Evidence map›Paper›PMID 27809274›Full record

ArticleJournal of clinical medicine2016

Ashamed and Afraid: A Scoping Review of the Role of Shame in Post-Traumatic Stress Disorder (PTSD).

Tanya Saraiya, Teresa Lopez-Castro

Registry-linked trialOpen access · goldAbstract readScoping Review
In one paragraph

Article in Journal of clinical medicine, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT06345053 (Presence of PTSD and Emotion Dysregulation Among Inpatients With Substance Use Disorder; a Feasibility Study of a Combined Treatment for Difficulties in Emotion Regulation and PTSD), which is not on this map. Cited by 49 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
49citing papers in PubMed, 2 pooled it
6.6field-weighted citation impact, top 4% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT06345053 naunknown statusnot on this mapstarted 2021, after this paper: background citation

Presence of PTSD and Emotion Dysregulation Among Inpatients With Substance Use Disorder; a Feasibility Study of a Combined Treatment for Difficulties in Emotion Regulation and PTSD

TypeinterventionalSponsorNorwegian University of Science and TechnologyRan2021 to 2025Enrolled100ConditionsPost Traumatic Stress Disorder, Substance Use Disorders, Emotion Regulation, SuicideArmsNarrative Exposure Therapy
3 · Its place in the literature

Who cites it

49 citing papers in PubMed, 2 syntheses or guidelines pooled it, 131 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. A Preliminary Evaluation of the Unified Protocol among Trauma-Exposed Adults with and without PTSD.International journal of environmental research and public health · 2021
    Trial
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  13. Observational
  14. Behind the Scenes: Affiliate Stigma and Posttraumatic Distress Among Mothers of Children With Neuropsychiatric Disorders.Stress and health : journal of the International Society for the Investigation of Stress · 2025
    Article
  15. Article
  16. Mechanisms of Change in Exposure Therapy for Anxiety and Related Disorders: A Research Agenda.Clinical psychological science : a journal of the Association for Psychological Science · 2025
    Article
  17. Article
  18. Article
  19. Barriers to diagnosing and treating vulval lichen sclerosus: a survey study.The British journal of general practice : the journal of the Royal College of General Practitioners · 2025
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  20. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

2 authors at 2 institutions in 1 country.

Tanya SaraiyaGordon F. Derner Institute for Advanced Psychological Studies, Adelphi University, Garden City, NY 11530, USA. tanyasaraiya@mail.adelphi.edu.
Teresa Lopez-CastroThe City College of New York, City University of New York, New York, NY 10031, USA. tlopezcastro@ccny.cuny.edu.
Adelphi University · USCity College of New York · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundDespite considerable progress in the treatment of post-traumatic stress disorder (PTSD), a large percentage of individuals remain symptomatic following gold-standard therapies. One route to improving care is examining affective disturbances that involve other emotions beyond fear and threat. A growing body of research has implicated shame in PTSD's development and course, although to date no review of this specific literature exists. This scoping review investigated the link between shame and PTSD and sought to identify research gaps.

methodsA systematic database search of PubMed, PsycInfo, Embase, Cochrane, and CINAHL was conducted to find original quantitative research related to shame and PTSD.

resultsForty-seven studies met inclusion criteria. Review found substantial support for an association between shame and PTSD as well as preliminary evidence suggesting its utility as a treatment target. Several design limitations and under-investigated areas were recognized, including the need for a multimodal assessment of shame and more longitudinal and treatment-focused research.

conclusionThis review provides crucial synthesis of research to date, highlighting the prominence of shame in PTSD, and its likely relevance in successful treatment outcomes. The present review serves as a guide to future work into this critical area of study.

Indexed as

embarrassmenthumiliationposttraumatic stress disorderPTSDscoping reviewshametrauma

Identifiers

PMID27809274
PMCPMC5126791
OpenAlexW2539759818

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.