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Erol Y, Inozu M. An Investigation of the Mediating Roles of Emotion Regulation Difficulties, Distress Tolerance, Self-Compassion, and Self-Disgust in the Association Between Childhood Trauma and Nonsuicidal Self-Injury. Arch Suicide Res 2023:1-15. [PMID: 37470456 DOI: 10.1080/13811118.2023.2237083] [Citation(s) in RCA: 1] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 07/21/2023]
Abstract
OBJECTIVE Childhood maltreatment has been associated as a risk factor with the development of nonsuicidal self-injury (NSSI), with difficulty in emotion regulation explaining the association. However, little is known about the potential factors that make some individuals with maltreatment history more vulnerable to difficulties in emotion regulation and, in turn, engage in NSSI. The current study aimed to examine the roles of distress tolerance, self-compassion, and self-disgust in the association between childhood maltreatment types and emotion regulation difficulty, which was expected to predict NSSI. METHOD The sample included 397 university students between the ages of 18 and 30. Participants completed self-report scales assessing childhood maltreatment, emotion regulation difficulty, distress tolerance, self-compassion, self-disgust, and NSSI using the paper-pencil and online methods. The mediation model suggested for the association between childhood maltreatment types and NSSI was tested using path analysis. RESULTS Low distress tolerance, low self-compassion, high self-disgust, and resulting high emotion regulation difficulty mediated the indirect effect of emotional neglect on NSSI. CONCLUSION The current study sheds light on various factors in the development and maintenance of NSSI and reveals three developmental pathways from emotional neglect in childhood to engaging in NSSI.HIGHLIGHTSEmotional neglect may be a distal risk factor for nonsuicidal self-injury (NSSI).Low distress tolerance and self-compassion and high self-disgust may increase the risk of NSSI.Emotion regulation difficulty may make people engage in NSSI to regulate emotions.
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Prevalence and Psychiatric Correlates of Illicit Substance Use in UK Undergraduate Students. Brain Sci 2023; 13:brainsci13020360. [PMID: 36831903 PMCID: PMC9953790 DOI: 10.3390/brainsci13020360] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/03/2023] [Revised: 02/08/2023] [Accepted: 02/16/2023] [Indexed: 02/22/2023] Open
Abstract
This study examined the prevalence of illegal drug use in UK students and motivators behind such behavior. Additionally, we explored possible relationships between substance use, psychosocial motivators, and psychiatric distress. A group (n = 543) of students completed online measures of substance use, anxiety, depression, perceived stress, and insomnia. A series of reasons behind their use were ranked based on importance. Reported cannabis, cocaine, nitrous oxide, ketamine, and MDMA use were most prevalent based on lifetime, past year, and month assessments. The experience of anxiety, depression, perceived stress, and insomnia were related to increased reports of substance use. Poor self-confidence and self-medication were key motivators of illicit drug use in those presenting greater psychiatric distress. These outcomes add to the sparse body of literature concerning illicit substance use in relation to psychiatric distress amongst UK students. Furthermore, we provided novel insight into the psychosocial motivators of such use.
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von Spreckelsen P, de Jong PJ. Disgust-induced avoidant processing of autobiographical memories as a transdiagnostic mechanism in the persistence of psychopathology. Bull Menninger Clin 2023; 87:31-52. [PMID: 37871194 DOI: 10.1521/bumc.2023.87.suppa.31] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 10/25/2023]
Abstract
We present a model of disgust-induced avoidant processing of autobiographical memories contributing to the persistence of psychopathology. Following the model, autobiographical memory retrieval is biased toward disgust-related experiences. Critically, disgust promotes the avoidance of specific autobiographical memories by reactively aborting the processing of those memories or by strategically preventing access to them, making disgust appraisals immune to corrective information. In the context of eating disorders/body image, studies provided consistent evidence for a bias toward disgust-related memories of their own body in women with a more negative body image. Although the current research casts doubt on disgust-induced strategic avoidant retrieval of body-related memories, it provided initial evidence for reactive avoidance of such memories. Insight into the role of disgust-induced avoidant memory processing as a transdiagnostic mechanism may help in understanding the refractoriness of disgust-relevant psychopathologies (including depressive and trauma-related disorders) and point to the necessity of therapeutic strategies to address disgust-induced avoidance.
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Affiliation(s)
- Paula von Spreckelsen
- PhD candidate of experimental psychopathology in the University of Groningen, Department of Psychology (Expertise Group: Clinical Psychology and Experimental Psychopathology), Groningen, The Netherlands
| | - Peter J de Jong
- Professor of experimental psychopathology in the University of Groningen, Department of Psychology (Expertise Group: Clinical Psychology and Experimental Psychopathology), Groningen, The Netherlands
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4
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Berger U, Anaki D. Exploring the role of the self in disgust-related psychopathologies. Bull Menninger Clin 2023; 87:113-132. [PMID: 37871193 DOI: 10.1521/bumc.2023.87.suppa.113] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 10/25/2023]
Abstract
While clinical research on disgust relies on nonclinical research, the framework of disgust as an immune mechanism is not as central in clinical research. The immune framework for disgust may be integrated into clinical research by acknowledging the role of the self as the critical element protected by the immune system. In this review, we offer the premise that at the center of all disgust-related behaviors, thoughts, and cognitions is an attempt to protect the self (i.e., "disgust is self-centered" or DISC). We offer evidence in support of DISC and explore the relevance of DISC to clinical research for several disgust-related psychopathologies (obsessive-compulsive disorder, posttraumatic stress disorder, anorexia nervosa, and self-disgust). We then offer future directions for DISC research into disgust-related psychopathologies.
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Affiliation(s)
- Uri Berger
- Montefiore Medical Center/Albert Einstein College of Medicine, Bronx, New York
| | - David Anaki
- Department of Psychology and at the Gonda Multidisciplinary Brain Research Center, Bar-Ilan University, Ramat Gan, Israel
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5
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Woods ES, Jessup SC, Olatunji BO. Fear of fat in eating disorders: The mediating role of individual differences in self-disgust. JOURNAL OF AFFECTIVE DISORDERS REPORTS 2023. [DOI: 10.1016/j.jadr.2022.100452] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/03/2022] Open
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Akça S, Gençöz F. The Experience of Disgust in Women Exposed to Domestic Violence in Turkey. JOURNAL OF INTERPERSONAL VIOLENCE 2022; 37:NP14538-NP14563. [PMID: 33926278 DOI: 10.1177/08862605211013953] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/12/2023]
Abstract
In trauma, fear as a basic emotion that evokes avoidance after exposure to a traumatic event is important for posttraumatic process. Another emotion causing avoidance is disgust. Despite the fact that disgust also plays an important role in trauma, there is limited information about how it is experienced during and after exposure to the traumatic event. In this study, the aim was to understand how women experience disgust during and after domestic violence, as a prolonged and repeated traumatic experience, and how they try to cope with disgust evoking situations in this process. For this aim, qualitative methodology was used. With purposive sampling, six women exposed to domestic violence including physical, verbal and sexual abuse were interviewed. With each woman, approximately seven semi-structured interviews were completed. Forty-one interviews were audio recorded and transcribed. Data was analyzed by Interpretative Phenomenological Analysis. At the end of the analysis, three superordinate themes, namely, experience of perpetrator-directed disgust with gustatory expressions of moral disgust and association of disgust in domestic abuse to daily life experiences; experience of self-disgust with two themes of internalization of assault without awareness and contamination by sexual abuse; coping with disgust in domestic violence with four subthemes, namely, avoidance from perpetrator, reidentification of the perpetrator with substitutive identity, alienation from self, reidentification of self with new relationships were constructed. Results showed that disgust is experienced in a repressed way as a result of the aversive nature of traumatic experience. The results were evaluated in psychological, social and cultural contexts. Their implications for understanding disgust in domestic violence were discussed.
