr S, Wong ACM (2007). The relationship between rumination, avoidance and depression in a non-clinical sample. Behaviour...
  • Nolen-Hoeksema S & Harrel ZA (2002). Rumination, Depression, and Alcohol Use: Tests of Gender Differences. Journal of Cognitive Psychotherapy:...
  • Orcutt HK, Pickett S, & Pope E (2005). Experiential avoidance and forgiveness as mediators in the relation between traumatic life events...
  • Orsillo SM, Roemer L, & Holowka D (2005). Acceptance-based behavioral therapies for for anxiety: Using acceptance and mindfulness to enhance...
  • Pais-Ribeiro JL, Honrado A, & Leal I (2004). Contribuição para o estudo da adaptação portuguesa das escalas de ansiedade, depressão, stress...
  • Parker G, Tupling H, & Brown LB (1979) A Parental Bonding Instrument. British Journal of Medical Psychology, 52, 1-10. DOI: 10.1111/j.2044-8341.1979.tb02487.x.
  • Penley JA, Tomaka J, & Wiebe JS (2002). The association of coping with physical and mental health outcome: A meta-analytic review. Journal...
  • Pinto Gouveia J, Gregorio S, Dinis A, & Xavier A (2012). Experiential avoidance in clinical and non-Experiential avoidance in clinical...
  • Pinto Gouveia J & Matos M (2010). Can shame memories become a key to identity? The centrality of shame memories predicts psychopathology....
  • Raes F, Hermans D, Williams J, & Eelen P (2005). Autobiographical memory specificity and emotional abuse. British Journal of Clinical...
  • Richter J & Eisemann M (2000). Stability of Memories of Parental Rearing Among Psychiatric Inpatients. Clinical Psychology and Psychotherapy,...
  • Robinaugh DJ & McNally RJ (2010). Autobiographical memory for shame or guilt events: Association with psychological symptoms. Behaviour...
  • Santanello AW & Gardner FL (2007). The role of experiential avoidance in the relationship between maladaptive perfectionism and worry....
  • Schumacker RE & Lomax RG (2004). A Beginner’s Guide to Structural Equation Modeling (2nd Edition). Mahwah, NJ: Lawrence Erlbaum Associates,...
  • Schore, A.N. (1998) Early Shame Experiences and Infant Brain Development. In P Gilbert & B Andrews (Eds.) Shame: Interpersonal Behavior:...
  • Smith N, Lam D, Bifulco A, & Checkley, S. (2002). Childhood Experience of Care and Abuse Questionnaire (CECAQ). Validation of a screening...
  • Tangney JP & Dearing R (2002). Shame and Guilt. New York: Guilford.
  • Tangney J, Wagner P, & Gramzow R (1992). Proneness to shame, proneness to guilt and psychopathology. Journal of Abnormal Psychology, 101,...
  • Thompson, R. A., & Goodman, M. (2010). Development of Emotion Regulation: More than Meets the Eye. In AM Kring & DM Sloan (Eds.),...
  • Valiente C, Fabes RA, Eisenberg N, & Spinrad TL (2004). The relations of parental expressivity and support to children’s coping with daily...
  • Wegner DM, Schneider DJ, Carter SR, & White TL (1987). Paradoxical Effects of Thought Suppression. Journal of Personality and Social Psychology,...
  • Wekerle C, Leung E, Wall AM, MacMillan H, Boyle M, Trocmé N, & Waechter R (2009). The contribution of childhood emotional abuse to teen...
  • Wenzlaff RM & Wegner DM (2000). Thought suppression. Annual Review of Psychology, 51, 59-91.
  • Wilson KG & Murrell AR (2004). Values-centered interventions: Setting a course for behavioral treatment. In SC Hayes, VM Follette &...
  • Zettle RD, Rains JC, & Hayes SC (2011). Processes of change in acceptance and commitment therapy and cognitive therapy for depression:...