Cross-cultural validation of the mini-mental state examination (MMSE) and of the pfeffer functional activities questionnaire (PFAQ)

1994 ◽  
Vol 15 ◽  
pp. S68
2013 ◽  
Vol 7 (4) ◽  
pp. 410-415 ◽  
Author(s):  
Gabriela Pravatta Rezende ◽  
Juliana Cecato ◽  
José Eduardo Martinelli

ABSTRACT Dementia prevalence is increasing in developing countries due to population aging. Brief tests for assessing cognition and activities of daily living are very useful for the diagnosis of dementia by the clinician. Low education, particularly illiteracy, is a hindrance to the diagnosis of dementia in several regions of the world. Objectives: To compare the Brazilian version of the Cognitive Abilities Screening Instrument-Short Form (CASI-S) with the Mini-Mental State Examination (MMSE) and Pfeffer Functional Activities Questionnaire (PFAQ) for the diagnosis of dementia in illiterate elderly. Methods: A cross-sectional study with illiterate elderly of both genders seen at the outpatient clinics of the Institute of Gerontology and Geriatrics Jundiaí, São Paulo state was performed. Spearman's correlation coefficient was used to correlate CASI-S, MMSE and PFAQ scores. Results: The sample comprised 29 elderly over 57 years old whose mean scores on the CASI-S (scores ranging from 3 to 23) and the MMSE (scores ranging from 2 to 23) were 11.69 and 12.83, respectively. There was a strong significant correlation between the CASI-S and MMSE (r=0.75, p<0.001) and a moderate correlation coefficient that was significant and negative between the PFAQ and CASI-S (r= -0.53 p=0.003),similar to that between the MMSE and PFAQ (r= -0.41 p=0.025). Conclusion: The Brazilian version of the CASI-S demonstrates ease of application and correction in the illiterate elderly, and warrants further studies regarding its applicability for the diagnosis of dementia in populations with a heterogeneous educational background.


2010 ◽  
Vol 32 (3) ◽  
pp. 223-230 ◽  
Author(s):  
Jerson Laks ◽  
Evandro Silva Freire Coutinho ◽  
Washington Junger ◽  
Heitor Silveira ◽  
Raphael Mouta ◽  
...  

OBJECTIVE: Mini-Mental State Examination cutoffs have been presented for schooling levels to screen cognitive impairment. However, items may behave differently with regards to education. The objective of this study was to examine the impact of education on MMSE subscales and items. METHOD: Community-dwelling participants aged 65 years or more (n = 990, females = 637, age = 74.1 years, range 65-108) were stratified as illiterate (n = 373), 1-8 (n = 540), 9-12 (n = 63), and more than 12 years of schooling (n = 14) and were screened with MMSE and Pfeffer Functional Activities Questionnaire. To make the Mini-Mental State Examination items comparable, each item was transformed into z scores. Multiple linear regression was used to estimate the effect of schooling on MMSE subs and items controlling for age, sex, and activities of daily life. RESULTS: Temporal and space orientation, attention/calculation, repetition, reading, writing, and drawing scores improved as education increased, but not memory registration, three step command, and naming. Reading and writing displayed the largest coefficients, whereas education exerted no influence on naming and three step command tasks. CONCLUSION: Education does not exert an important effect on naming, three step command, memory registration, and delayed recall. As memory is a key factor for diagnosing dementia, these items could be considered despite education.


