Journal Article

DZNE-2020-07613

http://join2-wiki.gsi.de/foswiki/pub/Main/Artwork/join2_logo100x88.png Is the Short Form of the Mini-Mental State Examination (MMSE) a better screening instrument for dementia in older primary care patients than the original MMSE? Results of the German study on ageing, cognition, and dementia in primary care patients (AgeCoDe).

Stein, J. (Corresponding author) ; Luppa, M. ; Kaduszkiewicz, H. ; Eisele, M. ; Weyerer, S. ; Werle, J. ; Bickel, H. ; Mösch, E. ; Wiese, B. ; Prokein, J. ; Pentzek, M. ; Fuchs, A. ; König, H.-H. ; Brettschneider, C. ; Heser, K.DZNE* ; Wagner, M.DZNE* ; Riedel-Heller, S. G. ; Scherer, M. ; Maier, W. (Last author)DZNE*

2015
American Psychological Association Arlington, Va.

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Please use a persistent id in citations: doi:10.1037/pas0000076

Abstract: The aim of the study was to investigate the psychometric properties of a Short Form of the Mini-Mental State Examination (SMMSE) for the screening of dementia in older primary care patients. Data were obtained from a large longitudinal cohort study of initially nondemented individuals recruited via primary care chart registries and followed at 18-month intervals. Item and scale parameters for MMSE and SMMSE scores were analyzed and cross-validated for 2 follow-up assessments (n1 = 2,657 and n2 = 2,274). Binary logistic regression and receiver-operating-characteristic (ROC) curve analyses were conducted in order to assess diagnostic accuracy parameters for MMSE and SMMSE scores. Cross-sectional differentiation between dementia-free and dementia patients yielded moderate to good results for MMSE and SMMSE scores. With regard to most diagnostic accuracy parameters, SMMSE scores did not outperform the MMSE scores. The current study provides first evidence regarding the psychometric properties of the SMMSE score in a sample of older primary care patients. However, our findings do not confirm previous findings that the SMMSE is a more accurate screening instrument for dementia than the original MMSE. Further studies are needed in order to assess and to develop short, reliable and valid instruments for routine cognitive screening in clinical practice and primary care settings.

Keyword(s): Aged (MeSH) ; Aged, 80 and over (MeSH) ; Cognition (MeSH) ; Cognitive Aging: psychology (MeSH) ; Cohort Studies (MeSH) ; Cross-Sectional Studies (MeSH) ; Dementia: diagnosis (MeSH) ; Dementia: psychology (MeSH) ; Female (MeSH) ; Humans (MeSH) ; Logistic Models (MeSH) ; Longitudinal Studies (MeSH) ; Male (MeSH) ; Mass Screening (MeSH) ; Mental Status Schedule (MeSH) ; Neuropsychological Tests (MeSH) ; Primary Health Care (MeSH) ; Psychometrics (MeSH) ; ROC Curve (MeSH)

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Contributing Institute(s):

1. Neuropsychology (AG Wagner)
2. U Clinical Researchers - Bonn (U Clinical Researchers - Bonn)

Research Program(s):

1. 344 - Clinical and Health Care Research (POF3-344) (POF3-344)

Appears in the scientific report 2015

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Database coverage:
; Clarivate Analytics Master Journal List ; Current Contents - Social and Behavioral Sciences ; Ebsco Academic Search ; IF < 5 ; JCR ; SCOPUS ; Social Sciences Citation Index

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