Hostname: page-component-cd9895bd7-q99xh Total loading time: 0 Render date: 2024-12-25T06:18:47.930Z Has data issue: false hasContentIssue false
  • English
  • Français

Compulsive water drinking status reviewed after four years

Published online by Cambridge University Press:  13 June 2014

John A Cooney ,
Terry O Zibin  and
Hari N Garbharran
Terry O Zibin
Affiliation:
Alberta Hospital, Ponoka
Hari N Garbharran
Affiliation:
Alberta Hospital, Ponoka, Alberta, Canada
Get access Rights & Permissions [Opens in a new window]

Abstract

Objectives: 1) To ascertain the stability of a diagnosis of compulsive water drinking (CWD) among psychiatric rehabilitation inpatients after a period of four years. 2) To ascertain the discharge status of CWD inpatients in comparison with matched control inpatients after a period of four years.

Method: A follow-up study was performed. Urine specific gravity testing was used to determine CWD status among psychiatric rehabilitation inpatients. Originally, 21 CWD subjects were identified, and 21 age and sex matched control subjects were selected from the non-CWD rehabilitation inpatients. Four years later those CWD and control subjects successfully traced (18 and 15 respectively) were retested for CWD. In addition each subject's living situation (inpatient or community resident) was recorded. Chi-square, Odds Ratio, and Fisher's Exact Test were used as tests of statistical significance.

Results: While the original CWD status was associated with the follow-up CWD status using Chi-square (p < 0.05), there was no statistical association using Odds Ratio (95% CI was 0.95 to 71.6). Half of the 18 original CWD subjects retested negative for CWD. Two of the 15 control subjects retested positive for CWD. Original CWD status was not associated with subsequent living situation, however all seven community dwelling subjects (four original CWD, three original controls) that were successfully traced were negative for CWD.

Conclusions: CWD status may not be as stable as implied in the literature.

Keywords

Compulsive water drinkingPolydipsia
Type
Original Papers
Information
Irish Journal of Psychological Medicine , Volume 15 , Issue 2 , June 1998 , pp. 52 - 53
Copyright
Copyright © Cambridge University Press 1998

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

1.Jose, CI, Perez-Cruet, J. Incidence and morbidity of self-induced water intoxication in state mental hospital patients. Am J Psychiatry 1979; 136: 221–2.Google Scholar
2.Blum, A, Tempey, FW, Lynch, WI. Somatic findings in patients with psychogenic polydipsia. J Clin Psychiatry 1983; 44: 55–6.Google Scholar
3.Cooney, JA. Compulsive water drinking, water intoxication and alcohol abuse. Ir J Psych Med 1991; 8: 22–5.Google Scholar
4.Vieweg, V, Rowe, W, David, J, Spratlin, W. Hyposthenuria as a marker for self-induced water inroxication and schizophrenic disorders. Am J Psychiatry 1984; 141: 1258–60.Google ScholarPubMed
5.Illowsky, BP, Kirch, DG. Polydipsia and hyponatraemia in psychiatric patients. Am J Psychiatry 1988; 145: 675–83.Google Scholar
6.Cooney, JA. Compulsive water drinking and water intoxication. Am J Psychiatry 1989; 146: 1235.Google ScholarPubMed
7.Koczapski, AB, Millson, RC, Ripley, TL. Dr. Koczapski and associates reply. Am J Psychiatry 1989; 146:1235.Google Scholar
8.Singh, S, Padi, MH, Bullard, H, Freeman, H. Water intoxication in psychiatric patients. Br J Psychiatry 1985; 146: 127–31.CrossRefGoogle ScholarPubMed
9.Vieweg, WV, Godleski, LS, Hundley, PL, Yank, GR. Survey of diurnal weight gain and urine volume in chronic schizophrenia. Can J Psychiatry 1989; 34: 779–84.CrossRefGoogle ScholarPubMed