Evidence map›Paper›PMID 33222764›Full record

ReviewBest practice & research. Clinical endocrinology & metabolism2020

Primary polydipsia: Update.

Leeda Ahmadi, Morris B Goldman

Open access · greenAbstract readReview
In one paragraph

Review in Best practice & research. Clinical endocrinology & metabolism, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
16citing papers in PubMed, 1 pooled it
1.8field-weighted citation impact, top 12% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

16 citing papers in PubMed, 1 synthesis or guideline pooled it, 39 citations in OpenAlex.

  1. Pooled it
  2. Review
  3. Review
  4. Article
  5. Arginine Vasopressin Deficiency and Oxytocin Deficiency in the Endocrine Clinic.The Journal of clinical endocrinology and metabolism · 2026
    Review
  6. Article
  7. Article
  8. Review
  9. Primary Polydipsia in a Case of Genetic Behavioral Variant Frontotemporal Dementia.The Journal of neuropsychiatry and clinical neurosciences · 2025
    Article
  10. Circadian copeptin and oxytocin profiles in anorexia nervosa: Exploring the interplay with neurohypophysis opioid tone.European eating disorders review : the journal of the Eating Disorders Association · 2025
    Article
  11. Review
  12. Article
  13. Article
  14. Review
  15. Effect of ProbioticNutrients · 2022
    Article
  16. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

2 authors at 1 institution in 1 country.

Leeda AhmadiDepartment of Psychiatry, Northwestern University Feinberg School of Medicine, Chicago, IL, 60611, USA. Electronic address: dr.ahmadileeda@gmail.com.
Morris B GoldmanDepartment of Psychiatry, Northwestern University Feinberg School of Medicine, Chicago, IL, 60611, USA. Electronic address: m-goldman@northwestern.edu.
Northwestern University · US

Funding

WOMEN'S INTERAGENCY HIV STUDY (WIHS) ANTIRETROVIRAL TREATMENT EXPOSURE/INTENSIVEM01RR013987 · NCRR · UNIVERSITY OF ILLINOIS AT CHICAGO · PI VAN BREEMEN, RICHARD B · 2000 to 2004
$9.2M
NEUROMORPHOMETRY IN SCHIZOPHRENIA BY COMPUTER ALGORITHMR01MH056584 · NIMH · WASHINGTON UNIVERSITY · PI CSERNANSKY, JOHN G · 1998 to 2011
$4.2M
MECHANISM OF ABNORMAL EXCRETION IN SCHIZOPHRENIAR01MH056525 · NIMH · UNIVERSITY OF CHICAGO · PI GOLDMAN, MORRIS B · 1999 to 2003
$907k
Does diminished oxytocin modulate stress vulnerability in SchizophreniaR21MH082295 · NIMH · NORTHWESTERN UNIVERSITY AT CHICAGO · PI GOLDMAN, MORRIS BENJAMIN · 2009 to 2010
$445k
NCRR NIH HHS M01 RR013987NIMH NIH HHS R01 MH056525NIMH NIH HHS R01 MH056584NIMH NIH HHS R21 MH082295
6 · The paper itself

Abstract

In primary polydipsia pathologically high levels of water intake physiologically lower arginine vasopressin (AVP) secretion, and in this way mirror the secondary polydipsia in diabetes insipidus in which pathologically low levels of AVP (or renal responsiveness to AVP) physiologically increase water intake. Primary polydipsia covers several disorders whose clinical features and significance, risk factors, pathophysiology and treatment are reviewed here. While groupings may appear somewhat arbitrary, they are associated with distinct alterations in physiologic parameters of water balance. The polydipsia is typically unrelated to homeostatic regulation of water intake, but instead reflects non-homeostatic influences. Recent technological advances, summarized here, have disentangled functional neurocircuits underlying both homeostatic and non-homeostatic physiologic influences, which provides an opportunity to better define the mechanisms of the disorders. We summarize this recent literature, highlighting hypothalamic circuitry that appears most clearly positioned to contribute to primary polydipsia. The life-threatening water imbalance in psychotic disorders is caused by an anterior hippocampal induced stress-diathesis that can be reproduced in animal models, and involves phylogenetically preserved pathways that appear likely to include one or more of these circuits. Ongoing translational neuroscience studies in these animal models may potentially localize reversible pathological changes which contribute to both the water imbalance and psychotic disorder.

Indexed as

AnimalsDiabetes InsipidusDrinkingHomeostasisHumansHyponatremiaPolydipsiaPolydipsia, PsychogenicRisk FactorsWater-Electrolyte BalanceWater-Electrolyte Imbalancearginine vasopressincompulsive water drinkinghyponatremiapsychogenic polydipsiapsychosis-intermittent hyponatremia-polydipsia syndromeschizophrenia

Identifiers

PMID33222764
PMCPMC7683824
OpenAlexW3093125508

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.