Contents
What is the MMSE used for?
The Mini Mental State Examination (MMSE) is the most commonly used test for complaints of problems with memory or other mental abilities.
How is the MMSE used clinically?
The Mini‐Mental State Examination (MMSE)1 is one of the most widely used screening instruments for dementia. In clinical as well as in research settings, it is often used to measure cognitive change over time in older adults. The detection of decline or improvement is crucial for diagnosis and therapy.
What is the focus of MMSE?
The MMSE assesses various cognitive functions, including memory, attention and language. In the assessment of dementia, MMSE is only one part of the examination which also includes other tests, a physical examination and the patient’s history and symptoms (Folstein et al., 1975. (1975). Mini-mental state.
How do you use MMSE?
Instructions for administering the MMSE are as follows:
- Orientation: Ask for the date.
- Registration: Ask permission to test memory.
- Attention and calculation: Ask the patient to begin with 100 and count backwards by 7s.
- Recall: Ask the patient to recall the 3 objects previously asked to remember (from Registration).
How often should MMSE be done?
These authors proposed that 2 successive administrations of the MMSE, about 3 months apart, would increase accuracy. They reasoned that control subjects, but not AD subjects, should improve from the first to the second MMSE administration due to practice effects.
Is the MMSE reliable?
The MMSE is a quick and easy measure that assesses seven areas of cognitive functioning, and it was shown to have both good test-retest reliability (0.80–0.95) [2–5] and acceptable sensitivity and specificity to detect mild to moderate stages of dementia [2–7].
How accurate is MMSE?
For the MMSE, the summary accuracy at a cut point of 25 (10 studies) was sensitivity 0.87 and specificity 0.82. In seven studies that adjusted accuracy estimates for level of education, we found that the test had a sensitivity of 0.97 and specificity of 0.70.
Who can give the MMSE?
Many memory clinics and neurologists administer both tests as well as a host of others. More pressed for time, an internist or a primary care physician would likely conduct only one—probably the MMSE—which would be periodically repeated to test for potential decline.
How long does the MMSE take?
Both the MMSE and the MoCA are routine cognitive screening tests rated on a 30-point scale. They are both brief, though the MMSE is a little shorter, taking about seven to eight minutes to administer. The MoCA takes approximately 10 to 12 minutes.
How do you know if someone is getting dementia?
Know the signs of dementia being vague in everyday conversations. memory loss that affects day-to-day function. short term memory loss. difficulty performing everyday tasks and taking longer to do routine tasks.
Which is the best interpretation of the MMSE?
Interpretation of the MMSE: Interpretation of MMSE Scores: 25-30 Questionably significant If clinical signs of cognitive impairment are present, formal assessment of cognition may be valuable. May have clinically significant but mild deficits. Likely to affect only most demanding activities of daily living.
What are the cutoff scores for the MMSE?
Interpretation of the MMSE: Method Score Interpretation Single Cutoff <24 Abnormal Range <21 >25 Increased odds of dementia Decreased odds of dementia Education 21 <23 <24 Abnormal for 8thgrade education Abnormal for high school education Abnormal for college education Severity 24-30 18-23 0-17 No cognitive impairment Mild cognitive impairment
What is the MMSE cutoff for mild cognitive impairment?
Single Cutoff <24 Abnormal Range <21 >25 Increased odds of dementia Decreased odds of dementia Education 21 <23 <24 Abnormal for 8thgrade education Abnormal for high school education Abnormal for college education Severity 24-30 18-23 0-17 No cognitive impairment Mild cognitive impairment Severe cognitive impairment Interpretation of MMSE Scores:
What do you mean by impairment on the MMSE?
Impairment may be classified as follows: Your doctor or healthcare professional will allow for limitations in interpreting MMSE scores. For example, people who are highly educated tend to do better than those who aren’t, particularly for tasks that involve writing or counting. This can cause a misleading result.