Yoga use, physical and mental health, and quality of life in adults with irritable bowel syndrome: A mixed-methods study

Doyle, L. and Cartwright, T. 2023. Yoga use, physical and mental health, and quality of life in adults with irritable bowel syndrome: A mixed-methods study. European Journal of Integrative Medicine. https://doi.org/10.1016/j.eujim.2023.102270

TitleYoga use, physical and mental health, and quality of life in adults with irritable bowel syndrome: A mixed-methods study
TypeJournal article
AuthorsDoyle, L. and Cartwright, T.
Abstract

Introduction
Intervention studies show yoga has several physical and psychological benefits for Irritable Bowel Syndrome (IBS), however few studies have explored yoga use in everyday life amongst people with IBS. This study explored yoga use as a predictor of IBS-related quality of life (QoL) in relation to other physical and psychological factors. It also utilized the Capability, Opportunity, Motivation-Behaviour (COM-B) model to investigate predictors of yoga practice, with a qualitative exploration of perceived IBS-related benefits and barriers to yoga.

Methods
A cross-sectional, mixed-methods survey was used. 219 adults with IBS (86.3% female, 32% yoga practitioners, mean age 46.42 years) completed a questionnaire battery to assess symptom severity, psychological symptoms, general health, QoL, COM-B constructs in relation to yoga, and perceived effectiveness of yoga for IBS. Open-ended responses assessing perceptions of yoga in relation to IBS were analysed using thematic analysis.

Results
In hierarchical linear regression, education, yoga use, symptom severity, anxiety, depression, and general health explained 64.6% of variance in QoL (p<.001). Yoga use explained 6.1% after controlling for education. In hierarchical logistic regression, COM-B constructs explained 37.5% of the variance in yoga use (p<.001). In the final model, only Opportunity (p<.05) and Motivation (p<.001) significantly predicted yoga practice. Qualitative analysis identified three themes reflecting perceived benefits of yoga (IBS Relief, A Valuable Self-Management Tool, Holistic Wellbeing), and three reflecting perceived barriers/limitations (Lack of Physical Capability, Need for a Tailored Approach, Limited Motivation).

Conclusion
This study identifies significant relationships between yoga use in everyday life, physical and mental health, and IBS-related QoL, and identifies the COM-B model as a useful framework for understanding yoga practice amongst people with IBS. The findings demonstrate that practicing yoga as part of daily life may positively impact both physical and mental health of IBS patients. Furthermore, the findings can be used to inform more targeted yoga interventions and increase accessibility of yoga for this group.

KeywordsIrritable Bowel Syndrome
IBS
yoga
Quality of Life
COM-B
mixed methods
JournalEuropean Journal of Integrative Medicine
ISSN1876-3820
1876-3839
Year2023
PublisherElsevier
Accepted author manuscript
License
CC BY 4.0
File Access Level
Open (open metadata and files)
Publisher's version
License
CC BY 4.0
File Access Level
Open (open metadata and files)
Digital Object Identifier (DOI)https://doi.org/10.1016/j.eujim.2023.102270
Publication dates
Published online20 Jun 2023
Published17 Aug 2023

Related outputs

A Role-Needs Framework: Rethinking Support for Informal Caregivers for Alzheimer's Across the Global South and Global North
Knight, F., Ridge, Damien T., Loveday, C., Weidner, W., Roeser, J., Halton, C. and Cartwright, T. 2024. A Role-Needs Framework: Rethinking Support for Informal Caregivers for Alzheimer's Across the Global South and Global North. International Journal of Geriatric Psychiatry. 39 (9) e6141. https://doi.org/10.1002/gps.6141

Typologies of caregiving: Understanding support needs of carers across four continents
Cartwright, Tina J., Knight, Fauzia, Ridge, Damien, Loveday, Catherine, Roeser, Jannice, Weidner, Wendy S. and Halton, Candida C. 2023. Typologies of caregiving: Understanding support needs of carers across four continents. Alzheimer's & Dementia. 19 (S24) e082717. https://doi.org/10.1002/alz.082717

