Italian Validation of the Internalized Shame Scale for adolescents: Factor Structure and Construct Validity
DOI:
https://doi.org/10.13129/2282-1619/mjcp-5337Keywords:
Adolescence, Anti-mattering, Clinical Psychology, Internalized shame, Internalized Shame Scale, Psychometric validationAbstract
Background. Internalized shame represents a pervasive, identity-based form of self-devaluation rooted in relational experiences and associated with significant psychological distress. Despite its clinical relevance, adolescent-focused validations remain limited.
Objective. The current research aimed at evaluating the factorial structure, reliability, and validity of the Internalized Shame Scale (ISS) in an Italian adolescent sample.
Method. A sequential validation design was employed using two independent samples. In Phase 1, 774 adolescents (13–19 years) have been involved, and exploratory factor analysis (EFA) was conducted to examine its latent structure. In Phase 2, the resulting model was tested in an independent sample of 762 adolescents (13–20 years) through confirmatory factor analysis (CFA). Convergent, divergent, and concurrent validity were examined through associations with shame proneness, anti-mattering, perceived social support, and psychological distress.
Results. The EFA supported a 24-item two-factor solution, composed by two strongly correlated dimensions: Inadequate, reflecting chronic self-devaluation and perceived defectiveness, and Overwhelmed, capturing affective overload, emptiness, and fragmentation. Both factors showed excellent internal consistency (α = .94). CFA supported the two-factor second-order model, with Internalized Shame loading significantly on both first-order factors and showing excellent reliability (α = .96). Convergent validity was demonstrated through strong positive associations with shame proneness and anti-mattering. Divergent validity was supported by weak or nonsignificant correlations with perceived social support. Concurrent validity was confirmed by a robust predictive effect of internalized shame on general psychological distress, accounting for a substantial proportion of variance.
Conclusions. These findings support the ISS as a psychometrically sound instrument for assessing internalized shame in youth. The validated ISS offers a valuable tool for research, prevention, and clinical practice, facilitating early identification of shame-based self-schemas that may underlie vulnerability to internalizing psychopathology during adolescence.
References
1. Bae, J., Yoo, H. S., & Lee, J. (2022). Identifying latent classes of self-esteem level, self-esteem stability, and internalized shame among Korean college students: Relations to self-handicapping behaviors. Personality and Individual Differences, 194, 111634. https://doi.org/10.1016/j.paid.2022.111634
2. Bottesi, G., Ghisi, M., Altoè, G., Conforti, E., Melli, G., & Sica, C. (2015). The Italian version of the Depression Anxiety Stress Scales-21: Factor structure and psychometric properties on community and clinical samples. Comprehensive Psychiatry, 60, 170-181. https://doi.org/10.1016/j.comppsych.2015.04.005
3. Browne, M. W., & Cudeck, R. (1993). Alternative ways of assessing model fit. Sage Focus Editions, 154, 136–136. https://doi.org/10.1177/0049124192021002005
4. Budiarto, Y., & Helmi, A. F. (2021). Shame and self-esteem: A meta-analysis. Europe's Journal of Psychology, 17(2), 131. https://doi.org/10.5964/ejop.2115
5. Cavalera, C., Pepe, A., Zurloni, V., Diana, B., & Realdon, O. (2017). A short version of the State Shame and Guilt Scale (SSGS-8). Tpm. Testing, Psychometrics, Methodology in Applied Psychology, 24(1), 99-106.
https://dx.doi.org/10.4473/TPM24.1.6
6. Cook, D. R. (1988). Measuring Shame: The Internalized Shame Scale. Alcoholism Treatment Quarterly, 4(2), 197-215.
7. Cook, D. R. (1989a). Internalized Shame Scale (ISS): General information and directions for use. [Unpublished manuscript]. University of Wisconsin‐Stout.
8. Cook, D. R. (1989b). Shame and self‐esteem: Two sides of the same coin [Unpublished manuscript]. University of Wisconsin‐ Stout.
