The mini mental state examination mmse is the most commonly used test for complaints of problems with memory or other mental abilities. Mental state evaluation the mini mental state examination is a tool for cognitive screening used worldwide for global evaluation. Mini mental state examination explain to the patient that you would like to ask them some questions about their memory. I am going to ask you some questions and give yousome problems to solve. The mini mental state examination mmse mims ireland.
A minimental state examination mmse is a set of 30 questions that doctors and other healthcare professionals commonly use to check for cognitive impairment problems with thinking, communication, understanding and memory. The mini mental state examination mmse is the most commonly used instrument. The mini mental state examination scale and hypomaniachecklist hcl32 were used. The standardised minimental state examination smmse is a clinical assessment tool which is used as a screening test for cognitive impairment molloy d, alemayehu e, roberts r 1991a. Standardised minimental state examination smmse tool. Rodriguez, nadja smailagic, marta roque i figuls, agustin ciapponi, erick sanchez. The mini mental state examination 3 reliability foreman reported an internal consistency alpha of 0. Perez, antri giannakou, olga l pedraza, xavier bonfill cosp, sarah cullum. Mini mental state examination englishas45july2010bw registration 3.
The new qualitative scoring mmse pentagon test qspt as a. The minimental state examination mmse was first published in 1975 by m. Minimental state examination forms veterans affairs canada. Give the patient a piece of plain blank paper and ask him to follow your instructions. Take the paper in your right hand, fold it in half and put it on the floor.
The minimental state examination scale and hypomaniachecklist hcl32 were used. The mmse is far more sensitive in detecting cognitive impairment than the use of. Minimental state examination mmse free printable, downloadable, pdf version the mmse is a 30point test advantages relatively quick and easy to perform requires no additional equipment can provide a method of monitoring deterioration over time disadvantages biased against people with poor education due to elements of language and mathematical testing bias against visually impaired. The standardised minimental state examination provides clear, unequivocal guidelines for administration and scoring of the mini mental state examination mmse. The mmse test can be used by clinicians to help diagnose dementia and to help assess its progression and severity. Minimental state examination mmse oxford medical education. Before the questionnaire is administered, try to get the person to sit down facing you. Mini mental state examination mmse, psychopharmacology 1988.
The minimental state examination mmse or folstein test is a 30point questionnaire that is used extensively in clinical and research settings to measure cognitive impairment. Instructions for administration of minimental status. The intrarater variability is significantly lower with the smmse 86%, p ncbi bookshelf. Instructions for administ ration of mini mental status examination mmse 3 stage command. Mini mental state examination and logical memory scores for. Mini mental state examinationenglishas45july2010bw registration 3. The mini mental state examination is divided into two sections. A version of the mmse questionnaire can be found on the british columbia ministry of health website. The initial study population n 1810 was divided into 4 health states based on. Orientation registration attention and calculation recall language copying year month day date time country town district hospital ward examiner names 3 objects eg apple, table, penny patient asked to repeat 1 point for each correct.
Then ask patients to repeat all three after you have said them. A service of the national library of medicine, national institutes of health. The first part requires vocal responses to the examiners questions. This tool is provided for use in british columbia with permission by dr. Concept the mini mental stateexamination is a cognitive testused to screen for thepresence of cognitiveimpairment. It consists of a series of questions and tests, each of which scores points if answered. Some of the question will be quite easy but they might struggle with others.
The mini mental state examination mmse is a commonly used set of questions for screening cognitive function. The mini mental state examination mmse was first published in 1975 by m. The smmse consists of 12 items or questions which cover a range of cognitive domains. The patient is asked to repeat a short phrase after the examiner. It is commonly used in medicine and allied health to screen for dementia.