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Affiliation(s)
| | - Faruk Gençöz
- Middle East Technical University, Ankara, Turkey
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7
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Mason D, James D, Andrew L, Fox JRE. 'The last thing you feel is the self-disgust'. The role of self-directed disgust in men who have attempted suicide: A grounded theory study. Psychol Psychother 2022; 95:575-599. [PMID: 35229436 PMCID: PMC9313556 DOI: 10.1111/papt.12389] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 06/16/2021] [Accepted: 02/10/2022] [Indexed: 12/02/2022]
Abstract
OBJECTIVE Globally, suicide affects more men than women. Emotional pain underpins many theoretical accounts of suicidality, yet little is known about the role of disgust in suicide. Self-directed disgust, whereby aspects of the self-serve as an object of disgust, has been hypothesised to factor in suicide. This research aimed to explore the processes which link self-disgust to attempted suicide in males. METHOD Nine men who had attempted suicide completed semi-structured interviews. The interview data were analysed using a constructivist grounded theory methodology. RESULTS Three concepts emerged out of the analysis: (1) self-disgust; (2) worthlessness; and (3) the endured emotional distress of 'the abyss'" - these concepts interweaved, leading the men to experience hopelessness, disconnection and an inability to cope, leading ultimately to their suicide attempt. Throughout this journey, various disgust-related processes worsened men's distress and increased their suicidal risk. Historic adversities prevailed across the data, as did the men's difficulties in understanding their emotions. CONCLUSION Self-disgust was an important emotion in the men's experiences of suicide and shaped their views of themselves and their lives. The distancing and repellent properties of self-disgust, in addition to the fear of having their 'disgustingness' exposed, increased suicidal risk. Self-disgust appeared more pervasive in the suicidality of men with a history of multiple childhood adversities. The limitations of this research are discussed as implications for clinical practice and directions for future research.
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Powell PA, Rowen D. What Matters for Evaluating the Quality of Mental Healthcare? Identifying Important Aspects in Qualitative Focus Groups with Service Users and Frontline Mental Health Professionals. THE PATIENT - PATIENT-CENTERED OUTCOMES RESEARCH 2022; 15:669-678. [PMID: 35513764 PMCID: PMC9585007 DOI: 10.1007/s40271-022-00580-0] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Accepted: 03/27/2022] [Indexed: 11/30/2022]
Abstract
Background Evaluating quality in mental healthcare is essential for ensuring a high-quality experience for service users (SUs). Policy-defined quality indicators, however, risk misalignment with the perspectives of SUs and mental healthcare professionals (MHPs). There is value in exploring how SUs and frontline MHPs think quality should be measured. Objectives Our study objectives were to: (1) identify aspects that SUs and MHPs deem important for assessing quality in mental healthcare to help support attribute selection in a subsequent discrete choice experiment and (2) explore similarities and differences between SU and MHPs’ views. Methods Semi-structured qualitative focus groups (n = 6) were conducted with SUs (n = 14) and MHPs (n = 8) recruited from a UK National Health Service Trust. A topic guide was generated from a review of UK policy documents and existing data used to measure quality in mental healthcare in England. Transcripts were analysed using a framework analysis. Results Twenty-one subthemes were identified, grouped within six themes: accessing mental healthcare; assessing the benefits of care; co-ordinated approach; delivering mental healthcare; individualised care; and role of the person providing care. Themes such as person-centred care, capacity and resources, and receiving the right type of care received more coverage than others. Service users and MHPs displayed high concordance in their views, with minor areas of divergence. Conclusions We developed a comprehensive six-theme framework for understanding quality in mental healthcare from the viewpoint of the SU and frontline MHP, which can be used to help inform the selection of a meaningful set of quality indicators in mental health for research and practice. Supplementary Information The online version contains supplementary material available at 10.1007/s40271-022-00580-0.
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Affiliation(s)
- Philip A Powell
- School of Health and Related Research, University of Sheffield, Regent Court, 30 Regent Street, Sheffield, S1 4DA, UK.
| | - Donna Rowen
- School of Health and Related Research, University of Sheffield, Regent Court, 30 Regent Street, Sheffield, S1 4DA, UK
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Akram U, Allen S, Stevenson JC, Lazarus L, Ypsilanti A, Ackroyd M, Chester J, Longden J, Peters C, Irvine KR. Self-disgust as a potential mechanism underlying the association between body image disturbance and suicidal thoughts and behaviours. J Affect Disord 2022; 297:634-640. [PMID: 34715168 DOI: 10.1016/j.jad.2021.10.063] [Citation(s) in RCA: 5] [Impact Index Per Article: 2.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 02/27/2021] [Revised: 09/26/2021] [Accepted: 10/23/2021] [Indexed: 11/29/2022]
Abstract
This study examined whether self-disgust added incremental variance to and mediated the multivariate association between measures of body image disturbance and suicidal thoughts and behaviours. We hypothesized that self-disgust would be associated with suicidal ideation above the effects of body image disturbance, and that self-disgust would mediate the relationship between body image disturbance and suicidal ideation. A total of N=728 participants completed The Body Image Disturbance Questionnaire, The Self-Disgust Scale, and the Suicidal Behaviours Questionnaire-Revised. Suicidality was significantly related to increased levels of self-disgust and body image disturbance, whereas self-disgust was associated with greater body image disturbance. Linear regression analysis showed that self-disgust was associated with suicidal thoughts and behaviours, over and above the effects of body image disturbance. Multiple mediation modelling further showed that self-disgust mediated the relationship between body image disturbance and suicidal thoughts and behaviours. Our findings highlight the role of self-disgust in the context of body image disturbance and support the notion that body image disturbance is associated with aversive self-conscious emotions. Interventions aiming to reduce the risk of suicidality in people with body image disturbance may address self-disgust and negative self-conscious emotions.
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Affiliation(s)
- Umair Akram
- Department of Psychology, Sociology and Politics, Sheffield Hallam University, UK.
| | - Sarah Allen
- School of Social Sciences, Humanities and Law, University of Teesside, Middlesbrough, UK
| | | | | | - Antonia Ypsilanti
- Department of Psychology, Sociology and Politics, Sheffield Hallam University, UK
| | | | | | - Jessica Longden
- Department of Psychology, Sociology and Politics, Sheffield Hallam University, UK
| | - Chloe Peters
- Department of Psychology, Sociology and Politics, Sheffield Hallam University, UK
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Mayor R, Reuber M, Giga S, Simpson J. An exploration of the experiences of self-disgust in people with epilepsy. Epilepsy Behav 2022; 126:108435. [PMID: 34864376 DOI: 10.1016/j.yebeh.2021.108435] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 09/25/2021] [Revised: 11/01/2021] [Accepted: 11/08/2021] [Indexed: 11/03/2022]
Abstract
AIM To explore the experiences of self-disgust in people with epilepsy and their understandings about this. DESIGN A qualitative study informed by thematic analysis. METHOD Ten adults (out of 43 individuals initially interested in taking part, with 38 of those with levels of self-disgust categorised as high) with epilepsy and uncontrolled seizures were recruited online and participated in a telephone semi-structured interview. RESULTS Three themes illustrated the development and experiences of self-disgust in adults with epilepsy and uncontrolled seizures, and how participants attempted to manage this. The first theme described the development of self-disgust as a result of the physical manifestations of seizures but also the experiences of others' disgust reactions to seizures and an expectation of rejection. The second theme described the enduring and often unescapable experiences of self-disgust, with the final theme illustrating how participants attempted to manage experiences of self-disgust, particularly through avoidance. DISCUSSION This study was the first to explore qualitatively the experiences of self-disgust in people with epilepsy. People with epilepsy experience disgust in reaction to the physical symptoms of seizures and these disgust-based feelings appeared to become internalized following others' disgust reactions. Avoidance as a strategy to manage self-disgust could be protective but might have inadvertently maintained feelings of self-disgust.