The spectrum of care within a university context: the differing roles of carers in supporting students who self-harm
Edwards-Bailey, Laura, Smyth, Nina, Cartwright, Tina and Mackenzie, Jay-Marie 2023. The spectrum of care within a university context: the differing roles of carers in supporting students who self-harm. International Journal of Care and Caring. 7 (4), pp. 708-734. https://doi.org/10.1332/239788221x16890865425257

Recommending yoga for health: A survey of perceptions among healthcare practitioners in the UK.
Smit, Carryn and Cartwright, Tina 2023. Recommending yoga for health: A survey of perceptions among healthcare practitioners in the UK. Complementary Therapies in Clinical Practice. 52 101765. https://doi.org/10.1016/j.ctcp.2023.101765

‘It stretches your body but makes you feel good too’: A qualitative study exploring young people’s perceptions and experiences of yoga
Cartwright, Tina and Doronda, Tatjana 2023. ‘It stretches your body but makes you feel good too’: A qualitative study exploring young people’s perceptions and experiences of yoga. Journal of Health Psychology. 28 (9), pp. 789-886. https://doi.org/10.1177/13591053221146840

A qualitative exploration of student self-harm and experiences of support-seeking within a UK university setting
Edwards-Bailey, L., Cartwright, T., Smyth, N. and Mackenzie, J.-M. 2023. A qualitative exploration of student self-harm and experiences of support-seeking within a UK university setting. Counselling Psychology Quarterly. 36 (4), pp. 638-662. https://doi.org/10.1080/09515070.2022.2146054

"You're more engaged when you're listening to somebody tell their story": A qualitative exploration into the mechanisms of the podcast 'menopause: unmuted' for communicating health information.
Shaw, Philippa A, Sumner, Amy L, Halton, Candida C, Bailey, Stacy C, Wolf, Michael S, Andrews, Emma N and Cartwright, Tina 2022. "You're more engaged when you're listening to somebody tell their story": A qualitative exploration into the mechanisms of the podcast 'menopause: unmuted' for communicating health information. Patient Education and Counseling. 105 (12), pp. 3494-3500. https://doi.org/10.1016/j.pec.2022.09.003

‘Joining a group was inspiring’: a qualitative study of service users’ experiences of yoga on social prescription
Cheshire, A., Richards, R. and Cartwright, T. 2022. ‘Joining a group was inspiring’: a qualitative study of service users’ experiences of yoga on social prescription. BMC Complementary Medicine and Therapies. 22 67. https://doi.org/10.1186/s12906-022-03514-3

Behavior Change Techniques in Digital Health Interventions for Midlife Women: Systematic Review
Hana Sediva, Tina Cartwright, Claire Robertson and Deb, S. 2022. Behavior Change Techniques in Digital Health Interventions for Midlife Women: Systematic Review. JMIR mHealth and uHealth. 10 (11) e37234. https://doi.org/10.2196/37234

A Qualitative Study Exploring Patient Shadowing as a Method to Improve Patient-Centred Care: Ten Principles for a New Gold Standard
Goodrich, J., Ridge, Damien and Cartwright, Tina 2022. A Qualitative Study Exploring Patient Shadowing as a Method to Improve Patient-Centred Care: Ten Principles for a New Gold Standard. International Journal for Quality in Health Care. 34 (2) mzac018. https://doi.org/10.1093/intqhc/mzac018

A mixed methods evaluation of Viniyoga therapy intervention for rheumatoid arthritis
Sadana, Vidhi, Cartwright, Tina and Cahill, Margaret 2021. A mixed methods evaluation of Viniyoga therapy intervention for rheumatoid arthritis. European Journal of Integrative Medicine. 48 102081. https://doi.org/10.1016/j.eujim.2021.102081

“It just makes me feel a little less alone” a qualitative exploration of the podcast “menopause unmuted” on women's perceptions of menopause
Edwards, Amy L, Shaw, P., Halton, Candida C, Bailey, Stacy C, Wolf, Michael S, Andrews, Emma N and Cartwright, Tina 2021. “It just makes me feel a little less alone” a qualitative exploration of the podcast “menopause unmuted” on women's perceptions of menopause. Menopause. 28 (12), pp. 1374-1384. https://doi.org/10.1097/GME.0000000000001855

