Integrative medicine (IM) has not advanced in healthcare to its full potential. To gain a deeper understanding of IM, a study was conducted to explore experiences with its use. Interviews were held with 15 long-term yoga therapy practitioners, using yoga as an example of a complementary therapy (CT). Reflexive thematic analysis led to the construction of two themes: (1) conventional medicine (CM) protects life, while yoga enhances the power to live and (2) CM and yoga are used according to individual needs. Experience with IM using yoga as a CT suggests it can encourage proactive health behaviours and support overall health improvement.
AhmedSBelaynehYM (2019) Helicobacter pylori and duodenal ulcer: Systematic review of controversies in causation. Clinical and Experimental Gastroenterology12: 441–447.
3.
AlexiouKIRoushiasAVaritimidisSE, et al. (2018) Quality of life and psychological consequences in elderly patients after a hip fracture: A review. Clinical Interventions in Aging13: 143–150.
4.
AliAKatzDL (2015) Disease prevention and health promotion: How integrative medicine fits. American Journal of Preventive Medicine49(5): S230–S240.
5.
AmaechiOHuffmanMMFeatherstoneK (2021) Pharmacologic therapy for acute pain. American Family Physician104(1): 63–72.
6.
Antimicrobial Resistance Clinical Reference Center (2025) Kansensho no kihon, chiryo ni tsuite [About treatment, Basics of infectious diseases]. Available at: https://amr.ncgm.go.jp/general/1-1-4.html (accessed 23 April 2025).
7.
AnyanFIngvaldsenSHHjemdalO (2020) Interpersonal stress, anxiety and depressive symptoms: Results from a moderated mediation analysis with resilience. Ansiedad y Estrés26(2–3): 148–154.
8.
BaloghEPMillerBTBallJR, et al. (2015) Improving Diagnosis in Health Care. IQVIA Inc.
9.
BawadiHElshamiSAwaisuA, et al. (2023) A review of technical and quality assessment considerations of audio-visual and web-conferencing focus groups in qualitative health research. Humanities and Social Sciences Communications10(1): 563.
10.
Ben-AryeEFinkelsteinASamuelsN, et al. (2022) From skepticism to openness: A qualitative narrative analysis of medical students’ attitudes following an integrative medicine course. Supportive Care in Cancer30(6): 4789–4795.
11.
BergerD (1999) A brief history of medical diagnosis and the birth of the clinical laboratory. Part 4–Fraud and abuse, managed-care, and lab consolidation. Medical Laboratory Observer31(12): 38–42.
12.
BlackLIBarnesPMClarkeTC, et al. (2018) Use of yoga, meditation, and chiropractors among U.S. children aged 4-17 years. NCHS Data Brief (324): 1–8.
BlumenthalJABabyakMAMooreKA, et al. (1999) Effects of exercise training on older patients with major depression. Archive of Internal Medicine159(19): 2349–2356.
15.
BoolchandaniHHorwitzRSofferG (2021) An integrative medicine review of primary prevention of allergy in pediatrics. Complementary Therapies in Medicine58: 102695.
16.
BraunVClarkeV (2014) What can “thematic analysis” offer health and wellbeing researchers?International Journal of Qualitative Studies on Health and Well-Being9(1): 26152.
17.
BraunVClarkeV (2021) Thematic Analysis: A Practical Guide. Sage Publications.
18.
BrownSLWhitingDFieldenHG, et al. (2017) Qualitative analysis of how patients decide that they want risk-reducing mastectomy, and the implications for surgeons in responding to emotionally-motivated patient requests. PLoS One12(5): e0178392.
19.
ButzerBEbertMTellesS, et al. (2015) School-based yoga programs in the United States: A survey. Advances in Mind-Body Medicine29(4): 18–26.
20.
CartwrightTDorondaT (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 Psychology28(9): 789–803.
21.
CartwrightTMasonHPorterA, et al. (2020) Yoga practice in the UK: A cross-sectional survey of motivation, health benefits and behaviours. BMJ Open10(1): e031848.
22.