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Affiliation(s)
- Rebecca Mayor
- Division of Health Research, Lancaster University, Lancaster LA1 4YG, United Kingdom
| | - Markus Reuber
- Academic Neurology Unit University of Sheffield, Royal Hallamshire Hospital, Glossop Road Sheffield, S10 2JF, United Kingdom
| | - Sabir Giga
- Division of Health Research, Lancaster University, Lancaster LA1 4YG, United Kingdom
| | - Jane Simpson
- Division of Health Research, Lancaster University, Lancaster LA1 4YG, United Kingdom.
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Potthoff J, Schienle A. Effects of Self-Esteem on Self-Viewing: An Eye-Tracking Investigation on Mirror Gazing. Behav Sci (Basel) 2021; 11:164. [PMID: 34940099 PMCID: PMC8698327 DOI: 10.3390/bs11120164] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/14/2021] [Revised: 11/24/2021] [Accepted: 11/26/2021] [Indexed: 12/14/2022] Open
Abstract
While some people enjoy looking at their faces in the mirror, others experience emotional distress. Despite these individual differences concerning self-viewing in the mirror, systematic investigations on this topic have not been conducted so far. The present eye-tracking study examined whether personality traits (self-esteem, narcissism propensity, self-disgust) are associated with gaze behavior (gaze duration, fixation count) during free mirror viewing of one's face. Sixty-eight adults (mean age = 23.5 years; 39 females, 29 males) viewed their faces in the mirror and watched a video of an unknown person matched for gender and age (control condition) for 90 s each. The computed regression analysis showed that higher self-esteem was associated with a shorter gaze duration for both self-face and other-face. This effect may reflect a less critical evaluation of the faces.
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Affiliation(s)
- Jonas Potthoff
- Institute of Psychology, University of Graz, 8010 Graz, Austria;
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12
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Marques C, Simão M, Guiomar R, Castilho P. Self-disgust and urge to be thin in eating disorders: how can self-compassion help? Eat Weight Disord 2021; 26:2317-2324. [PMID: 33387278 DOI: 10.1007/s40519-020-01099-9] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 09/25/2020] [Accepted: 12/17/2020] [Indexed: 10/22/2022] Open
Abstract
PURPOSE This study aimed to examine the moderator role of self-compassion in the relationship between self-disgust and drive for thinness, controlling for external shame, in eating disorder patients and in a community sample. METHODS Sixty-two female participants with an eating disorder diagnose and 119 female participants from the community, were asked to fill instruments that assess self-disgust, self-compassion, drive for thinness, and external shame. RESULTS We found a moderator effect of self-compassion on the association between self-disgust and drive for thinness in the clinical sample when adjusting for shame. The association between self-disgust and drive for thinness was buffered among those who reported medium and lower levels of self-compassion. Replicating the findings in the community sample we found no moderator effect of self-compassion. CONCLUSION These results provide evidence that people with eating disorders who perceive the self as highly disgusting may benefit from promoting a self-compassionate response to diminish drive for thinness. LEVEL OF EVIDENCE Level V, cross-sectional descriptive study.
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Affiliation(s)
- Cristiana Marques
- Center for Research in Neuropsychology and Cognitive Behavioural Intervention (CINEICC), Faculty of Psychology and Educational Sciences, University of Coimbra, Rua do Colégio Novo, 3000-115, Coimbra, Portugal.
| | - Marta Simão
- Center for Research in Neuropsychology and Cognitive Behavioural Intervention (CINEICC), Faculty of Psychology and Educational Sciences, University of Coimbra, Rua do Colégio Novo, 3000-115, Coimbra, Portugal
- Santa Casa da Misericórdia de Alvaiázere, 3250-115, Alvaiázere, Portugal
| | - Raquel Guiomar
- Center for Research in Neuropsychology and Cognitive Behavioural Intervention (CINEICC), Faculty of Psychology and Educational Sciences, University of Coimbra, Rua do Colégio Novo, 3000-115, Coimbra, Portugal
| | - Paula Castilho
- Center for Research in Neuropsychology and Cognitive Behavioural Intervention (CINEICC), Faculty of Psychology and Educational Sciences, University of Coimbra, Rua do Colégio Novo, 3000-115, Coimbra, Portugal
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Ypsilanti A, Gettings R, Lazuras L, Robson A, Powell PA, Overton PG. Self-Disgust Is Associated With Loneliness, Mental Health Difficulties, and Eye-Gaze Avoidance in War Veterans With PTSD. Front Psychol 2020; 11:559883. [PMID: 33192823 PMCID: PMC7662446 DOI: 10.3389/fpsyg.2020.559883] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/07/2020] [Accepted: 10/06/2020] [Indexed: 11/13/2022] Open
Abstract
In the present study, we examined, for the first time, the association between self-disgust, loneliness, and mental health difficulties in war veterans diagnosed with PTSD. For this purpose, we used a mixed methods design, incorporating surveys and a novel eye-tracking paradigm, and compared the findings from the PTSD veteran group (n = 19) to those from a general population group (n = 22). Our results showed that the PTSD veteran group reported almost three times higher scores in self-disgust, and significantly higher scores in loneliness and mental health difficulties (anxiety and depression), compared to the general population. Furthermore, self-disgust mediated the association between loneliness and anxiety symptoms in both groups. The results from the eye-tracking paradigm further showed that veterans with PTSD displayed a self-avoidance gaze pattern, by looking significantly more toward pictures of faces of unknown others and away from their own face—a pattern that was not replicated in the general population group. Higher self-disgust scores were significantly associated with longer total gaze to the pictures of others (vs. the self). Our findings have implications for the role of self-disgust in the mental health of war veterans.
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Affiliation(s)
- Antonia Ypsilanti
- Department of Psychology, Sociology and Politics, Sheffield Hallam University, Sheffield, United Kingdom
| | - Richard Gettings
- Department of Psychology, Sociology and Politics, Sheffield Hallam University, Sheffield, United Kingdom
| | - Lambros Lazuras
- Department of Psychology, Sociology and Politics, Sheffield Hallam University, Sheffield, United Kingdom
| | - Anna Robson
- Department of Psychology, Sociology and Politics, Sheffield Hallam University, Sheffield, United Kingdom
| | - Philip A Powell
- School of Health and Related Research (ScHARR), The University of Sheffield, Sheffield, United Kingdom
| | - Paul G Overton
- Department of Psychology, The University of Sheffield, Sheffield, United Kingdom
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Legrand N, Etard O, Vandevelde A, Pierre M, Viader F, Clochon P, Doidy F, Peschanski D, Eustache F, Gagnepain P. Long-term modulation of cardiac activity induced by inhibitory control over emotional memories. Sci Rep 2020; 10:15008. [PMID: 32929105 PMCID: PMC7490349 DOI: 10.1038/s41598-020-71858-2] [Citation(s) in RCA: 8] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/06/2019] [Accepted: 07/26/2020] [Indexed: 12/15/2022] Open
Abstract
Efforts to exclude past experiences from conscious awareness can lead to forgetting. Memory suppression is central to affective disorders, but we still do not really know whether emotions, including their physiological causes, are also impacted by this process in normal functioning individuals. In two studies, we measured the after-effects of suppressing negative memories on cardiac response in healthy participants. Results of Study 1 revealed that efficient control of memories was associated with long-term inhibition of the cardiac deceleration that is normally induced by disgusting stimuli. Attempts to suppress sad memories, by contrast, aggravated the cardiac response, an effect that was closely related to the inability to forget this specific material. In Study 2, electroencephalography revealed a reduction in power in the theta (3-8 Hz), alpha (8-12 Hz) and low-beta (13-20 Hz) bands during the suppression of unwanted memories, compared with their voluntary recall. Interestingly, however, the reduction of power in the theta frequency band during memory control was related to a subsequent inhibition of the cardiac response. These results provide a neurophysiological basis for the influence of memory control mechanisms on the cardiac system, opening up new avenues and questions for treating intrusive memories using motivated forgetting.
