Shame, Self-Compassion, and Self-Esteem as Correlates of Depression and Anxiety Symptoms:The Role of Emotion Regulation
DOI:
https://doi.org/10.24193/subbpsyped.2026.1.09Keywords:
shame, self-compassion, self-esteem, cognitive emotion regulation, anxiety, depressive symptomsAbstract
Background: Shame, self-esteem, and cognitive emotion regulation strategies have been consistently linked to anxiety and depressive symptoms. Shame and low self-esteem are considered risk factors, whereas self-compassion and adaptive strategies act as protective factors. This study examined the mediating role of self-compassion in the relationship between shame and symptoms of depression and anxiety. Methods: An online survey was conducted with 201 ethnic Hungarian participants from Romania. Standardized measures were administered to assess shame, self-compassion, self-esteem, stress, cognitive emotion regulation, and depressive and anxiety symptoms. Mediation analyses were performed to test the hypothesized indirect effects. Results: Shame significantly predicted lower levels of self-compassion, which in turn mediated the relationship between shame and depressive symptoms. No mediation was found for anxiety symptoms. Stress emerged as a strong predictor of both depression and anxiety, while self-esteem predicted depressive symptoms only. Maladaptive regulation strategies increased the explanatory power of the models, whereas self-blame was not a significant predictor. Conclusions: The findings suggest that self-compassion may be associated with a reduced relationship between shame and depressive symptoms. Strengthening self-compassion and self-esteem, while reducing maladaptive regulation strategies and improving stress management, may inform targeted clinical interventions.
References
Aldao, A., Nolen-Hoeksema, S., & Schweizer, S. (2010). Emotion-regulation strategies across psychopathology: A meta-analytic review. Clinical Psychology Review, 30(2), 217–237. doi:10.1016/j.cpr.2009.11.004
Allen, A. B., & Leary, M. R. (2010). Self-Compassion, Stress, and Coping. Social and Personality Psychology Compass, 4(2), 107–118. doi:10.1111/j.1751- 9004.2009.00246.x
Barnard, L. K., & Curry, J. F. (2011). The Relationship of Clergy Burnout to Self-Compassion and Other Personality Dimensions. Pastoral Psychology, 61(2), 149–163. doi:10.1007/s11089-011-0377-0.
Bastin, C., Harrison, B. J., Davey, C. G., Moll, J., & Whittle, S. (2016). Feelings of shame, embarrassment and guilt and their neural correlates: A systematic review. Neuroscience & Biobehavioral Reviews, 71, 455–471. doi:10.1016/j.neubiorev.2016.09.019
Baumeister, R. F., Stillwell, A. M., & Heatherton, T. F. (1994). Guilt: an interpersonal approach. Psychological bulletin, 115(2), 243.
Bitsko, R. H., Holbrook, J. R., Ghandour, R. M., Blumberg, S. J., Visser, S. N., Perou, R., & Walkup, J. T. (2018). Epidemiology and Impact of Health Care Provider–Diagnosed Anxiety and Depression Among US Children. Journal of Developmental & Behavioral Pediatrics, 39(5), 395–403. doi:10.1097/dbp.0000000000000571
Bluth, K., & Blanton, P. W. (2013). Mindfulness and self-compassion: Exploring pathways to adolescent emotional well-being. Journal of Child and Family Studies, 22(7), 1298 1309.
