Beliefs about emotions mediate the relationship between emotional suppression and quality of life in irritable bowel syndrome

Background: Cross-sectional and experimental research has demonstrated an association between emotional suppression and IBS. However, the relationship is not well understood.
Aim: To examine the relationships between emotional suppression, we compare the measures of beliefs about emotions and quality of life in irritable bowel syndrome (IBS) with healthy controls.
Method: Online questionnaires measured beliefs about emotions, emotional suppression and
IBS-related quality of life in participants with (n ¼ 87) and without (n ¼ 37) IBS. Mediation
analyses and group comparisons were used to explore the role of emotional suppression and beliefs about emotions in this sample.
Results: IBS participants held significantly more beliefs about the unacceptability of emotions compared to healthy controls despite no differences in emotional suppression. The relationship between beliefs about emotions and quality of life was not mediated by emotional suppression. However, the relationship between emotional suppression and quality of life was mediated by beliefs about emotions.
Conclusion: The findings suggest a role of beliefs about emotions and emotional suppression in
IBS, where emotional suppression may relate to changes in beliefs about emotions and consequently quality of life. This is discussed in relation to the cognitive-behavioural model of medically unexplained symptoms.