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Affiliation(s)
- Nicolas Legrand
- Neuropsychologie et Imagerie de la Mémoire Humaine, Normandie Université, UNICAEN, PSL Research University, EPHE, INSERM, U1077, CHU de Caen, GIP Cyceron, Caen, France
| | - Olivier Etard
- Service d'Explorations Fonctionnelles du Système Nerveux, CHU de Caen, Caen, France
- Imagerie et Stratégies Thérapeutiques de la Schizophrénie, Normandie Univ, UNICAEN, ISTS EA 7466, GIP Cyceron, Caen, France
| | - Anaïs Vandevelde
- Imagerie et Stratégies Thérapeutiques de la Schizophrénie, Normandie Univ, UNICAEN, ISTS EA 7466, GIP Cyceron, Caen, France
| | - Melissa Pierre
- Neuropsychologie et Imagerie de la Mémoire Humaine, Normandie Université, UNICAEN, PSL Research University, EPHE, INSERM, U1077, CHU de Caen, GIP Cyceron, Caen, France
| | - Fausto Viader
- Neuropsychologie et Imagerie de la Mémoire Humaine, Normandie Université, UNICAEN, PSL Research University, EPHE, INSERM, U1077, CHU de Caen, GIP Cyceron, Caen, France
| | - Patrice Clochon
- Neuropsychologie et Imagerie de la Mémoire Humaine, Normandie Université, UNICAEN, PSL Research University, EPHE, INSERM, U1077, CHU de Caen, GIP Cyceron, Caen, France
| | - Franck Doidy
- Neuropsychologie et Imagerie de la Mémoire Humaine, Normandie Université, UNICAEN, PSL Research University, EPHE, INSERM, U1077, CHU de Caen, GIP Cyceron, Caen, France
| | - Denis Peschanski
- European Center for Sociology and Political Science (CESSP), Université Paris I Panthéon Sorbonne, HESAM Université, EHESS, CNRS, UMR8209, Paris, France
| | - Francis Eustache
- Neuropsychologie et Imagerie de la Mémoire Humaine, Normandie Université, UNICAEN, PSL Research University, EPHE, INSERM, U1077, CHU de Caen, GIP Cyceron, Caen, France
| | - Pierre Gagnepain
- Neuropsychologie et Imagerie de la Mémoire Humaine, Normandie Université, UNICAEN, PSL Research University, EPHE, INSERM, U1077, CHU de Caen, GIP Cyceron, Caen, France.
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15
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Ellison T, Papps FA. 'Sexuality, without that mirror': The role of embodied practice in the development of sexual potential. Complement Ther Clin Pract 2020; 40:101205. [PMID: 32891282 DOI: 10.1016/j.ctcp.2020.101205] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/28/2019] [Revised: 04/30/2020] [Accepted: 05/30/2020] [Indexed: 10/24/2022]
Abstract
BACKGROUND AND PURPOSE Research needs to take a sex positive approach to the development of sexual health, with sexual intimacy, orientation, and eroticism understood as central to well-being. Embodiment is central to this project. This qualitative study explores how regular embodied practice might encourage the development of sexual potential. MATERIALS AND METHODS Four women who engaged in a regular embodied practice (e.g., yoga) participated in semi-structured interviews. Verbatim transcripts were analysed using an interpretative phenomenological framework. RESULTS Three superordinate themes were identified that captured participants' journeys toward the development of sexual potential: Other-validated Sexuality, Embodiment Practice, and Self-validated Sexuality. CONCLUSION Engagement in regular embodied practice encouraged the development of sexual potential in this sample of women by shifting focus from sexuality as experienced from the perspective of the other to the lived experience of sexuality as connected to their bodily states and enabling integration of the spirit and flesh.
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Affiliation(s)
- Tarryn Ellison
- Discipline of Psychological Sciences, Australian College of Applied Psychology, Australia.
| | - Fiona Ann Papps
- Discipline of Psychological Sciences, Australian College of Applied Psychology, Australia
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Jin Y, Ma H, Li Y, Zhang Y, Jiménez-Herrera M. Development and psychometric evaluation of the colostomy disgust scale in patients with colostomy. Eur J Cancer Care (Engl) 2020; 29:e13323. [PMID: 32888353 DOI: 10.1111/ecc.13323] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/30/2019] [Revised: 05/13/2020] [Accepted: 08/07/2020] [Indexed: 11/30/2022]
Abstract
OBJECTIVE To establish and validate the Colostomy Disgust Scale (CDS) for assessing disgust in colostomy patients. DESIGN Triphasic, cross-sectional psychometric study. SETTING A total of 423 patients with colostomy (222 first samples and 201 s samples) were recruited from a tertiary hospital between January 2015 and April 2016. METHODS Three phases were undertaken: (a) item generation, (b) item selection and (c) evaluation and validation. The evaluation and validation of the CDS were performed through feasibility and initial item analysis, exploratory factor analysis, confirmatory factor analysis and internal consistency. RESULTS Following item generation and item selection, a 22-item CDS was generated. Principal axis factoring indicated a two-factor solution for the proposed CDS model, which was also verified by confirmatory factor analysis. Moreover, the proposed CDS had a high internal consistency. CONCLUSION The CDS is a self-report instrument with initial evidence for its validity and reliability. It is a promising tool to identify the triggers of disgust in colostomy contexts, which can be of great importance for promoting the mental health of colostomy patients.
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Affiliation(s)
- Yanfei Jin
- Rovira i Virgili University, Tarragona, Spain
| | - Hongmei Ma
- Tianjin People's Hospital, Tianjin, China
| | - Yufeng Li
- Qingdao Municipal Hospital, Qingdao, China
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17
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Schienle A, Schwab D, Höfler C, Freudenthaler HH. Self-Disgust and Its Relationship With Lifetime Suicidal Ideation and Behavior. CRISIS 2020; 41:344-350. [DOI: 10.1027/0227-5910/a000645] [Citation(s) in RCA: 6] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 12/25/2022]
Abstract
Abstract. Background: The emotion disgust is typically directed toward stimuli in the external environment, but sometimes people develop self-directed disgust responses. Aims: The current questionnaire study focused on the role of self-disgust in lifetime suicidal ideation and behavior. Method: A total of 1,167 individuals participated in an Internet-based survey containing self-report measures of self-disgust, externally directed disgust proneness, coping styles, diagnoses of mental disorders, and suicide risk. Hierarchical regression analyses as well as mediation analyses were computed. Results: Self-disgust was the most relevant predictor of suicide risk among the assessed variables. Self-disgust was negatively associated with the use of support by others, and positively associated with evasive coping (self-blame, venting, denial), which in turn was positively associated with suicidality. Limitations: This cross-sectional study provided information on the relationship between self-disgust and suicidality in a self-selected sample. Longitudinal studies are warranted. Conclusion: Future studies are required to replicate these findings. Additionally, stronger research designs are needed in order to investigate whether self-disgust should be targeted in suicide prevention programs and interventions.