Brown, B. (2006). Shame Resilience Theory: A Grounded Theory Study on Women and Shame. Families in Society: The Journal of Contemporary Social Services, 87(1), 43 52. doi:10.1606/1044-3894.3483
Callow, T. J., Moffitt, R. L., & Neumann, D. L. (2021). External shame and its association with depression and anxiety: the moderating role of self-compassion. Australian Psychologist, 56(1), 70–80. doi:10.1080/00050067.2021.1890984
Campbell, J., Kub, J. E., & Rose, L. (1996). Depression in battered women. Jamwa, 51(3), 106-
Cândea, D.-M., & Szentagotai-Tătar, A. (2018). Shame-proneness, guilt-proneness and anxiety symptoms: A meta-analysis. Journal of Anxiety Disorders, 58, 78–106. doi:10.1016/j.janxdis.2018.07.005
Cast, A. D., & Burke, P. J. (2002). A Theory of Self-Esteem. Social Forces, 80(3), 1041–1068. doi:10.1353/sof.2002.0003
Charles, S. T. (2010). Strength and vulnerability integration: A model of emotional well-being across adulthood. Psychological Bulletin, 136(6), 1068–1091. doi:10.1037/a0021232
Cisler, J. M., & Koster, E. H. W. (2010). Mechanisms of attentional biases towards threat in anxiety disorders: An integrative review. Clinical Psychology Review, 30(2), 203–216. doi:10.1016/j.cpr.2009.11.003
Cisler, J. M., Olatunji, B. O., Feldner, M. T., & Forsyth, J. P. (2009). Emotion Regulation and the Anxiety Disorders: An Integrative Review. Journal of Psychopathology and Behavioral Assessment, 32(1), 68–82. doi:10.1007/s10862-009-9161-1
Clark, D. A., & Beck, A. T. (2010). Cognitive theory and therapy of anxiety and depression: Convergence with neurobiological findings. Trends in Cognitive Sciences, 14(9), 418 424. doi:10.1016/j.tics.2010.06.007
Clark, D. M., & Wells, A. (1995). A cognitive model of social phobia. In R.G. Heimberg, M.R. Liebowitz, D.A. Hope, & F.R. Schneier (Eds.), Social phobia: Diagnosis, assessment, and treatment (pp. 69–93). New York: Guilford Press.
Cunha, M., Silva, P., Ferreira, C., & Galhardo, A. (2021). Measuring Shame in Adolescents: Validation Studies of the External and Internal Shame Scale in a Community Sample. Child & Youth Care Forum, 50(6), 971–989. doi:10.1007/s10566-021-09607-3
Domaradzka, E., & Fajkowska, M. (2018). Cognitive Emotion Regulation Strategies in Anxiety and Depression Understood as Types of Personality. Frontiers in Psychology, 9. doi:10.3389/fpsyg.2018.00856
Dorevitch, B., Buck, K., Fuller-Tyszkiewicz, M., Phillips, L., & Krug, I. (2020). Maladaptive Perfectionism and Depression: Testing the Mediating Role of Self-Esteem and Internalized Shame in an Australian Domestic and Asian International University Sample. Frontiers in Psychology, 11. doi:10.3389/fpsyg.2020.01272
Dozois, D. J. A. (Ed.). (2012). Abnormal psychology: Perspectives (6th ed.). University of Western Ontario.
Else-Quest, N. M., LoConte, N. K., Schiller, J. H., & Hyde, J. S. (2009). Perceived stigma, self-blame, and adjustment among lung, breast and prostate cancer patients. Psychology & Health, 24(8), 949–964. doi:10.1080/08870440802074664
Etkin, A., Büchel, C., & Gross, J. J. (2015). The neural bases of emotion regulation. Nature Reviews Neuroscience, 16(11), 693–700. doi:10.1038/nrn4044
Fekih-Romdhane, F., Malaeb, D., Dabbous, M., Hallit, R., Obeid, S., & Hallit, S. (2023). Psychometric properties of an Arabic translation of the external and internal shame scale (EISS). BMC psychiatry, 23(1), 242. https://doi.org/10.1186/s12888-023-04729-5
Fergus, T. A., Valentiner, D. P., McGrath, P. B., & Jencius, S. (2010). Shame- and guilt proneness: Relationships with anxiety disorder symptoms in a clinical sample. Journal of Anxiety Disorders, 24(8), 811–815. doi:10.1016/j.janxdis.2010.06.002
Fernandes, B., Newton, J., & Essau, C. A. (2021). The Mediating Effects of Self-Esteem on Anxiety and Emotion Regulation. Psychological Reports, 003329412199699. doi:10.1177/0033294121996991
Ferreira, C., Moura-Ramos, M., Matos, M., & Galhardo, A. (2020). A new measure to assess external and internal shame: development, factor structure and psychometric properties of the External and Internal Shame Scale. Current Psychology. doi:10.1007/s12144-020 00709-0
Garnefski, N., & Kraaij, V. (2007). The Cognitive Emotion Regulation Questionnaire. European Journal of Psychological Assessment, 23(3), 141–149. doi:10.1027/1015 5759.23.3.141
Garnefski, N., Kraaij, V., & Spinhoven, P. (2001). Negative life events, cognitive emotion regulation and emotional problems. Personality and Individual differences, 30(8), 1311 1327.
