Shame has been found to be a core feature of borderline personality disorder (BPD). To date, there is no existing systematic review or meta-analysis examining shame in individuals with BPD as compared to healthy controls (HCs). A meta-analysis of 10 studies comparing reported shame in BPD patients to HCs was carried out. Demographic and clinical moderator variables were included to see if they have a relationship with the effect size. Results showed that those with BPD had more reported shame than healthy controls. In addition, in BPD patients and HCs, higher education level was related to lower reported shame. In HCs, it was found that those who were younger reported a higher level of shame. Finally, among BPD patients, there was a relationship between levels of reported shame and elevated PTSD symptomatology. These findings emphasize the clinical relevance of shame in individuals with BPD and the need to formulate psychotherapeutic strategies that target and decrease shame.

中文翻译：

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边缘型人格障碍的耻辱：荟萃分析。

已发现羞耻是边缘性人格障碍（BPD）的核心特征。迄今为止，与健康对照（HCs）相比，尚无系统的综述或荟萃分析检查BPD患者的羞耻感。对10项研究进行了荟萃分析，比较了BPD患者与HCs之间的羞耻感。纳入了人口统计学和临床​​主持人变量，以查看它们是否与效应大小有关。结果显示，患有BPD的人比健康对照者的羞耻感更高。此外，在BPD患者和HC中，较高的教育水平与较低的报告羞耻感有关。在HC中，发现年轻者的耻辱程度更高。最后，在BPD患者中，所报告的羞耻感水平与PTSD症状学升高之间存在相关性。