Synonyms
Description
The Modified Mini-Mental State Examination (3MS) was developed by Teng and Chui (1987) and is an expanded version of the Mini-Mental Status Exam (MMSE) designed to increase the MMSE’s sensitivity. The 3MS incorporates four added test items, more graded scoring, and some other minor changes. These modifications are designed to sample a broader variety of cognitive functions, cover a wider range of difficulty levels, and enhance the reliability and the validity of the MMSE. The four additional questions added to the original MMSE assess temporal and spatial orientation, the ability to see relations between objects, verbal fluency, and memory (i.e., date and place of birth, word fluency, similarities, and delayed recall of words). The 3MS also includes items that assess different aspects of memory, including cued recall, recognition memory, delayed free and cued recall, and delayed recognition memory. An advantage of the 3MS is that both a 3MS and a MMSE score...
Access this chapter
Tax calculation will be finalised at checkout
Purchases are for personal use only
References and Readings
Abraham, I. L., Manning, C. A., Boyd, M. R., Neese, J. B., Newman, M. C., Plowfield, L. A., et al. (1993). Cognitive screening of nursing home residents: Factor analytic structure of the modified Mini-Mental State (3MS) examination. International Journal of Geriatric Psychiatry, 8, 133–138.
Barrett, J. J., Haley, W. E., & Powers, R. E. (1996). Alzheimer’s disease patients and their caregivers: Medical care issues for the primary care physician. Southern Medical Journal, 89(1), 1–9.
Besson, P. S., & Labbe, E. E. (1997). Use of the modified Mini-Mental State Examination with children. Journal of Child Neurology, 12(7), 455–460.
Bravo, G., & Hebert, R. (1997a). Age-and education-specific references values for the Mini-Mental and Modified Mini-Mental State Examinations derived from a non-demented elderly population. International Journal of Geriatric Psychiatry, 12(10), 1008–1018.
Bravo, G., & Hebert, R. (1997b). Reliability of the modified Mini-Mental State Examination in the context of a two-phase community prevalence study. Neuroepidemiology, 16(3), 141–148.
Brown, L. M., Schinka, J. A., Mortimer, J. A., & Graves, A. B. (2003). 3MS normative data for elderly African Americans. Journal of Clinical and Experimental Neuropsychology, 25(2), 234–241.
Canadian Study of Health and Aging Working Group. (1994). Canadian study of health and aging: study methods and prevalence of dementia. Canadian Medical Association Journal, 6, 433–440.
Correa, J. A., Perrault, H., & Wolfson, C. (2001). Reliable individual change scores on the 3MS in older persons with dementia: Results from the Canadian study of health and aging. International Psychogeriatrics, 13(Suppl. 1), 71–78.
Crum, R. M., Anthony, J. C., Bassett, S. S., & Folstein, M. F. (1993). Population-based norms for the Mini-Mental State Examination by age and educational level. Journal of the American Medical Association, 269(18), 2386–2391.
Cullen, B., O’Neill, B., Evans, J. J., Coen, R. F., & Lawlor, B. A. (2007). A review of screening tests for cognitive impairment. Journal of Neurology, Neurosurgery & Psychiatry, 78(8), 790–799.
Fillenbaum, G. G., Hughes, D. C., Heyman, A., George, L. K., et al. (1988). Relationship of health and demographic characteristics to Mini-Mental State Examination scores among community residents. Psychological Medicine, 18(3), 719–726.
Grace, J., Nadler, J. D., White, D. A., Guilmette, T. J., et al. (1995). Folstein vs. Modified Mini-Mental State Examination in geriatric stroke: Stability, validity, and screening utility. Archives of Neurology, 52(5), 477–484.
Henon, H., Durieu, I., Guerouaou, D., Lebert, F., Pasquier, F., & Leys, D. (2001). Poststroke dementia: Incidence and relationship to prestroke cognitive decline. Neurology, 57(7), 1216–1222.
Iliffe, S., Wilcock, J., Austin, T., et al. (2002). Dementia diagnosis and management in primary care: Developing and testing educational models. Dementia, 1, 10–23.
Jones, T. G., Schinka, J. A., Vanderploeg, R. D., Small, B. J., Graves, A. B., & Mortimer, J. A. (2002). 3MS normative data for the elderly. Archives of Clinical Neuropsychology, 17(2), 171–177.
Jorm, A. F., Scott, R., Henderson, A. S., & Kay, D. W. (1988). Educational level differences on the Mini-Mental State: The role of test bias. Psychological Medicine, 18(3), 727–788.
Lamarre, C. J., & Patten, S. B. (1991). Evaluation of the modified Mini-Mental State Examination in a general psychiatric population. Canadian Journal of Psychiatry, 36(7), 507–511.
