“…Empirical support documenting the association between shame and depressive symptoms is plentiful (e.g., Cheung, Gilbert, & Irons, 2004;Hook & Andrews, 2005;Rüsch et al, 2007; or see Kim, Thibodeau, & Jorgensen, 2011 for a meta-analytic review). Similarly, researchers have previously shown a positive association between shame and various anxiety disorders, such as social anxiety (Arditte, Morabito, Shaw, & Timpano, 2016;Levinson, Byrne, & Rodebaugh, 2016;Matos, Pinto-Gouveia, & Gilbert, 2013) and generalised anxiety disorder (Fergus, Valentiner, McGrath, & Jencius, 2010;Schoenleber, Chow, & Berenbaum, 2014;Shahar, Bar-Kalifa, & Hen-Weissberg, 2015). These associations have been explained by the feelings of inadequacy and weakness inherent in shame, which damage one's self-efficacy in dealing with stressful situations, thereby creating symptoms of anxiety (Tangney & Dearing, 2002).…”