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Minor depression is a clinically significant depressive disorder that does not fulfill the duration criterion or the number of symptoms necessary for the diagnosis of major depression. Minor depression, which is more common than major depression in elderly patients, may follow a major depressive episode.
Other symptoms found in patients with RBD are reduced motor abilities, posture and gait changes, mild cognitive impairment, alterations in the sense of smell, impairments in color vision, autonomic dysfunction (orthostatic hypotension, constipation, urinary problems and sexual dysfunction), and depression.
The 'multiple sleep latency test' (MSLT) is an objective tool which indicates the degree of sleepiness by measuring the sleep latency (i.e. the speed of falling asleep). [ 38 ] [ 39 ] It also gives information regarding the presence of abnormal REM sleep onset episodes. [ 38 ]
Diagnosis may include taking the person's medical history, a physical exam, assessment of neurological function, brain imaging, neuropsychological testing to assess cognitive function, [2] [127] sleep studies, myocardial scintigraphy, [25] or laboratory testing to rule out conditions that may cause symptoms similar to dementia, such as abnormal ...
REM sleep is decreased during the first half of the sleep period and stage 1 sleep is increased in the second half of the sleep period. [5] Most antidepressants, in particular selective serotonin re-uptake inhibitors (SSRIs), such as citalopram and paroxetine, are potent inhibitors of REM sleep and may also cause a REM rebound on discontinuation.
The sensors show when patient is asleep and awake, and transmit data used to determine when patient is in REM sleep. The nap trial begins when the lights are turned off. [9] The patient is asked to perform simple tasks to test that the equipment is working properly. The patient is asked to nap for 20 minutes, and then is awakened.