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Validation of abridged mini-mental state examination scales using population-based data from Sweden and USA
Department of Medical Epidemiology and Biostatistics, Karolinska Institutet, Stockholm, Sweden.
Department of Psychology, University of Southern California, Los Angeles, United States.
Högskolan i Jönköping, Hälsohögskolan, HHJ, Institutet för gerontologi. Högskolan i Jönköping, Hälsohögskolan, HHJ. ARN-J (Aging Research Network - Jönköping). Aging Research Center, Karolinska Institutet & Stockholm University, Stockholm, Sweden.ORCID-id: 0000-0002-8617-0355
Aging Research Center, Karolinska Institutet & Stockholm University, Stockholm, Sweden.
Vise andre og tillknytning
2017 (engelsk)Inngår i: European Journal of Ageing, ISSN 1613-9372, E-ISSN 1613-9380, Vol. 14, nr 2, s. 199-205Artikkel i tidsskrift (Fagfellevurdert) Published
Abstract [en]

The objective of this study is to validate two abridged versions of the mini-mental state examination (MMSE): one intended for use in face-to-face interviews, and the other developed for telephonic interviews, using data from Sweden and the US to validate the abridged scales against dementia diagnoses as well as to compare their performance to that of the full MMSE scale. The abridged versions were based on eight domains from the original MMSE scale. The domains included in the MMSE-SF were registration, orientation, delayed recall, attention, and visual spatial ability. In the MMSE-SF-C, the visual spatial ability item was excluded, and instead, one additional orientation item was added. There were 794 participants from the Swedish HARMONY study [mean age 81.8 (4.8); the proportion of cognitively impaired was 51 %] and 576 participants from the US ADAMS study [mean age 83.2 (5.7); the proportion of cognitively impaired was 65 %] where it was possible to compare abridged MMSE scales to dementia diagnoses and to the full MMSE scale. We estimated the sensitivity and specificity levels of the abridged tests, using clinical diagnoses as reference. Analyses with both the HARMONY and the ADAMS data indicated comparable levels of sensitivity and specificity in detecting cognitive impairment for the two abridged scales relative to the full MMSE. Receiver operating characteristic curves indicated that the two abridged scales corresponded well to those of the full MMSE. The two abridged tests have adequate validity and correspond well with the full MMSE. The abridged versions could therefore be alternatives to consider in larger population studies where interview length is restricted, and the respondent burden is high.

sted, utgiver, år, opplag, sider
Springer, 2017. Vol. 14, nr 2, s. 199-205
Emneord [en]
Cognition, MMSE, Oldest old, Surveys
HSV kategori
Identifikatorer
URN: urn:nbn:se:hj:diva-31560DOI: 10.1007/s10433-016-0394-zISI: 000401662900010PubMedID: 28579936Scopus ID: 2-s2.0-84982276338Lokal ID: HHJÅldrandeISOAI: oai:DiVA.org:hj-31560DiVA, id: diva2:956038
Tilgjengelig fra: 2016-08-29 Laget: 2016-08-29 Sist oppdatert: 2018-01-10bibliografisk kontrollert

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