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Related Experiment Videos

Patient perceptions of self-induced water intoxication

D L May1

  • 1Richard L. Roudebush Veterans Administration Medical Center, Indianapolis, IN, USA.

Archives of Psychiatric Nursing
|October 1, 1995
PubMed
Summary

Self-induced water intoxication (SIWI) in individuals with serious mental illness (SMI) is often driven by anxiety and boredom. This condition may represent a dysfunctional coping mechanism requiring multifaceted interventions beyond fluid restriction.

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Area of Science:

  • Psychiatry
  • Clinical Psychology
  • Internal Medicine

Background:

  • Self-induced water intoxication (SIWI) is a serious condition often observed in individuals with serious mental illness (SMI).
  • Understanding the patient's perspective on SIWI is crucial for developing effective interventions.

Purpose of the Study:

  • To comprehensively examine SIWI from the patient's perspective, including demographics, motivations for fluid seeking, behavioral patterns, and experienced symptoms.
  • To explore the underlying psychological factors contributing to SIWI in a hospitalized SMI population.

Main Methods:

  • A structured interview using the Self-induced Water Intoxication Questionnaire (SIWIQ) was administered to 45 individuals with SMI hospitalized in a long-term psychiatric facility.
  • The study analyzed demographics, fluid-seeking behaviors (e.g., drinking from showers, toilets, urine), and self-reported symptoms (e.g., anger, vomiting, anxiety, cognitive difficulties).

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Main Results:

  • SIWI was more prevalent in males and individuals with longer hospital stays; most participants were smokers with no history of alcohol problems.
  • Anger, vomiting, anxiety, and cognitive difficulties were predominant symptoms. Reasons for excess fluid consumption included anxiety, boredom, seeking a 'high,' and sad mood.
  • Drinking from unconventional sources like showers and toilets highlights the challenges in fluid management.

Conclusions:

  • SIWI may represent a dysfunctional coping strategy aimed at alleviating anxiety and boredom.
  • Interventions should adopt a multifaceted approach, considering psychological and behavioral factors beyond simple fluid restriction.
  • Further research is needed to explore the complex interplay of factors contributing to SIWI in SMI patients.