A new measure to assess external and internal shame: development, factor structure and psychometric properties of the External and Internal Shame Scale

Shame plays a central role in psychosocial functioning, being a transdiagnostic emotion associated with several mental health conditions. According to the evolutionary biopsychosocial model, shame is a painful and difficult emotion that may be categorized into two distinct focal components: external and internal shame. External shame is focused on the experience of the self as seen in a judgemental way by others, whereas internal shame is conceptualized as self-focused negative evaluations and feelings about the self. The current study aimed to develop the External and Internal Shame Scale (EISS) to assess in a single measure these two dimensions. The study was conducted in a community sample comprising 665 participants (18 to 61 years old). Three models were tested through confirmatory factor analysis. One higher order factor (global shame) with two lower order factors (external and internal shame) revealed a good fit to the data. The scale reliability and its association with other related constructs measures were also addressed. Additionally, gender differences on shame were explored. Results showed that EISS subscales and global score presented good internal consistency, concurrent validity and were associated with depressive symptoms. Regarding gender differences, results revealed that women presented significantly higher scores both in external and internal shame. The EISS showed to be a short, robust and reliable measure. The EISS allows the assessment of the specific dimensions of external and internal shame as well as a global sense of shame experience and may therefore be an important contribution for clinical work and research in human psychological functioning.

Automated summary

Shame plays a central role in psychosocial functioning and can be divided into two dimensions: external shame and internal shame. This study developed a questionnaire, the EISS, to measure these dimensions and tested it in a community sample. Results showed that the EISS had good internal consistency and validity, making it an important tool for clinical work and research in human psychological functioning.