Log in

Sensitivity and specificity of the Mini-Mental State Examination in the Mexican population

  • Published:
Quality & Quantity Aims and scope Submit manuscript

Abstract

The Mini-Mental State Examination (MMSE) is a rapid, easy-to-administer test for the assessment of cognition functions. It is widely used in clinical practice and in applied research. In this study, we aimed to establish a standard for the Mexican population similar to the ones produced for other relevant populations. We also analysed the effects of demographic variables which regularly induce bias in responses on performance tests, and then, on the basis of the results, implemented a series of corrections to the MMSE to compensate for the usual effects of age and years of formal education. We thus generated a new scale, the adjusted MMSE (AMMSE). We established the maximum sensitivity point to discriminate between the normal population and subjects diagnosed with dementia (vascular and Alzheimer’s). The study provides sensitivity and specificity estimates of this subject-standardized tool in order to reduce the probability of false positives and negatives in the Mexican population.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Subscribe and save

Springer+ Basic
EUR 32.99 /Month
  • Get 10 units per month
  • Download Article/Chapter or Ebook
  • 1 Unit = 1 Article or 1 Chapter
  • Cancel anytime
Subscribe now

Buy Now

Price includes VAT (France)

Instant access to the full article PDF.

Similar content being viewed by others

References

  • Bird H.R., Canino G., Stipec M.R., Shrout P.: Use of the Mini-Mental State Examination in a probability sample of a Hispanic population. J. Nerv. Ment. Disord. 21, 75–78 (1987)

    Google Scholar 

  • Blesa R., Pujol M., Aguilar M., Santacruz P., Bertrán I., Hernández G., Sol J.M., Peña J.: Clinical validity of the Mini Mental State for Spanish speaking communities. Neuropsychologia 39, 1150–1157 (2001)

    Article  Google Scholar 

  • Cobb J.L., D’Agostino R.B., Wolf P.A.: Norms for the Mini Mental State Examination. J. Am. Med. Assoc. 27, 2178–2192 (1993)

    Google Scholar 

  • Crum R.M., Anthony J.C., Basset S.S., Folstein M.M.: Population based norms for the Mini Mental State Examination by age and educational level. J. Am. Med. Assoc. 269, 2386–2391 (1993)

    Article  Google Scholar 

  • Escobar J.I., Burnam A., Karno M., Forsythe A., Landsverk J., Holding J.M.: Use of the Mini Mental State Examination (MMSE) in a community population of mixed ethnicity. Cultural and Linguistics artifacts. J. Nerv. Ment. Disord. 174, 607–614 (1986)

    Article  Google Scholar 

  • Ferrell B.A., Stein W.M., Beck J.C.: The geriatric pain measure: validity, reliability and factor analysis. J. Am. Geriatr. Soc. 48(12), 1669–1673 (2000)

    Google Scholar 

  • Flaks M.K., Yassuda Regina A.C., Cid C.G., Camargo C.H., Gattaz W.F., Forlenza O.V.: The Short Cognitive Performance Test (SKT): A preliminary study of its psychometric properties in Brazil. Int Psychogeriatr. 18(1), 121–133 (2006)

    Article  Google Scholar 

  • Folstein M.F., Folstein S.E., McHugh P.R.: Mini Mental State: a practical method for grading the cognitive state of patients for the clinician. J. Psychiatr. Res. 12, 189–198 (1975)

    Article  Google Scholar 

  • Jones T.G., Schinka J.A., Vanderploeg R.D., Small B.J., Borenstein A., Mortimer J.A.: 3MS normative data for the elderly. Arch. Clin. Neuropsychol. 17, 171–177 (2002)

    Google Scholar 

  • Hughes D.C., Fillenbaum G.G., Woodbury M.A., Siegler I.C.: Psychometric characteristics of the Mini Mental State Examination in a community population: A great membership analysis. Int. J. Geriatr. Psychiatry 11(5), 439–455 (1996)

    Article  Google Scholar 

  • Lourenço R.A., Veras R.P.: Mini mental State Examinations: Psychometric characteristics in old patients. Revista de Saúde Pública 40(4), 712–719 (2006)

    Article  Google Scholar 

  • Newkirk L.A., Kim J.S., Thompson J.M., Tinklenberg J.R., Yesavage J.A., Taylor J.L.: Validation of a 26-point telephone version of the Mini Mental State Examination. J. Geriatr. Psychiatry Neurol. 17(2), 81–87 (2004)

    Article  Google Scholar 

  • Ostrosky F., López G., Ardila A.: Sensitivity and specificity of the Mini Mental State Examination in a Spanish-speaking population. Appl. Neuropsychol. 7, 25–31 (2000)

    Article  Google Scholar 

  • Patten S., Fick G.: Clinical interpretation of the mini-mental state. Gen. Hosp. Psychiatry 15, 254–259 (1993)

    Article  Google Scholar 

  • Peña J.: Programa Integrado de Evaluación Neuropsicológica PIEN. Masson, Barcelona (2004)

    Google Scholar 

  • Pi J., Olivé J.M., Esteban M.: Mini Mental State Examination: Asociación de la puntuación obtenida con la edad y el grado de alfabetización en una población anciana. Medicina Clínica 103, 641–644 (1994)

    Google Scholar 

  • Rizzolo P.J., Wildman D., Bentz E.J.: Group screening for cognition disorders in elderly persons. J. Am. Board Fam. Pract. 4(3), 131–137 (1991)

    Google Scholar 

  • Rosselli M., Tappen R., Williams Ch., Salvatierra J.: The relation of education and gender on the attention items of the Mini Mental State Examination in Spanish speaking Hispanic elders. Arch. Clin. Neuropsychol. 21, 677–686 (2006)

    Article  Google Scholar 

  • Rowland J., Basic D., Storey J.E., Conforti D.: The Rowland Universal Assessment Scale (RUDAS) and the Folstein MMSE in a multicultural cohort of elderly persons. Int. Psychogeriatr. 18(1), 111–120 (2006)

    Article  Google Scholar 

  • Serra A., Peña J.: Fiabilidad test-retest e interevaluador del Test Barcelona. Neurología 21(6), 277–281 (2006)

    Google Scholar 

  • Schultz-Larsen, K., Lomholt, R.K., Kreiner, S.: A short form of MMSE was as accurate as the original in predicting dementia. J. Clin. Epidemiol (in press) (2006)

  • Tombaugh T.N., McIntyre N.J.: The Mini Mental State Examination: a comprehensive review. J. Am. Geriatr. Soc. 40, 922–935 (1992)

    Google Scholar 

  • Woodbury M., Fillenbaum G.: Psychometric characteristics of the Mini Mental State Examination in patients with Alzheimer’s disease. J. Am. Geriatr. Soc. 11, 543–553 (1996)

    Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Joan Guàrdia-Olmos.

Additional information

This research was done by several members of Grup de Recerca en Técniques Estadi'stiques Avançades Aplicades a la Psicologia (GTAAP) (Code: 2009 SGR 388).

Rights and permissions

Reprints and permissions

About this article

Cite this article

Villaseñor-Cabrera, T., Guàrdia-Olmos, J., Jiménez-Maldonado, M. et al. Sensitivity and specificity of the Mini-Mental State Examination in the Mexican population. Qual Quant 44, 1105–1112 (2010). https://doi.org/10.1007/s11135-009-9263-6

Download citation

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s11135-009-9263-6

Keywords

Navigation