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Chunk #14 — Method — Measures — Primary outcomes — Internalized shame

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Slow and steady wins the race: a randomized clinical trial of acceptance and commitment therapy targeting shame in substance use disorders.
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The Internalized Shame Scale (ISS; α = .97; Cook, 1987), is a 24-item self-report questionnaire measuring internalized shame. Due to a clerical error, the present study used a 7-point scale from 1 (never) to 7 (always), rather than the 0 – 4 scale used originally. The ISS has previously shown good test–retest and construct validity (Cook, 1987).