GARNEFSKI, N., LEGERSTEE, J., KRAAIJ, V., VAN DEN KOMMER, T., & TEERDS, J. (2002). Cognitive coping strategies and symptoms of depression and anxiety: a comparison between adolescents and adults. Journal of Adolescence, 25(6), 603–611. doi:10.1006/jado.2002.0507
Garnefski, N., Teerds, J., Kraaij, V., Legerstee, J., & van den Kommer, T. (2004). Cognitive emotion regulation strategies and depressive symptoms: differences between males and females. Personality and Individual Differences, 36(2), 267–276. doi:10.1016/s0191 8869(03)00083-7
Germer, C. K., & Neff, K. D. (2013). Self-Compassion in Clinical Practice. Journal of Clinical Psychology, 69(8), 856–867. doi:10.1002/jclp.22021
Gilbert, P. (2003). Evolution, social roles, and the differences in shame and guilt. Social Research: An International Quarterly, 70(4), 1205-1230.
Gilbert, P. (2009). The compassionate mind: A new approach to the challenge of life. London: Constable & Robinson.
Gilbert, P., & Irons, C. (2009). Shame, self-criticism, and self-compassion in adolescence. Adolescent emotional development and the emergence of depressive disorders, 1, 195 214.
Gilbert, P., & Procter, S. (2006). Compassionate mind training for people with high shame and self-criticism: overview and pilot study of a group therapy approach. Clinical Psychology & Psychotherapy, 13(6), 353–379. doi:10.1002/cpp.507
Gill, C., Watson, L., Williams, C., & Chan, S. W. Y. (2018). Social anxiety and self-compassion inadolescents. Journal of Adolescence, 69, 163–174. doi:10.1016/j.adolescence.2018.10
Gross, J. J., & John, O. P. (2003). Individual differences in two emotion regulation processes: Implications for affect, relationships, and well-being. Journal of Personality and Social Psychology, 85(2), 348–362. doi:10.1037/0022-3514.85.2.348
Hall, C. W., Row, K. A., Wuensch, K. L., & Godley, K. R. (2013). The Role of Self Compassion in Physical and Psychological Well-Being. The Journal of Psychology, 147(4), 311–323. doi:10.1080/00223980.2012.693138
Halpern-Manners, A., Schnabel, L., Hernandez, E. M., Silberg, J. L., & Eaves, L. J. (2016). The Relationship between Education and Mental Health: New Evidence from a Discordant Twin Study. Social Forces, 95(1), 107–131. doi:10.1093/sf/sow035
Hasin, D. S., Sarvet, A. L., Meyers, J. L., Saha, T. D., Ruan, W. J., Stohl, M., & Grant, B. F. (2018). Epidemiology of Adult DSM-5 Major Depressive Disorder and Its Specifiers in the United States. JAMA Psychiatry, 75(4), 336. doi:10.1001/jamapsychiatry.2017.4602
Heimberg, R. G., Brozovich, F. A., & Rapee, R. M. (2010). A cognitive-behavioral model of social anxiety disorder: Update and extension. In S. G. Hofmann & P. M. DiBartolo (Eds.), Social anxiety: Clinical, developmental, and social perspectives (2nd ed., pp. 395–422). Elsevier/Academic Press.
