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42 The complaint of sleepiness in hypersomnic bipolar depressed patients seems to be related to an anergic depressive condition (characterized by withdrawal, lack of interest, psychomotor retardation, and decreased energy) rather than to an increase in true sleep or REM sleep propensity.
Almost 20% of people over 65 show depressive symptoms while approximately 36% of demented over 75 -ear-olds are sufroming fromoderate-mildldepressionon and about 40% of people over 85 are affected by a depressive condition [ 1] Having a negative self-perception and fearing social stigma because of that, stops older people asking for any psychiatric help.
Extreme depressive condition?
In Farinelli and the King, written by Rylance's wife, Claire van Kampen (who has gained an Olivier best play nomination), the Spanish monarch's state of mind is at issue, as court enemies attempt to use his depressive condition as an excuse to remove him from power.
The reason was that she wanted to have postoperative complications not to worsen her depressive condition.
Indeed, the number of sessions of ECT seems to affect seizure duration, because of improvement in the depressive condition with ECT.
Similar(34)
Like Lamers et al. [ 35] they drew attention tot the ongoing debate on the best criteria to delineate melancholic depression from atypical depression and other depressive conditions.
The index terms were "minor depression", "subclinical depression", "subsyndromal depression", "subthreshold depression", "subthreshold depressive symptoms" and "subclinical depressive conditions" and those terms were searched both in the title and in the abstract.
However, most elderly persons who have clinically significant depressive symptoms do not meet the diagnostic criteria for major depression or dysthymic disorder; hence their depressive conditions are described as minor, subsyndromal, or subthreshold depression.
According to DSM-IV [ 5]., postnatal depression does not differ from other depressive conditions except for its onset period – within the first 4 weeks postpartum.
Treatment-refractory depression may reflect failure to distinguish depressive conditions, particularly in bipolar disorder, that are inherently less responsive to antidepressants.
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