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Shame and the psychosis continuum: A systematic review of the literature

Carden, L, Saini, P, Seddon, C, Watkins, M and Taylor, PJ (2018) Shame and the psychosis continuum: A systematic review of the literature. Psychology and Psychotherapy: Theory, Research and Practice. ISSN 1476-0835

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Abstract

Objectives. Shame is increasingly implicated in the development and maintenance of several psychological problems including psychosis. The aim of the current paper was to review the research literature concerning the relationship between shame and the psychosis continuum, examining the nature and direction of this relationship. Method. Systematic searches of databases PsycINFO, Medline, Scopus, and Web of Science (from the earliest available database date until November 2016) were undertaken to identify papers that examined the relationship between shame and psychosis or psychotic experiences. Results. A total of 20 eligible papers were identified. Risk of bias assessment identified methodological shortcomings across the research in relation to small, unrepresentative samples and failure to control for confounding variables. Narrative synthesis suggested positive associations between shame and paranoia (n = 10, r = .29–.62), shame and psychosis (n = 1, r = .40), and shame and affiliation with voices (n = 1, b = .26), and suggested that shame was greater in those with psychosis compared to controls (n = 4, d = 0.76–1.16). Conclusions. Overall, several studies provide partial support for the theory that shame is an important factor in relation to psychotic experiences in both clinical and non-clinical populations, particularly paranoia. However, the predominance of cross-sectional designs prevents any conclusions being drawn concerning the temporal nature of associations. Additional research is necessary to further delineate the role of shame in relation to specific psychotic experiences such as voice-hearing. Longitudinal research is particularly needed to help establish the directionality and temporal aspects of effects.

Item Type: Article
Additional Information: This is the peer reviewed version of the following article: Carden, L. J., Saini, P. , Seddon, C. , Watkins, M. and Taylor, P. J. (2018), Shame and the psychosis continuum: A systematic review of the literature. Psychol Psychother Theory Res Pract., which has been published in final form at http://dx.doi.org/10.1111/papt.12204. This article may be used for non-commercial purposes in accordance with Wiley Terms and Conditions for Use of Self-Archived Versions.
Uncontrolled Keywords: 1701 Psychology, 1702 Cognitive Science
Subjects: B Philosophy. Psychology. Religion > BF Psychology
Divisions: Natural Sciences and Psychology
Publisher: Wiley
Date Deposited: 22 Nov 2018 12:33
Last Modified: 22 Nov 2018 12:33
DOI or Identification number: 10.1111/papt.12204
URI: http://researchonline.ljmu.ac.uk/id/eprint/9693

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