TESTFÓRUM ◽  
2015 ◽  
Vol 4 (5) ◽  
pp. 4-19
Author(s):  
Štefan Anderko

V klinickom výskume sme vzorke pacientov (N = 67) z Domova pro seniory Nopova administrovali viaceré psychodiagnostické metódy s cieľom overiť ich reliabilitu a validitu pri širšom popise demencie. Kognitívny deficit sme zisťovali českými prekladmi testov Addenbrookský Kognitívny Test, Revidovaná Verzia, (ACE-R) a Mini-Mental State Examination (MMSE). Na screening depresie sme použili Škálu Geriatrickej Depresie v jej 15 položkovej českej verzii (GDS-15). Aktivity denného života sme posudzovali českými verziami Dotazníka Sebestačnosti (DAD-CZ) a Dotazníka Funkčného Stavu (FAQ-CZ). Použité metódy sa z psychometrického hľadiska ukázali ako reliabilné nástroje. In clinical research we have administered various psychodiagnostic methods to a sample of patients (N = 67) of Domov pro seniory Nopova (retirement home) with the objective to verify their reliability in context of broader description of dementia. The cognitive deficit was measured using the Czech translations of Addenbrooke’s Cognitive Examination-Revised (ACE-R) and Mini-Mental State Examination (MMSE). For the screening of the depression we used the Geriatric Depression Scale in its 15-item Czech version (GDS-15). The activities of daily living were assessed using the Czech versions of Disability Assessment for Dementia (DAD-CZ) and Functional Activities Questionnaire (FAQ-CZ). The reliability was verified with Cronbach’s alpha. The used methods proved to be reliable tools in psychometric terms.


2008 ◽  
Vol 21 (01) ◽  
pp. 113 ◽  
Author(s):  
Hiroko H. Dodge ◽  
Kenichi Meguro ◽  
Hiroshi Ishii ◽  
Satoshi Yamaguchi ◽  
Judith A. Saxton ◽  
...  

2007 ◽  
Vol 23 (2) ◽  
pp. 315-319 ◽  
Author(s):  
Jerson Laks ◽  
Elienai Maria Rubim Baptista ◽  
Ana Lúcia Barros Contino ◽  
Estevão Oliveira de Paula ◽  
Eliasz Engelhardt

The objective of this study was to assess Mini-Mental State Examination norms of a functionally normal sample of community-dwelling elderly. Illiterate and low-educated subjects who scored less than 5 on the Pfeffer Functional Activities Questionnaire (PFAQ) [n = 397; female = 269; mean age = 72.15 (SD = 7.24) years] had the 5th, 25th, 50th, and 75th percentiles calculated according to age (65-74; 75-84 years). Overall MMSE score was 21.97 (SD = 4.48). Mean MMSE for illiterate younger individuals was 19.46 (SD = 3.47), and the quartile distribution was 14, 17, 19, and 21. MMSE of subjects with 1-8 years of schooling was 23.90 (3.87), and the distribution was 15, 22, 24, and 27. MMSE of older illiterate subjects was 18.11 (SD = 3.63), and the distribution of scores was 13, 16, 18, and 20, whereas subjects with 1-8 years of schooling scored 23.81 (SD = 4.01) and the distribution was 15, 22, 24, and 27. These MMSE normative data may help improve the detection of cognitive impairment in Brazil, mainly in the primary clinical setting.


2011 ◽  
Vol 33 (2) ◽  
pp. 122-129 ◽  
Author(s):  
Leonardo Baldaçara ◽  
João Guilherme Fiorani Borgio ◽  
Walter André dos Santos Moraes ◽  
Acioly Luiz Tavares Lacerda ◽  
Maria Beatriz Marcondes Macedo Montaño ◽  
...  

OBJECTIVE: The aim of this study was to examine the cerebellar volume of subjects at different stages of Alzheimer's disease and to investigate whether volume reductions in this structure are related to cognitive decline. METHOD: Ninety-six subjects from an epidemiological study were submitted to a magnetic resonance imaging scan and evaluated using the Mini-Mental State Examination and the Functional Activities Questionnaire. Subjects were divided into five groups according to the Clinical Dementia Rating scale. Twenty-six subjects from the original group who had no dementia diagnosis at baseline were re-evaluated for the onset of dementia after two years. RESULTS: The volumes of the cerebellar hemispheres, posterior cerebellar lobe, vermis and temporal lobe were found to be reduced as a function of the severity of the disease. There were significant positive correlations between the volume of the temporal lobe and cerebellum and the language, attention, and total scores in the Mini-Mental State Examination and the Functional Activities Questionnaire. A logistic regression analysis demonstrated that reduced temporal lobe, posterior cerebellar lobe and vermal volume at baseline is a risk factor for the onset of dementia. CONCLUSION: This is the first study demonstrating that reduced cerebellar volume is already apparent at the predementia stage. The results of this study support the involvement of the cerebellum in the progression of dementia. Whereas the cerebellum might not be directly associated with the origin of Alzheimer's disease, it may provide useful information related to its prognosis.


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