A guide to the standardized Mini-Mental State Examination.
A guide to the standardized Mini-Mental State Examination.
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DOI：
10.1017/s1041610297004754
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发表时间：
1997-01-01
影响因子：
7
通讯作者：
Standish, T I
中科院分区：
文献类型：
--
作者：
Molloy, D W;Standish, T I
简易精神状态检查（MMSE）是一种广泛使用的老年人认知障碍筛查测试。由于其应用指南很简短，因此测试的管理和评分可能因人而异。这会降低其可靠性。此外，某些项目必须进行更改以适应不同的环境，例如诊所、家庭或医院。由于没有时间限制，因此不清楚需要等待多长时间才能得到问题答复。我们也不清楚如何处理“未遂”的答案。标准化简易精神状态检查 (SMMSE) 的目标是实施严格的管理和评分指南，以提高仪器的可靠性。将 MMSE 的可靠性与 SMMSE 的可靠性在 48 名老年人中进行比较，这些老年人由大学生在三个不同的场合进行测试，以评估测试的评估者间和评估者内可靠性。与 MMSE 相比，SMMSE 具有显着更好的评估者间和评估者内可靠性：评估者间方差降低了 76%，评估者内方差降低了 86%。与 MMSE 相比，执行 SMMSE 所需的时间更少（平均分别为 10.5 分钟和 13.4 分钟）。 MMSE 的组内相关性为 0.69，SMMSE 的组内相关性为 0.9。讨论了逐个任务的 SMMSE 管理和评分。
The Mini-Mental State Examination (MMSE) is a widely used screening test for cognitive impairment in older adults. Because the guidelines for its application are brief, the administration and scoring of the test can vary between different individuals. This can diminish its reliability. Furthermore, some of the items must be changed to accommodate different settings, such as the clinic, home, or hospital. Because there are no time limits, it is not clear how long one should wait for a reply to a question. It is also not clear how one deals with answers that are "near misses." The goal of the Standardized Mini-Mental State Examination (SMMSE) was to impose strict guidelines for administration and scoring to improve the reliability of the instrument. The reliability of the MMSE was compared with the reliability of the SMMSE in 48 older adults who had the tests administered by university students on three different occasions to assess the interrater and intrarater reliability of the tests. The SMMSE had significantly better interrater and intrarater reliability compared with the MMSE: The interrater variance was reduced by 76% and the intrarater variance was reduced by 86%. It took less time to administer the SMMSE compared with the MMSE (average 10.5 minutes and 13.4 minutes, respectively). The intraclass correlation for the MMSE was .69, and .9 for the SMMSE. Administering and scoring the SMMSE on a task-by-task basis are discussed.