ChenMMHughesTMDossettLA, et al. (2022) Peace of mind: A role in unnecessary care?Journal of Clinical Oncology40(5): 433–437.
23.
ClarkeTCBarnesPMBlackLI, et al. (2018) Use of yoga, meditation, and chiropractors among U.S. adults aged 18 and over. NCHS Data Brief (325): 1–8.
24.
DagarCAgrawalAPandeyA (2025) Going beyond ‘I’ vs ‘you’- effectiveness and mechanism of yoga based practices in management education to mitigate interpersonal conflict. International Journal of Management in Education23(2): 101089.
25.
de Diego-CorderoRZurrón PérezMPVargas-MartínezAM, et al. (2021) The effectiveness of spiritual interventions in the workplace for work-related health outcomes: A systematic review and meta-analysis. Journal of Nursing Management29(6): 1703–1712.
26.
DengGEFrenkelMCohenL, et al. (2009) Evidence-based clinical practice guidelines for integrative oncology: Complementary therapies and botanicals. Journal of the Society for Integrative Oncology7(3): 85–120.
27.
EndoSKanouHIshiwataT, et al. (2012) Relationships between low back pains and psychological factors among college students. Japanese Journal of Physical Fitness and Sports Medicine61(1): 71–78.
28.
European Society of Radiology 2009 (2010) The future role of radiology in healthcare. Insights into Imaging1(1): 2–11.
GarlandELBrintzCEHanleyAW, et al. (2020) Mind-body therapies for opioid-treated pain: A systematic review and meta-analysis. JAMA Internal Medicine180(1): 91–105.
31.
GeorgeM (2015) Integrative medicine is integral to providing patient-centered care. Annals of Allergy Asthma & Immunology114(4): 261–264.
HashiguchiS (ed.) (2017) Undo, Karada Zukan: Itami, Chintsu no Shikumi [Exercise and Body Illustration: How Pain and Analgesia Work]. Mynavi Publishing.
HermanPMPoindexterBLWittCM, et al. (2012) Are complementary therapies and integrative care cost-effective? A systematic review of economic evaluations. BMJ Open2(5): e001046.
36.
HoendersRGhelmanRPortellaC, et al. (2024) A review of the WHO strategy on traditional, complementary, and integrative medicine from the perspective of academic consortia for integrative medicine and health. Frontiers of Medicine11: 1395698.
KamataMKurokawaN (2014) Gerigata IBS kanja heno shinri ryoho to shite no yoga ryoho no tekiyo [Application of yoga therapy of psychotherapy to a patient with IBS-diarrhea]. Japanese Journal of Psychosomatic Internal Medicine18(3): 170–175.
KoenigHG (2012) Religion, spirituality, and health: The research and clinical implications. ISRN Psychiatry2012: 278730.
41.
KrouwelMJollyKGreenfieldS (2019) Comparing Skype (video calling) and in-person qualitative interview modes in a study of people with irritable bowel syndrome – An exploratory comparative analysis. BMC Medical Research Methodology19(1): 219.
42.
KwokJYYKwanJCYAuyeungM, et al. (2019) Effects of mindfulness yoga vs stretching and resistance training exercises on anxiety and depression for people with Parkinson disease: A randomized clinical trial. JAMA Neurology76(7): 755–763.
43.
KyleBNMcNeilDW (2014) Autonomic arousal and experimentally induced pain: A critical review of the literature. Pain Research and Management19(3): 159–167.
44.
LevensteinSRosenstockSJacobsenRK, et al. (2015) Psychological stress increases risk for peptic ulcer, regardless of helicobacter pylori infection or use of nonsteroidal anti-inflammatory drugs. Clinical Gastroenterology and Hepatology13(3): 498–506.e1.
45.
MaizesVRakelDNiemiecC (2009) Integrative medicine and patient-centered care. Explore5(5): 277–289.
46.
MallSMortierPTaljaardL, et al. (2018) The relationship between childhood adversity, recent stressors, and depression in college students attending a South African university. BMC Psychiatry18(1): 63.
47.
MatsushitaTOkaT (2015) A large-scale survey of adverse events experienced in yoga classes. Biopsychosocial Medicine9(1): 9.
