This paper is the first systematic review of the literature on the relationship between shame and social anxiety (SA). We reviewed a total of 60 peer-reviewed empirical articles that met criteria for inclusion. We begin by summarizing literature investigating the empirical association between shame and SA and review literature on whether this association is impacted by cultural or diagnostic differences. Next, we briefly describe the updated version of Rapee and Heimberg's (1997) cognitive-behavioral model of social anxiety disorder (SAD; Heimberg, Brozovich, & Rapee, 2014) and propose how shame may interact with five processes described therein: environmental experiences, observations/images of the self, perceived negative evaluation by others, post-event cognitive processes, and behavioral manifestations of SA. We review the current literature on shame and SA as it relates to each of these domains. Thereafter, we discuss existing research on the role of shame in the treatment of SAD and the implications of the research discussed in this review. Finally, we conclude with a discussion of some key limitations in the existing literature and areas for future research.

这篇论文是对羞耻与社交焦虑 (SA) 之间关系的文献的首次系统回顾。我们总共审查了 60 篇符合纳入标准的同行评审实证文章。我们首先总结研究羞耻和 SA 之间实证关联的文献，并回顾有关这种关联是否受文化或诊断差异影响的文献。接下来，我们简要描述了 Rapee 和 Heimberg (1997) 社交焦虑症认知行为模型的更新版本 (SAD；Heimberg, Brozovich, & Rapee, 2014)，并提出了羞耻感如何与其中描述的五个过程相互作用：环境体验、自我的观察/图像、他人感知的负面评价、事后认知过程和 SA 的行为表现。我们回顾了当前关于羞耻和 SA 的文献，因为它与这些领域中的每一个相关。此后，我们讨论了关于羞耻在 SAD 治疗中的作用的现有研究以及本综述中讨论的研究的意义。最后，我们讨论了现有文献和未来研究领域的一些关键局限性。