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Affiliation(s)
- Anne Schienle
- Institute of Psychology, University of Graz, Austria
| | | | - Carina Höfler
- Institute of Psychology, University of Graz, Austria
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18
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Jin Y, Ma H, Jiménez‐Herrera M. Self‐disgust and stigma both mediate the relationship between stoma acceptance and stoma care self‐efficacy. J Adv Nurs 2020; 76:2547-2558. [DOI: 10.1111/jan.14457] [Citation(s) in RCA: 10] [Impact Index Per Article: 2.5] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/05/2019] [Revised: 04/22/2020] [Accepted: 06/15/2020] [Indexed: 12/16/2022]
Affiliation(s)
- Yanfei Jin
- Rovira i Virgili University Tarragona Spain
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19
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Jin Y, Li Y, Gutiérrez-Colón M, Jiménez-Herrera M. Questionnaire for the Assessment of Self-Disgust: The psychometric testing among mental disorders in China. Clin Psychol Psychother 2020; 27:749-759. [PMID: 32307744 DOI: 10.1002/cpp.2459] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/25/2019] [Revised: 04/13/2020] [Accepted: 04/14/2020] [Indexed: 01/08/2023]
Abstract
Research on self-disgust is relevant to psychopathologic tendencies because it has been shown to play a critical role in several mental disorders. Examining self-disgust and exploring its role in mental health are significant goals. The purpose of this study was to translate the Questionnaire for the Assessment of Self-Disgust (QASD) into Chinese and evaluate its validity and reliability. The translation and validation of the QASD were guided by the World Health Organization's Process of Translation and Adaptation of Instruments. Three phases were undertaken: (a) professional translation and expert panel review, (b) pretesting, and (c) psychometric evaluation. The psychometric evaluation was tested among 1,068 patients who were recruited from two psychiatric hospitals and three psychological clinics of tertiary hospitals. In this study, multigroup confirmatory factor analysis (CFA) supported the two-factor structure of the original QASD construct. Measurement invariance showed that the QASD is invariant across the patients with heterogeneous mental health diagnoses. The correlation of QASD with the Self-Esteem Scale (SES) and the Trait Anger Scale (TAS) showed that it has good convergent validity and discriminative validity. Internal consistency and test-retest yielded acceptable results. Thus, the findings suggest that the Chinese version of the QASD is a reliable and valid instrument with adequate psychometric properties for assessment of self-disgust among patients with mental disorders in China.
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Affiliation(s)
- Yanfei Jin
- Rovira i Virgili University, Department of Nursing, Tarragona, Spain
| | - Yufeng Li
- Department of Nursing, Qingdao Municipal Hospital, Qingdao, China
| | - Mar Gutiérrez-Colón
- Rovira i Virgili University, Department of English and German Studies, Tarragona, Spain
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20
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Ypsilanti A, Robson A, Lazuras L, Powell PA, Overton PG. Self-disgust, loneliness and mental health outcomes in older adults: An eye-tracking study. J Affect Disord 2020; 266:646-654. [PMID: 32056941 DOI: 10.1016/j.jad.2020.01.166] [Citation(s) in RCA: 10] [Impact Index Per Article: 2.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 10/18/2019] [Revised: 12/03/2019] [Accepted: 01/28/2020] [Indexed: 11/24/2022]
Abstract
BACKGROUND Self-disgust has been associated with loneliness and mental health difficulties in clinical and non-clinical populations, but there is limited research on the role of self-disgust in loneliness and mental health outcomes in older adults. METHODS In Study 1 (N = 102; M age = 68.4 years, SD = 10.9, 68% females) we used a cross-sectional survey to explore the association between loneliness, self-disgust and mental health outcomes. In Study 2 (N = 80; M age = 68.8 years, SD = 11.4, 57% females) we used eye-tracking to investigate attentional vigilance, maintenance and avoidance in individuals with high (vs. low) self-disgust. RESULTS In study 1 we found that self-disgust mediated the associations of loneliness with anxiety and depressive symptoms, and in study 2 it was demonstrated that older adults with high (vs. low) self-disgust displayed attentional avoidance to their own faces, compared to the faces of unknown others, a process that may perpetuate loneliness. LIMITATIONS The cross-sectional design used in Study 1 limits our potential to make causal inferences. Additionally, both studies included a wide age range of older adults. CONCLUSIONS Our findings are novel and highlight the importance of self-disgust experiences in the context of loneliness and mental health outcomes in older adults. Implications for practice and interventions against loneliness in this age group are discussed.
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Affiliation(s)
- Antonia Ypsilanti
- Department of Psychology, Sociology & Politics, Sheffield Hallam University, UK.
| | - Anna Robson
- Department of Psychology, Sociology & Politics, Sheffield Hallam University, UK
| | - Lambros Lazuras
- Department of Psychology, Sociology & Politics, Sheffield Hallam University, UK
| | - Philip A Powell
- School of Health and Related Research (ScHARR), University of Sheffield, UK
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21
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Simpson J, Helliwell B, Varese F, Powell P. Self-disgust mediates the relationship between childhood adversities and psychosis. BRITISH JOURNAL OF CLINICAL PSYCHOLOGY 2020; 59:260-275. [PMID: 32011749 DOI: 10.1111/bjc.12245] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/25/2019] [Revised: 11/07/2019] [Indexed: 12/27/2022]
Abstract
OBJECTIVE Traumatic events in childhood have been implicated in the development of psychosis, but given that trauma is not in itself sufficient to cause psychosis, researchers have started to investigate other psychological constructs potentially involved in explaining this relationship. Given that self-disgust as a transdiagnostic construct plays a role in the development/maintenance of a range of mental health difficulties, the objective of this study was to investigate whether self-disgust mediates the relationship between childhood trauma and psychosis. METHOD A cross-sectional quantitative study design was used. Seventy-eight participants (Mage = 37.64 years, SDage = 11.57 years; 77% women; 88% White Caucasian) who reported experiencing clinical levels of psychosis were recruited using social media. The participants completed online survey measures of childhood trauma, self-disgust, experiences of psychosis, self-esteem, and external shame. The data were analysed using correlation and mediation analyses. RESULTS Significant indirect effects of childhood trauma on both positive (β = .17, BC 95% CI [0.06, 0.30]) and negative symptoms (β = .26, BC 95% CI [0.14, 0.40]) of psychosis via self-disgust were observed. These effects remained despite the inclusion of self-esteem and external shame as control variables in the mediation models. CONCLUSION This study is the first to show a mediating role for self-disgust in the relationship between childhood trauma and later psychosis. Although the findings should be considered preliminary until strengthened by further research, they nevertheless provide corroboration of the potential utility of self-disgust as a transdiagnostic construct not only from a theoretical perspective, but also from its potential to inform formulation and interventions. PRACTITIONER POINTS When assessing individuals with psychosis, especially those with a trauma history explore experiences and feelings related to the construct of self-disgust. Such experiences are likely to centre on feelings of repulsion towards the self/need for distance and might also manifest in the content of their psychotic experiences. Individuals with significant levels or experiences of self-disgust are likely to need specific interventions to address these; while interventions seeking to improve positive aspects of their identity might well be useful, they are unlikely to address the specific maladaptive elements of self-disgust. While self-disgust-focused interventions have not been widely researched, limited current evidence suggests cognitive restructuring and affirmation techniques might be useful.