9. Cook, D. R. (1991). Shame, attachment, and addictions: Implications for family therapists. Contemporary Family Therapy, 13(5), 405-419. https://doi.org/10.1007/BF00890495
10. Cook, D. R. (1994). Internalized Shame Scale: Technical manual. Multi‐Health Systems, Inc.
11. Cook, D. R. (2001). Internalized shame scale. Thecnical Manual. New York: Multi-Health Systems Inc.
12. Cronbach, L. J., & Meehl, P. E. (1955). Construct validity in psychological tests. Psychological Bulletin, 52(4), 281. https://doi.org/10.1037/h0040957
13. Crowe, M. (2004). Never good enough–part 2: clinical implications. Journal of Psychiatric and Mental Health Nursing, 11(3), 335-340. https://doi.org/10.1111/j.1365-2850.2004.00731.x
14. Cunha, M., Matos, M., Faria, D., & Zagalo, S. (2012). Shame memories and psychopathology in adolescence: The mediator effect of shame. International Journal of Psychology and Psychological Therapy, 12(2), 203-218.
15. Del Rosario, P. M., & White, R. M. (2006). The Internalized Shame Scale: Temporal stability, internal consistency, and principal components analysis. Personality and Individual differences, 41(1), 95-103.
https://doi.org/10.1016/j.paid.2005.10.026
16. Di Fabio, A., & Palazzeschi, L. (2015). Multidimensional Scale of Perceived Social Support (MSPSS): un contributo alla validazione italiana. Counseling: Giornale Italiano di Ricerca e Applicazioni, 8(3), 127–140.
17. Di Sarno, M., Di Pierro, R., & Madeddu, F. (2022). Shame-and guilt-proneness in an italian sample: Latent structure and gender invariance of the personal feelings questionnaire-2 (PFQ-2). Current Psychology, 41(1), 276-288. https://doi.org/10.1007/s12144-019-00570-w
18. Epstein, O. B. (2021). Shame Matters. Routledge.
19. Etherson, L. (2023). Shame containment theory—a new approach to shame. Attachment, 17(2), 141-154.
20. Ferreira, C., Moura-Ramos, M., Matos, M., & Galhardo, A. (2022). A new measure to assess external and internal shame: Development, factor structure and psychometric properties of the external and internal shame scale. Current Psychology, 41(4), 1892-1901. https://doi.org/10.1007/s12144-020-00709-0
21. Flett, G. L. (2018). The psychology of mattering: Understanding the human need to be significant. Academic Press.
22. Flett, G. L., Nepon, T., Goldberg, J. O., Rose, A. L., Atkey, S. K., & Zaki-Azat, J. (2022). The Anti-Mattering Scale: Development, psychometric properties and associations with well-being and distress measures in adolescents and emerging adults. Journal of Psychoeducational Assessment, 40(1), 37-59.
https://doi.org/10.1177/07342829211050544
23. Flett, G. L., Nepon, T., & Scott, X. (2023). The Anti-Mattering Scale versus the General Mattering scale in pathological narcissism: how an excessive need to matter informs the narcissism and mattering constructs. Journal of Psychoeducational Assessment, 41(6), 619-633. https://doi.org/10.1177/07342829221136352
24. Flett, G. L., Su, C., Ma, L., & Guo, L. (2014). Academic buoyancy and mattering as resilience factors in Chinese adolescents: An analysis of shame, social anxiety, and psychological distress. International Journal of Child and Adolescent Resilience, 2(1), 37-45.
25. Giangrasso, B., Casale, S., Fioravanti, G., Flett, G. L., & Nepon, T. (2022). Mattering and anti-mattering in emotion regulation and life satisfaction: A mediational analysis of stress and distress during the COVID-19 pandemic. Journal of Psychoeducational Assessment, 40(1), 125-141.
https://doi.org/10.1177/07342829211056725
26. Gilbert, P., (1998). What is shame? Some core issues and controversies. In P. Gilbert, & B. Andrews (Eds), Shame: Interpersonal Behaviour, Psychopathology and Culture (pp. 3–36). New York: Oxford University Press.
