scholarly journals Mini- Mental State Examination among lower educationl levels and illiterates: transcultural evaluation

2010 ◽  
Vol 4 (2) ◽  
pp. 120-125 ◽  
Author(s):  
Sonia Maria Dozzi Brucki ◽  
Ricardo Nitrini
Keyword(s):  
Mental State ◽  
Mini Mental State Examination ◽  
Northern Region ◽  
Screening Tests ◽  
Temporal Orientation ◽  
Cultural Backgrounds ◽  
Two Samples ◽  
Urban Sample ◽  
Rural Sample ◽  
State Examination

Abstract Cognitive performance among illiterates and low educational levels is poorer than that observed in individuals with greater schooling. This difference can be a confounding factor in reaching an accurate diagnosis of cognitive impairment. In addition, there is great heterogeneity in performance among illiterates, probably due to different environmental demands and sociocultural backgrounds. Many reports have described the influence of education on neuropsychological measures and screening tests such as the Mini-Mental State Examination (MMSE). Objectives: To analyze performance in two samples with the same educational level, but different social and cultural backgrounds. Methods: Subjects from two different locations in Brazil (rural sample from Northern region and urban sample residing in the largest city of the Southeastern region) were matched for age and education, and submitted to the MMSE. Results: Significant differences between the groups were found in total scores on the MMSE and in temporal orientation and serial-sevens sub-items for which the urban sample performed best but analysis of illiterates alone yielded the same results, except for the copying pentagons task which was performed better by the rural sample. Conclusions: Cultural and social backgrounds, as well as demands from the environment, influence results of screening tests. Factors other than education must be taken into account when analyzing tests.

scholarly journals Detection of mild cognitive impairment in middle-aged and older adults with obstructive sleep apnoea

2018 ◽  
Vol 52 (5) ◽  
pp. 1801137 ◽  
Author(s):  
Katia Gagnon ◽  
Andrée-Ann Baril ◽  
Jacques Montplaisir ◽  
Julie Carrier ◽  
Sirin Chami ◽  
...  
Keyword(s):  
Cognitive Impairment ◽  
Mild Cognitive Impairment ◽  
Obstructive Sleep Apnoea ◽  
Mental State ◽  
Cognitive Assessment ◽  
Mini Mental State Examination ◽  
Sleep Apnoea ◽  
Screening Tests ◽  
Obstructive Sleep ◽  
State Examination

Obstructive sleep apnoea increases the risk for mild cognitive impairment and dementia. The present study aimed to characterise the ability of two cognitive screening tests, the Mini-Mental State Examination and the Montreal Cognitive Assessment, to detect mild cognitive impairment in adults aged 55–85 years with and without obstructive sleep apnoea.We included 42 subjects with mild and 67 subjects with moderate-to-severe obstructive sleep apnoea. We compared them to 22 control subjects. Mild cognitive impairment was diagnosed by a comprehensive neuropsychological assessment. We used receiver operating characteristic curves to assess the ability of the two screening tests to detect mild cognitive impairment.The two screening tests showed similar discriminative ability in control subjects. However, among the mild and the moderate-to-severe obstructive sleep apnoea groups, the Mini-Mental State Examination was not able to correctly identify subjects with mild cognitive impairment. The Montreal Cognitive Assessment's discriminant ability was acceptable in both sleep apnoea groups and was comparable to what was observed in controls.The Mini-Mental State Examination should not be used to screen for cognitive impairment in patients with obstructive sleep apnoea. The Montreal Cognitive Assessment could be used in clinical settings. However, clinicians should refer patients for neuropsychological assessment when neurodegenerative processes are suspected.

scholarly journals Montreal Cognitive Assessment scale in patients with Parkinson Disease with normal scores in the Mini-Mental State Examination

2019 ◽  
Vol 13 (1) ◽  
pp. 78-81 ◽  
Author(s):  
Krisly Arguedas Vásquez ◽  
Erick Miranda Valverde ◽  
Daniel Valerio Aguilar ◽  
Henri-Jacques Hernández Gabarain
Keyword(s):  
Parkinson’S Disease ◽  
Parkinson's Disease ◽  
Cognitive Impairment ◽  
Mental State ◽  
Cognitive Assessment ◽  
Mini Mental State Examination ◽  
Montreal Cognitive Assessment ◽  
Screening Tests ◽  
Study Results ◽  
State Examination