Hopfinger, L., Berking, M., Bockting, C. L. H., & Ebert, D. D. (2016). Emotion regulation mediates the effect of childhood trauma on depression. Journal of Affective Disorders, 198, 189–197. doi:10.1016/j.jad.2016.03.050
Horváth, Zs., Urbán, R., Kökönyei, Gy. & Demetrovics, Zs. (2021). Questionnaire Methods in Clinical and Health Psychology Research and Practice I. Medicina Publishing House, Budapest. (Kérdőíves módszerek a klinikai és egészségpszichológiai kutatásban és gyakorlatban I. Medicina Könyvkiadó Zrt, Budapest.)
Hovens, J. G., Giltay, E. J., Spinhoven, P., van Hemert, A. M., & Penninx, B. W. (2015). Impact of childhood life events and childhood trauma on the onset and recurrence of depressive and anxiety disorders. The Journal of clinical psychiatry, 76(7), 8559.
Ingersoll, E. (2010). An integral understanding of the etiology of depression. Integral theory in action: Applied, theoretical, and constructive perspectives on the AQAL model, 149-171.
Jacobson, N. C., & Newman, M. G. (2017). Anxiety and depression as bidirectional risk factors for one another: A meta-analysis of longitudinal studies. Psychological bulletin, 143(11), 1155.
Jannati, Y., Nia, H. S., Froelicher, E. S., Goudarzian, A. H., & Yaghoobzadeh, A. (2020). Self blame attributions of patients: a systematic review study. Central Asian Journal of Global Health, 9(1), e419. DOI 10.5195/cajgh.2020.419
Kamalinasab, Z., & Mohammadkhani, P. (2018). A comparison of self-compassion and self esteem based on their relationship with adaptive and maladaptive emotion regulation strategies. Practice in Clinical Psychology, 6(1), 9-20.
Keltner, D., & Buswell, B. N. (1997). Embarrassment: its distinct form and appeasement functions. Psychological bulletin, 122(3), 250.
Kessler, R. C., & Wang, P. S. (2009). Epidemiology of depression. Handbook of depression, 2, 5-22.
Kim, S., Thibodeau, R., & Jorgensen, R. S. (2011). Shame, guilt, and depressive symptoms: A meta-analytic review. Psychological Bulletin, 137(1), 68–96. doi:10.1037/a0021466
Komlósi, V. A. (2007). An Overview of Contemporary Self-Esteem Research: Self-Esteem and/or Self-Acceptance. In Zs. Demetrovics, Gy. Kökönyei, & A. Oláh (Eds.), From Personality Psychology to Health Psychology: Studies in Honor of Zsuzsanna Kulcsár (pp. 20–44). (Napjaink önértékelés-kutatásainak áttekintése: önértékelés és/vagy önelfogadás. Zs. Demetrovics, Gy. Kökönyei, & A. Oláh (szerk.), Személyiséglélektantól az egészségpszichológiáig: Tanulmányok Kulcsár Zsuzsanna tiszteletére, 20-44.)
Kövesdi, A. (2018). Reziliencia a serdülőkori anorexia nervosaban (Doctoral dissertation, University of Pécs (Hungary)).
Krieger, T., Altenstein, D., Baettig, I., Doerig, N., & Holtforth, M. G. (2013). Self-Compassion in Depression: Associations With Depressive Symptoms, Rumination, and Avoidance in Depressed Outpatients. Behavior Therapy, 44(3), 501–513. doi:10.1016/j.beth.2013.04.004
Li, Y., Wang, A., Wu, Y., Han, N., & Huang, H. (2021). Impact of the COVID-19 Pandemic on the Mental Health of College Students: A Systematic Review and Meta-Analysis. Frontiers in Psychology, 12. https://doi.org/10.3389/fpsyg.2021.669119
Liu, X.-Q., Guo, Y.-X., Zhang, W.-J., & Gao, W.-J. (2022). Influencing factors, prediction and prevention of depression in college students: A literature review. World Journal of Psychiatry, 12(7), 860–873. https://doi.org/10.5498/wjp.v12.i7.860
Lovibond, P. F., & Lovibond, S. H. (1995). The structure of negative emotional states: Comparison of the Depression Anxiety Stress Scales (DASS) with the Beck Depression and Anxiety Inventories. Behaviour research and therapy, 33(3), 335-343.
