Characterological Self-blame Research Articles

Exploring the Link Between Cyber Victimization and Depression.

Cyber victimization is strongly and positively associated with depressive symptoms in adolescence. Identifying mechanisms of this association is imperative to benefit adolescents' mental health. Applying the General Aggression Model in a theoretically novel way, this study examined a complex mediational pathway between cyber victimization and depressive symptoms. Two hundred seventy-seven adolescent participants (M age = 15.84; 65.7% females) reported their own cyber victimization experiences, depressive symptoms, and cognitive, emotional, and behavioral attributions in response to a hypothetical cyber victimization scenario. Path analysis within structural equation modeling was used to test a model where cyber victimization predicted depressive symptoms through characterological self-blame cognitions, sadness emotions, and passive avoidance behaviors. Characterological self-blame was found to partially mediate the positive and significant association between cyber victimization and depressive symptoms. Sadness emotions and passive avoidance behaviors did not emerge as significant mediators. The findings implicate the importance of cognitions in explaining the association between cyber victimization and depression and suggest incorporating cognitive re-framing education into anti-cyberbullying prevention programs.

Trauma-Related Shame, Characterological Self-Blame, and Psychological Outcomes Among Sexual Assault Survivors

Exposure to sexual violence is associated with deleterious mental health consequences, and survivors’ perceptions of self-blame can exacerbate these difficulties. Characterological self-blame (CSB) has been associated with negative outcomes (e.g., PTSD, depression, & anxiety). However, the underlying mechanisms that account for CSB’s negative impacts have not been explored despite the stigmatizing and blaming nature surrounding sexual violence. In the present study, we examined whether trauma-related shame would explain CSB’s association with depression and anxiety symptom severity. A sample of 197 women who reported prior exposure to sexual assault completed measures of self-blame, trauma-related shame, and depression and anxiety symptoms. A significant association was found between CSB and depression, r(197) = .380, p < .01, and anxiety, r(197) = .256, p < .01. Trauma-related shame significantly mediated the relationship between CSB and depression (B = .07, SE = .02, 95% CI [.03, .12]), and mediated between CSB and anxiety (B = .05, SE = .02, 95% CI [.01, .09]). Trauma-related shame may be a useful treatment target for survivors of sexual assault experiencing maladaptive blame and psychological distress.

A measure of attributions for peer victimization: psychometric properties and differences among bullying roles

ABSTRACT Attributional processes about why outcomes occur constitute an important mediating mechanism that can explain different reactions of both the targets of harassment and their peers. The present study aimed to evaluate the psychometric properties of a measure of attributions for victimization among adolescents, using Confirmatory Factor Analyses, and to examine differences among roles (i.e., not involved, bullies, victims, bully-victims) in self-blame attributions, by means of testing invariance. The sample consisted of 1,207 adolescents (54% females; Mage = 14.89; SD = 1.39). The results showed a multidimensional structure of the scale with three factors (Characterological self-blame, Behavioral self-blame, and External Attribution). Partial invariance was found across different roles, highlighting a difference in the latent means of Characterological Self-Blame, higher in the victim group than in the other roles. The findings suggested how victims showed biases in their interpretations of social situations attributing the negative experience to internal, stable, and uncontrollable causes.

Linking alcohol-involved sexual assault to negative emotional outcomes: the relative mediating roles of shame, self-compassion, fear of self-compassion, and self-blame.