ABSTRACT. Several screening tests have been used for cognitive evaluation in Parkinson’s disease (PD). Objective: To evaluate the usefulness of the Montreal Cognitive Assessment (MoCA) in patients with Parkinson’s disease and no cognitive impairment complaints. Methods: A total of 40 PD patients with no complaints of cognitive problems were included. Patients were selected using the Mini-Mental State Examination (MMSE) and the MoCA was then administered. Results: 80% of patients exhibited Mild Cognitive Impairment (MCI) according to the MoCA. Statistically significant differences in visuospatial, attention and delayed recall functions were evident between the normal and abnormal MoCA groups. Conclusion: The study results suggest that MoCA may be a good screening test in patients with PD who do not present cognitive complaints.

scholarly journals Post-hoc principal component analysis on a largely illiterate elderly population from North-west India to identify important elements of mini-mental state examination

2016 ◽  
Vol 7 (01) ◽  
pp. 44-47
Author(s):  
Sunil Kumar Raina ◽  
Vishav Chander ◽  
Sujeet Raina ◽  
Ashoo Grover
Keyword(s):  
Principal Component Analysis ◽  
Mental State ◽  
Elderly Population ◽  
Mini Mental State Examination ◽  
Principal Component ◽  
Component Analysis ◽  
Temporal Orientation ◽  
North West ◽  
Post Hoc ◽  
State Examination

ABSTRACT Background: Mini-mental state examination (MMSE) scale measures cognition using specific elements that can be isolated, defined, and subsequently measured. This study was conducted with the aim to analyze the factorial structure of MMSE in a largely, illiterate, elderly population in India and to reduce the number of variables to a few meaningful and interpretable combinations. Methodology: Principal component analysis (PCA) was performed post-hoc on the data generated by a research project conducted to estimate the prevalence of dementia in four geographically defined habitations in Himachal Pradesh state of India. Results: Questions on orientation and registration account for high percentage of cumulative variance in comparison to other questions. Discussion: The PCA conducted on the data derived from a largely, illiterate population reveals that the most important components to consider for the estimation of cognitive impairment in illiterate Indian population are temporal orientation, spatial orientation, and immediate memory.

scholarly journals Comparison of Approaches for Equating Different Versions of the Mini-Mental State Examination Administered in 22 Studies

2019 ◽  
Vol 188 (12) ◽  
pp. 2202-2212
Author(s):  
Alden L Gross ◽  
Alexandra M Kueider-Paisley ◽  
Campbell Sullivan ◽  
David Schretlen ◽  
Keyword(s):  
Mental State ◽  
Mini Mental State Examination ◽  
Age Groups ◽  
Screening Tests ◽  
Cognitive Screening ◽  
Equipercentile Equating ◽  
Level Data ◽  
Item Level ◽  
Highly Correlated ◽  
State Examination

Abstract The Mini-Mental State Examination (MMSE) is one of the most widely used cognitive screening tests in the world. However, its administration and content differs by country and region, precluding direct comparison of scores across different versions. Our objective was to compare 2 methods of deriving comparable scores across versions of the MMSE. Between 1981 and 2012, investigators in the International Neuropsychological Normative Database Initiative collected MMSE scores on 122,512 persons from 47 studies conducted in 35 countries. We used MMSE data from 80,559 adults aged 41–99 years from 22 studies that provided item-level response data. We first equated 14-point, 15-point, 18-point, 19-point, and 23-point versions of the MMSE to the original 30-point version using coarse equipercentile equating methods that preserved differences across continents, age groups, and durations (years) of education. We then derived more precise item response theory–based scores using item-level responses to MMSE component items. We compared the 2 score-equating approaches using correlation and Bland-Altman plots. Both test-equating approaches were highly correlated with each other (r = 0.73) and with raw MMSE point totals. Bland-Altman plots revealed minimal evidence of systematic differences between the approaches. Our findings support the use of equipercentile equating when item-level data are unavailable to facilitate development of international test norms.

scholarly journals Mild cognitive impairment: cognitive screening or neuropsychological assessment?

