Experiences of shame and guilt in anorexia and bulimia nervosa: A systematic review
Psychology and Psychotherapy Theory Research and Practice2018Vol. 93(1), pp. 134–159
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Suzanne P. M. Blythin, Hannah Nicholson, Vanessa G. Macintyre, Joanne M. Dickson, John R. E. Fox, Peter Taylor
Abstract
Elevated shame appears to be a feature of anorexia (AN) and bulimia nervosa (BN). Shame appears to fluctuate with the occurrence of eating disordered behaviours like binging, purging or restricted eating. Guilt is less consistently linked to AN and BN presentations. Interventions directed at shame may be helpful for these populations. A lack of longitudinal data means the temporal features of these relationships are still unclear.
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