A Population-Practice-Based Model to Understand How Yoga Impacts on Human Global Functioning: A Qualitative Study
Cheshire, A. and Cartwright, T. 2021. A Population-Practice-Based Model to Understand How Yoga Impacts on Human Global Functioning: A Qualitative Study. The Journal of Alternative and Complementary Medicine. 27 (11), pp. 991-1001. https://doi.org/10.1089/acm.2021.0104

Feasibility and outcome of an online streamed yoga intervention on stress and wellbeing of people working from home during COVID-19
Wadhen, Vipin and Cartwright, Tina 2021. Feasibility and outcome of an online streamed yoga intervention on stress and wellbeing of people working from home during COVID-19. Work. 69 (2), pp. 331-349. https://doi.org/10.3233/wor-205325

Engagement in a virtual learning environment predicts academic achievement in research methods modules: A longitudinal study combining behavioral and self-reported data
Leino, R.K., Gardner, M.R., Cartwright, T. and Döring, A.K. 2021. Engagement in a virtual learning environment predicts academic achievement in research methods modules: A longitudinal study combining behavioral and self-reported data. Scholarship of Teaching and Learning in Psychology. 10 (2), p. 149–162. https://doi.org/10.1037/stl0000281

Added Value Report: University of Westminster Transformation in Students Project
Linceviciute, S., Ridge, Damien T., Smyth, N., Cartwright, T., Sebah, I., Bryant, K. and Woolston, J. 2021. Added Value Report: University of Westminster Transformation in Students Project. London University of Westminster. https://doi.org/10.34737/v4qqx

Post-traumatic stress, personal risk and post-traumatic growth among UK journalists
Williams, S. and Cartwright, T. 2021. Post-traumatic stress, personal risk and post-traumatic growth among UK journalists. European Journal of Psychotraumatology. 12 (1) 1881727. https://doi.org/10.1080/20008198.2021.1881727

‘As soon as you've been there, it makes it personal’: The experience of health-care staff shadowing patients at the end of life
Goodrich, J., Ridge, Damien T. and Cartwright, T. 2020. ‘As soon as you've been there, it makes it personal’: The experience of health-care staff shadowing patients at the end of life. Health Expectations. 23 (5), pp. 1259-1268. https://doi.org/10.1111/hex.13107

A mixed methods evaluation of an individualised yoga therapy intervention for rheumatoid arthritis: Pilot study
Cartwright, T., Cahill, M. and Sadhana, V. 2020. A mixed methods evaluation of an individualised yoga therapy intervention for rheumatoid arthritis: Pilot study . Complementary Therapies in Medicine. 50 102339. https://doi.org/10.1016/j.ctim.2020.102339

Yoga practice in the UK: a cross- sectional survey of motivation, health benefits and behaviours
Cartwright, T., Mason, H., Porter, A. and Pilkington, K. 2020. Yoga practice in the UK: a cross- sectional survey of motivation, health benefits and behaviours. BMJ Open. 10, p. e031848 e031848. https://doi.org/10.1136/bmjopen-2019-031848

Yoga-therapy for rheumatoid arthritis: Marked improvement in patient-reported outcome measures
Anie, K., Colaço, C.B., Cartwright, T. and Kahill, M. 2019. Yoga-therapy for rheumatoid arthritis: Marked improvement in patient-reported outcome measures. Clinical Medicine. 19 (Issue 2, Supplement), p. s3. https://doi.org/10.7861/clinmedicine.19-2-s3

Yoga4Health on social prescription: a mixed methods evaluation
Cartwright, T., Richards, R., Edwards, A. and Cheshire, A. 2019. Yoga4Health on social prescription: a mixed methods evaluation.

