SynthesisThe British journal of clinical psychology2023
The association between OCD and Shame: A systematic review and meta-analysis.
Synthesis in The British journal of clinical psychology, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers, 2 of them syntheses that pooled it.
What it found
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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.
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.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
13 citing papers in PubMed, 2 syntheses or guidelines pooled it.
- The association between OCD and Shame: A systematic review and meta-analysis.The British journal of clinical psychology · 2023Pooled it
- Conceptualization and Assessment of Shame Experience and Regulation: An Umbrella Review of Synthesis Studies.Clinical psychology & psychotherapyPooled it
- Shame as a mediator of the association of childhood emotional abuse with aversive cognitive perseveration in adults.British journal of psychology (London, England : 1953) · 2026Article
- Mental health stigma in Latin American youth with obsessive-compulsive disorder.Psychiatry research · 2026Article
- Helpful and hindering factors in group-based cognitive-behavioral therapy for adolescents with obsessive-compulsive disorder: a qualitative study.BMC psychiatry · 2026Article
- Factors linked to depressive symptoms in obsessive-compulsive disorder: a machine learning and network analysis from China OCD Cohort (COCC).BMC psychiatry · 2026Article
- Beyond risk management: reconsidering P-OCD in inpatient mental health care.Frontiers in psychiatry · 2026Article
- A preliminary investigation of the relationships between attachment insecurity, fear of compassion, and OCD severity.The British journal of clinical psychology · 2025Article
- Observing the Influence of Shame and Guilt in Inflammatory Bowel Disease: A Systematic Review.Clinical neuropsychiatry · 2025Review
- Facets of shame and their impact on quality of life in patients with atopic dermatitis and psoriasis.Scientific reports · 2025Article
- Help-seeking behavior, treatment barriers and facilitators, attitudes and access to first-line treatment in German adults with obsessive-compulsive disorder.BMC psychiatry · 2025Article
- Moral emotions in mental health: regulation and mediation.Frontiers in psychology · 2025Review
- Shame: An Emotion Needing Exceptional Interventions.Innovations in clinical neuroscienceReview
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
5 authors.
Funding
Abstract
backgroundDue to rumination and self-criticism over unwanted obsessions and repetitive rituals, shame is a common emotion experienced by individuals with obsessive-compulsive disorder (OCD). Shame is also theorized to have relevance to unacceptable thoughts in OCD. However, empirical research looking at the relationship between OCD and shame is still emerging and findings have been mixed.
objectivesOur review systematically examines the association of shame with OCD and unacceptable thoughts.
methodsThe last updated search was conducted across five databases between 27 and 29 February 2022. The final selection included 20 papers, 18 of which were used in the primary meta-analysis to calculate pooled effect sizes between OCD and shame measures using a random effects model. In a separate analysis, three papers were used to calculate pooled effect sizes between shame and OCD symptom dimensions also using a random effects model.
resultsThe meta-analyses identified a significant, moderate and positive correlation between total OCD and shame scores r = .352, 95% CI [0.260, 0.438]. In addition, significant, weak and positive relationships were found between shame and three OCD symptom dimensions: unacceptable thoughts r = .252, 95% CI [-0.467, 0.9708], harm obsessions r = .224, CI [-0.190, 0.638] and symmetry concerns r = .200, CI [-0.108, 0.509]. LIMITATIONS: Shame measures in the reviewed studies were not specific to OCD, and between-study variance in the analyses examining unacceptable thoughts was significant.
conclusionsOur findings support a medium positive relationship between shame and OCD. As shame in OCD can be a barrier to seeking treatment and impair quality of life, it is imperative to address this emotion through psychoeducation, assessment and treatment.
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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.