Mental State Examination language

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Concurrent validity of Spanish-language versions of the Mini-Mental State Examination, Mental Status Questionnaire, Information-Memory-Concentration Test, and Orientation-Memory-Concentration Test: Alzheimer's disease patients and nondemented elderly comparison subjects

a1 Leonard Davis School of Gerontology University of Southern California, Los Angeles, CA

a2 Department of Preventive Medicine, University of Southern California, Los Angeles, CA

a3 Departments of Neurology (Division of Cognitive Neuroscience & Neurogcrontology) and Psychology, University of Southern California, Los Angeles, CA

Abstract

One-hundred fifty-eight elderly Spanish-speaking U.S. residents (81 patients diagnosed with Alzheimer's disease and 77 subjects without dementia) were tested with Spanish-language versions of four brief cognitive assessment instruments: the Mini-Mental State Examination (S-MMSE), the Mental Status Questionnaire (S-MSQ), the Information-Memory-Concentration test (S-IMC), and the Orientation-Memory-Conccntration test (S-OMC). Within-group performances were highly correlated for all four instruments. All tests distinguished between the demented and nondemented groups, but best discrimination was achieved with the S-IMC, which correctly classified 98% of subjects. This version was also the best predictor of functional disability, as measured by impairments in instrumental activities of daily living. Within the normal comparison group, neither gender nor a subject's monolingual/bilingual status affected test performance. These four Spanish-language cognitive screening tasks may aid in the evaluation of dementia among Spanish-speaking patients. (J1NS, 1996, , 286–298.)

Footnotes

Reprint requests to: I. Maribel Taussig, Andrus Gerontology Center, University of Southern California (MC 0191), Los Angeles, CA .

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