27. Gilbert, P., (2003). Evolution, social roles, and the differences in shame and guilt. Social Research: An International Quarterly, 70(4), 1205-1230. https://dx.doi.org/10.1353/sor.2003.0013
28. Gilbert, P. & Irons, C. (2009). Shame, self-criticism, and self-compassion in adolescence. In N Allen (Ed.). Psychopathology in Adolescence. Cambridge: Cambridge University Press.
https://doi.org/10.1017/CBO9780511551963.011
29. Goffnett, J., Liechty, J. M., & Kidder, E. (2020). Interventions to reduce shame: A systematic review. Journal of Behavioral and Cognitive Therapy, 30(2), 141-160. https://doi.org/10.1016/j.jbct.2020.03.001
30. Harder, D. H., & Zalma, A. (1990). Two promising shame and guilt scales: A construct validity comparison. Journal of Personality Assessment, 55(3-4), 729-745. https://doi.org/10.1080/00223891.1990.9674108
31. Kaiser, H. (1974). An index of factorial simplicity. Psychometrika, 39, 31-6.
32. Kaufman, G. (2004). The Psychology of Shame: Theory and Treatment of Shame-Based Syndromes. New York: Springer.
33. King, V. (2016). “If you show your real face, you’ll lose 10 000 followers”–The Gaze of the Other and Transformations of Shame in Digitalized Relationships. CM Komunikacija i mediji, 11(38), 71-90.
34. Kline, R. B. (2015). Principles and practice of structural equation modeling (2nd ed.). Guilford Press.
35. Lear, M. K., Lee, E. B., Smith, S. M., & Luoma, J. B. (2022). A systematic review of self‐report measures of generalized shame. Journal of Clinical Psychology, 78, 1288–1330. https://doi.org/10.1002/jclp.23311
36. Lee, I., & Choi, H. (2005). Validation Study of the Internalized Shame Scale (ISS). Journal of the Korean Psychological Association: Counseling and Psychotherapy, 17.3, 651-670.
37. Lee, I.S., & Choi, H.L. (2005). Assessment of shame and its relationship with maternal attachement, hypersensitive narcissism and loneliness. 한국심리학회지: 상담 및 심리치료, 17(3), 651-670."
38. Lewis, H. B. (1971). Shame and guilt in neurosis. Psychoanalytic Review, 58(3), 419.
39. Lewis, M. (1995). Shame: The Exposed Self. New York: Free Press.
40. Lewis, M., Alessandri, S. M., & Sullivan, M. W. (1992). Differences in shame and pride as a function of children's gender and task difficulty. Child Development, 63(3), 630-638.
https://doi.org/10.1111/j.1467-8624.1992.tb01651.x
41. Lovibond, P. F., & Lovibond, S. H. (1995). The structure of negative emotional states: Comparison of the Depression Anxiety Stress Scales (DASS) with the Beck Depression and Anxiety Inventories. Behaviour Research and Therapy, 33,335–343. https://doi.org/10.1016/0005-7967(94)00075-U
42. Matos, M., Galhardo, A., Moura-Ramos, M., Steindl, S. R., Bortolon, C., Hiramatsu, Y., Baumann, T., Xin Qi Yiu, R., & Ferreira, C. (2023). Measuring shame across five countries: dimensionality and measurement invariance of the external and internal shame scale. Current Psychology, 42(9), 7161-7170.
https://doi.org/10.1007/s12144-021-02019-5
43. Matos, M., Pinto-Gouveia, J., & Duarte, C. (2012). When I don't like myself: Portuguese version of the internalized shame scale. The Spanish Journal of Psychology, 15(3), 1411-1423.
https://doi.org/10.5209/rev_SJOP.2012.v15.n3.39425
44. Matos, M., Pinto‐Gouveia, J., & Gilbert, P. (2013). The effect of shame and shame memories on paranoid ideation and social anxiety. Clinical Psychology & Psychotherapy, 20(4), 334-349.
https://doi.org/10.1002/cpp.1766
45. McLean, K. C. (2005). Late adolescent identity development: Narrative meaning-making and memory telling. Developmental Psychology, 41, 683-691.
46. Muris, P., Meesters, C., & van Asseldonk, M. (2018). Shame on me! Self-conscious emotions and big five personality traits and their relations to anxiety disorders symptoms in young, non-clinical adolescents. Child Psychiatry & Human Development, 49(2), 268-278. https://doi.org/10.1007/s10578-017-0747-7
47. Muthén, L. K., & Muthén, B. O. (2012). MPlus: Statistical analysis with latent variables. User’s guide. Muthén & Muthén.
