Mini mental state examination: Difference between revisions
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==MMSE Copyright== | ==MMSE Copyright== | ||
With the significant popularity of the test, the current copyright owner (Psychological Assessment Resources (PAR)) decided, after many years, to start enforcing the copyright and set-up a website to sell official versions of the test.<ref name= | With the significant popularity of the test, the current copyright owner (Psychological Assessment Resources (PAR)) decided, after many years, to start enforcing the copyright and set-up a website to sell official versions of the test.<ref name="pmid15741491">{{cite journal |author=Powsner S, Powsner D |title=Cognition, copyright, and the classroom |journal=The American journal of psychiatry |volume=162 |issue=3 |pages=627-8 |year=2005 |pmid=15741491 |doi=10.1176/appi.ajp.162.3.627-a}} [http://ajp.psychiatryonline.org/cgi/content/full/162/3/627-a Free Full Text].</ref><ref>Mini-Mental State Examination. Psychological Assessment Resources, Inc. URL: [http://www.minimental.com/ http://www.minimental.com/]. Accessed on: June 22, 2006.</ref> The enforcement of the copyright on the MMSE has been compared to stealth [[patent]]s, where a [[patent]] holder waits until an invention gains widespread popularity until commencing enforcement.<ref name="pmid15741491"/> | ||
This has led to removal of the Sweet 16 from the Internet at the request of PAR<ref name="pmid22204721">{{cite journal| author=Newman JC, Feldman R| title=Copyright and open access at the bedside. | journal=N Engl J Med | year= 2011 | volume= 365 | issue= 26 | pages= 2447-9 | pmid=22204721 | doi=10.1056/NEJMp1110652 | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=22204721 }} </ref><ref name="pmid26053392">{{cite journal| author=Newman JC| title=Copyright and Bedside Cognitive Testing: Why We Need Alternatives to the Mini-Mental State Examination. | journal=JAMA Intern Med | year= 2015 | volume= 175 | issue= 9 | pages= 1459-60 | pmid=26053392 | doi=10.1001/jamainternmed.2015.2159 | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=26053392 }} </ref><ref name="pmid25221427">{{cite journal| author=Feldman R, Newman J| title=Copyright at the Bedside: Should We Stop the Spread? | journal=Stanf Technol Law Rev | year= 2013 | volume= 16 | issue= 3 | pages= 623-655 | pmid=25221427 | doi= | pmc=4160306 | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=25221427 }} </ref> | |||
Copies of their MMSE can be purchased (http://www4.parinc.com/Products/Product.aspx?ProductID=MMSE). A copy of the Mini-mental state examination can be found in the appendix of the original publication.<ref name="pmid1202204">{{cite journal |author=Folstein MF, Folstein SE, McHugh PR |title="Mini-mental state". A practical method for grading the cognitive state of patients for the clinician |journal=Journal of psychiatric research |volume=12 |issue=3 |pages=189-98 |year=1975 |pmid=1202204 |doi=10.1016/0022-3956(75)90026-6}}</ref> | Copies of their MMSE can be purchased (http://www4.parinc.com/Products/Product.aspx?ProductID=MMSE). A copy of the Mini-mental state examination can be found in the appendix of the original publication.<ref name="pmid1202204">{{cite journal |author=Folstein MF, Folstein SE, McHugh PR |title="Mini-mental state". A practical method for grading the cognitive state of patients for the clinician |journal=Journal of psychiatric research |volume=12 |issue=3 |pages=189-98 |year=1975 |pmid=1202204 |doi=10.1016/0022-3956(75)90026-6}}</ref> | ||
Latest revision as of 15:59, 22 March 2022
Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]
Overview
The mini-mental state examination (MMSE) or Folstein test is a brief 30-point questionnaire test that is used to assess cognition. It is commonly used in medicine to screen for dementia. In the time span of about 10 minutes, it samples various functions, including arithmetic, memory and orientation. It was introduced by Folstein et al in 1975,[1] and is widely used with small modifications. Various other tests are also used, such as the Hodkinson[2] abbreviated mental test score (1972, geriatrics) and longer formal tests for deeper analysis of specific deficits. This test is not the same thing as a mental status examination.
The Test
The MMSE test includes simple questions and problems in a number of areas: the time and place of the test, repeating lists of words, arithmetic, language use and comprehension, and copying a drawing.
Interpretation
Any score over 27 (out of 30) is effectively normal. Below this, 20-26 indicates mild dementia; 10-19 moderate dementia, and below 10 severe dementia. The normal value is also corrected for degree of schooling and age.[3] Low to very low scores correlate closely with the presence of dementia, although other mental disorders can also lead to abnormal findings on MMSE testing. The presence of purely physical problems can also interfere with interpretation if not properly noted; for example, a patient may be physically unable to hear or read instructions properly, or may have a motor deficit that affects writing and drawing skills.
MMSE Copyright
With the significant popularity of the test, the current copyright owner (Psychological Assessment Resources (PAR)) decided, after many years, to start enforcing the copyright and set-up a website to sell official versions of the test.[4][5] The enforcement of the copyright on the MMSE has been compared to stealth patents, where a patent holder waits until an invention gains widespread popularity until commencing enforcement.[4]
This has led to removal of the Sweet 16 from the Internet at the request of PAR[6][7][8]
Copies of their MMSE can be purchased (http://www4.parinc.com/Products/Product.aspx?ProductID=MMSE). A copy of the Mini-mental state examination can be found in the appendix of the original publication.[9]
Related Chapters
References
- ↑ Folstein MF, Folstein SE, McHugh PR (1975). ""Mini-mental state". A practical method for grading the cognitive state of patients for the clinician". Journal of psychiatric research. 12 (3): 189–98. PMID 1202204.
- ↑ Hodkinson HM (1972). "Evaluation of a mental test score for assessment of mental impairment in the elderly". Age and ageing. 1 (4): 233–8. PMID 4669880.
- ↑ Crum RM, Anthony JC, Bassett SS, Folstein MF. Population-based norms for the Mini-Mental State Examination by age and educational level. JAMA. 1993 May 12;269(18):2386-91. PMID 8479064.
- ↑ 4.0 4.1 Powsner S, Powsner D (2005). "Cognition, copyright, and the classroom". The American journal of psychiatry. 162 (3): 627–8. doi:10.1176/appi.ajp.162.3.627-a. PMID 15741491. Free Full Text.
- ↑ Mini-Mental State Examination. Psychological Assessment Resources, Inc. URL: http://www.minimental.com/. Accessed on: June 22, 2006.
- ↑ Newman JC, Feldman R (2011). "Copyright and open access at the bedside". N Engl J Med. 365 (26): 2447–9. doi:10.1056/NEJMp1110652. PMID 22204721.
- ↑ Newman JC (2015). "Copyright and Bedside Cognitive Testing: Why We Need Alternatives to the Mini-Mental State Examination". JAMA Intern Med. 175 (9): 1459–60. doi:10.1001/jamainternmed.2015.2159. PMID 26053392.
- ↑ Feldman R, Newman J (2013). "Copyright at the Bedside: Should We Stop the Spread?". Stanf Technol Law Rev. 16 (3): 623–655. PMC 4160306. PMID 25221427.
- ↑ Folstein MF, Folstein SE, McHugh PR (1975). ""Mini-mental state". A practical method for grading the cognitive state of patients for the clinician". Journal of psychiatric research. 12 (3): 189–98. doi:10.1016/0022-3956(75)90026-6. PMID 1202204.