Catalogo Articoli (Spogli Riviste)

OPAC HELP

Titolo:
Influence of age and education in the Mini Mental State Examination in a Spanish speaking population.
Autore:
Ostrosky-Solis, F; Lopez-Arango, G; Ardila, A;
Indirizzi:
Univ Nacl Autonoma Mexico, Fac Psicol, Dept Psicofisiol, Div Estudios Posgrado, Mexico City 04510, DF, Mexico Univ Nacl Autonoma Mexico Mexico City DF Mexico 04510 y 04510, DF, Mexico Miami Inst Psychol, Miami, FL USA Miami Inst Psychol Miami FL USAMiami Inst Psychol, Miami, FL USA
Titolo Testata:
SALUD MENTAL
fascicolo: 3, volume: 22, anno: 1999,
pagine: 20 - 26
SICI:
0185-3325(199906)22:3<20:IOAAEI>2.0.ZU;2-P
Fonte:
ISI
Lingua:
SPA
Soggetto:
NEUROPSYCHOLOGICAL ASSESSMENT; COMMUNITY POPULATION; SENILE DEMENTIA; BRAIN-DAMAGE; ILLITERACY; DIAGNOSIS; LEVEL; WARD;
Keywords:
dementia; diagnostic; neuropsychology; Spanish-speaking people; education;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Social & Behavioral Sciences
Citazioni:
33
Recensione:
Indirizzi per estratti:
Indirizzo: Ostrosky-Solis, F Univ Nacl Autonoma Mexico, Fac Psicol, Dept Psicofisiol,Div Estudios Posgrado, Ed C,3Er Piso Av Univ 3004, Mexico City 04510, DF, Mexico Univ Nacl Autonoma Mexico Ed C,3Er Piso Av Univ 3004 Mexico City DF Mexico 04510
Citazione:
F. Ostrosky-Solis et al., "Influence of age and education in the Mini Mental State Examination in a Spanish speaking population.", SALUD MENT, 22(3), 1999, pp. 20-26

Abstract

The Spanish translation of the Minimental State Examination (MMSE), was applied to a sample of 430 neurologically intact subjects from 16 to 85 yearsof age. Three age groups were used: 16 to 50 years, 51 to 65 years, and 66to 89 years and in each age range four different educational levels were taken: illiterates (zero years of school), low educational level (1-4 years of school), middle educational level (5-9 years of school) and high educational level (more than 10 years of formal education). Educational level had a significant effect on the total score. The sample of illiterate but normal functional independent subjects obtained scores that classified them within severe cognitive alterations ((X) over bar =17.67) whereas subjects withlow education (1 to 4 years) classified within moderate cognitive alteration ((X) over bar = 20.61). The sensitivity and specificity of the MMSE was established using a sample of 40 patients with moderate to severe cognitiveimpairment that were matched according to age and educational level with the sample of normal subjects. Using the 23/24 cutoff point suggested by Folstein et al (1975), low sensitivity and specificity were found in subjects with zero and low schooling, 72.7 % and 50 % respectively. In the low educational group (1-4 years) the adjustment of the cutoff value according to the average performance for the neurologically intact group increased the specificity (90 %) but decreased the sensitivity (27.27 %). The scale achievesa high sensitivity at the expenses of an extremely high false positive rate. In subjects with more than 5 years of education the specificity (86.36 %) and sensitivity (86.36 %) of the scale were higher. In Spanish speaking subjects the MMSE can be used to confirm the presence of severe cognitive alterations in subjects with more than 5 years of education but it should notbe considered for the detection of slight cognitive impairment. The MMSE is an instrument with little utility as a diagnostic tool in subjects with low level of education.

ASDD Area Sistemi Dipartimentali e Documentali, Università di Bologna, Catalogo delle riviste ed altri periodici
Documento generato il 03/04/20 alle ore 03:35:40