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

被引:55
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
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
收藏
页码:126 / 131
页数:6
相关论文
共 31 条
[1]  
American Psychiatric Association, 1980, DIAGN STAT MAN MENT, V3rd
[2]  
ANDREASEN NC, 1982, ARCH GEN PSYCHIAT, V39, P789
[3]   LIMITS OF THE MINI-MENTAL STATE AS A SCREENING-TEST FOR DEMENTIA AND DELIRIUM AMONG HOSPITAL PATIENTS [J].
ANTHONY, JC ;
LERESCHE, L ;
NIAZ, U ;
VONKORFF, MR ;
FOLSTEIN, MF .
PSYCHOLOGICAL MEDICINE, 1982, 12 (02) :397-408
[4]   THE ASSESSMENT OF APHASIA WITH THE LURIA-NEBRASKA NEUROPSYCHOLOGICAL BATTERY - A CASE CRITIQUE [J].
DELIS, DC ;
KAPLAN, E .
JOURNAL OF CONSULTING AND CLINICAL PSYCHOLOGY, 1982, 50 (01) :32-39
[5]  
ENDICOTT J, 1978, ARCH GEN PSYCHIAT, V35, P837
[6]  
FAUSTMAN WO, IN PRESS INT J CLIN
[7]   MINI-MENTAL STATE - PRACTICAL METHOD FOR GRADING COGNITIVE STATE OF PATIENTS FOR CLINICIAN [J].
FOLSTEIN, MF ;
FOLSTEIN, SE ;
MCHUGH, PR .
JOURNAL OF PSYCHIATRIC RESEARCH, 1975, 12 (03) :189-198
[8]  
Golden C., 1985, LURIA NEBRASKA NEURO
[9]   ANALYTIC TECHNIQUES IN THE INTERPRETATION OF THE LURIA-NEBRASKA NEUROPSYCHOLOGICAL BATTERY [J].
GOLDEN, CJ ;
ARIEL, RN ;
MOSES, JA ;
WILKENING, GN ;
MCKAY, SE ;
MACINNES, WD .
JOURNAL OF CONSULTING AND CLINICAL PSYCHOLOGY, 1982, 50 (01) :40-48
[10]   CROSS-VALIDATION OF THE ABILITY OF THE LURIA-NEBRASKA NEUROPSYCHOLOGICAL BATTERY TO DIFFERENTIATE CHRONIC-SCHIZOPHRENICS WITH AND WITHOUT VENTRICULAR ENLARGEMENT [J].
GOLDEN, CJ ;
MACINNES, WD ;
ARIEL, RN ;
RUEDRICH, SL ;
CHU, CC ;
COFFMAN, JA ;
GRABER, B ;
BLOCH, S .
JOURNAL OF CONSULTING AND CLINICAL PSYCHOLOGY, 1982, 50 (01) :87-95