Evidence map›Paper›PMID 30575634›Full record

ArticleJournal of clinical gastroenterology2020

Risk and Protective Factors Related to Early Adverse Life Events in Irritable Bowel Syndrome.

Tiffany Ju, Bruce D Naliboff, Wendy Shih, Angela P Presson, Cathy Liu, Arpana Gupta, Emeran A Mayer, Lin Chang

Open access · greenAbstract read
In one paragraph

Article in Journal of clinical gastroenterology, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 26 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
26citing papers in PubMed, 3 pooled it
2.0field-weighted citation impact, top 13% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

26 citing papers in PubMed, 3 syntheses or guidelines pooled it, 56 citations in OpenAlex.

  1. The Developmental Origins of Irritable Bowel Syndrome: A Systematic Review and Meta-Analysis.American journal of human biology : the official journal of the Human Biology Council · 2025
    Pooled it
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  9. Role of Sex, Anxiety, and Resilience in the Association Between Adverse Childhood Experiences and Irritable Bowel Syndrome.Clinical gastroenterology and hepatology : the official clinical practice journal of the American Gastroenterological Association · 2025
    Article
  10. Article
  11. Review
  12. Differentiating Childhood Traumas in Inflammatory Bowel Disease.Journal of the Canadian Association of Gastroenterology · 2023
    Article
  13. Providing Trauma Informed Care During Anorectal Evaluation.Current gastroenterology reports · 2023
    Review
  14. Article
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors at 3 institutions in 1 country.

Tiffany JuDepartment of Medicine, Vatche and Tamar Manoukian Division of Digestive Diseases, David Geffen School of Medicine, G. Oppenheimer Center for Neurobiology of Stress and Resilience, University of California, Los Angeles.
Bruce D NaliboffDepartment of Medicine, Vatche and Tamar Manoukian Division of Digestive Diseases, David Geffen School of Medicine, G. Oppenheimer Center for Neurobiology of Stress and Resilience, University of California, Los Angeles.
Wendy ShihDepartment of Medicine, Vatche and Tamar Manoukian Division of Digestive Diseases, David Geffen School of Medicine, G. Oppenheimer Center for Neurobiology of Stress and Resilience, University of California, Los Angeles.
Angela P PressonDepartment of Internal Medicine, Division of Epidemiology, University of Utah, Salt Lake City, UT.
Cathy LiuDepartment of Medicine, Vatche and Tamar Manoukian Division of Digestive Diseases, David Geffen School of Medicine, G. Oppenheimer Center for Neurobiology of Stress and Resilience, University of California, Los Angeles.
Arpana GuptaDepartment of Medicine, Vatche and Tamar Manoukian Division of Digestive Diseases, David Geffen School of Medicine, G. Oppenheimer Center for Neurobiology of Stress and Resilience, University of California, Los Angeles.
Emeran A MayerDepartment of Medicine, Vatche and Tamar Manoukian Division of Digestive Diseases, David Geffen School of Medicine, G. Oppenheimer Center for Neurobiology of Stress and Resilience, University of California, Los Angeles.
Lin ChangDepartment of Medicine, Vatche and Tamar Manoukian Division of Digestive Diseases, David Geffen School of Medicine, G. Oppenheimer Center for Neurobiology of Stress and Resilience, University of California, Los Angeles.
University of California, Los Angeles · USLoma Linda University · USUniversity of Utah · US

Funding

Pilot and Feasibility ProgramP30DK041301 · NIDDK · UNIVERSITY OF CALIFORNIA LOS ANGELES · PI ROZENGURT, JUAN ENRIQUE · 1990 to 2019
$18.0M
Women's Health and Functional Visceral Disorders CenterP50DK064539 · NIDDK · UNIVERSITY OF CALIFORNIA LOS ANGELES · PI MAYER, EMERAN A · 2002 to 2017
$17.5M
PERCEPTION AND MODULATION OF VISCERAL SENSATIONSR01DK048351 · NIDDK · UNIVERSITY OF CALIFORNIA LOS ANGELES · PI MAYER, EMERAN A · 1996 to 2019
$8.2M
NIDDK NIH HHS P30 DK041301NIDDK NIH HHS P50 DK064539NIDDK NIH HHS R01 DK048351
6 · The paper itself

Abstract

backgroundIrritable bowel syndrome (IBS) is a stress-sensitive disorder of brain-gut interactions associated with a higher prevalence of early adverse life events (EALs). However, it is incompletely understood how trauma severity or disclosure influence the risk of developing IBS or symptom severity.

aimsTo determine whether (1) IBS patients report a greater number of EALs compared with healthy controls; (2) trauma severity and first age of EAL increase the odds of IBS; (3) confiding in others reduces the odds of IBS; (4) the number, trauma severity, and first age of EAL are associated with symptom severity; (5) sex differences exist.

methodsIn total, 197 IBS patients (72% women, mean age=30.28 y) and 165 healthy controls (59% women, mean age=30.77 y) completed the Childhood Traumatic Events Scale, measuring severity of EALs and degree of confiding in others. Regression analyses were used to predict IBS status from EALs and association between gastrointestinal symptoms and EALs.

resultsA greater number of EALs [odds ratio (OR)=1.36, 95% confidence interval (CI), 1.14-1.62; P<0.001] and higher perceived trauma severity (OR=1.13, 95% CI, 1.08-1.19; P<0.001) were associated with increased odds of IBS. Confiding in others decreased the odds of having IBS (OR=0.83, 95% CI, 0.72-0.96; P=0.012). The first age of EAL was not predictive of IBS. No sex differences were found.

conclusionsAssessing the traumatic severity of EALs and amount of confiding in others is important as they can affect the risk of having IBS. Our findings emphasize early intervention to improve health outcomes in individuals with EALs.

Indexed as

Severity of Illness IndexAdultAdverse Childhood ExperiencesCase-Control StudiesFemaleHumansIrritable Bowel SyndromeMaleOdds RatioPrevalenceProtective FactorsRegression AnalysisRisk FactorsSocial SupportStress, Psychological

Identifiers

PMID30575634
PMCPMC6802286
OpenAlexW2906104869

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.