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.
journal_name
Psychol Assessjournal_title
Psychological assessmentauthors
Stein J,Luppa M,Kaduszkiewicz H,Eisele M,Weyerer S,Werle J,Bickel H,Mösch E,Wiese B,Prokein J,Pentzek M,Fuchs A,König HH,Brettschneider C,Heser K,Wagner M,Riedel-Heller SG,Scherer M,Maier Wdoi
10.1037/pas0000076subject
Has Abstractpub_date
2015-09-01 00:00:00pages
895-904issue
3eissn
1040-3590issn
1939-134Xpii
2015-13973-001journal_volume
27pub_type
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