Skip to main content
Log in

Utility of mini-mental state examination in assessing cognition in the elderly

  • Original Article
  • Published:
Aging Clinical and Experimental Research Aims and scope Submit manuscript

Abstract

The present study used a sample of 156 healthy elderly subjects between 57 and 85 years of age to examine concurrent validity of 3 MMSE components: serial seven subtractions, 3-word recall, and copying pentagons, which are most frequently used in clinical practice as indicators of specific cognitive deficits. Correlational analyses and examination of concordance rates were used to explore the relationship of 3 MMSE tasks with scores on neuropsychological tests. The results of this study indicated that performance on MMSE components by elderly individuals should be interpreted with caution due to the effect of education on individual task performance, questionable specificity of the tasks in assessing circumscribed cognitive domains, emphasis on verbal tasks and high misidentification rate. (Aging Clin. Exp. Res. 6: 427-432, 1994)

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Similar content being viewed by others

References

  1. Folstein M., Folstein S., McHugh P.: Mini-Mental State: A practical method for grading the cognitive state of patients for the clinician. J. Psychiatr. Res. 12: 189–198, 1975.

    Article  PubMed  CAS  Google Scholar 

  2. Strain J.J., Fulop G., Lebovits A., Ginsberg B., Robinson M., Stern A., Charap P., Gany F.: Screening devices for diminished cognitive capacity. Gen. Hosp. Psychiatr. 10: 16–23, 1988.

    Article  CAS  Google Scholar 

  3. Dick J.P.R., Guiloff R.J., Stewart A., Blackstock J., Bielawska C., Paul E.A., Marsden C.D.: Mini-mental state examination in neurological patients. J. Neurol. Neurosurg. Psychiatr. 47: 496–499, 1984.

    Article  PubMed  CAS  Google Scholar 

  4. Ashford J.W., Kumar V., Barringer M., Becker M., Bice J., Ryan N., Vicari S.: Assessing Alzheimer severity with a global clinical scale. Intern. Psychogeriatr. 4: 55–74, 1992.

    Article  CAS  Google Scholar 

  5. Iliffe S., Booroff A., Gallivan S., Goldenberg E., Morgan P., Haines A.: Screening for cognitive impairment in the elderly using the mini-mental state examination. Br. J. Gen. Pract. 40: 277–279, 1990.

    PubMed  CAS  Google Scholar 

  6. Pfeffer R.I., Kurosaki T.T., Harrah C.H., Chance J.M., Bates D., Detels R., Filos S., Butzke C.: A survey diagnostic tool for senile dementia. Am. J. Epidemiol. 114: 515–527, 1981.

    PubMed  CAS  Google Scholar 

  7. Giordani B., Boivin M.J., Hall A.L., Foster N.L., Lehtinen S.J., Bluemlein L.A., Berent S.: The utility and generality of Mini-Mental State Examination scores in Alzheimer’s disease. Neurology 40: 1894–1896, 1990.

    Article  PubMed  CAS  Google Scholar 

  8. Bowers D., White T., Bauer R.: Recall of three words after 5 minutes: Its relationship to performance on neuropsychological memory tests. Neurology 39: 176, 1989.

    Google Scholar 

  9. Cullum C.M., Thompson L.L., Smernoff E.N.: Three-word recall as a measure of memory. J. Clin. Exp. Neuropsychol. 15: 321–329, 1993.

    Article  PubMed  CAS  Google Scholar 

  10. Wechsler D.: Wechsler Adult Intelligence Scale. Psychological Corporation, New York, 1955.

    Google Scholar 

  11. Satz P., Mogel S.: An abbreviation of the WAIS for clinical use. J. Clin. Psychol. 18: 77–79, 1962.

    Article  PubMed  CAS  Google Scholar 

  12. Wechsler D.: A standardized memory scale for clinical use. J. Psychol. 19: 87–95, 1945.

    Article  Google Scholar 

  13. Rey A.: L’examen clinique en psychologie. Presses Universitaires de France, Paris, 1964.

    Google Scholar 

  14. Taylor E.M.: The appraisal of children with cerebral deficits. Harvard University Press, Cambridge, MA, 1959.

    Google Scholar 

  15. Reitan R.: Validity of the Trail Making Test as an indicator of organic brain damage. Percep. Mot. Skills 8: 271–276, 1958.

    Google Scholar 

  16. Rey A.: L’examen psychologique dans les cas d’encephalopathie tramatique. Arch. Psychol. 28: 286–340, 1941.

    Google Scholar 

  17. Kaplan E., Goodglass H., Weintraub S.: The Boston Naming Test. Lea and Feiberger, Philadelphia, 1983.

    Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Rights and permissions

Reprints and permissions

About this article

Cite this article

Mitrushina, M., Satz, P. Utility of mini-mental state examination in assessing cognition in the elderly. Aging Clin Exp Res 6, 427–432 (1994). https://doi.org/10.1007/BF03324274

Download citation

  • Received:

  • Revised:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/BF03324274

En]Keywords

Navigation