A pilot cross-sectional investigation of chronic shame as a mediator of the relationship between subjective social status and self-rated health among middle-aged adults.

IF 2.4 Q2 PSYCHOLOGY, CLINICAL

Health Psychology and Behavioral Medicine Pub Date : 2023-10-11 eCollection Date: 2023-01-01 DOI:10.1080/21642850.2023.2268697

Ellen C McGarity-Shipley, Eun-Young Lee, Kyra E Pyke

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Abstract

Subjective social status (SSS) is an important independent predictor of health outcomes, however, the pathways through which it affects health are poorly understood. Chronic shame has previously been suggested as a potential mechanism but this has never been investigated and the relationship between chronic shame and health is under-researched. The purpose of this pilot study was to explore whether chronic shame explains a significant portion of the association between SSS and self rated health (SRH). Two-hundred American adults aged 30-55 years were recruited via a crowd-sourcing platform and were asked to provide information on their SSS, level of chronic shame, and SRH. Chronic shame significantly mediated the relationship between SSS and SRH. This pilot study provides initial evidence that shame explains a significant portion of the relationship between subjective social status and self-rated health. These findings support the initiation of larger, longitudinal investigations into chronic shame as a mediator of the subjective social status and self-rated health relationship.

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慢性羞耻感作为中年人主观社会地位和自我评价健康之间关系的中介的试点横断面调查。

主观社会地位（SSS）是健康结果的重要独立预测因素，然而，人们对其影响健康的途径知之甚少。慢性羞耻感以前曾被认为是一种潜在的机制，但从未被研究过，慢性羞耻感与健康之间的关系也在研究中。这项试点研究的目的是探讨慢性羞耻感是否在很大程度上解释了SSS与自我评定健康（SRH）之间的关联。200名30-55岁的美国成年人通过众包平台被招募，并被要求提供有关他们的SSS、慢性羞耻感水平和SRH的信息。慢性羞耻感显著介导SSS与SRH的关系。这项试点研究提供了初步证据，证明羞耻感在很大程度上解释了主观社会地位和自我评价健康之间的关系。这些发现支持对慢性羞耻作为主观社会地位和自我评价的健康关系的中介进行更大规模的纵向调查。

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来源期刊

Health Psychology and Behavioral Medicine PSYCHOLOGY, CLINICAL-

CiteScore

3.50

自引率

3.70%

发文量

审稿时长

24 weeks

期刊介绍： Health Psychology and Behavioral Medicine: an Open Access Journal (HPBM) publishes theoretical and empirical contributions on all aspects of research and practice into psychosocial, behavioral and biomedical aspects of health. HPBM publishes international, interdisciplinary research with diverse methodological approaches on: Assessment and diagnosis Narratives, experiences and discourses of health and illness Treatment processes and recovery Health cognitions and behaviors at population and individual levels Psychosocial an behavioral prevention interventions Psychosocial determinants and consequences of behavior Social and cultural contexts of health and illness, health disparities Health, illness and medicine Application of advanced information and communication technology.