Mini Mental Status Exam orientation

Status Examination (MMSE)

LASA021 / LASA221 / LASA421
LASA707
LASA907

Background
The Mini-Mental State Examination (MMSE) was introduced by Folstein et al. (1975) as a brief screening method for assessing the mental status of patients with psychiatric disorders. Later, the MMSE was also recommended as a primary screening test of cognitive functioning in the routine clinical examination of elderly patients. Nowadays, the MMSE is widely used in epidemiological studies and community surveys, both as a screener for cognitive impairment and as a measure for global cognitive functioning in older persons. However, the MMSE is strongly influenced by age and education, but not by sex. In addition, cognitive functioning in general, and thus also the MMSE score, is strongly associated with psychological and physical health

Measurement instrument in LASA
The MMSE consists of 20 items and scores range from 0-30, higher scores indicating better cognitive functioning. It can be administered in 5-10 minutes. The questions have been grouped into seven categories, each representing a different cognitive domain or functioning. Orientation in time (5 questions; 5 points), orientation in place (5 questions, 5 points), registration of 3 words (3 points), attention and calculation (5 points) recall of three words (3 points), language (8 points) and visual construction (1 point) (Tombaugh et al 1992).

From LASA-C onwards, persons who refused to participate in the interview and persons who were not able to participate in the interview were asked to participate in a short telephone interview. From LASA-D onwards, a shortened version of the MMSE was available. This short version contained: item 01: year; item 04: day; item05: month; item 08: two streets in the neighbourhood; item 10: address; item 11: repeat three words; item 12: subtraction 100-7 or item 13: spelling backwards; item 14: recall three words. The sum score is based on 9 items with the maximum score of item 12 or 13. The score on this scale varies between 0 and 16, with higher scores indicating better cognitive functioning. The variables are placed in LASA707.

Variable information
LASA021 contains the scores on all individual items. LASA221 contains the scale score based on the maximum score of spelling (item 13) or subtraction (item 12) (*MMSESC). LASA421 contains the scale score based on the subtraction score (*MMSESC1) and the scale score based on spelling (*MMSESC2).

LASA021/LASA221/LASA421 (pdf)
LASA707/LASA907 (pdf)

Availability of MMSE in LASA1:

2B*

3B*

MB*

I*

MMSE

Ma

Short MMSE

Te_resp

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