Shame and guilt mediate the effects of alexithymia on distress and suicide-related behaviours among men

References

• Bagby, R. M., Parker, J. D. A., & Taylor, G. J. (1994). The twenty-item toronto alexithymia scale-I. Item selection and cross-validation of the factor structure. Journal of Psychosomatic Research, 38(1), 23–32.
   PubMed Web of Science ®Google Scholar
• Black, R. S. A., Curran, D., & Dyer, K. F. W. (2013). The impact of shame on the therapeutic alliance and intimate relationships. Journal of Clinical Psychology, 69(6), 646–654.
   PubMed Web of Science ®Google Scholar
• Chen, J., Xu, T., Jing, J., & Chan, R. C. (2011). Alexithymia and emotional regulation: A cluster analytical approach. BMC Psychiatry, 11(1), 33.
   PubMedGoogle Scholar
• Dearing, R. L., & Tangney, J. P. E. (2011). Shame in the therapy hour. Washington, DC: American Psychological Association.
   Google Scholar
• Dorahy, M. J. (2010). The impact of dissociation, shame, and guilt on interpersonal relationships in chronically traumatized individuals: A pilot study. Journal of Traumatic Stress, 23(5), 653–656.
   PubMed Web of Science ®Google Scholar
• Gilbert, P. (2010). Compassion focused therapy: Distinctive features. Abingdon, UK: Routledge.
   Google Scholar
• Grabe, H. J., Frommer, J., Ankerhold, A., Ulrich, C., Gröger, R., Franke, G. H., … Spitzer, C. (2008). Alexithymia and outcome in psychotherapy. Psychotherapy and Psychosomatics, 77(3), 189–194.
   PubMed Web of Science ®Google Scholar
• Hamidi, S., Rostami, R., Farhoodi, F., & Abdolmanafi, A. (2010). A study and comparison of alexithymia among patients with substance use disorder and normal people. Procedia - Social and Behavioral Sciences, 5, 1367–1370.
   Google Scholar
• Harder, D. W., & Greenwald, D. F. (1999). Further validation of the shame and guilt scales of the harder personal feelings questionnaire-2. Psychological Reports, 85(1), 271–281.
   PubMed Web of Science ®Google Scholar
• Hayes, A. (2013). Introduction to mediation, moderation, and conditional process analysis. New York, NY: Guilford.
   Google Scholar
• Kahn, J. H., & Hessling, R. M. (2001). Measuring the tendency to conceal versus disclose psychological distress. Journal of Social and Clinical Psychology, 20(1), 41–65.
   Web of Science ®Google Scholar
• Kanbara, K, & Fukunaga, M. (2016). Links among emotional awareness, somatic awareness and autonomic homeostatic processing. BioPsychoSocial Medicine, 10(1), 16.
   PubMedGoogle Scholar
• Kanzler, K. E., Bryan, C. J., Mcgeary, D. D., & Morrow, C. E. (2012). Suicidal ideation and perceived burdensomeness in patients with chronic pain. Pain Practice, 12(8), 602–609.
   PubMed Web of Science ®Google Scholar
• Kauhanen, J., Kaplan, G. A., Cohen, R. D., Julkunen, J., & Salonen, J. T. (1996). Alexithymia and risk of death in middle-aged men. Journal of Psychosomatic Research, 41(6), 541–549.
   PubMed Web of Science ®Google Scholar
• Kessler, R. C., Green, J. G., Gruber, M. J., Sampson, N. A., Bromet, E., Cuitan, M., & Zaslavsky, A. M. (2010). Screening for serious mental illness in the general population with the K6 screening scale: Results from the WHO World Mental Health (WMH) survey initiative. International Journal of Methods in Psychiatric Research, 19(Suppl. 1), 4–22.
   PubMed Web of Science ®Google Scholar
• Kõlves, K., Ide, N., & De Leo, D. (2011). Marital breakdown, shame, and suicidality in men: A direct link? Suicide and Life-Threatening Behavior, 41(2), 149–159.
   PubMed Web of Science ®Google Scholar
• Kooiman, C. G. (1998). The status of alexithymia as a risk factor in medically unexplained physical symptoms. Comprehensive Psychiatry, 39, 152–159.
   PubMed Web of Science ®Google Scholar
• Kroenke, K., Spitzer, R. L., & Williams, J. B. W. (2001). The PHQ-9: Validity of a brief depression severity measure. Journal of General Internal Medicine, 16(9), 606–613.
   PubMed Web of Science ®Google Scholar
• O‘Loughlin, J. I., Cox, D. W., Kahn, J. H., & Wu, A. D. (2018). Attachment avoidance, alexithymia, and gender: Examining their associations with distress disclosure tendencies and event-specific disclosure. Journal of Counseling Psychology, 65(1), 65.
   PubMed Web of Science ®Google Scholar
• Oliffe, J. L., Ogrodniczuk, J. S., Gordon, S. J., Creighton, G., Kelly, M. T., Black, N., & Mackenzie, C. (2016). Stigma in male depression and suicide: A Canadian sex comparison study. Community Mental Health Journal, 52(3), 302–310.
   PubMed Web of Science ®Google Scholar
• Osman, A., Bagge, C. L., Gutierrez, P. M., Konick, L. C., Kopper, B. A., & Barrios, F. X. (2001). The suicidal behaviors questionnaire – Revised (SBQ-R): Validation with clinical and nonclinical samples. Assessment, 8(4), 443–454.
   PubMed Web of Science ®Google Scholar
• Rice, S. M., Aucote, H. M., Moller-Leimkuhler, A. M., Parker, A. G., Kaplan, R. A., Seidler, Z. E., … Amminger, G. P. (2016). Conformity to masculine norms and the mediating role of internalised shame on men’s depression: Findings from an Australian community sample. International Journal of Men’s Health, 15(2), 157–164.
   Google Scholar
• Scheff, T. J. (2001). Shame and community: Social components in depression. Psychiatry: Interpersonal and Biological Processes, 64(3), 212–224.
   PubMed Web of Science ®Google Scholar
• Scheff, T. J. (2009). A social theory and treatment of depression. Ethical Human Psychology and Psychiatry, 11(1), 37–50.
   Google Scholar
• Tangney, J. P., & Dearing, R. L. (2002). Shame and guilt. New York: Guildford Press.
   Google Scholar
• Taylor, G. J., & Bagby, R. M. (2012). The alexithymia personality dimension. In T. A. Widiger (Ed.), The oxford handbook of personality disorders (pp. 648–673). New York, NY: Oxford University Press.
   Google Scholar
• Terock, J., Janowitz, D., Grabe, H. J., Freyberger, H. J., Schneider, W., & Klauer, T. (2017). Alexithymia and psychotherapeutic treatment motivation: Main and interactional effects on treatment outcome. Psychotherapy and Psychosomatics, 86(3), 185–186.
   PubMed Web of Science ®Google Scholar
• Treeby, M., & Bruno, R. (2012). Shame and guilt-proneness: Divergent implications for problematic alcohol use and drinking to cope with anxiety and depression symptomatology. Personality and Individual Differences, 53, 613–617.
   Web of Science ®Google Scholar
• Vanheule, S., Desmet, M., Meganck, R., & Bogaerts, S. (2007). Alexithymia and interpersonal problems. Journal of Clinical Psychology, 63(1), 109–117.
   PubMed Web of Science ®Google Scholar
• Wexler, D. (2013). Shame-o-phobia: Why men fear therapy. Psychotherapy in Australia, 20(3), 18–23.
   Google Scholar