Vitamin D Insufficiency/Deficiency in Patients on a Community Psychiatric Rehabilitation Unit
DOI:
https://doi.org/10.61841/ff0jh608Keywords:
Vitamin D, Deficiency/Insufficiency, Psychiatric, Community RehabilitationAbstract
Vitamin D deficiency is known to have mental health consequences. There is evidence that Vitamin D deficiency/insufficiency is prevalent amongst patients with severe and enduring mental illness. In spite of this Vitamin D screening is not routinely indicated as a screening measure in psychiatric rehabilitation units in the United Kingdom. We tested the total Vitamin D serum levels in 13 out of 14 patients in a UK-based Community Psychiatric Rehabilitation unit. The objective was to quantify
the prevalence of vitamin D deficiency/insufficiency in this setting and to make recommendations that could be used in clinical practice. Four of the thirteen patients were already on Vitamin D replacement therapy. Eight out of the nine patients (89%) who were not on replacement therapy were found to have insufficient or deficient levels of Vitamin D (levels of 50nmol/L or less). These results suggest that the routine screening of total serum Vitamin D levels in psychiatric rehabilitation units should be implemented. Organisations providing care to this at-risk patient group might also want to consider providing low dose Vitamin D replacement therapy in Psychiatric Rehabilitation units.
Downloads
References
1. Boerman R, Cohen D, Schulte P, Nugter A (2016) Prevalence of Vitamin D Deficiency in Adult Outpatients with Bipolar Disorder or Schizophrenia. Journal of Clinical Psychopharmacology 36, 588 592.
2. Cieslak K, Feingold J, Antonius D et al (2014) Low Vitamin D levels predict clinical features of schizophrenia. Schizophrenia Research 159, 543-545.
3. Lally J, Gardner-Sood P, Firdosi M et al (2016) Clinical correlates of vitamin D deficiency in established psychosis. BMC Psychiatry 16, 1-9.
4. Mccue R, Charles R, Orendain G et al (2012) Vitamin d Deficiency Among Psychiatric Inpatients. Primary Care Companion CNS Disorders 14, 1-5.
5. Rylander M, Verhulst S (2012) Vitamin D insufficiency in psychiatric inpatients. Journal of psychiatric practice 19, 296-300.
6. Tiangga E, Gowda A, Dent J (2008) Vitamin D deficiency in psychiatric in-patients and treatment with daily supplements of calcium and ergocalciferol. Psychiatr Bull 32, 390–393.
7. Valipour G, Saneei P, Esmaillzadeh A (2014) Serum Vitamin D Levels in Relation to Schizophrenia: A Systematic Review and Meta-Analysis of Observational Studies. J Clin Endocrinol Metab 99, 3863-3872.
8. Whittington Health NHS guidelines (2012) Treatment of Vitamin D Deficiency/ Insufficiency in Adults. 1-12
Downloads
Published
Issue
Section
License
Copyright (c) 2024 AUTHOR
This work is licensed under a Creative Commons Attribution 4.0 International License.
You are free to:
- Share — copy and redistribute the material in any medium or format for any purpose, even commercially.
- Adapt — remix, transform, and build upon the material for any purpose, even commercially.
- The licensor cannot revoke these freedoms as long as you follow the license terms.
Under the following terms:
- Attribution — You must give appropriate credit , provide a link to the license, and indicate if changes were made . You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.
- No additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.
Notices:
You do not have to comply with the license for elements of the material in the public domain or where your use is permitted by an applicable exception or limitation .
No warranties are given. The license may not give you all of the permissions necessary for your intended use. For example, other rights such as publicity, privacy, or moral rights may limit how you use the material.
