The Impact of Shame on Quality of Life in Chronic Gastrointestinal Disorders

Recent research highlights the significant role that feelings of shame play in reducing the quality of life among individuals suffering from chronic gastrointestinal disorders. This groundbreaking study is the first to specifically examine shame as a factor influencing the connection between these gut-related conditions and mental health. Conducted collaboratively by researchers at Örebro University and the University of Gothenburg, the study involved over 2,400 Swedish participants, with 537 diagnosed with Disorders of Gut-Brain Interaction (DGBI), such as Irritable Bowel Syndrome (IBS).

The findings reveal that patients experiencing higher levels of shame reported markedly lower quality of life, even when their physical symptoms were similar to those with less shame. This suggests that shame acts as a key mediator that exacerbates the psychological toll of gastrointestinal issues. Inés Trindade, a psychology researcher involved in the study, emphasizes the importance of compassion and empathy in healthcare, noting that acknowledging patients' experiences and fostering supportive interactions can significantly alleviate feelings of shame.

Gastrointestinal disorders often involve symptoms like frequent bathroom visits, diarrhea, constipation, abdominal pain, and bloating, which can lead patients to avoid certain foods and social situations to prevent discomfort or embarrassment. Such avoidance behaviors are linked to increased psychological conditions, including depression and anxiety, further diminishing overall well-being.

The study underscores that the perceived level of shame influences how physical symptoms impact a person's mental health and life quality. People with greater shame experience more severe reductions in quality of life, despite identical physical symptom severity. While shame is a natural social emotion, its adverse impact can lead to social withdrawal and other negative psychological states.

Trindade emphasizes that healthcare providers should incorporate empathy and compassion into their practice. Even brief, attentive interactions can make a substantial difference in supporting patients and addressing feelings of shame. These findings point to the need for a holistic approach to treating DGBI, recognizing the intertwined nature of physical and psychological health.

In conclusion, addressing shame in gastrointestinal disorders is crucial for improving patient outcomes. This research highlights the importance of compassionate care and the potential for psychological support to enhance quality of life for those affected by chronic gut conditions.

Source: https://medicalxpress.com/news/2025-08-shame-linked-quality-life-chronic.html