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Irritable Bowel Syndrome and Recurrent Abdominal Pain

A Comparative Review

Received July 21, 1998; revised December 17, 1998; accepted December 29, 1998. From the University of Arizona Health Sciences Center, Department of Psychiatry, P.O. Box 245002, Tucson, AZ 85724–5002. Address correspondence and reprint requests to Dr. Burke at the same address; e-mail: burke{at}u.arizona.edu

Clinical findings on irritable bowel syndrome in adults and recurrent abdominal pain in children are reviewed to determine if what is known about each disorder can illuminate our understanding of the other. The evidence reveals striking similarities between the disorders in prevalence, course, medical and psychiatric comorbidity, family medical and psychiatric history, and association with life events. Continuity between the two disorders is also suggested by the results of follow-up and follow-back studies. The review shows the importance of a developmental perspective for understanding functional bowel disorders in adults and points to areas where further research would be useful.

Key Words: Irritable Bowel Syndrome • Pain

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