Alcohol-involved sexual assault (AISA) survivors who were drinking at the time of the assault may be at risk of internalizing victim-blaming myths and stigma. Cognitive-behavioral models posit the link between AISA and negative emotional outcomes may be explained through maladaptive appraisals and coping - i.e., characterological and behavioral self-blame, shame, low self-compassion (i.e., high self-coldness, low self-caring), and fear of self-compassion. Using a cross-sectional design and community sample of younger adults (N = 409 Canadians, M = 28.2 years old, 51.3% women), we examined these mechanisms' unique effects in mediating the associations between AISA and posttraumatic stress, general anxiety, and depressive symptoms, respectively. In terms of gender differences, AISA was more common, self-coldness higher, and general anxiety symptoms more frequent in women, and fear of self-compassion was higher in men. Using structural equation modeling that controlled for gender and the overlap between outcomes, shame emerged as the strongest mediator linking AISA with all emotional outcomes. Fear of self-compassion also partially mediated the AISA-posttraumatic stress symptom association, self-coldness partially mediated the AISA-general anxiety symptom association, and characterological self-blame fully mediated the AISA-depressive symptom association. Avoidance-based processes, ruminative-/worry-based cognitions, and negative self-evaluative cognitions may be distinctly relevant for AISA-related posttraumatic stress, general anxiety, and depressive symptoms, respectively, after accounting for the overarching mediation through shame. These internalized stigma-related mechanisms may be useful to prioritize in treatment to potentially reduce AISA-related negative emotional outcomes, particularly for AISA survivors with posttraumatic stress, general anxiety, and/or depressive symptoms.

Examining the Burden of Self-Blame Attribution Among Women With Cervical Cancer.

Background:Self-blame for past sexual behaviors or for the personal character may be associated with the development of cervical cancer. Purpose: Aims were to understand the burden of self-blame attribution (SBA) among women with cervical cancer by (1) examining relationships between SBA, psychological distress (PD), and spiritual well-being (SWB); (2) determining differences between behavioral (BSB) and characterological self-blame (CSB) attribution; and (3) describing associations between SBA and unwanted past sexual experiences. Methods: Women attending a cancer center in the southeastern United Stats (N = 106) completed an online survey including a demographic questionnaire and three instruments: (1) SBA for Cancer Scale; (2) Psychological Distress Subscale of the Psychological Adjustment to Cancer Scale-Self Report; and (3) Functional Assessment of Cancer Therapy-Spiritual Well-being. Results: Women with cervical cancer, 26-64 years of age, identified moderate levels of SBA, PD, and SWB. Relationships were found between PD, BSB and CSB, and unwanted sexual experiences. Significant inverse correlations between religious faith, BSB, unwanted sexual experiences, and SWB were noted. Unwanted sexual experiences were a significant predictor of SBA. Conclusion: SBA places women at risk for increased burden. Recognizing SBA in vulnerable cancer survivors is important to providing holistic nursing care.

Relational Victimization, Characterological Self-Blame, and Adjustment in Young Children.

The associations between relational victimization, self-blame attributions, and internalizing problems in early childhood has not previously been examined. Using a sample of 116 preschool children, average age 44.05 months (SD = 4.23), multiple informants, multiple methods, and a longitudinal design, path analyses were conducted to explore the associations between relational victimization, self-blame attributions (Characterological Self-Blame[CSB] and Behavioral Self-Blame[BSB]), and maladjustment in early childhood. Concurrent significant associations were found between relational victimization and internalizing problems. The initial longitudinal models revealed some significant effects that were consistent with predictions. Importantly, follow-up tests decomposing internalizing problems, indicated that anxiety at Time 1 was positively and significantly associated with CSB at Time 2. Depression at Time1 was negatively and significantly associated with CSB at Time 2. Implications of this work are discussed.

Validity and Reliability of the Cardiac Self-Blame Attributions Scale in Turkish

Objective: This study was conducted to adapt the cardiac self-blame scale developed by Harry et al. in 2018 into Turkish. Materials and Methods: The sample of the study consisted of 125 patients with cardiovascular disease. Confirmatory (CFA)factor analyses were conducted to examine the construct validity of the scale and the correlation of it between similar scales was analyzed within the scope of criterion validity. As a result of confirmatory factor analysis, it was observed that the two-factor (Behavioral Self-Blame and Characterological Self-Blame) structure of the scale was preserved in the Turkish sample as well. Results: In the analysis performed for criterion-related validity, significant correlations were found between the scale and other scales (p&lt;0.01). Conclusion: The findings obtained because of the validity and reliability studies of the cardiac self-blame attributions scale, which was adapted into Turkish, revealed can be used to determine the accusations against the behavior and characters of individuals with cardiac disease in Turkish society.

