Although patients with inflammatory bowel disease seem to be prone to high levels of shame, the mechanisms behind the impact of chronic illness-related shame on patients' functioning have not been explored yet. This study aims to address these gaps using a sample of 161 patients with inflammatory bowel disease who completed self-report measures on an online survey. The results from path analyses showed that chronic illness-related shame presented direct and indirect effects on psychological health (R-2 = .66) and social relationships (R-2 = .46). The indirect effects were mediated by experiential avoidance and uncommitted living. Possible explanations to these findings and clinical implications are discussed.
The author(s) disclosed receipt of the following financial support for the research, authorship, and/or publication of this article: Research by the first author (I.A.T.) was supported by a PhD grant (SFRH/BD/101906/2014) sponsored by FCT (Portuguese Foundation for Science and Technology).