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Affiliation(s)
- Jane Simpson
- Division of Health Research, Lancaster University, UK
| | - Ben Helliwell
- Division of Health Research, Lancaster University, UK
| | - Filippo Varese
- Division of Psychology and Mental Health, University of Manchester, UK.,Complex Trauma and Resilience Research Unit, Greater Manchester Mental Health NHS Foundation Trust, Manchester Academic Health Science Centre, UK
| | - Philip Powell
- School of Health and Related Research, University of Sheffield, UK.,Department of Economics, University of Sheffield, UK
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22
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Rogers ML, Chu C, Joiner T. The necessity, validity, and clinical utility of a new diagnostic entity: Acute suicidal affective disturbance. J Clin Psychol 2019; 75:999-1010. [PMID: 30632615 DOI: 10.1002/jclp.22743] [Citation(s) in RCA: 26] [Impact Index Per Article: 5.2] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/07/2018] [Revised: 10/31/2018] [Accepted: 12/04/2018] [Indexed: 01/24/2023]
Abstract
OBJECTIVE Here we argue for the necessity, validity, and clinical utility of a new diagnostic entity, acute suicidal affective disturbance (ASAD). METHOD We expand on the conceptual, clinical, and practical rationale for ASAD, propose its defining features, describe research results to date, and suggest avenues for future research. RESULTS There is accruing evidence for the existence of a previously unclassified, rapid-onset mood disturbance that geometrically escalates and regularly results in life-threatening behavior. CONCLUSIONS ASAD research may not only improve the field's understanding of suicidal behavior but also enhance clinical effectiveness and save lives.
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Affiliation(s)
- Megan L Rogers
- Department of Psychology, Florida State University, Tallahassee, Florida
| | - Carol Chu
- Department of Psychology, Harvard University, Cambridge, Massachusetts
| | - Thomas Joiner
- Department of Psychology, Florida State University, Tallahassee, Florida
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23
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Sonnier H, Alex Brake C, Flores J, Badour CL. Posttraumatic stress and hazardous alcohol use in trauma-exposed young adults: indirect effects of self-disgust. Subst Use Misuse 2019; 54:1051-1059. [PMID: 30892115 PMCID: PMC6483896 DOI: 10.1080/10826084.2018.1517173] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 10/27/2022]
Abstract
BACKGROUND Posttraumatic stress disorder (PTSD) and alcohol use disorders are highly co-occurring. Several explanatory models of the relation between PTSD and hazardous alcohol use have been identified. However, the exact nature of this relation is not fully understood. Self-disgust may explain the relation between PTSD symptoms and hazardous drinking. OBJECTIVES The goal of the current study was to examine whether there was an indirect effect of probable PTSD on hazardous alcohol use via two domains of self-disgust: (disgust with characteristics of the self, disgust with one's behavior). Participants were 376 undergraduate students who reported experiencing at least one Diagnostic and Statistical Manual for DSM Disorders, 5th edition-defined traumatic event. Participants completed self-report measures online, which assessed their trauma exposure, PTSD symptoms, self-disgust, and their alcohol use behaviors. RESULTS Probable PTSD was indirectly associated with an increased likelihood of engaging in hazardous drinking through the pathway of increased disgust toward one's behaviors. Although probable PTSD was also positively linked to disgust with characteristics of the self, this form of self-disgust was associated with a decreased likelihood of engaging in hazardous drinking, leading to a negative indirect relationship between probable PTSD and hazardous drinking. Conclusions/Importance: Overall, this study suggests that the role of self-disgust in the association between PTSD and hazardous drinking is complex, highlighting the need for further research in this area.
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Affiliation(s)
- Hannah Sonnier
- a Department of Psychology , University of Kentucky , Lexington , KY , USA
| | - C Alex Brake
- a Department of Psychology , University of Kentucky , Lexington , KY , USA
| | - Jessica Flores
- a Department of Psychology , University of Kentucky , Lexington , KY , USA
| | - Christal L Badour
- a Department of Psychology , University of Kentucky , Lexington , KY , USA
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24
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Prosthesis use is associated with reduced physical self-disgust in limb amputees. Body Image 2018; 27:109-117. [PMID: 30243123 DOI: 10.1016/j.bodyim.2018.08.001] [Citation(s) in RCA: 9] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 12/04/2017] [Revised: 08/02/2018] [Accepted: 08/02/2018] [Indexed: 11/22/2022]
Abstract
Self-disgust is an emotion schema negatively affecting people's body image and is triggered by bodily imperfections and deviations from the "normal" body envelope. In this study, we explore the idea that "normalising" the body in those with limb amputations via the prosthesis would be linked to reduced self-directed disgust. An international clinical community sample (N = 83) with mostly lower limb amputations completed measures about their demographics, prosthesis, adjustment, body image disturbance, psychological distress, and self-directed disgust in a survey design. Consistent with the "normalising" hypothesis, correlation and bootstrapped regression models revealed, first, that frequency of prosthesis use was significantly and negatively associated with physical self-disgust. Second, prosthesis use significantly mediated the exogenous effect of time since amputation on physical self-disgust. These results emphasise the psychological value of the prosthesis beyond its functional use, and stress its importance in normalising the body envelope in those with limb amputations, which may in turn promote psychological well-being.
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25
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Stasik-O'Brien SM, Schmidt J. The role of disgust in body image disturbance: Incremental predictive power of self-disgust. Body Image 2018; 27:128-137. [PMID: 30218943 DOI: 10.1016/j.bodyim.2018.08.011] [Citation(s) in RCA: 18] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 12/13/2017] [Revised: 08/21/2018] [Accepted: 08/21/2018] [Indexed: 12/23/2022]
Abstract
The relationship between disgust and symptoms of disorders characterized by body image disturbance (BID) is increasingly being examined. In cognitive-behavioral models of psychopathology, disgust may function as a negative emotional response to perceived body defects, leading to avoidance and compulsive behavior. Little research has examined the role of self-disgust - a form of disgust that may be particularly relevant to the body. The present study is a descriptive analysis of the association between BID and self-disgust, controlling for other related variables. Two non-clinical samples completed measures of BID, self-disgust, negative affect, anxiety sensitivity, disgust propensity, and disgust sensitivity. Although BID was associated with all three forms of disgust at the bivariate level, in multivariate analyses self-disgust emerged as a unique predictor of BID, above and beyond all included variables, although effect sizes were small. Potential implications for understanding, preventing, and treating body image-related disorders are discussed.
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26
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Clarke A, Simpson J, Varese F. A systematic review of the clinical utility of the concept of self-disgust. Clin Psychol Psychother 2018; 26:110-134. [DOI: 10.1002/cpp.2335] [Citation(s) in RCA: 16] [Impact Index Per Article: 2.7] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/15/2018] [Revised: 08/13/2018] [Accepted: 09/13/2018] [Indexed: 11/09/2022]
Affiliation(s)
- Aoife Clarke
- Division of Health Research; Lancaster University; Lancaster UK
| | - Jane Simpson
- Division of Health Research; Lancaster University; Lancaster UK
| | - Filippo Varese
- Division of Psychology and Mental Health; University of Manchester; Manchester UK
- Complex Trauma and Resilience Research Unit; Greater Manchester Mental Health NHS Foundation Trust, Manchester Academic Health Science Centre; Manchester UK
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27
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Lazuras L, Ypsilanti A, Powell P, Overton P. The roles of impulsivity, self-regulation, and emotion regulation in the experience of self-disgust. MOTIVATION AND EMOTION 2018. [DOI: 10.1007/s11031-018-9722-2] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/24/2022]
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28
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Azlan HA, Overton PG, Simpson J, Powell PA. Effect of Partners' Disgust Responses on Psychological Wellbeing in Cancer Patients. J Clin Psychol Med Settings 2017; 24:355-364. [PMID: 29164511 DOI: 10.1007/s10880-017-9521-z] [Citation(s) in RCA: 8] [Impact Index Per Article: 1.1] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/26/2022]
Abstract
The aim of this study was to explore quantitatively the relationship between disgust responses in cancer patients and their partners, and in turn their relationship to patients' psychological well-being. We recruited 50 participants with heterogeneous cancer diagnoses and their partners from cancer-related groups (e.g., charities). Patients completed questionnaires to determine levels of disgust propensity, disgust sensitivity, self-disgust, and symptoms of anxiety and depression. Disgust propensity and sensitivity were also assessed in their partners. Partners' disgust sensitivity was significantly positively correlated with cancer patients' self-disgust, disgust propensity, and depression. Path analyses suggested that patients' self-disgust plays a role in mediating the effect of partners' disgust sensitivity on patients' psychological well-being. This study provides the first quantitative evidence that psychological well-being in cancer patients is contingent on their partners' sensitivity to disgust, and that patients' self-disgust plays a mediating role. Focusing therapeutically on disgust responses could well be beneficial to people with cancer.