Attributions about Peer Victimization in US and Korean Adolescents and Associations with Internalizing Problems.

Although there is cultural variability in how individuals make attributions for their own and others' behaviors, cultural variation in youth's attributions about peer victimization and their relation with internalizing problems has gone unexamined. To address this issue, adolescents from the U.S. (n = 292, 60% female, 79.5% White, Mage = 13.6, SD = 0.65) and Korea (n = 462, 50.2% female, Mage = 13.7, SD = 0.58) reported on their peer victimization, depressive symptoms, social anxiety, self-worth, and rated their attributions to vignettes about peer victimization. Multigroup confirmatory analyses found that Korean and American youth conceptualized characterological self-blame, behavioral self-blame, and externalization of blame similarly. However, Korean youth differentially endorsed each of the three types of attributions, while U.S. adolescents endorsed characterological self-blame and behavioral self-blame at similar levels. Attributions had unique relations with internalizing problems (depression, social anxiety, global self-worth) in each culture. In multigroup SEM analyses, characterological self-blame predicted all internalizing problems for U.S. adolescents, while behavioral self-blame was not uniquely related to internalizing problems. For Korean adolescents, behavioral self-blame significantly predicted all internalizing problems, whereas characterological self-blame predicted global self-worth only. The results suggest that attributions about victimization have different adjustment implications in Korea than in the U.S.

I’m Just a Person: Self-Labeling Following Sexual Assault

The purpose of this study was to examine college women's self-labeling as a victim or a survivor following a sexual assault and describe the relationship of self-labeling with mental health, self-blame, control over recovery, and help-seeking. This cross-sectional study collected data in an online anonymous survey in November and December of 2018. Participants (N = 375) were recruited from two public universities, were 18- to 24-year-old undergraduate students, identified as female, and had experienced a sexual assault since entering college. Most respondents (46.4%, 174/375) chose labels other than victim or survivor. Statistically significant differences were found between choice of label (survivor, victim, or other) and depression, well-being, characterological self-blame, and perceived control over recovery. Short-answer responses revealed three major themes for alternative labels: choosing no label, normalizing, and seeking congruence. As when caring for a patient with any diagnosis, nurses and other healthcare providers should see a person-not a patient, a survivor, or a victim.

The prevalence of perceived stigma and self-blame and their associations with depression, emotional well-being and social well-being among advanced cancer patients: evidence from the APPROACH cross-sectional study in Vietnam

BackgroundThere is very limited evidence on the existence of cancer-related perceived stigma and self-blame among patients with advanced cancer in Asia, and how they are associated with psychosocial outcomes. This study aimed to address the gap in the current literature by (1) assessing perceived stigma, behavioural self-blame and characterological self-blame among Vietnamese patients with advanced cancer, and (2) investigating the associations of perceived stigma and self-blame (behavioural and characterological) with depression, emotional well-being and social well-being.MethodsThis cross-sectional study involved 200 Vietnamese patients with stage IV solid cancer. Depression was measured using the Center for Epidemiologic Studies Depression (CES-D) Scale. Emotional well-being and social well-being were measured with the relevant domains of the Functional Assessment of Cancer Therapy-General (FACT-G) scale. Perceived stigma was assessed using the sense of stigma subscale of Kissane’s Shame and Stigma Scale. Behavioural self-blame and characterological self-blame were measured by the patients’ answers to the questions on whether their cancer was due to patient’s behaviour or character. Multivariable linear regressions were used to investigate the associations while controlling for patient characteristics.ResultsApproximately three-fourths (79.0%, n = 158) of the participants reported perceived stigma with an average score of 20.5 ± 18.0 (out of 100). More than half of the participants reported behavioural self-blame (56.3%, n = 112) or characterological self-blame (62.3%, n = 124). Higher perceived stigma was associated with lower emotional well-being (ß = -0.0; p = 0.024). Behavioural self-blame was not significantly associated with depressive symptoms, emotional well-being or social well-being. Patients who reported characterological self-blame reported greater depressive symptoms (ß = 3.0; p = 0.020) and lower emotional well-being (ß = -1.6; p = 0.038).ConclusionPerceived stigma and self-blame were common amongst Vietnamese advanced cancer patients. Perceived stigma was associated with lower emotional well-being while characterological self-blame were associated with greater depressive symptoms and lower emotional well-being. Interventions should address perceived stigma and self-blame among this population.

