Author:
Bremner Alexander J.,Regan Adrienne
Abstract
A cross-sectional survey of the drinking habits of 877 mentally handicapped in-patients revealed 31 patients (prevalence 3.5%) who, in the opinion of nurses, drank five litres or more daily. Low urine specific gravity was a less useful indicator of polydipsia. Polydipsia appeared to be significantly associated with a borderline level of handicap and with a diagnosis of schizophrenia, autism or severe personality/behaviour disorder. Of five cases of water intoxication associated with polydipsia, one was fatal. In two cases excess drinking improved with increased neuroleptic medication. Lithium and demeclocycline were used in two cases to prevent hyponatraemic episodes.
Publisher
Royal College of Psychiatrists
Subject
Psychiatry and Mental health
Reference47 articles.
1. Hyponatraemia due to psychotropic drugs;Sandifer;Journal of Clinical Psychiatry,1983
2. The syndrome of inappropriate secretion of antidiuretic hormone
3. A Standardised Assessment of Personality Disorder in Mental Handicap
4. Hypothalamic dopamine receptor supersensitivity;Shen;Psychiatric Journal, University of Ottawa,1983
5. Compulsive water drinking and water intoxication
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