McDowell, I., Kristjansson, B., Hill, G. B., Hebert, R. J. (1997). Community screening for dementia: the Mini Mental State Exam (MMSE) and Modified Mini-Mental State Exam (3MS) compared. Journal of Clinical Epidemiology, 50(4), 377–383.
Meiran, N., Stuss, D. T., Guzman, A., Lafleche, G., & Willmer, J. (1996). Diagnosis of dementia: Methods for interpretation of scores of 5 neuropsychological tests. Archives of Neurology, 53(10), 1043–1054.
Nadler, J. D., Relkin, N. R., Cohen, M. S., Hodder, R. A., Reingold, J., & Plum, F. (1995). Mental status testing in the elderly nursing home populations. Journal of Geriatric Neurology, 8(3), 177–183.
O’Connell, M. E., Tuokko, H., Graves, R. E., & Kadlec, H. (2004). Correcting the 3MS for bias does not improve accuracy when screening for cognitive impairment or dementia. Journal of Clinical and Experimental Neuropsychology, 26(7), 970–980.
O’Keeffe, S. T., Mulkerrin, E. C., Nayeem, K., Varughese, M., & Pillay, I. (2005). Use of serial Mini-Mental State Examinations to diagnose and monitor delirium in elderly hospital patients. Journal of American Geriatric Society, 53(5), 867–870.
Ouvrier, R. A., Goldsmith, R. F., Ouvrier, S., & Williams, I. C. (1993). The value of the Mini-Mental State Examination in childhood: A preliminary study. Journal of Child Neurology, 8(2), 145–149.
Shadlen, M-F., Siscovick, D., Fitzpatrick, A. L., Dulberg, C., Kuller, L. H., & Jackson, S. (2006). Education, cognitive test scores, and black-white differences in dementia risk. Journal of the American Geriatrics Society, 54(6), 898–905.
Strauss, E., Sherman, E. M. S., & Spreen, O. (2006). A compendium of neuropsychological tests: Administration, norms and commentary (3rd ed.). New York: Oxford University Press.
Teng, E. L., & Chui, H. C. (1987). The modified Mini-Mental State (3MS) Examination. Journal of Clinical Psychiatry, 48(8), 314–318.
Teng, E. L., Chui, H. C., Schneider, L. S., & Metzger, L. E. (1987). Alzheimer’s dementia: Performance on the Mini-Mental State Examination. Journal of Consulting and Clinical Psychology, 55(1), 96–100.
Tombaugh, T. N. (2005). How much change in the MMSE and 3MS is a significant change? Archives of Clinical Neuropsychology, 20, 485–503.
Tombaugh, T. N., McDowell, I., Krisjansson, B., & Hubley, A. M. (1996). Mini-Mental State Examination (MMSE) and the modified MMSE (3MS): A psychometric comparison and normative data. Psychological Assessment, 8, 48–59.
Tombaugh, T. N., & McIntyre, N. J. (1992). The Mini-Mental State Examination: A comprehensive review. Journal of American Geriatric Society, 40(9), 922–935.
Tschanz, J. T., Welsh-Bohmer, K. A., Plassman, B. L., Norton, M. C., Wyse, B. W., & Breitner, J. C. S. (2002). An adaptation of the modified Mini-Mental State Examination: Analysis of demographic influences and normative data: The cache county study. Neuropsychiatry, Neuropsychology, and Behavioral Neurology, 15(1), 28–38.
Uhlmann, R. F., Teri, L., Rees, T. S., Mozlowski, K. J., & Larson, E. B. (1989). Impact of mild to moderate hearing loss on mental status testing. Journal of the American Geriatrics Society, 37(3), 223–228.
Woodford, H. J., & George, J. (2007). Cognitive assessment in the elderly: A review of clinical methods. Quarterly Journal of Medicine, 100(8), 469–484.
Author information
Authors and Affiliations
Editor information
Editors and Affiliations
Rights and permissions
Copyright information
© 2011 Springer Science+Business Media, LLC
About this entry
Cite this entry
Williams, T.S., Sherman, E.M.S., Strauss, E. (2011). Modified Mini-Mental State Examination. In: Kreutzer, J.S., DeLuca, J., Caplan, B. (eds) Encyclopedia of Clinical Neuropsychology. Springer, New York, NY. https://doi.org/10.1007/978-0-387-79948-3_530
Download citation
DOI: https://doi.org/10.1007/978-0-387-79948-3_530
Publisher Name: Springer, New York, NY
Print ISBN: 978-0-387-79947-6
Online ISBN: 978-0-387-79948-3
eBook Packages: Behavioral Science