MotooYYukawaKHisamuraK, et al. (2018) Usability of the evidence-based Japanese integrative medicine (eJIM) information site: Analysis with focus group discussion and internet survey on the general population. Integrative Medicine Research7(3): 238–247.
50.
MotooYYukawaKHisamuraK, et al. (2021) Physician perspectives on traditional, complementary, and integrative medicine and the national evidence-based Japanese integrative medicine information website: A mixed-method study. Integrative Medicine Research10(1): 100454.
51.
NagakuraYKatoHAsanoS, et al. (2021) The significant association between health examination results and population health: A cross-sectional ecological study using a nation-wide health checkup database in Japan. International Journal of Environmental Research and Public Health18(2): 836.
52.
NahinRLRheeAStussmanB (2024) Use of complementary health approaches overall and for pain management by US adults. Journal of the American Medical Association331(7): 613–615.
NishioIChujoM (2017) Self-stigma of patients with type 1 diabetes and their coping strategies. Yonago Acta Medica60(3): 167–173.
55.
O’SheaMHoustonEESkvarcD, et al. (2025) Comparing 12-month outcomes for group CBT versus group CBT plus yoga for depression and anxiety: A mixed-methods study. International Journal of Mental Health and Addiction23: 1434–1462.
56.
ParkCLRileyKEBedesinE, et al. (2016) Why practice yoga? Practitioners’ motivations for adopting and maintaining yoga practice. Journal of Health Psychology21(6): 887–896.
57.
PittSCSauckeMCWendtEM, et al. (2021) Patients’ reaction to diagnosis with thyroid cancer or an indeterminate thyroid nodule. Thyroid31(4): 580–588.
58.
PizzornoJ (2022) Health medicine. Integrative Medicine21(6): 8–14.
59.
RedelmeierDARozinPKahnemanD (1993) Understanding patients’ decisions: Cognitive and emotional perspectives. Journal of the American Medical Association270(1): 72–76.
60.
RobinsonAMcGrailMR (2004) Disclosure of CAM use to medical practitioners: A review of qualitative and quantitative studies. Complementary Therapies in Medicine12(2–3): 90–98.
61.
RossAFriedmannEBevansM, et al. (2013) National survey of yoga practitioners: Mental and physical health benefits. Complementary Therapies in Medicine21(4): 313–323.
62.
RoterDLYostKJO’ByrneT, et al. (2016) Communication predictors and consequences of complementary and alternative medicine (CAM) discussions in oncology visits. Patient Education and Counseling99(9): 1519–1525.
63.
SharmaVKukrejaASubramanianS, et al. (2012) Comparative study of yoga and physical exercises on psychological parameters, hand grip strength and reaction time during examination stress in female medical students. Indian Journal of Public Health Research & Development2(1): 362.
64.
SongEAngLLeeMS (2022) Increasing trends and impact of integrative medicine research: From 2012 to 2021. Integrative Medicine Research11(4): 100884.
65.
TautzEMommFHasenburgA, et al. (2012) Use of complementary and alternative medicine in breast cancer patients and their experiences: A cross-sectional study. European Journal of Cancer48(17): 3133–3139.
66.
TekurPNagarathnaRChametchaS, et al. (2012) A comprehensive yoga programs improves pain, anxiety and depression in chronic low back pain patients more than exercise: An RCT. Complementary Therapies in Medicine20(3): 107–118.
67.
ThomasPALiuHUmbersonD (2017) Family relationships and well-being. Innovation in Aging1(3): igx025.
68.
TongASainsburyPCraigJ (2007) Consolidated criteria for reporting qualitative research (COREQ): A 32-item checklist for interviews and focus groups. International Journal for Quality in Health Care19(6): 349–357.
69.
ValizadehMMazloomzadehSGolmohammadiS, et al. (2012) Mortality after low trauma hip fracture: A prospective cohort study. BMC Musculoskeletal Disorders13: 143.
70.
VirginiVMeindl-FridezCBattegayE, et al. (2015) Check-up examination: Recommendations in adults. Swiss Medical Weekly145: w14075.
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