Limits of the mini mental state as a screening test for dementia and delirium among hospital patients. Mental health services for older people, country liaison service. A practical method for grading the cognitive state of patients for the clinician study. S32s33 july 2002 with 1,544 reads how we measure reads. That is, even a maximum score of 30 points can never rule out dementia. The addenbrookes cognitive examination revised is a brief cognitive assessment tool that has been well validated in its original english version as well as a number of other languages, but never been adapted for use with arabic speakers. Costs of mini mental state examinationrelated cognitive. A practical method for grading the coognitive state of patients for the clinician. The minimental state examination is divided into two sections. Background the mini mental state examination mmse is a cognitive test that is commonly used as part of the.
Rehearse the answers until patient learns all three. Mental state examination for the detection of alzheimers disease and other dementias in people with mild cognitive impairment mci ingrid arevalo. Anthony jc, leresche l, niaz u, vonkorff mr and folstein mf. March 2003 general guidelines for using the mini mental state examination preparation the items necessary to complete the mmse are a watch, pencil, eraser and blank piece of paper. Substance abuse and mental health services administration us. These screening measures have known psychometric limitations, but no study has examined the diagnostic accuracy of the cutoff scores used to determine entry into ad clinical trials. Limits of the minimental state as a screening test for dementia and delirium among hospital patients. The minimental state examination 3 reliability foreman reported an internal consistency alpha of 0.
Mini mental status examination linkedin slideshare. The mini mental state examination mmse is a tool that can be used to systematically and thoroughly assess mental status. Testretest reliability has been examined in many studies. These screening measures have known psychometric limitations, but no study has examined the diagnostic accuracy of the cutoff scores used to determine entry into ad clinical trials and. To investigate the relationship between cognitive impairment, measured with the mini mental state examination mmse, and the cost of care. Standardized minimental state examination smmse 822221 nov 2911 page 1 of 4 directions for administration of the ssmse. Mental state examination mmse for the detection of dementia in clinically unevaluated people aged 65 and over in community and primary care populations. For over 50 years, the monthly index of medical specialities, containing impartial information on drugs available for prescription here in ireland, has served as a valuable tool for irish doctors and other healthcare professionals across the country. The smmse takes less time to administer than the mmse and has significantly reduced the inter rater variability of the mmse. Use of the minimental state examination in research on the elderly in brazil. In general participant scoring below educationadjusted cutoff scores on the mmse may be cognitively impaired. Mini mental state examination definition of mini mental.
This examination is not suitable for making a diagnosis but can be used to indicate the presence of cognitive impairment, such as in a. Minimental state examination children, functioning. Standardised minimental state examination smmse ihpa. The minimental state exam mmse is a widely used test of cognitive function among the elderly. They are written by uk doctors and based on research evidence, uk and. The study uses data from the kungsholmen project, a populationbased study in sweden in which people 75 years and older were observed over time. Minimental state examination mmse heart and stroke foundation. Standardised minimental state examination smmse please see accompanying guidelines for administration and scoring instructions say. The minimental state examination mmse was developed almost 30.
Feb 06, 2017 the mini mental state examination mmse is a commonly used set of questions for screening cognitive function. Mini mental state examination oxford medical education. The minimental state examination mmse or folstein test is a 30point questionnaire that is. Specific cutoff scores on the mini mental state examination mmse and the logical memory lm test are used to determine inclusion in alzheimers disease ad clinical trials and diagnostic studies. Assess the persons ability to hear and understand very simple conversation, e. It is also used to estimate the severity and progression of cognitive impairment and to follow.
An important issue for the assessment of cognition in this region is the high. This examination is not suitable for making a diagnosis but can be used to indicate the presence of cognitive impairment, such as in a person with suspected dementia or following a head injury. The standardised mini mental state examination provides clear, unequivocal guidelines for administration and scoring of the mini mental state examination mmse. The mini mental state examination mmse or folstein test is a 30point questionnaire that is used extensively in clinical and research settings to measure cognitive impairment. The mmse was designed as a screening test for the purpose of evaluating cognitive impairment in older adults. Place index finger of right hand on your nose and then on your left ear. Brief cognitive assessment in a uk population sample ncbi. Substance abuse treatment for persons with hivaids.