Mini Mental Status Exam form Folstein

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The Folstein Mini-Mental State Examination (MMSE) is a brief test of cognitive status that typically takes between 5 and 10 minutes to administer. Areas measured on the MMSE are: orientation to time and place, immediate and delayed verbal recall memory, attention, concentration, naming, repetition, following a 3-step command, following a written command, sentence writing, and visual-motor copying. Scores on the MMSE range from 0-30, with scores of 23 or lower considered impaired by many clinicians.

It is important to note that many other clinicians prefer to adjust for a person's age and education level when determining if an MMSE score reflects cognitive impairment. When adjusting for age and education, for example, a score that is impaired for someone with 18 years of education may not be impaired for someone with 3 years of education. The MMSE is now published by Psychological Assessment Resources (PAR).

If you do not want to purchase the original MMSE, you can track down the original article (which has a copy of the original test) at the following source: Folstein, M. F., Folstein, S. E., & McHugh, P. R. (1975). Mini-mental state: A practical method for grading the cognitive state of patients for the clinician. Journal of Psychiatric Research, 12, 189-198. The original test is almost identical to the version published by PAR and takes about 5 minutes to administer.

The test has been published in a second edition (MMSE-2) in three different formats. The first is a standard form which is statistically equivalent to the original but has an alternate form for retesting purposes. Administration time is about 10-15 minutes. There is also an MMSE-2 Brief Version (MMSE-2 BV) designed for even more rapid assessment (about 5 minutes) of cognitive functioning. There is also the MMSE-2 Expanded version, which is slightly longer (20 minute administration time) than the standard version but has more difficult items, making it more sensitive to detecting cognitive impairments. The norms for the MMSE-2 versions are from ages 18 to 100. Scoring takes 5 minutes or less. All MMSE-2 versions have alternate forms that are statistically equivalent to one another. Translations in multiple languages (Spanish, German, and Italian) are available.

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