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Affiliation(s)
- Haffiezhah A Azlan
- Department of Psychology, University of Sheffield, Western Bank, Sheffield, UK
| | - Paul G Overton
- Department of Psychology, University of Sheffield, Western Bank, Sheffield, UK.
| | - Jane Simpson
- Division of Health Research, Lancaster University, Lancaster, UK
| | - Philip A Powell
- Department of Economics, University of Sheffield, Sheffield, UK
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Bell K, Coulthard H, Wildbur D. Self-Disgust within Eating Disordered Groups: Associations with Anxiety, Disgust Sensitivity and Sensory Processing. EUROPEAN EATING DISORDERS REVIEW 2017. [PMID: 28635077 DOI: 10.1002/erv.2529] [Citation(s) in RCA: 16] [Impact Index Per Article: 2.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/11/2022]
Abstract
This study aimed to assess the relationship between self-disgust and sensory processing within eating psychopathology. Five hundred and ninety-one women with a self-reported diagnosis of anorexia nervosa, bulimia nervosa or who had no previous history of an eating disorder completed a battery of online questionnaires measuring disgust, emotion and sensory variables. Those with an eating disorder reported significantly higher rates of self-disgust than those with no history of disordered eating. In groups of women with self-reported bulimia, self-disgust was associated with sensation avoidance and sensation seeking. Within the group with anorexia nervosa, self-disgust was associated with low registration and sensation seeking. This report is the first to examine the expression of the emotion self-disgust within eating psychopathology and examine associations of this factor with sensory processing. The emotion self-disgust needs to be further examined to understand its possible role in the onset and maintenance of disordered eating. Copyright © 2017 John Wiley & Sons, Ltd and Eating Disorders Association.
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Affiliation(s)
- Katie Bell
- Division of Psychology, Faculty of Health and Life Sciences, De Montfort University, UK
| | - Helen Coulthard
- Division of Psychology, Faculty of Health and Life Sciences, De Montfort University, UK
| | - Diane Wildbur
- Division of Psychology, Faculty of Health and Life Sciences, De Montfort University, UK
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30
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Core, social and moral disgust are bounded: A review on behavioral and neural bases of repugnance in clinical disorders. Neurosci Biobehav Rev 2017; 80:185-200. [PMID: 28506923 DOI: 10.1016/j.neubiorev.2017.05.008] [Citation(s) in RCA: 64] [Impact Index Per Article: 9.1] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/15/2016] [Revised: 04/19/2017] [Accepted: 05/09/2017] [Indexed: 12/12/2022]
Abstract
Disgust is a multifaceted experience that might affect several aspects of life. Here, we reviewed research on neurological and psychiatric disorders that are characterized by abnormal disgust processing to test the hypothesis of a shared neurocognitive architecture in the representation of three disgust domains: i) personal experience of 'core disgust'; ii) social disgust, i.e., sensitivity to others' expressions of disgust; iii) moral disgust, i.e., sensitivity to ethical violations. Our review provides some support to the shared neurocognitive hypothesis and suggests that the insula might be the "hub" structure linking the three domains of disgust sensitivity, while other brain regions may subserve specific facets of the multidimensional experience. Our review also suggests a role of serotonin core and moral disgust, supporting "neo-sentimentalist" theories of morality, which posit a causal role of affect in moral judgment.
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31
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Palmeira L, Pinto-Gouveia J, Cunha M. The role of self-disgust in eating psychopathology in overweight and obesity: Can self-compassion be useful? J Health Psychol 2017; 24:1807-1816. [DOI: 10.1177/1359105317702212] [Citation(s) in RCA: 11] [Impact Index Per Article: 1.6] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022] Open
Abstract
This study explores the relationship between self-disgust and eating psychopathology and whether self-compassion plays a mediator role on this relationship. Participants were 203 adults, from both genders, with overweight and obesity ( MBMI = 31.17, standard deviation = 5.43). Women reported higher levels of self-disgust and eating psychopathology and lower levels of self-compassion than men. Path analysis results suggested that the effect of self-disgust on eating psychopathology occurred partially through one’s inability to be self-compassionate. The results highlight the damaging role of self-disgust on eating psychopathology and the importance of developing a more compassionate attitude towards the self to promote healthy eating behaviors.
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Affiliation(s)
| | | | - Marina Cunha
- CINEICC, Universidade de Coimbra, Portugal
- Miguel Torga Superior Institute (ISMT), Portugal
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32
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Brake CA, Rojas SM, Badour CL, Dutton CE, Feldner MT. Self-disgust as a potential mechanism underlying the association between PTSD and suicide risk. J Anxiety Disord 2017; 47:1-9. [PMID: 28126678 DOI: 10.1016/j.janxdis.2017.01.003] [Citation(s) in RCA: 20] [Impact Index Per Article: 2.9] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 07/12/2016] [Revised: 11/17/2016] [Accepted: 01/05/2017] [Indexed: 01/04/2023]
Abstract
Suicide risk is highly prevalent among individuals with posttraumatic stress disorder (PTSD). Self-disgust, defined as disgust directed internally and comprised of disgust with oneself (disgusting self) and with one's behaviors (disgusting ways), may impact this increased risk. The present study examined self-disgust as a putative mechanism linking PTSD symptoms with suicide risk. A sample of 347 trauma-exposed undergraduates completed measures of PTSD symptoms, suicide risk, self-disgust, and depressive symptoms. Controlling for depressive symptoms, a process model indicated PTSD symptoms were positively linked to suicide risk via increased disgusting self but not disgusting ways. Process models examining individual PTSD symptom clusters revealed positive, indirect links between all PTSD symptom clusters except alterations in arousal and reactivity and suicide risk via disgusting self. These findings expand on growing literature documenting the importance of self-disgust in trauma-related pathology by identifying connections with suicide risk. Future directions and clinical considerations are discussed.
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Affiliation(s)
- C Alex Brake
- Department of Psychology, University of Kentucky, Lexington, KY, 40506, USA.