Luo, Y., Meng, R., Li, J., Liu, B., Cao, X., & Ge, W. (2019). Self-compassion may reduce anxiety and depression in nursing students: a pathway through perceived stress. Public Health, 174, 1–10. doi:10.1016/j.puhe.2019.05.015
MacBeth, A., & Gumley, A. (2012). Exploring compassion: A meta-analysis of the association between self-compassion and psychopathology. Clinical Psychology Review, 32(6), 545 552. doi:10.1016/j.cpr.2012.06.003
MacGinley, M., Breckenridge, J., & Mowll, J. (2019). A scoping review of adult survivors’ experiences of shame following sexual abuse in childhood. Health & Social Care in the Community. doi:10.1111/hsc.12771
Miceli, M., & Castelfranchi, C. (2018). Reconsidering the differences between shame and guilt. Europe’s Journal of Psychology, 14(3), 710–733. doi:10.5964/ejop.v14i3.1564
Miklósi, M. (2015). The Role of Cognitive Emotion Regulation in Responses to Stress (Doctoral dissertation). (A kognitív érzelemszabályozás szerepe a stresszre adott reakciókban (Doctoral dissertation).)
Min, J.-A., Yu, J. J., Lee, C.-U., & Chae, J.-H. (2013). Cognitive emotion regulation strategies contributing to resilience in patients with depression and/or anxiety disorders. Comprehensive Psychiatry, 54(8), 1190–1197. doi:10.1016/j.comppsych.2013.05.008
Mónika, M., Tamás, M., Krisztina, K. B., & Dóra, P. F. (2011). Psychometric Properties of the Hungarian Version of the Cognitive Emotion Regulation Questionnaire. (A Kognitív Érzelem-Reguláció Kérdőív magyar változatának pszichometriai jellemzői)
Mosewich, A. D., Kowalski, K. C., Sabiston, C. M., Sedgwick, W. A., & Tracy, J. L. (2011). Self-compassion: A potential resource for young women athletes. Journal of sport and exercise psychology, 33(1), 103-123.
Muris, P., Meesters, C., Pierik, A., & de Kock, B. (2015). Good for the Self: Self-Compassion and Other Self-Related Constructs in Relation to Symptoms of Anxiety and Depression in Non-clinical Youths. Journal of Child and Family Studies, 25(2), 607–617. doi:10.1007/s10826-015-0235-2
Neff, K. D. (2003). The development and validation of a scale to measure self-compassion. Self and identity, 2(3), 223-250. DOI: 10.1080/15298860390209035
Neff, K. D. (2011). Self-Compassion, Self-Esteem, and Well-Being. Social and Personality Psychology Compass, 5(1), 1–12. doi:10.1111/j.1751-9004.2010.00330.x
Neff, K. D., & Knox, M. C. (2020). Self-compassion. In Encyclopedia of personality and individual differences (pp. 4663-4670). Cham: Springer International Publishing.
Neff, K. D., & Lamb, L. M. (2009). Self-compassion. Handbook of individual differences in social behavior, 561-573.
Ngin, C., Pal, K., Tuot, S., Chhoun, P., Yi, R., & Yi, S. (2018). Social and behavioural factors associated with depressive symptoms among university students in Cambodia: a cross-sectional study. BMJ Open, 8(9), e019918. https://doi.org/10.1136/bmjopen-2017-019918
Ni, J. (2022). Self-Compassion Reduces Depression and Anxiety: The Mediating Effects of Global Self-Esteem, Trait Shame, and Rumination (Doctoral dissertation, Fairleigh Dickinson University).
Orth, U., Robins, R. W., & Meier, L. L. (2009). Disentangling the effects of low self-esteem and stressful events on depression: Findings from three longitudinal studies. Journal of Personality and Social Psychology, 97(2), 307–321. doi:10.1037/a0015645
Orth, U., Robins, R. W., & Roberts, B. W. (2008). Low self-esteem prospectively predicts depression in adolescence and young adulthood. Journal of Personality and Social Psychology, 95(3), 695–708. doi:10.1037/0022-3514.95.3.695
Pallant, J. (2020). SPSS survival manual: A step by step guide to data analysis using IBM SPSS. Routledge.
