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Abnormal diurnal weight gain among chronically psychotic patients contrasted with acutely psychotic patients and normals

Published online by Cambridge University Press:  09 July 2009

W. V. R. Vieweg ,
L. S. Godleski ,
M. Mitchell ,
P. L. Hundley  and
G. R. Yank
W. V. R. Vieweg*
Affiliation:
Clinical Evaluation Service, Western State Hospital, Department of Mental Health and Mental Retardation, Commonwealth of Virginia and the Department of Behavioral Medicine and Psychiatry and the Department of Internal Medicine, University of Virginia School of Medicine, Charlottesville, Virginia, USA
L. S. Godleski
Affiliation:
Clinical Evaluation Service, Western State Hospital, Department of Mental Health and Mental Retardation, Commonwealth of Virginia and the Department of Behavioral Medicine and Psychiatry and the Department of Internal Medicine, University of Virginia School of Medicine, Charlottesville, Virginia, USA
M. Mitchell
Affiliation:
Clinical Evaluation Service, Western State Hospital, Department of Mental Health and Mental Retardation, Commonwealth of Virginia and the Department of Behavioral Medicine and Psychiatry and the Department of Internal Medicine, University of Virginia School of Medicine, Charlottesville, Virginia, USA
P. L. Hundley
Affiliation:
Clinical Evaluation Service, Western State Hospital, Department of Mental Health and Mental Retardation, Commonwealth of Virginia and the Department of Behavioral Medicine and Psychiatry and the Department of Internal Medicine, University of Virginia School of Medicine, Charlottesville, Virginia, USA
G. R. Yank
Affiliation:
Clinical Evaluation Service, Western State Hospital, Department of Mental Health and Mental Retardation, Commonwealth of Virginia and the Department of Behavioral Medicine and Psychiatry and the Department of Internal Medicine, University of Virginia School of Medicine, Charlottesville, Virginia, USA
*
1Address for correspondence: Dr W. V. R. Vieweg, Western Stale Hospital, Box 2500, Staunton, VA 24401, USA.
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Synopsis

We found diurnal weight gain to be abnormal among 28 institutionalized chronically psychotic patients. They were weighed daily for 15 days at 7 a.m. and 4 p.m. We normalized the diurnal weight gain (NDWG) as a percentage by subtracting the 7 a.m. weight from the 4 p.m. weight, multiplying the difference by 100, and then dividing the result by the 7 a.m. weight. NDWG was 2·8 ± 1·3% for the 28 study patients, 0·631 ±0·405% for 16 acutely psychotic controls, and 0·511 ±0·351 % for 29 normals. Ninety-three per cent of the study sample had NDWG values above the upper limit of normal. Sex, diagnosis, smoking, baseline weight, blood pressure, and pulse did not explain these observations. NDWG related (N = 28, r = 0·552, P = 0·002) to antipsychotic drug dose. The implications of our findings are discussed.

Type
Research Article
Information
Psychological Medicine , Volume 19 , Issue 1 , February 1989 , pp. 105 - 109
Copyright
Copyright © Cambridge University Press 1989

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