Shame and posttraumatic stress disorder

Jennie Leskela · Michael E. Dieperink · PAUL D. THURAS

263 citations0/0 files storedJournal of Traumatic Stress

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Posttraumatic Stress Disorder Research Psychoanalysis and Psychopathology Research Emotions and Moral Behavior

Abstract

Guilt about surviving a traumatic event is thought to be an associated feature of posttraumatic stress disorder (PTSD). Shame is an emotion closely related to guilt but is a distinct affective state. Little is known regarding the role of shame in PTSD and there are no studies of PTSD where shame and guilt are examined simultaneously. We used a measure of shame- and guilt-proneness in 107 community residing former prisoner of war veterans all of whom had been exposed to trauma. The measure of shame-proneness was positively correlated with PTSD symptom severity whereas guilt-proneness was not. This study provides the first empirical data regarding a possible role for shame in PTSD and may have important therapeutic and theoretical implications.

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References

2013Diagnostic and Statistical Manual of Mental Disorders 2008Diagnostic and Statistical Manual of Mental Disorders 1981Diagnostic and Statistical Manual of Mental Disorders, 3rd ed 1996Psychometric properties of the PTSD checklist (PCL)1974Shame and Guilt in Neurosis 1979Characterological versus behavioral self-blame: Inquiries into depression and rape.1989Clinical evaluation of a measure to assess combat exposure.1992Shamed into anger? The relation of shame and guilt to anger and self-reported aggression.

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2009Shame, pride and eating disorders 2014The Role of Moral Emotions in Military Trauma: Implications for the Study and Treatment of Moral Injury 2017Moral injury, posttraumatic stress disorder, and suicidal behavior among National Guard personnel.2008Emotional Reactions During and After Trauma: A Comparison of Trauma Types 2011Exploring Negative Emotion in Women Experiencing Intimate Partner Violence: Shame, Guilt, and PTSD

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