A common measurement scale used in older adults is the Folstein Mini Mental State Exam (MMSE). The MMSE was designed to screen for. L'examen mental de Folstein, aussi connu sous le nom de Mini. Mental State Examination. (MMSE), est un test de dépistage créé par Folstein, Folstein, &. The Mini–Mental State Examination (MMSE) or Folstein test is a point questionnaire that is used extensively in clinical and research settings to measure.


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Gonzales was not wearing her hearing aid or glasses when the exam was administered.

Aims This paper has three aims. First, we show four potential threats to validity in the use of the Mini mental test de folstein 1 by administering the exam without meeting the underlying assumptions, 2 by not reporting that the underlying assumptions were assessed prior to test administration, 3 by variable and inconsistent cut-off scores for the determination of presence of cognitive impairment, and 4 failure to adjust the scores based on the demographic characteristics of the tested subject.

Second, we conducted a literature search to determine if the assumptions of 1 education level assessment, 2 mini mental test de folstein assessment, and 3 language fluency were being met and clearly reported in published research using the MMSE.


Mini mental test de folstein, we conclude with recommendations to decrease the threats to validity that these challenges pose to research. Introduction Background to the MMSE Dementia is general term describing a set of symptoms that lead to a decline in cognitive function.

Cognitive scales are used frequently in geriatric research and clinical practice to determine the presence of probable dementia. These scales are built on a set of underlying assumptions and these assumptions must be met when using these scales in order to obtain reliable and valid results.

Mini–Mental State Examination - Wikipedia

One of the most commonly used scales for screening cognitive ability is mini mental test de folstein MMSE. The MMSE was developed to mini mental test de folstein a brief, clinical, quantitative measure of cognitive status in adults Folstein et al. The MMSE measures several subsets of cognitive status including comprehension, reading, writing, orientation, and drawing abilities Folstein et al.

However, the divergent validity of the MMSE to accurately measure these subsets is questionable Tierney et al. Since the introduction of the MMSE, some criticisms have appeared including 1 its failure to discriminate between people without dementia and those with mild dementia, 2 limited ability in detecting right hemisphere impairment, 3 simple language items that reduce sensitivity to mild language deficits, and 4 numbers of false-positives Tombaugh et al.

One assumption is that the subject being tested can read and write in the language of the administered exam. Subsequent research has demonstrated that the MMSE is biased toward people with less than an 8th grade level of education as they are more likely to falsely test positive for dementia Tombaugh and McIntyre or mild mini mental test de folstein impairment Crum et al.

A second assumption is that the subject must be fluent in the spoken language of the exam administration Escobar et al.

The third assumption is that the subject must possess the abilities to hear, talk, and see; these abilities are required to complete the exam Kurlowicz and Wallace ; Foreman et al. Thus, people with sensory or language disorders may perform poorly on the MMSE yet they may or may not have cognitive impairment.

Mini–Mental State Examination

For example, people with aphasia often score low Chow et al. Although generally aware of these assumptions, researchers may not report whether these assumptions are met when discussing methods using the MMSE. This is a potential threat mini mental test de folstein validity and can make the results of studies open to question.

There mini mental test de folstein a wide spectrum in the severity of disease that people with dementia have, and this will affect the diagnostic properties of a diagnostic test such as the MMSE.

Clinical pathway Dementia develops over several years, from a presumed initial asymptomatic period where mini mental test de folstein changes accumulate in the absence of clinical manifestations, through subtle impairments of recent memory or changes in personality or behaviour, until the disease has become more apparent, with multiple cognitive domains involved and a noticeable decline from previous abilities in planning and performing complex tasks.

Standard diagnostic practice Standard diagnostic assessment relates to evaluating people for whom there is concern about possible dementia, particularly to exclude alternative diagnostic hypotheses, and it includes history, clinical examination including neurological, mental state and cognitive examination and an interview with a relative or other informant.

Before diagnosing dementia, other physical and mental disorders that might be contributing to cognitive impairment, for example hypothyroidism or depression, should be identified and if possible treated.