Characteristics of the studies included in the meta-analysis
First author, year | Study design | Location | Participants | Population | Mean age (years) | IBS diagnosis criteria | Prevalence | 2*2 table | ACE evaluation criteria | OR (95% CI) |
Berens, 202026 | Cross-sectional | Germany | 381 | Adults | 36.17 IBS 29.45 control | Rome III | ACE 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-sectional | USA | 729 | Adults | 23.4 IBS 35.1 control | Rome III with physician evaluation for FGID | ACE in IBS=76.6% ACE in non-IBS=36% | A=225.2 B=156.4 C=68.8 D=278.6 | ETI-SR | 5.83 (4.18 to 8.14) |
Chandan, 202041 | Retrospective cohort | UK | 241,971 | Adults | 23.4 all | THIN diagnostic codes | ACE 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 EMR | 1.27 (1.19 to 1.35) |
Fuller-Thompson, 201142 | Cross-sectional | Canada | 7342 | Adults and children | Not listed | Self-Reported Physician Diagnosis | Not listed | Not listed | Canadian Community Health Survey | 1.52 (2.12 to 1.09)* |
Goodwin, 201335 | Retrospective cohort | UK | 17,415 | Adults and children | Not listed | Self-reported | Not listed | Not listed | Self-reported, guardian or physician reported | 1.18 (0.98 to 1.42)* |
Heitkemper, 200128 | Case–control | USA | Multiple distinct samples | Multiple distinct samples | BDQ, symptoms and GI diagnostic testing | ACE in IBS=41.3% ACE in non-IBS=31.4% | A=69 B=27 C=98 D=59 | Structured interview | Multiple distinct samples | |
88 | Adult 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) | |||||
165 | Adult 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–control | USA | 72 | Adult women | Not listed | Rome II and currently symptomatic | ACE in IBS=52.5% ACE in non-IBS=3.1% | A=21 B=1 C=19 D=31 | Childhood Trauma Questionnaire | 34.26 (21.22 to 2.21) |
Jones, 201334 | Cross-sectional | Australia | 307 | Adults | 46.4 IBS 53.2 control | Rome I | ACE in IBS=50% ACE in non-IBS=50% | A=103.5 B=50 C=103.5 D=50 | Self-reported | 1.00 (1.81 to 0.62) |
Ju, 202044 | Case–control | USA | 362 | Adults | 31 IBS 30 control | BSQ | ACE in IBS=70.6% ACE in non-IBS=63% | A=139 B=104 C=58 D=61 | CTES | 1.36 (1.14 to 1.62) |
Park, 201614 | Cross-sectional | USA | 302 | Adults | 34.4 IBS 30.4 control | Rome II | ACE 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-sectional | Germany | 824 | Adults | 44.59 IBS 30 control | BSQ | ACE in IBS=60.4% ACE in non-IBS=36.3% | A=223 B=165 C=146 D=290 | ETI-SR | 2.68 (2.02 to 3.56) |
Talley, 199345 | Cross-sectional | USA | 104 | Adults | 54 IBS 58 control | BDQ with Manning Criteria | ACE 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-R | 4.22 (1.43 to 12.43) |
Talley, 199430 | Cross-sectional | USA | 919 | Adults | 39.6 IBS 39.5 control | BSQ with Manning Criteria | ACE in IBS=15.4% ACE in non-IBS=9.5% | A=20 B=75 C=110 D=714 | Drossman Sexual et al Questionnaire | 1.73 (1.01 to 2.95) |
Talley, 199832 | Cross-sectional | Australia | 726 | Adults | 45 IBS 43 control | BSQ | Not listed | Not listed | Drossman Sexual et al Questionnaire | 2.02 (1.29 to 2.15) |
Videlock, 200933 | Cross-sectional | USA | 86 | Adults | 40.4 IBS 37.3 control | Rome II | ACE in IBS=47.7% ACE in non-IBS=46.2% | A=21 B=18 C=23 D=21 | Structured Clinical Interview from DSM IV | 1.06 (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.