The association of self-blame with treatment preferences in a multi-country cohort of advanced cancer patients from the APPROACH study

ObjectiveTo understand the prevalence of behavioral and characterological self-blame and their associations with stated preferences for life-extension and the use of pain-relief medication in a multi-country cohort of advanced cancer patients. MethodsThe prevalence of self-blame and reasons participants attributed to their diagnosis was assessed in a sample of 968 advanced cancer patients enrolled in one of five sites from four Asian countries of the multi-country cross-sectional survey titled APRROACH. Ordered probit and Firth logistic regressions were used to determine associations between each type of self-blame and two treatment-related outcomes: participants' stated preference for life-extension and the use of pain-relief medication in the last 24 h. ResultsBehavioral and characterological self-blame were reported by 41% and 49% of the participants respectively, with only 19% and 2% of participants providing a logically consistent reason for the two types of self-blame. We observed no statistically significant differences in stated preferences for life-extension for either type of self-blame and in the use of pain-relief medication for participants reporting behavioral self-blame. However, participants reporting characterological self-blame were 9.7% (95% CI, 2.0% to 17.3%; p = 0.014) more likely to report using pain-relief medication compared to participants not reporting characterological self-blame. ConclusionsA substantial proportion of patients report self-blame and those reporting characterological self-blame appear more likely to use pain medication. Therefore, developing interventions aimed at reducing characterological self-blame might help patients receive only appropriate treatments as opposed to treatments pursued in response to feelings of self-blame.

Multiple perpetrator sexual assault: correlates of PTSD and depressive symptoms in a sample of adult women

ABSTRACT While most sexual assaults are committed by a sole perpetrator, multiple-perpetrator assaults (MPSAs) still occur. However, less is known about their post-assault impacts. This study examined demographic, assault, and post-assault characteristics as correlates of post-traumatic stress disorder (PTSD) and depressive symptoms in a community sample of adult sexual assault survivors who experienced MPSA (N = 350) in the Chicago area. This study also included demographic and assault characteristics of perpetrators as reported by survivors. Backward regression analysis showed that stressful life events, more violent assaults, post-assault maladaptive coping and characterological self-blame, and receiving acknowledgement without support (e.g. acknowledging the assault happened, but giving inadequate support) reactions were related to greater PTSD symptoms. Older age and greater perceived control over recovery were associated with fewer PTSD symptoms. Greater violence, maladaptive coping, and characterological self-blame were related to greater depressive symptoms, whereas more education and greater perceived control over recovery correlated with fewer depressive symptoms. This study adds to research on MPSA and findings have implications for clinical treatment, intervention, and prevention with survivors.

Self-blame Attributions of Patients: a Systematic Review Study.

Introduction:Psychological aspects are important issues in patients that will have significant effects on disease progression. A new and important psychological concern is self-blame. This review was performed with the aim of systematic review on studies around patient’s self-blame.Methods:This is a systematic review using international databases including PubMed (since 1950), Scopus (since 2004), Web ofSciences (since 1900), and ProQuest (since 1938) and Irani an databases including SID (since 2004) and Magiran (since 2001). Mesh terms including “patient,” “regret,” and “guilt” and non-Mesh terms including “self-blame attribution,” “characterological self-blame,” “behavioral self-blame,” and “blame” were used in Iranian and international databases with OR and AND operators.Results:The review yielded 59 articles; 15 articles were included in the present study. The ages of patients ranged from 29-68.4 years. Most of studies (86.6%) had cross-sectional design and use characterological self-blame and behavioral self-blame variablesfor assessing self-blame attributions. The results showed that in most studies, a significant relationship among self-blame and psychological distress, anxiety, and depression were reported.Conclusions:A significant relation was reported between self-blaming and the degree of distress, anxiety, and depression in patients in most of the studies.