| | - Sasha M Rojas
- Department of Psychological Science, University of Arkansas, Fayetteville, AR, 72701, USA
| | - Christal L Badour
- Department of Psychology, University of Kentucky, Lexington, KY, 40506, USA
| | - Courtney E Dutton
- Department of Psychological Science, University of Arkansas, Fayetteville, AR, 72701, USA
| | - Matthew T Feldner
- Department of Psychological Science, University of Arkansas, Fayetteville, AR, 72701, USA; Laureate Institute for Brain Research, 6655 S. Yale Ave., Tulsa, OK, 74136, USA
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Mjøsund NH, Eriksson M, Espnes GA, Haaland-Øverby M, Jensen SL, Norheim I, Kjus SHH, Portaasen IL, Vinje HF. Service user involvement enhanced the research quality in a study using interpretative phenomenological analysis - the power of multiple perspectives. J Adv Nurs 2016; 73:265-278. [PMID: 27509545 DOI: 10.1111/jan.13093] [Citation(s) in RCA: 41] [Impact Index Per Article: 5.1] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 06/17/2016] [Indexed: 11/28/2022]
Abstract
AIM The aim of this study was to examine how service user involvement can contribute to the development of interpretative phenomenological analysis methodology and enhance research quality. BACKGROUND Interpretative phenomenological analysis is a qualitative methodology used in nursing research internationally to understand human experiences that are essential to the participants. Service user involvement is requested in nursing research. DESIGN We share experiences from 4 years of collaboration (2012-2015) on a mental health promotion project, which involved an advisory team. METHODS Five research advisors either with a diagnosis or related to a person with severe mental illness constituted the team. They collaborated with the research fellow throughout the entire research process and have co-authored this article. We examined the joint process of analysing the empirical data from interviews. Our analytical discussions were audiotaped, transcribed and subsequently interpreted following the guidelines for good qualitative analysis in interpretative phenomenological analysis studies. RESULTS The advisory team became 'the researcher's helping hand'. Multiple perspectives influenced the qualitative analysis, which gave more insightful interpretations of nuances, complexity, richness or ambiguity in the interviewed participants' accounts. The outcome of the service user involvement was increased breadth and depth in findings. CONCLUSION Service user involvement improved the research quality in a nursing research project on mental health promotion. The interpretative element of interpretative phenomenological analysis was enhanced by the emergence of multiple perspectives in the qualitative analysis of the empirical data. We argue that service user involvement and interpretative phenomenological analysis methodology can mutually reinforce each other and strengthen qualitative methodology.
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Affiliation(s)
- Nina Helen Mjøsund
- Department of Mental Health Research and Development, Vestre Viken Hospital Trust, Drammen, Norway
| | - Monica Eriksson
- Center on Salutogenesis, Department of Health Sciences, University West, Trollhättan, Sweden
| | - Geir Arild Espnes
- Center for Health Promotion Research, Norwegian University of Science and Technology, Trondheim, Norway
| | - Mette Haaland-Øverby
- Department of Mental Health Research and Development, Vestre Viken Hospital Trust, Drammen, Norway
| | - Sven Liang Jensen
- Department of Mental Health Research and Development, Vestre Viken Hospital Trust, Drammen, Norway
| | - Irene Norheim
- Department of Mental Health Research and Development, Vestre Viken Hospital Trust, Drammen, Norway
| | | | - Inger-Lill Portaasen
- Department of Mental Health Research and Development, Vestre Viken Hospital Trust, Drammen, Norway
| | - Hege Forbech Vinje
- Department of Health Promotion, Faculty of Health Sciences, University College of Southeast Norway, Kongsberg, Norway
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The effect of disgust-related side-effects on symptoms of depression and anxiety in people treated for cancer: a moderated mediation model. J Behav Med 2016; 39:560-73. [PMID: 26951481 DOI: 10.1007/s10865-016-9731-0] [Citation(s) in RCA: 14] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/14/2015] [Accepted: 02/29/2016] [Indexed: 10/22/2022]
Abstract
As maladaptive disgust responses are linked to mental health problems, and cancer patients may experience heightened disgust as a result of treatments they receive, we explored the associations between disgust-related side-effects and symptoms of depression and anxiety in people treated for cancer. One hundred and thirty two (83 women, M age = 57.48 years) participants answered questions about their treatments, side-effects, disgust responding, and mental health. Experiencing bowel and/or bladder problems, sickness and/or nausea (referred to here as "core" disgust-related side-effects) was significantly related to greater symptoms of depression and borderline increased anxiety. Further, these links were explained by a moderated mediation model, whereby the effects of core disgust side-effects on depression and anxiety were mediated by (physical and behavioural) self-directed disgust, and disgust propensity moderated the effect of core disgust side-effects on self-disgust. These findings stress the importance of emotional responses, like disgust, in psychological adaptation to the side-effects of cancer treatments.
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Arrondo G, Murray GK, Hill E, Szalma B, Yathiraj K, Denman C, Dudas RB. Hedonic and disgust taste perception in borderline personality disorder and depression. Br J Psychiatry 2015; 207:79-80. [PMID: 25999338 PMCID: PMC4486820 DOI: 10.1192/bjp.bp.114.150433] [Citation(s) in RCA: 15] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [Abstract] [Track Full Text] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 04/20/2014] [Accepted: 11/07/2014] [Indexed: 11/23/2022]
Abstract
Depression and borderline personality disorder (BPD) are both thought to be accompanied by alterations in the subjective experience of environmental rewards. We evaluated responses in women to sweet, bitter and neutral tastes (juice, quinine and water): 29 with depression, 17 with BPD and 27 healthy controls. The BPD group gave lower pleasantness and higher disgust ratings for quinine and juice compared with the control group; the depression group did not differ significantly from the control group. Juice disgust ratings were related to self-disgust in BPD, suggesting close links between abnormal sensory processing and self-identity in BPD.
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Affiliation(s)
| | - Graham K. Murray
- Correspondence: Graham K. Murray, Department of Psychiatry, University of Cambridge, Herchel Smith Building, Forvie Site, Robinson Way, Cambridge Biomedical Campus, Cambridge CB2 0SZ, UK.
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Eating Disorder Symptoms and Suicidal Ideation: The Moderating Role of Disgust. EUROPEAN EATING DISORDERS REVIEW 2015; 23:545-52. [DOI: 10.1002/erv.2373] [Citation(s) in RCA: 16] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/27/2015] [Revised: 04/18/2015] [Accepted: 05/01/2015] [Indexed: 11/07/2022]
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Olatunji BO, Cox R, Kim EH. Self-Disgust Mediates the Associations Between Shame and Symptoms of Bulimia and Obsessive-Compulsive Disorder. JOURNAL OF SOCIAL AND CLINICAL PSYCHOLOGY 2015. [DOI: 10.1521/jscp.2015.34.3.239] [Citation(s) in RCA: 26] [Impact Index Per Article: 2.9] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/20/2022]
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Stutts LA, Bills SE, Erwin SR, Good JJ. Coping and posttraumatic growth in women with limb amputations. PSYCHOL HEALTH MED 2015; 20:742-52. [DOI: 10.1080/13548506.2015.1009379] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 10/24/2022]
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Powell PA, Simpson J, Overton PG. Self-affirming trait kindness regulates disgust toward one's physical appearance. Body Image 2015; 12:98-107. [PMID: 25462888 DOI: 10.1016/j.bodyim.2014.10.006] [Citation(s) in RCA: 21] [Impact Index Per Article: 2.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 05/20/2014] [Revised: 10/21/2014] [Accepted: 10/23/2014] [Indexed: 11/18/2022]
Abstract
In two studies, self-affirming the behavioral trait of kindness was examined as a method of regulating state disgust toward one's physical appearance. In Study 1, 56 participants (37 women, 19 men, Mage=33.16 years) completed either a questionnaire designed to self-affirm kindness or a control equivalent and rated their disgust, anger, sadness, and happiness toward their appearance and behavior. In Study 2, 116 individuals (83 women, 33 men, Mage=24.90 years) participated in the same experiment over the internet in an ecologically valid context. When controlling for trait self-disgust, the self-affirmed in Study 1 reported significantly less disgust toward their appearance (ηp(2)=.12, p=.011). This effect was replicated in Study 2, but driven by lower state disgust levels in those higher in trait self-disgust (f(2)=.10, p=.001). Affirming valued traits, like kindness, may be a useful tool for regulating disgust toward body image.
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Affiliation(s)
- Philip A Powell
- Department of Psychology, University of Sheffield, Sheffield, UK.
| | - Jane Simpson
- Division of Health Research, Lancaster University, Lancaster, UK
| | - Paul G Overton
- Department of Psychology, University of Sheffield, Sheffield, UK
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