Female genital self-image and psychological distress: the serial mediating effects of existential shame and limited access to emotion regulation strategies

Key Points

• Psychological distress is significantly affected by female genital self-image, indicating a complex relationship.
• Existential shame mediates the relationship, with higher shame associated with greater psychological distress.
• Analysis investigates how limited access to emotion regulation strategies influences distress outcomes.
• Support for understanding emotional regulation approaches may enhance psychological wellbeing among women.