ESTABLISHING THE LIMITS OF THE MINI-MENTAL STATE - EXAMINATION OF SUBTESTS

ESTABLISHING THE LIMITS OF THE MINI-MENTAL STATE - EXAMINATION OF SUBTESTS
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DOI:
10.1001/archneur.1992.00530250091022
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发表时间:
1992-01-01
影响因子:
--
通讯作者:
PIROZZOLO, FJ
PIROZZOLO, FJ
中科院分区:
其他
文献类型:
--
作者:
FEHER, EP;MAHURIN, RK;PIROZZOLO, FJ

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有人建议,迷你精神状态检查可以用来检查病人的认知概况。因此,我们检验了小心理状态子测试和个别项目的有效性。记忆项目、注意-集中项目和建构项目具有令人满意的敏感性-特异性,并与神经心理测试成绩显著相关。相比之下,五个“迷你精神状态”语言项目中有四个的敏感性非常低,五个中的三个与神经心理学测试分数没有关联。这些发现建立了关于迷你精神状态产生认知概况的能力的限制。我们的数据还提供了广泛使用的心理状态任务的有效性,难度水平和最佳截止分数的信息。
It has been suggested that the Mini-Mental State examination can be used to examine a patient's cognitive profile. We therefore examined the validity of Mini-Mental State subtests and individual items. The memory item, attention-concentration items, and constructional item had satisfactory sensitivity-specificity and correlated significantly with scores on neuropsychological tests. In contrast, four of the five Mini-Mental State language items had very low sensitivity, and three of five failed to correlate with neuropsy-chological test scores. These findings establish limits with regard to the ability of the Mini-Mental State to generate a cognitive profile. Our data also provide information regarding validity, difficulty level, and optimal cutoff scores for widely used mental status tasks.