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Titolo:
AGE AND EDUCATION CORRECTION OF MINI-MENTAL-STATE-EXAMINATION FOR ENGLISH AND SPANISH-SPEAKING ELDERLY
Autore:
MUNGAS D; MARSHALL SC; WELDON M; HAAN M; REED BR;
Indirizzi:
UNIV CALIF DAVIS,ALZHEIMERS DIS CTR,1771 STOCKTON BLVD,SUITE 2005 SACRAMENTO CA 95816 UNIV CALIF DAVIS,SCH MED,DEPT NEUROL DAVIS CA 95616 UNIV CALIF DAVIS,SCH MED,DEPT COMMUNITY & INT HLTH DAVIS CA 95616
Titolo Testata:
Neurology
fascicolo: 3, volume: 46, anno: 1996,
pagine: 700 - 706
SICI:
0028-3878(1996)46:3<700:AAECOM>2.0.ZU;2-Q
Fonte:
ISI
Lingua:
ENG
Soggetto:
DEMENTIA; POPULATION;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Science Citation Index Expanded
Citazioni:
20
Recensione:
Indirizzi per estratti:
Citazione:
D. Mungas et al., "AGE AND EDUCATION CORRECTION OF MINI-MENTAL-STATE-EXAMINATION FOR ENGLISH AND SPANISH-SPEAKING ELDERLY", Neurology, 46(3), 1996, pp. 700-706

Abstract

Previous research has shown that the Mini-Mental State Examination (MMS) is biased as a measure of cognitive impairment in minority and low-education patients. The purpose of this study was to (1) develop a statistical correction for effects of age and education and (2) test theefficacy of the statistically adjusted MMS (MMSAdj) as a screening test for dementia using different ethnic groups and education levels, Weused a population-based community survey sample (n = 590) composed of46.6% Hispanics and 53.4% non-Hispanics to derive the statistical correction, defined as: MMSAdj = Raw MMS - (0.471 x [Education-12]) + (0.131 x [Age-70]). Ethnicity and language of test administration were not significantly related to MMSAdj in the community survey sample, but the raw MMS was strongly influenced by these factors. We used an independent sample (n = 2,983) of patients evaluated through the CaliforniaAlzheimer's Disease Diagnostic and Treatment Centers to test the diagnostic accuracy of the MMS and the MMSAdj across low- and high-education groups and across whites, Hispanics, and blacks. Results showed greater stability of sensitivity and specificity across education levels and ethnic groups for the MMSAdj than for the raw MMS and suggest thatthe MMSAdj is a preferable measure of cognitive impairment for low-education and minority individuals.

ASDD Area Sistemi Dipartimentali e Documentali, Università di Bologna, Catalogo delle riviste ed altri periodici
Documento generato il 30/11/20 alle ore 19:45:19