PMID- 32896681
OWN - NLM
STAT- MEDLINE
DCOM- 20210120
LR  - 20210120
IS  - 1873-7358 (Electronic)
IS  - 1471-0153 (Linking)
VI  - 39
DP  - 2020 Dec
TI  - The differential associations of shame and guilt with eating disorder behaviors.
PG  - 101427
LID - S1471-0153(20)30346-9 [pii]
LID - 10.1016/j.eatbeh.2020.101427 [doi]
AB  - Negative affect increases in the hours prior to binge eating (BE), suggesting 
      individuals may use BE to attempt to alleviate experiences of aversive 
      self-awareness, such as shame and guilt. Guilt involves feeling bad about ones 
      behavior and may elicit reparative actions; shame involves feeling bad about 
      oneself and is generally associated with maladaptive behavior. Distinguishing how 
      shame and guilt differentially relate to specific eating disorder (ED) behaviors 
      may inform our understanding of emotional antecedents of ED behaviors and lead to 
      refined treatment and prevention targets. We aimed to distinguish shame and guilt 
      as they relate to BE and self-induced vomiting (SIV). We hypothesized that: (a) 
      shame-proneness and state shame would be uniquely associated with BE, as BE may 
      be used to escape from experiences of shame, and (b) guilt-proneness and state 
      guilt would be positively associated with SIV among individuals who binge eat, as 
      SIV may be used as a reparative action for BE. Participants (N = 347) completed 
      self-report measures assessing guilt, shame, and ED behaviors. Shame-proneness 
      and state shame were uniquely associated with BE and the urge to binge eat, while 
      guilt-proneness and state guilt were not. Contrary to our hypothesis, 
      guilt-proneness and state guilt were not associated with SIV among those who 
      binge eat or endorsed urges to binge eat. These findings suggest that shame and 
      guilt are differentially related to ED behaviors and identify shame specifically 
      as an emotion that may elicit BE. Future research is needed to identify temporal 
      relations between shame and ED behaviors.
CI  - Copyright (c) 2020 Elsevier Ltd. All rights reserved.
FAU - Bottera, Angeline R
AU  - Bottera AR
AD  - Department of Psychology, University of Wyoming, United States of America. 
      Electronic address: abottera@uwyo.edu.
FAU - Kambanis, P Evelyna
AU  - Kambanis PE
AD  - Department of Psychology, University of Wyoming, United States of America.
FAU - De Young, Kyle P
AU  - De Young KP
AD  - Department of Psychology, University of Wyoming, United States of America.
LA  - eng
PT  - Journal Article
DEP - 20200827
PL  - United States
TA  - Eat Behav
JT  - Eating behaviors
JID - 101090048
SB  - IM
MH  - Affect
MH  - Emotions
MH  - *Feeding and Eating Disorders
MH  - Guilt
MH  - Humans
MH  - *Shame
OTO - NOTNLM
OT  - Binge eating
OT  - Guilt
OT  - Negative affect
OT  - Shame
OT  - Vomiting
EDAT- 2020/09/09 06:00
MHDA- 2021/01/21 06:00
CRDT- 2020/09/08 08:49
PHST- 2020/03/04 00:00 [received]
PHST- 2020/08/10 00:00 [revised]
PHST- 2020/08/13 00:00 [accepted]
PHST- 2020/09/09 06:00 [pubmed]
PHST- 2021/01/21 06:00 [medline]
PHST- 2020/09/08 08:49 [entrez]
AID - S1471-0153(20)30346-9 [pii]
AID - 10.1016/j.eatbeh.2020.101427 [doi]
PST - ppublish
SO  - Eat Behav. 2020 Dec;39:101427. doi: 10.1016/j.eatbeh.2020.101427. Epub 2020 Aug 
      27.