Table 1

Characteristics of the studies included in the meta-analysis

First author, yearStudy designLocationParticipantsPopulationMean age (years)IBS diagnosis criteriaPrevalence2*2 tableACE evaluation criteriaOR (95% CI)
Berens, 202026 Cross-sectionalGermany381Adults36.17 IBS
29.45 control
Rome IIIACE in IBS=63.7%
ACE in non-IBS=48%
A=81
B=61
C=46
D=66
ACE criteria (10Q)1.90 (1.15 to 3.14)
Bradford, 201212 Cross-sectionalUSA729Adults23.4 IBS
35.1 control
Rome III with physician evaluation for FGIDACE in IBS=76.6%
ACE in non-IBS=36%
A=225.2
B=156.4
C=68.8
D=278.6
ETI-SR5.83 (4.18 to 8.14)
Chandan, 202041 Retrospective cohortUK241,971Adults23.4 allTHIN diagnostic codesACE in IBS=33.1%
ACE in non-IBS=N/A
A=77 889
B=N/A
C=1 57 095
D=N/A
Exposure code from EMR1.27 (1.19 to 1.35)
Fuller-Thompson, 201142 Cross-sectionalCanada7342Adults and childrenNot listedSelf-Reported Physician DiagnosisNot listedNot listedCanadian Community Health Survey1.52 (2.12 to 1.09)*
Goodwin, 201335 Retrospective cohortUK17,415Adults and childrenNot listedSelf-reportedNot listedNot listedSelf-reported, guardian or physician reported1.18 (0.98 to 1.42)*
Heitkemper, 200128 Case–controlUSAMultiple distinct samplesMultiple distinct samplesBDQ, symptoms and GI diagnostic testingACE in IBS=41.3%
ACE in non-IBS=31.4%
A=69
B=27
C=98
D=59
Structured interviewMultiple distinct samples
88Adult women (1989–1994)33.5 IBS
32.7 control
ACE in IBS=52.3%
ACE in non-IBS=34.1%
A=23
B=15
C=21
D=29
2.12 (0.89 to 5.00)
165Adult women (1994–1999)32.3 IBS
32.1 control
ACE in IBS=37.3%
ACE in non-IBS=28.6%
A=46
B=12
C=77
D=30
1.49 (0.69 to 3.20)
Heitkemper, 201143 Case–controlUSA72Adult womenNot listedRome II and currently symptomaticACE in IBS=52.5%
ACE in non-IBS=3.1%
A=21
B=1
C=19
D=31
Childhood Trauma Questionnaire34.26 (21.22 to 2.21)
Jones, 201334 Cross-sectionalAustralia307Adults46.4 IBS
53.2 control
Rome IACE in IBS=50%
ACE in non-IBS=50%
A=103.5
B=50
C=103.5
D=50
Self-reported1.00 (1.81 to 0.62)
Ju, 202044 Case–controlUSA362Adults31 IBS
30 control
BSQACE in IBS=70.6%
ACE in non-IBS=63%
A=139
B=104
C=58
D=61
CTES1.36 (1.14 to 1.62)
Park, 201614 Cross-sectionalUSA302Adults34.4 IBS
30.4 control
Rome IIACE in IBS=75%
ACE in non-IBS=58%
A=111
B=89.32
C=37
D=64.68
ACE criteria (18Q)2.05 (1.21 to 3.48)
Rahal, 202027 Cross-sectionalGermany824Adults44.59 IBS
30 control
BSQACE in IBS=60.4%
ACE in non-IBS=36.3%
A=223
B=165
C=146
D=290
ETI-SR2.68 (2.02 to 3.56)
Talley, 199345 Cross-sectionalUSA104Adults54 IBS
58 control
BDQ with Manning CriteriaACE in IBS=31.3%
ACE in non-IBS=9.7%
A=10
B=7
C=22
D=65
30-minute semistructured interview from DSM III-R4.22 (1.43 to 12.43)
Talley, 199430 Cross-sectionalUSA919Adults39.6 IBS
39.5 control
BSQ with Manning CriteriaACE in IBS=15.4%
ACE in non-IBS=9.5%
A=20
B=75
C=110
D=714
Drossman Sexual et al Questionnaire1.73 (1.01 to 2.95)
Talley, 199832 Cross-sectionalAustralia726Adults45 IBS
43 control
BSQNot listedNot listedDrossman Sexual et al Questionnaire2.02 (1.29 to 2.15)
Videlock, 200933 Cross-sectionalUSA86Adults40.4 IBS
37.3 control
Rome IIACE in IBS=47.7%
ACE in non-IBS=46.2%
A=21
B=18
C=23
D=21
Structured Clinical Interview from DSM IV1.06 (0.45 to 2.53)
  • *Adjusted ORs.

  • A, IBS positive and ACE positive ; ACE, Adverse Childhood Events; B, IBS negative and ACE positive; BDQ, Bowel Disease Questionnaire; BSQ, Bowel Symptom Questionnaire; C, IBS positive and ACE negative; CTES, Childhood Trauma Event Scale; D, IBS negative and ACE Negative ; DSM, Diagnostic and Statistical Manual of Mental Disorders; EMR, Emergency Medical Records; ETI-SR, Early-Trauma Inventory Self Report; ETISR-SF, Early-Trauma Inventory Self Report-Short Form; GI, gastrointestinal; IBS, irritable bowel syndrome; THIN, The Health Improvement Network.