Development and Psychometric Properties of the Self-Blame Attributions for Cancer Scale.

To adapt the Cardiac Self-Blame Attributions Scale into the Self-Blame Attributions for Cancer Scale (SBAC) for use in patients with cancer and analyze its psychometric properties. 113 patients receiving radiation therapy at the University of Kansas Cancer Center. The SBAC and other self-report measures were administered during outpatient oncology appointments for radiation therapy to establish the psychometric properties of the SBAC. A two-factor structure represented behavioral and characterological self-blame attributions. Reliability estimates for each factor were excellent and evidence of convergent and discriminant validity was found, indicating support for the SBAC as a valid and reliable measure of self-blame attributions in patients with cancer. The SBAC may help healthcare providers, including nursing staff, to identify the self-blame patterns exhibited by patients with cancer. Future research can assess the reliability and validity of SBAC across stages of treatment and establish the predictive validity of the scale in individuals with cancer.

중학생의 형제자매 괴롭힘 피해경험, 성격적 자기비난, 대처효능감과 또래괴롭힘 피해경험 간의 구조적 관계

본 연구는 형제자매 괴롭힘 피해경험이 또래괴롭힘 피해경험으로 이어지는 기제를 밝히기 위해, 형제자매 괴롭힘 피해경험, 성격적 자기비난, 또래 공격성에 대한 대처효능감, 그리고 또래괴롭힘 피해경험 간의 구조적 관계를 살펴보았다. 이를 위해 서울 및 경기도 소재 중학교 1-3 학년 559명의 자기보고식 설문자료를 분석하였다. 구조방정식 모형분석 결과, 형제자매 괴롭힘 피해경험은 또래괴롭힘 피해경험을 직접적으로 예측하였다. 또한, 형제자매 괴롭힘 피해경험은 성격적 자기비난과 대처효능감을 순차적으로 거쳐 또래괴롭힘 피해경험을 유의하게 예측하는 것으로 나타났다. 본 연구는 형제자매 괴롭힘 피해경험이 또래괴롭힘 피해경험으로 이어지는 구체적인 기제를 밝힌 국내 첫 연구라는 점에서 의의가 있으며, 연구 결과를 토대로 또래괴롭힘 개입 방안을 제안하였다.

Exploring the mediating role of self-blame and coping in the relationships between self-compassion and distress in females following the sexual assault.

The present study investigated the associations between self-compassion, self-blame, disengagement coping, and posttraumatic stress disorder (PTSD) and depression symptom severity among females who had experienced sexual assault. We also examined whether the relationships between self-compassion and both PTSD and depression severity were mediated by self-blame and coping. A volunteer sample of female adults (N = 207) completed surveys online or on paper. Mediational analyses showed that higher self-compassion was associated with lower behavioral self-blame, characterological self-blame (CSB), and disengagement coping which, in turn, were associated with less PTSD. Higher self-compassion was associated with less depression severity directly and indirectly via CSB. These findings suggest that self-compassion may be relevant for understanding postassault mental health, partially through its associations with self-blame and coping. Clinicians working with sexual assault survivors may choose to augment treatment-as-usual with interventions designed to increase self-compassion.

Negative Cognitions Following Distressing Unwanted Sex: The Role of Coercion Severity and Perceived Consent.