Walking in a patient’s shoes: an evaluation study of immersive learning using a digital training intervention
Halton, C. and Cartwright, T. 2018. Walking in a patient’s shoes: an evaluation study of immersive learning using a digital training intervention. Frontiers in Psychology. 9 2124. https://doi.org/10.3389/fpsyg.2018.02124

Exploring suicidal behaviours by probation clients—a qualitative near-lethal study
Mackenzie, J.-M., Borrill, J. and Cartwright, T. 2018. Exploring suicidal behaviours by probation clients—a qualitative near-lethal study. The Journal of Public Health. 40 (1), pp. 146-153. https://doi.org/10.1093/pubmed/fdx005

Parental feeding behaviour and motivations regarding pre-school age children: a thematic synthesis of qualitative studies
Rylatt, L. and Cartwright, T. 2016. Parental feeding behaviour and motivations regarding pre-school age children: a thematic synthesis of qualitative studies. Appetite. 99, pp. 285-297. https://doi.org/10.1016/j.appet.2015.12.017

New Ways of Being a Man: “Positive” Hegemonic Masculinity in Meditation-based Communities of Practice
Lomas, Tim, Cartwright, T., Edginton, T.L. and Ridge, Damien T. 2016. New Ways of Being a Man: “Positive” Hegemonic Masculinity in Meditation-based Communities of Practice. Men and Masculinities. 19 (3), pp. 289-310. https://doi.org/10.1177/1097184X15578531

Men’s strategies for preserving emotional well-being in advanced prostate cancer: an interpretative phenomenological analysis
Levy, A. and Cartwright, T. 2015. Men’s strategies for preserving emotional well-being in advanced prostate cancer: an interpretative phenomenological analysis. Psychology and Health. 30 (10), pp. 1164-82. https://doi.org/10.1080/08870446.2015.1040016

Cultivating equanimity through mindfulness meditation: a mixed methods enquiry into the development of decentring capabilities in men
Lomas, T., Edginton, T.L., Cartwright, T. and Ridge, Damien T. 2015. Cultivating equanimity through mindfulness meditation: a mixed methods enquiry into the development of decentring capabilities in men. International Journal of Wellbeing. 5 (3), pp. 88-106. https://doi.org/10.5502/ijw.v5i3.7

Probation staff experiences of managing suicidal and self-harming service users
Mackenzie, J.-M., Cartwright, T., Beck, A. and Borrill, J. 2015. Probation staff experiences of managing suicidal and self-harming service users. Probation Journal. 62 (2), pp. 111-127. https://doi.org/10.1177/0264550515571396

Pakistani children’s experiences of growing up with Beta-Thalassemia Major
Mufti, G.E.R., Towell, A. and Cartwright, T. 2015. Pakistani children’s experiences of growing up with Beta-Thalassemia Major. Qualitative Health Research. 25 (3), pp. 386-96. https://doi.org/10.1177/1049732314552663

A qualitative analysis of experiential challenges associated with meditation practice
Lomas, Tim, Cartwright, T., Edginton, T.L. and Ridge, Damien T. 2015. A qualitative analysis of experiential challenges associated with meditation practice. Mindfulness. 6, pp. 848-860. https://doi.org/10.1007/s12671-014-0329-8

Engagement with meditation as a positive health trajectory: Divergent narratives of progress in male meditators
Lomas, Tim, Ridge, Damien T., Cartwright, T. and Edginton, T.L. 2014. Engagement with meditation as a positive health trajectory: Divergent narratives of progress in male meditators. Psychology & Health. 29 (2), pp. 218-236. https://doi.org/10.1080/08870446.2013.843684

Journeys of adjustment: the experiences of adolescents living with juvenile idiopathic arthritis
Cartwright, T., Fraser, E., Edmunds, S., Wilkinson, N. and Jacobs, K. 2014. Journeys of adjustment: the experiences of adolescents living with juvenile idiopathic arthritis. Child: Care, Health and Development. 41 (5), pp. 734-43. https://doi.org/10.1111/cch.12206

Men developing emotional intelligence through meditation? Integrating narrative, cognitive and electroencephalography (EEG) evidence
Lomas, Tim, Edginton, T.L., Cartwright, T. and Ridge, Damien T. 2014. Men developing emotional intelligence through meditation? Integrating narrative, cognitive and electroencephalography (EEG) evidence. Psychology of Men & Masculinity. 15 (2), pp. 213-224. https://doi.org/10.1037/a0032191