Rosenberg, M. (1965). Rosenberg self-esteem scale (RSE). Acceptance and commitment therapy. Measures package, 61(52), 18.
Rosenberg, M. (1965). Society and the adolescent self-image. Princeton, NJ: Princeton University Press.
Schäfer, J. Ö., Naumann, E., Holmes, E. A., Tuschen-Caffier, B., & Samson, A. C. (2016). Emotion Regulation Strategies in Depressive and Anxiety Symptoms in Youth: A Meta Analytic Review. Journal of Youth and Adolescence, 46(2), 261–276. doi:10.1007/s10964-016-0585-0
Sedighimornani, N., Rimes, K. A., & Verplanken, B. (2019). Exploring the Relationships Between Mindfulness, Self-Compassion, and Shame. SAGE Open, 9(3), 215824401986629. doi:10.1177/2158244019866294
Sheikh, S., & Janoff-Bulman, R. (2009). The “Shoulds” and “Should Nots” of Moral Emotions: A Self-Regulatory Perspective on Shame and Guilt. Personality and Social Psychology Bulletin, 36(2), 213–224. doi:10.1177/0146167209356788
Sowislo, J. F., & Orth, U. (2013). Does low self-esteem predict depression and anxiety? A meta-analysis of longitudinal studies. Psychological Bulletin, 139(1), 213–240. doi:10.1037/a0028931
Steindl, S. R., Matos, M., & Creed, A. K. (2018). Early shame and safeness memories, and later depressive symptoms and safe affect: The mediating role of self-compassion. Current Psychology. doi:10.1007/s12144-018-9990-8
Taihara, Q., & Malik, J. A. (2016). Is It Adaptive or Maladaptive? Elaborating Conditional Role of Shame and Guilt in Development of Psychopathologies. Psychological Studies, 61(4), 331–339. doi:10.1007/s12646-016-0381-7
Tartaro, G. K., Baptista, M. N., & Raad, A. J. (2024). Social and family support, emotional dysregulation and depression: Associations and pathways. Estudos de Psicologia (Campinas), 41, e210138.
Terry, M. L., & Leary, M. R. (2011). Self-compassion, self-regulation, and health. Self and Identity, 10(3), 352–362. doi:10.1080/15298868.2011.558404
Umberson, D., & Karas Montez, J. (2010). Social Relationships and Health: A Flashpoint for Health Policy. Journal of Health and Social Behavior, 51(1_suppl), S54–S66. doi:10.1177/0022146510383501
Vettese, L. C., Dyer, C. E., Li, W. L., & Wekerle, C. (2011). Does Self-Compassion Mitigate the Association Between Childhood Maltreatment and Later Emotion Regulation Difficulties? A Preliminary Investigation. International Journal of Mental Health and Addiction, 9(5), 480–491. doi:10.1007/s11469-011-9340-7
Vujanovic, A. A., Zvolensky, M. J., & Bernstein, A. (2007). The Interactive Effects of Anxiety Sensitivity and Emotion Dysregulation in Predicting Anxiety-related Cognitive and Affective Symptoms. Cognitive Therapy and Research, 32(6), 803–817. doi:10.1007/s10608-007-9148-8
Walker, E. F., & Diforio, D. (1997). Schizophrenia: a neural diathesis-stress model. Psychological review, 104(4), 667.
World Health Organization. (2017). Depression and other common mental disorders: global health estimates. World Health Organization.
Zhang, H., Carr, E. R., Garcia-Williams, A. G., Siegelman, A. E., Berke, D., Niles-Carnes, L. V., … Kaslow, N. J. (2018). Shame and Depressive Symptoms: Self-compassion and Contingent Self-worth as Mediators? Journal of Clinical Psychology in Medical Settings. doi:10.1007/s10880-018-9548-9
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