Findings from past research suggest that unwanted sex (i.e., sex that is not fully desired) can result in a variety of outcomes, ranging from positive to negative. Some research has demonstrated that more severe coercion within unwanted sex is associated with more negative cognitions (particularly self-blame) following the unwanted sex, but findings are inconsistent. Previous research also has demonstrated that individuals' perceptions of how much they consented to sex-regardless of the level of coercion-are associated with negative cognitions. In this study, we aimed to explore the potential moderating role of perceived consent in the relationship between sexual coercion severity and negative cognitions following unwanted sex. Participants (N = 196) who had had a distressing unwanted sexual experience provided descriptions of their most distressing experience, rated their perceptions of how much they consented to this experience, and completed a questionnaire measuring the amount and content of negative cognitions they experienced following this experience. Two independent raters coded descriptions to determine coercion severity. Results demonstrated that perceived consent significantly moderated the relationship between coercion severity and two types of negative cognitions: characterological self-blame and negative thoughts about the world. This suggests that individuals' perceptions of their consent are often as important as the level of coercion involved in predicting cognitive outcomes of unwanted sex.

Scale development and psychometric properties of the Cardiac Self-Blame Attributions scale in patients with cardiovascular disease.

Patients with cardiovascular disease may attribute their cardiovascular disease to their behaviors (behavioral self-blame) or to their dispositions (characterological self-blame). However, findings are mixed on the effects of behavioral self-blame and characterological self-blame on health outcomes, possibly because there are no validated, multiple-item measures. This study developed and tested an 11-item Cardiac Self-Blame Attributions scale via questionnaire data from 121 patients with cardiovascular disease. Results yielded a two-factor structure that explained 65 percent of the variance, with good reliability and discriminant validity. Findings suggest that the scale is reliable and valid and can be used to understand the cardiac attributions patients create.

Differences in the early stages of social information processing for adolescents involved in bullying.

Bullying victimization has commonly been associated with deficiencies in social information processing (SIP). In contrast, findings regarding bullying perpetration are mixed, with some researchers claiming that bullies may have superior SIP abilities than victimized or uninvolved youth. This study investigated the effects of bullying and victimization on early SIP; specifically the recognition and interpretation of social information. In stage 1, 2,782 adolescents (11-16 years) were screened for bullying involvement, and in stage 2, 723 of these participants (mean age = 13.95) were assessed on measures of emotion recognition, hostile attribution bias, and characterological self-blame (CSB). No associations between bullying and early SIP were found. In contrast, victimization was associated with more hostile attribution bias and CSB attributions. Girls performed better than boys on the emotion recognition task while boys showed greater hostile attribution biases. No interaction effects of bullying or victimization with gender were found. Follow-up categorical analyses that considered pure victims versus victims who also bullied (bully-victims) on SIP, found a similar pattern of findings. These findings suggest that those who purely bully others are neither superior nor deficient in the early stages of SIP. Victimized adolescents, however, show biases in their interpretations of social situations and the intentions of others. These biases may lead to maladaptive responses and may increase risk for further victimization by peers.

Mediators and Moderators of the Association Between Stalking Victimization and Psychological Distress.

The current study aims to understand mediators and moderators of the relationship between stalking victimization and depression. Based on the reformulated learned helplessness theory, which emphasizes the role of internal, global, and stable attributions for negative events in the development of depression, we predicted that the association between stalking victimization and depression would be mediated by attributions for the stalking and characterological self-blame. We predicted that the association between stalking victimization and helplessness attributions or characterological self-blame, in turn, would be moderated by gender, sex-role identity, and length of stalking. Specifically, we hypothesized that female victims, victims possessing a feminine sex-role identity, and victims experiencing longer stalking episodes would be more likely to experience depression in comparison with male victims, victims possessing a masculine sex-role identity, and victims experiencing shorter stalking episodes. The results indicated that global attributions for the cause of stalking significantly mediated the relationship between stalking victimization and depression. The results for stable attributions, internal attributions, and characterological self-blame were nonsignificant. Furthermore, gender, sex-role identity, and length of stalking did not moderate the association between stalking and attributional style or characterological self-blame. The implications of these findings and directions for future research are discussed.