Shame’s Associations with Depression and Problem Drinking: An Ecological Momentary Study

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dc.contributor.authorBilevicius, Elena
dc.contributor.authorKempe, Tyler
dc.contributor.authorPankratz, Lily
dc.contributor.authorWardell, Jeffrey D.
dc.contributor.authorJohnson, Edward A.
dc.contributor.authorKeough, Matthew T.
dc.date.accessioned2022-02-19T20:51:20Z
dc.date.available2022-02-19T20:51:20Z
dc.date.issued2021-07-12
dc.description.abstractIntroduction: Depression and problem drinking are comorbid in emerging adulthood, yet the processes that link them are not well understood. Research has argued that shame has a unique influence on the experience of problematic drinking, but this has rarely been assessed at the state level. Using ecological momentary assessments (EMAs), we assessed whether shame, and not guilt, mediated the association between baseline depression and alcohol use and problems. Methods: One hundred and eighty-four emerging adults (Mage = 19.27) completed a 12-day EMA study. Multilevel models were used to test hypotheses. Results: In a model with alcohol use as the outcome, there were no significant associations between shame or guilt and alcohol use at the within- or between-subjects level. In a model with alcohol problems as the outcome, guilt was positively associated with alcohol problems but only at the daily level. At the between-subjects level and after controlling for guilt, there was a significant association between depression, shame, and alcohol problems; average levels of shame mediated the association between depression and alcohol problems. In post-hoc reverse directionality models, average alcohol problems mediated the relationship between depression and shame and guilt at the between-person level. No mediation was present for alcohol use. Conclusion: After controlling for guilt, shame is an emotion that helps explain risk for alcohol problems among depressed emerging adults, which has implications for targeted interventions. Reciprocal associations between shame, guilt, and alcohol problems emerged highlighting the need for more fulsome assessments of shame and guilt in future EMA research.en_US
dc.description.sponsorshipThis work was supported by a University of Manitoba startup grant and the Vanier Canada Graduate Scholarship from the Social Sciences and Humanities Research Council.en_US
dc.identifier.citationBilevicius, E., Kempe, T., Pankratz, L., Wardell, J.D., Johnson, E.A. & Keough, M.T. (2021). Shame’s associations with depression and problem drinking: An ecological momentary study. Substance Use & Misuse, 56, 1715-1725.en_US
dc.identifier.urihttps://doi.org/10.1080/10826084.2021.1949616en_US
dc.identifier.urihttp://hdl.handle.net/10315/39015
dc.language.isoenen_US
dc.publisherTaylor & Francisen_US
dc.rightsThis is an Accepted Manuscript of an article published by Taylor & Francis in Substance use and Misuse on July 12, 2021, available online: https://www.tandfonline.com/doi/abs/10.1080/10826084.2021.1949616?journalCode=isum20 It is deposited under the terms of the Creative Commons Attribution-NonCommercial License (http://creativecommons.org/licenses/by-nc/4.0/), which permits non-commercial re-use, distribution, and reproduction in any medium, provided the original work is properly cited.en_US
dc.rightsAttribution-NonCommercial 4.0 International*
dc.rights.articlehttps://www.tandfonline.com/doi/abs/10.1080/10826084.2021.1949616?journalCode=isum20en_US
dc.rights.urihttp://creativecommons.org/licenses/by-nc/4.0/*
dc.subjectdepressionen_US
dc.subjectshameen_US
dc.subjectguilten_US
dc.subjectproblem drinkingen_US
dc.subjectalcohol problemsen_US
dc.subjectEMAen_US
dc.titleShame’s Associations with Depression and Problem Drinking: An Ecological Momentary Studyen_US
dc.typeArticleen_US

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