LIMITATIONS OF THE MINI-MENTAL STATE EXAMINATION IN PREDICTING NEUROPSYCHOLOGICAL FUNCTIONING IN A PSYCHIATRIC SAMPLE

被引：54

作者：

FAUSTMAN, WO ^{[1
]}

MOSES, JA ^{[1
]}

CSERNANSKY, JG ^{[1
]}

机构：

[1] STANFORD UNIV,MED CTR,SCH MED,DEPT PSYCHIAT & BEHAV SCI,STANFORD,CA 94305

来源：

ACTA PSYCHIATRICA SCANDINAVICA | 1990年 / 81卷 / 02期

关键词：

cognitive deficit; Mini‐Mental State Examination; neuropsychological testing; schizophrenia;

D O I：

10.1111/j.1600-0447.1990.tb06464.x

中图分类号：

R749 [精神病学];

学科分类号：

100205 ;

摘要：

The present study examined the ability of the Mini‐Mental State Examination (MMSE), a cognitive screening test commonly employed in research and clinical applications, to predict level of performance on a comprehensive neuropsychological battery, the Luria‐Nebraska Neuropsychological Battery (LNNB). The tests were administered to a diagnostically mixed sample of 90 psychiatric inpatients. Correlations between the tests were statistically significant but modest and the MMSE was not able to detect many patients who demonstrated significant deficits on the LNNB. Additional correlational analyses between the MMSE and the Wechsler Adult Intelligence Scale‐Revised in a subset of patients (n= 72) also showed a modest relationship between these instruments. The results suggest that the MMSE may seriously underestimate cognitive impairment in samples exclusively composed of psychiatric patients, making it inappropriate to rely solely on this instrument to distinguish psychiatric patients with and without cognitive deficit. Copyright © 1990, Wiley Blackwell. All rights reserved

引用

页码：126 / 131

页数：6

共 31 条

[21] MOSES JA, 1983, INTERPRETATION LURIA, V1
[22] NASRALLAH HA, 1983, J CLIN PSYCHIAT, V44, P407
[23] REGIER DA, 1984, ARCH GEN PSYCHIAT, V41, P934
[24] Reitan R.M., 1985, REITAN NEUROPSYCHOL
[25] ROBINS LN, 1981, ARCH GEN PSYCHIAT, V38, P381
[26] THE NEUROBEHAVIORAL COGNITIVE STATUS EXAMINATION - COMPARISON WITH THE COGNITIVE CAPACITY SCREENING EXAMINATION AND THE MINI-MENTAL-STATE-EXAMINATION IN A NEUROSURGICAL POPULATION
SCHWAMM, LH
VANDYKE, C
KIERNAN, RJ
MERRIN, EL
MUELLER, J
[J]. ANNALS OF INTERNAL MEDICINE, 1987, 107 (04) : 486 - 491
[27] SCHIZOPHRENIA AND BRAIN-DYSFUNCTION - AN INTEGRATION OF RECENT NEURODIAGNOSTIC FINDINGS
SEIDMAN, LJ
[J]. PSYCHOLOGICAL BULLETIN, 1983, 94 (02) : 195 - 238
[28] RESEARCH DIAGNOSTIC CRITERIA - RATIONALE AND RELIABILITY
SPITZER, RL
ENDICOTT, J
ROBINS, E
[J]. ARCHIVES OF GENERAL PSYCHIATRY, 1978, 35 (06) : 773 - 782
[29] TSAI L, 1979, AM J PSYCHIAT, V136, P436
[30] WADDINGTON JL, 1989, SCHIZOPHR RES, V2, P75

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