2008 ◽  
Vol 30 (4) ◽  
pp. 316-321 ◽  
Author(s):  
Breno Satler Diniz ◽  
Paula Villela Nunes ◽  
Monica S Yassuda ◽  
Fernanda S Pereira ◽  
Mariana K Flaks ◽  
...  
Keyword(s):  
Cognitive Impairment ◽  
Clinical Practice ◽  
Mild Cognitive Impairment ◽  
Neuropsychological Assessment ◽  
Mental State ◽  
Mini Mental State Examination ◽  
Screening Tests ◽  
Neuropsychological Profile ◽  
State Examination ◽  
Multiple Domain

OBJECTIVE: To describe the neuropsychological profile of mild cognitive impairment subtypes (amnestic, non-amnestic and multiple-domain) of a clinical sample. We further address the diagnostic properties of the Mini-Mental State Examination and the Cambridge Cognitive Examination for the identification of the different mild cognitive impairment subtypes in clinical practice. METHOD: Cross-sectional clinical and neuropsychological evaluation of 249 elderly patients attending a memory clinic at a university hospital in Sao Paulo, Brazil. RESULTS: The performance of patients with mild cognitive impairment was heterogeneous across the different subtests of the neuropsychological battery, with a trend towards an overall worse performance for amnestic (particularly multiple domain) mild cognitive impairment as compared to non-amnestic subtypes. Screening tests for dementia (Mini-Mental State Examination and Cambridge Cognitive Examination) adequately discriminated cases of mild Alzheimer's disease from controls, but they were not accurate to discriminate patients with mild cognitive impairment (all subtypes) from control subjects. CONCLUSIONS: The discrimination of mild cognitive impairment subtypes was possible only with the aid of a comprehensive neuropsychological assessment. It is necessary to develop new strategies for mild cognitive impairment screening in clinical practice.

P3-256: The impact of literacy skills on two brief cognitive screening tests: The mini-mental state examination and the brief cognitive battery unbiased by education (BCB-Edu)

2012 ◽  
Vol 8 (4S_Part_15) ◽  
pp. P549-P549
Author(s):  
Maria Teresa Carthery-Goulart ◽  
Maira Oliveira ◽  
Mirna Senaha ◽  
Sonia Brucki ◽  
Lessa Mansur Leticia ◽  
...  
Keyword(s):  
Mental State ◽  
Mini Mental State Examination ◽  
Literacy Skills ◽  
Screening Tests ◽  
Cognitive Screening ◽  
The Impact ◽  
State Examination

Physical and Psychical Conditions Decline of Older People With Age, Measured by Functional Reach Test and by Mini Mental State Examination

2008 ◽  
Author(s):  
Marianna Costarella ◽  
Lucilla Monteleone ◽  
Roberto Steindler ◽  
Stefano Maria Zuccaro
Keyword(s):  
Older People ◽  
Mental State ◽  
Cognitive Abilities ◽  
Mini Mental State Examination ◽  
Short Term Memory ◽  
Temporal Orientation ◽  
Functional Reach ◽  
Functional Reach Test ◽  
Physical Performances ◽  
State Examination

There are several tests to value the psychophysical characteristics of older people and, among all, the most suitable to this aim are here considered the Functional Reach (FR) test, as an index of the aptitude to maintain balance in upright position, and the Mini Mental State Examination (MMSE), as a global index of cognitive abilities. The sample of older people we have analysed concerns 50 healthy subjects divided into three groups according to the age (15 from 55 to 64 years old, 19 from 65 to 74 years old, and 16 more than 75 years old); they underwent a FR test, which consists first in the measurement of the anthropometric characteristics, then in the execution of the test itself, and finally in the study of the upright posture carried out analysing the Centre of Pressure (COP) trend; they underwent as well a MMSE to value the main areas of the cognitive function concerning the space-temporal orientation, the short-term memory, the attention ability, the calculus ability and the praxis-constructive ability. The results of these tests show, according to the age, a loss both of the physical performances (FR, FR related to height, and COP displacement), and of the cognitive abilities (MMSE); however, in all cases, the only significant changes are those between the first and the other two groups of age. A comparison between the results of male and female subjects inside the three groups, although the results of the males are generally superior to the female ones, is never significant; moreover, the differences of the FR tests, in particular, are completely not significant if compared to the height of the subjects. Finally, a comparison between FR and MMSE shows a quicker decline of the physical performances with regard to the cognitive ones.

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