Negative experiences with public bathrooms and chronic illness-related shame

Neurourol Urodyn. 2023 Feb;42(2):539-546. doi: 10.1002/nau.25118. Epub 2022 Dec 16.

Abstract

Introduction: The use of public bathrooms is a challenge for everyone, but especially for those who are affected by a bathroom-dependent condition. Being dependent on bathrooms is linked with different negative emotions. One of them is a clinically relevant emotion: shame associated with the chronic condition.

Materials and methods: In a cross-sectional survey study (n = 193) of people who suffer a bathroom-dependent condition we asked about health conditions, well-being, and shame related to chronic condition outcomes.

Results: We show a link between negative public bathroom experiences, and diminished well-being and feelings of shame related to chronic illness. We found that this relationship between negative experiences with public bathrooms and shame is not specific to the different conditions.

Conclusion: We conclude that the negative experiences which people with different gastrointestinal illnesses face is an environmental stressor associated with more embarrassment as a result of the condition suffered.

Keywords: IBD psychology; chronic illness; environmental health; gastrointestinal disease.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Chronic Disease
  • Cross-Sectional Studies
  • Emotions
  • Humans
  • Shame*
  • Toilet Facilities*