Mini-Mental Parkinson (MMP) as a Dementia Screening Test: Comparison with the Mini-Mental State Examination (MMSE)

Background: The aim of this study was to establish the validity and reliability of the Computerized Brief Cognitive Screening Test (CBCog) for early detection of cognitive impairment. Method: One hundred and sixty participants, including community-dwelling and out-patient volunteers (both men and women) aged ≥ 65 years, were enrolled in the study. All participants were screened using the CBCog and Mini-Mental State Examination (MMSE). The internal consistency of the CBCog was analyzed using Cronbach’s α test. Areas under the curves (AUCs) of receiver operating characteristic analyses were used to test the predictive accuracy of the CBCog in detecting mild cognitive impairment (MCI) in order to set an appropriate cutoff point. Results: The CBCog scores were positively correlated with the MMSE scores of patients with MCI-related dementia (r = 0.678, P < .001). The internal consistency of the CBCog (Cronbach’s α) was 0.706. It was found that the CBCog with a cutoff point of 19/20 had a sensitivity of 97.5% and a specificity of 53.7% for the diagnosis of MCI with education level ≥ 6 years. The AUC of the CBCog for discriminating the normal control elderly from patients with MCI (AUC = 0.827, P < 0.001) was larger than that of the MMSE for discriminating the normal control elderly from patients with MCI (AUC= 0.819, P < .001). Conclusion: The CBCog demonstrated to have sufficient validity and reliability to evaluate mild cognitive impairment, especially in highly educated elderly people.

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Effect of Education on the Mini-Mental State Examination as a Screening Test for Dementia

Journal of the American Geriatrics Society ◽

10.1111/j.1532-5415.1991.tb04454.x ◽

1991 ◽

Vol 39 (9) ◽

pp. 876-880 ◽

Cited By ~ 159

Author(s):

Richard F Uhlmann ◽

Eric B Larson

Keyword(s):

Mental State ◽

Screening Test ◽

Mini Mental State Examination ◽

State Examination

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The relationship between intellectual impairment and mood disorder in the first year after stroke

Psychological Medicine ◽

10.1017/s0033291700036497 ◽

1990 ◽

Vol 20 (4) ◽

pp. 805-814 ◽

Cited By ~ 46

Author(s):

Allan House ◽

Martin Dennis ◽

Charles Warlow ◽

Keith Hawton ◽

Andy Molyneux

Keyword(s):

Ct Scan ◽

Mood Disorder ◽

Mental State ◽

Screening Test ◽

Mini Mental State Examination ◽

First Year ◽

Intellectual Impairment ◽

Two Measures ◽

The Relationship ◽

State Examination

SynopsisIn a community-based study of patients with a first-ever stroke, intellectual impairment (as denned by scores on a common screening test for dementia, the Mini-Mental State Examination) was found in 26% at 1 month post-stroke, and in 21% at 6 and 12 month follow-up. Low scores on the screening test were associated with greater age, physical disability before the stroke, larger stroke lesion volumes as measured on CT scan, and non-stroke changes such as atrophy and white matter low attenuation on the CT scan. There was a negative correlation between scores on the Mini-Mental State Examination and symptom levels on two measures of mood disorder. However, there was no evidence of a specific relationship between major depression and low scores on the Mini-Mental State. We examined various aspects of the relationship between mood symptoms and low scores on the Mini-Mental State, but found no evidence to support the suggestion that this relationship represented an example of depressive pseudodementia. We discuss the significance of our findings for clinical psychiatry and neuropsychology.

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