48. Nathanson, D. L. (1992). Shame and pride: Affect, sex, and the birth of the self. NY: Norton
49. Reimer, M. S. (1996). “Sinking into the ground”: The development and consequences of shame in adolescence. Developmental Review, 16(4), 321-363. https://doi.org/10.1006/drev.1996.0015
50. Rosenberg, M. (1965). Society and the adolescent self-image. Princeton NJ: Princeton University Press.
51. Rybak, C. J., & Brown, B. M. (1996). Assessment of internalized shame: validity and reliability of the internalized shame scale. Alcoholism Treatment Quarterly, 14, 71–83. https://doi.org/10.1300/J020V14N01_07
52. Santoro, G., Sideli, L., Musetti, A., & Schimmenti, A. (2025). The relationship between childhood trauma and shame: The mediating role of dissociation. European Journal of Investigation in Health, Psychology and Education, 15(8), 151. https://doi.org/10.3390/ejihpe15080151
53. Schimmenti, A. (2012). Unveiling the hidden self: Developmental trauma and pathological shame. Psychodynamic Practice, 18(2): 195–211. https://doi.org/10.1080/14753634.2012.664873
54. Schimmenti, A. (2021). The aggressor within: Attachment trauma, segregated systems, and the double face of shame. In Shame matters (pp. 114-132). Routledge.
55. Sedighimornani, N., Rimes, K., & Verplanken, B. (2021). Factors contributing to the experience of shame and shame management: Adverse childhood experiences, peer acceptance, and attachment styles. The Journal of Social Psychology, 161(2), 129-145. https://doi.org/10.1080/00224545.2020.1778616
56. Tabachnick, B. G., & Fidell, L. S. (2013). Using Multivariate Statistics (6th ed., pp. 1–983). New Jersey: Pearson Education Inc.
57. Tangney, J. P., & Dearing, R. L. (2003). Shame and guilt. Guilford press.
58. Tangney, J. P., & Tracy, J. (2012). Self-conscious emotions. In M. Leary & J. P. Tangney (Eds.), Handbook of self and identity (2nd ed., pp. 446–478). New York: The Guilford Press.
59. Tomkins, S. S. (1963). Emotion/imagery/consciousness, Vol. 2: The negative emotions. New York: Springer Publishing Company, Inc.
60. Van de Vijver, F. J., & Poortinga, Y. H. (2004). Conceptual and methodological issues in adapting tests. In Adapting educational and psychological tests for cross-cultural assessment (pp. 51-76). Psychology Press.
61. Vikan, A., Hassel, A. M., Rugset, A., Johansen, H. E., & Moen, T. (2010). A test of shame in outpatients with emotional disorder. Nordic Journal of Psychiatry, 64(3), 196-202. https://doi.org/10.3109/08039480903398177
62. Yuan, K. H., & Bentler, P. M. (2000). Three likelihood-based methods for mean and covariance structure analysis with nonnormal missing data. Sociological Methodology, 30(1), 165-200.
https://doi.org/10.1111/0081-1750.00078
63. Zimet, G. D., Dahlem, N. W., Zimet, S. G., & Farley, G. K. (1988). The multidimensional scale of perceived social support. Journal of Personality Assessment, 52(1), 30-41. https://doi.org/10.1207/s15327752jpa5201_2
Downloads
Published
Issue
Section
License
Articles and conference papers published in Mediterranean Journal of Clinical Psychology are distributed under the terms and conditions of a Creative Commons Attribution 4.0 International License. Correspondingly, authors who publish with this journal agree to the following terms:
- Authors retain copyright and grant the journal right of first publication with the work simultaneously licensed under a Creative Commons Attribution License that allows others to share the work with an acknowledgement of the work's authorship and initial publication in this journal.
- Authors are able to enter into separate, additional contractual arrangements for the non-exclusive distribution of the journal's published version of the work (e.g., post it to an institutional repository or publish it in a book), with an acknowledgement of its initial publication in this journal.
- Authors are permitted and encouraged to post their work online (e.g., in institutional repositories or on their website) prior to and during the submission process, as it can lead to productive exchanges, as well as earlier and greater citation of published work (See The Effect of Open Access).