Shame Mediates the Relationship Between Pain Invalidation and Depression

The experience of pain is subjective, yet many people have their pain invalidated or not believed. Pain invalidation is associated with poor mental health, including depression and lower well-being. Qualitative investigations of invalidating experiences identify themes of depression, but also social...

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Autores principales:	Brandon L. Boring, Kaitlyn T. Walsh, Namrata Nanavaty, Vani A. Mathur
Formato:	article
Lenguaje:	EN
Publicado:	Frontiers Media S.A. 2021
Materias:	mental health self-worth social support pain discounting pain invalidation Psychology BF1-990
Acceso en línea:	https://doaj.org/article/72afb12c83a246239e40430004866948
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spelling	oai:doaj.org-article:72afb12c83a246239e404300048669482021-12-03T05:00:15ZShame Mediates the Relationship Between Pain Invalidation and Depression1664-107810.3389/fpsyg.2021.743584https://doaj.org/article/72afb12c83a246239e404300048669482021-12-01T00:00:00Zhttps://www.frontiersin.org/articles/10.3389/fpsyg.2021.743584/fullhttps://doaj.org/toc/1664-1078The experience of pain is subjective, yet many people have their pain invalidated or not believed. Pain invalidation is associated with poor mental health, including depression and lower well-being. Qualitative investigations of invalidating experiences identify themes of depression, but also social withdrawal, self-criticism, and lower self-worth, all of which are core components of shame. Despite this, no studies have quantitatively assessed the interrelationship between pain invalidation, shame, and depression. To explore this relationship, participants recounted the frequency of experienced pain invalidation from family, friends, and medical professionals, as well as their feelings of internalized shame and depressive symptoms. As shame has been shown to be a precursor for depression, we further explored the role of shame as a mediator between pain invalidation and depressive symptoms. All sources of pain invalidation were positively associated with shame and depressive symptoms, and shame fully mediated the relationship between each source of pain invalidation and depression. Relative to other sources, pain invalidation from family was most closely tied to shame and depression. Overall, findings indicate that one mechanism by which pain invalidation may facilitate depression is via the experience of shame. Future research may explore shame as a potential upstream precursor to depression in the context of pain. Findings provide more insight into the harmful influence of pain invalidation on mental health and highlight the impact of interpersonal treatment on the experiences of people in pain.Brandon L. BoringKaitlyn T. WalshNamrata NanavatyVani A. MathurVani A. MathurFrontiers Media S.A.articlemental healthself-worthsocial supportpaindiscountingpain invalidationPsychologyBF1-990ENFrontiers in Psychology, Vol 12 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	mental health self-worth social support pain discounting pain invalidation Psychology BF1-990
spellingShingle	mental health self-worth social support pain discounting pain invalidation Psychology BF1-990 Brandon L. Boring Kaitlyn T. Walsh Namrata Nanavaty Vani A. Mathur Vani A. Mathur Shame Mediates the Relationship Between Pain Invalidation and Depression
description	The experience of pain is subjective, yet many people have their pain invalidated or not believed. Pain invalidation is associated with poor mental health, including depression and lower well-being. Qualitative investigations of invalidating experiences identify themes of depression, but also social withdrawal, self-criticism, and lower self-worth, all of which are core components of shame. Despite this, no studies have quantitatively assessed the interrelationship between pain invalidation, shame, and depression. To explore this relationship, participants recounted the frequency of experienced pain invalidation from family, friends, and medical professionals, as well as their feelings of internalized shame and depressive symptoms. As shame has been shown to be a precursor for depression, we further explored the role of shame as a mediator between pain invalidation and depressive symptoms. All sources of pain invalidation were positively associated with shame and depressive symptoms, and shame fully mediated the relationship between each source of pain invalidation and depression. Relative to other sources, pain invalidation from family was most closely tied to shame and depression. Overall, findings indicate that one mechanism by which pain invalidation may facilitate depression is via the experience of shame. Future research may explore shame as a potential upstream precursor to depression in the context of pain. Findings provide more insight into the harmful influence of pain invalidation on mental health and highlight the impact of interpersonal treatment on the experiences of people in pain.
format	article
author	Brandon L. Boring Kaitlyn T. Walsh Namrata Nanavaty Vani A. Mathur Vani A. Mathur
author_facet	Brandon L. Boring Kaitlyn T. Walsh Namrata Nanavaty Vani A. Mathur Vani A. Mathur
author_sort	Brandon L. Boring
title	Shame Mediates the Relationship Between Pain Invalidation and Depression
title_short	Shame Mediates the Relationship Between Pain Invalidation and Depression
title_full	Shame Mediates the Relationship Between Pain Invalidation and Depression
title_fullStr	Shame Mediates the Relationship Between Pain Invalidation and Depression
title_full_unstemmed	Shame Mediates the Relationship Between Pain Invalidation and Depression
title_sort	shame mediates the relationship between pain invalidation and depression
publisher	Frontiers Media S.A.
publishDate	2021
url	https://doaj.org/article/72afb12c83a246239e40430004866948
work_keys_str_mv	AT brandonlboring shamemediatestherelationshipbetweenpaininvalidationanddepression AT kaitlyntwalsh shamemediatestherelationshipbetweenpaininvalidationanddepression AT namratananavaty shamemediatestherelationshipbetweenpaininvalidationanddepression AT vaniamathur shamemediatestherelationshipbetweenpaininvalidationanddepression AT vaniamathur shamemediatestherelationshipbetweenpaininvalidationanddepression
_version_	1718373936783163392

Shame Mediates the Relationship Between Pain Invalidation and Depression

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