A religion of wellbeing? The appeal of Buddhism to men in London, United Kingdom
Lomas, Tim, Cartwright, T., Edginton, T.L. and Ridge, Damien T. 2014. A religion of wellbeing? The appeal of Buddhism to men in London, United Kingdom. Psychology of Religion and Spirituality. 6 (3), pp. 198-207. https://doi.org/10.1037/a0036420

I was so done in that I just recognized it very plainly, “You need to do something”’: men’s narratives of struggle, distress and turning to meditation
Lomas, Tim, Cartwright, T., Edginton, T.L. and Ridge, Damien T. 2013. I was so done in that I just recognized it very plainly, “You need to do something”’: men’s narratives of struggle, distress and turning to meditation. Health. 17 (2), pp. 191-208. https://doi.org/10.1177/1363459312451178

‘Getting on with life’: the experiences of older people using complementary health care
Cartwright, T. 2012. ‘Getting on with life’: the experiences of older people using complementary health care. in: Traditional, Complementary and Integrative Medicine: An International Reader London Palgrave Macmillan. pp. 53-60

Men behaving well? Journeys towards constructive engagement with well-being through meditation
Lomas, T., Cartwright, T., Edginton, T.L. and Ridge, Damien T. 2011. Men behaving well? Journeys towards constructive engagement with well-being through meditation. BSA Medical Sociology Group 43rd Annual Conference 2011. University of Chester 14 - 16 Sep 2011

Men behaving well? Journeys towards constructive engagement with well-being through meditation
Lomas, T., Cartwright, T., Edginton, T.L. and Ridge, Damien T. 2011. Men behaving well? Journeys towards constructive engagement with well-being through meditation. 7th Biennial Conference of the International Society of Critical Health Psychology (ISCHP). Adelaide, South Australia 18 -20 Apr 2011

Men behaving well? Journeys towards constructive engagement with well-being through meditation
Lomas, T., Cartwright, T., Edginton, T.L. and Ridge, Damien T. 2010. Men behaving well? Journeys towards constructive engagement with well-being through meditation. Psychology & Health. 25 (S1), p. 265. https://doi.org/10.1080/08870446.2010.502762

Complementary medicine and health psychology
Cartwright, T., van Wersch, A. and Forshaw, M. 2009. Complementary medicine and health psychology. Open University Press.

Illness perceptions, coping and quality of life in patients with alopecia
Cartwright, T., Endean, N. and Porter, A. 2009. Illness perceptions, coping and quality of life in patients with alopecia. British Journal of Dermatology. 160 (5), pp. 1034-1039. https://doi.org/10.1111/j.1365-2133.2008.09014.x

A thematic analysis of childrens' experiences of living with thalassemia major in Pakistan
Mufti, G.E.R., Cartwright, T. and Towell, A. 2008. A thematic analysis of childrens' experiences of living with thalassemia major in Pakistan. Psychology & Health. 23 (S1), p. 189. https://doi.org/10.1080/08870440802299543

'Getting on with life': the experiences of older people using complementary health care
Cartwright, T. 2007. 'Getting on with life': the experiences of older people using complementary health care. Social Science & Medicine. 64 (8), pp. 1692-1703. https://doi.org/10.1016/j.socscimed.2006.11.034

Making sense of illness: the experiences of users of complementary medicine
Cartwright, T. and Torr, R. 2005. Making sense of illness: the experiences of users of complementary medicine. Journal of Health Psychology. 10 (4), pp. 559-572. https://doi.org/10.1177/1359105305053425

Permalink - https://westminsterresearch.westminster.ac.uk/item/w3wy2/yoga-use-physical-and-mental-health-and-quality-of-life-in-adults-with-irritable-bowel-syndrome-a-mixed-methods-study


Share this

Usage statistics

111 total views
84 total downloads
These values cover views and downloads from WestminsterResearch and are for the period from September 2nd 2018, when this repository was created.