internalized shame

Objective: This study aimed to predict self-harming behaviors based on cognitive emotion regulation strategies and emotional distress tolerance, with the mediating role of internalized shame in adolescents visiting harm reduction centers in Tehran. Methods: The research employed a descriptive correlational design. The statistical population included adolescents aged 14 to 18 who attended drop-in harm reduction centers in District 12 of Tehran (Shush-Harandi neighborhood) during the first four months of 2022. A total of 300 participants were selected using purposive sampling. The research tools included the Self-Injury Questionnaire (Sansone et al., 1998), the Cognitive Emotion Regulation Questionnaire (Garnefski et al., 2001), the Distress Tolerance Scale (Simons & Gaher, 2005), and the Internalized Shame Scale (Cook, 1993). Data were analyzed using structural equation modeling and AMOS24 software. Findings: The results indicated a relationship between cognitive emotion regulation strategies (-0.39), emotional distress tolerance (-0.41), internalized shame (0.36), and self-harming behaviors (P < 0.01). Furthermore, internalized shame mediated the relationship between cognitive emotion regulation strategies (B = 0.52) and emotional distress tolerance (B = 0.45) with self-harming behaviors in adolescents (P < 0.01). Conclusion: Based on these findings, it can be concluded that since internalized shame mediates the relationship between cognitive emotion regulation strategies and emotional distress tolerance with self-harming behaviors, focusing on factors influencing these behaviors can help reduce the risks associated with this developmental period.

Objective: The present study aimed to investigate the effectiveness of mindfulness-based cognitive therapy on internalized shame, marital disaffection, and inclination toward divorce in couples who had experienced infidelity. Methods: This research was conducted using a quasi-experimental design with pre-test and post-test and a control group. The statistical population of this study consisted of all couples who, due to experiencing infidelity by their spouses, referred to licensed counseling and psychotherapy centers of the Iranian Psychological and Counseling Organization, the State Welfare Organization, or psychiatrists licensed by the Iranian Medical Council (Anis Andisheh Clinic) in District 3 of Tehran, during the first quarter of 2024. In this study, the sample size for each of the experimental groups and the control group was 16 people (8 women and 8 men), and a total of 32 individuals were selected. According to the quasi-experimental design, they were chosen through convenience sampling from among volunteers and then randomly assigned to the experimental and control groups by lottery. Data collection instruments included the Internalized Shame Scale by Cook (1993), the Marital Disaffection Scale by Kaiser (1993), and the Inclination Toward Divorce Scale by Rusbult et al. (1986). In this study, mindfulness-based cognitive therapy consisted of eight weeks of two-hour sessions based on the mindfulness-based cognitive therapy protocol by Crane. Findings: The results of data analysis indicated that mindfulness-based cognitive therapy had an effect on internalized shame, marital disaffection, and inclination toward divorce in couples who had experienced infidelity. Conclusion: Considering the results, it can be stated that mindfulness-based cognitive therapy influences the research variables. It is suggested that further studies be conducted in this area to enhance external validity.