Model Evaluation of Shame and Guilt Feelings in Physically Disabled Patients Based on Attachment Style with the Mediation of Self-Compassion

Document Type : Research Paper

Authors

1 Department of psychology, Roudhan Branch, Islamic Azad University, Tehran, Iran.

2 Assistant Professor, Department of Psychology , Roudhan Branch, Islamic Azad University, Tehran, Iran.

Abstract

The aim of the present study was to identify a structural model for the experience of shame and remorse in physically disabled patients, with the mediation of self-compassion, in accordance with the attachment style. The present study was applied, and the research method was correlation through structural equation modeling. The statistical population consisted of patients with physical disabilities who were hospitalized in specialized facilities located in zones 17 and 18 of Tehran in the spring of 2020. In the current study, 250 patients were selected using the convenient sampling method. The research instruments included Adults’ Attachment Style Scale (ASQ), Self-Compassion Questionnaire (SCQ), and Test of Self-Conscious Affect (SCAQ). The data was analyzed using the Pearson correlation method and structural equation modeling in SPSS and Amos software version 23. Secure attachment had a direct impact on sentiments of shame (p < 0.05, β =-0.563) and guilty (p < 0.05, β = -0.488), as demonstrated by the results. In addition, the avoidant attachment style has a significant direct impact on the feeling of shame (p<0.05, β=0.423) and guilt (p<0.05, β=0.418). In addition, the ambivalent attachment style had a significant direct effect on feelings of shame (β = 0.425, p < 0.05) and guilty (β = 0.519, p < 0.05). Finally, the results indicated that self-compassion, in addition to its direct effect on shame (β = -0.522, p < 0.05) and guilty (β = -0.562, p < 0.05) played a significant mediating role in the relationship between secure, ambivalent, and avoidant attachment styles and feelings of shame and guilt.It is recommended that clinical therapists utilize effective psychological therapy methods, such as compassion-based treatment, to reduce their feelings of shame and remorse by influencing the attachment styles of physically-disabled patients, drawing on the significant mediation role of self-compassion.

Keywords

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Journal of Applied Psychological Research
Volume 16, Issue 2
March 2025
Pages 287-304

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  • Receive Date: 17 January 2023
  • Revise Date: 01 March 2023
  • Accept Date: 16 April 2023
  • First Publish Date: 12 May 2025
  • Publish Date: 22 June 2025

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