Educational bias in the assessment of severe dementia: Brazilian cutoffs for severe Mini-Mental State Examination

Detalhes bibliográficos
Autor(a) principal: Wajman, José Roberto
Data de Publicação: 2014
Outros Autores: Oliveira, Fabricio Ferreira de [UNIFESP], Schultz, Rodrigo Rizek, Marin, Sheilla de Medeiros Correia [UNIFESP], Bertolucci, Paulo Henrique Ferreira [UNIFESP]
Tipo de documento: Artigo
Idioma: eng
Título da fonte: Repositório Institucional da UNIFESP
Texto Completo: http://dx.doi.org/10.1590/0004-282X20140002
http://repositorio.unifesp.br/handle/11600/8363
Resumo: Cognitive assessment in advanced stages of Alzheimer’s disease (AD) is limited by the imprecision of most instruments.Objective:To determine objective cognitive responses in moderate and severe AD patients by way of the Severe Mini-Mental State Examination (SMMSE), and to correlate performances with Mini-Mental State Examination (MMSE) scores. Method:Consecutive outpatients in moderate and severe stages of AD (Clinical Dementia Rating 2.0 or 3.0) were evaluated and compared according to MMSE and SMMSE scores. Results:Overall 400 patients were included, 67.5% females, mean age 76.6±6.7 years-old. There was no significant impact of age or gender over MMSE or SMMSE scores. Mean schooling was 4.4±2.5 years, impacting SMMSE scores (p=0.008). Scores on MMSE and SMMSE were significantly correlated (F-ratio=690.6325, p<0.0001). Conclusion:The SMMSE is influenced by schooling, but not by age or gender, and is an accurate test for assessment of moderate and severe AD.
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spelling Educational bias in the assessment of severe dementia: Brazilian cutoffs for severe Mini-Mental State ExaminationViés educacional na avaliação da demência grave: pontos de corte brasileiros para o Miniexame do Estado Mental graveAlzheimer diseasedementiacognition disordersneuropsychological testsdoença de Alzheimerdemênciatranstornos cognitivostestes neuropsicológicosCognitive assessment in advanced stages of Alzheimer’s disease (AD) is limited by the imprecision of most instruments.Objective:To determine objective cognitive responses in moderate and severe AD patients by way of the Severe Mini-Mental State Examination (SMMSE), and to correlate performances with Mini-Mental State Examination (MMSE) scores. Method:Consecutive outpatients in moderate and severe stages of AD (Clinical Dementia Rating 2.0 or 3.0) were evaluated and compared according to MMSE and SMMSE scores. Results:Overall 400 patients were included, 67.5% females, mean age 76.6±6.7 years-old. There was no significant impact of age or gender over MMSE or SMMSE scores. Mean schooling was 4.4±2.5 years, impacting SMMSE scores (p=0.008). Scores on MMSE and SMMSE were significantly correlated (F-ratio=690.6325, p<0.0001). Conclusion:The SMMSE is influenced by schooling, but not by age or gender, and is an accurate test for assessment of moderate and severe AD.A avaliação cognitiva na doença de Alzheimer (DA) avançada é insuficiente pela imprecisão dos instrumentos.Objetivo:Determinar respostas cognitivas objetivas em pacientes com DA moderada e grave por meio do Mini-Exame do Estado Mental Grave (MEEM-g) e correlacionar o seu desempenho com o Mini-Exame do Estado Mental (MEEM). Método:Pacientes consecutivos com DA moderada e grave (Clinical Dementia Rating – CDR: 2.0 e 3.0) foram avaliados e comparados conforme seus intervalos nos testes MEEM e MEEM-g. Resultados:Dentre 400 pacientes incluídos, 67,5% foram mulheres, com média de idade 76.6±6.7 anos. Não houve impacto significativo de gênero ou idade nas pontuações do MEEM ou MEEM-g. A escolaridade média foi de 4.4±2.5 anos, impactando nos escores do MEEM-g (p=0.008). Pontuações no MEEM e MEEM-g correlacionaram-se significativamente (F-ratio=690.6325, p<0.0001). Conclusão:O MEEM-g sofre influência da escolaridade, mas não de idade ou gênero, contribuindo para a precisão na avaliação da DA moderada ou grave.Universidade Federal de São Paulo (UNIFESP) Departamento de Neurologia e Neurocirurgia Departamento de Medicina ComportamentalUNIFESP, Depto. de Neurologia e Neurocirurgia Depto. de Medicina ComportamentalSciELOAcademia Brasileira de Neurologia - ABNEUROUniversidade Federal de São Paulo (UNIFESP)Wajman, José RobertoOliveira, Fabricio Ferreira de [UNIFESP]Schultz, Rodrigo RizekMarin, Sheilla de Medeiros Correia [UNIFESP]Bertolucci, Paulo Henrique Ferreira [UNIFESP]2015-06-14T13:47:05Z2015-06-14T13:47:05Z2014-04-01info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersion273-277application/pdfhttp://dx.doi.org/10.1590/0004-282X20140002Arquivos de Neuro-Psiquiatria. Academia Brasileira de Neurologia - ABNEURO, v. 72, n. 4, p. 273-277, 2014.10.1590/0004-282X20140002S0004-282X2014000400273.pdf0004-282XS0004-282X2014000400273http://repositorio.unifesp.br/handle/11600/8363engArquivos de Neuro-Psiquiatriainfo:eu-repo/semantics/openAccessreponame:Repositório Institucional da UNIFESPinstname:Universidade Federal de São Paulo (UNIFESP)instacron:UNIFESP2024-07-29T12:39:25Zoai:repositorio.unifesp.br/:11600/8363Repositório InstitucionalPUBhttp://www.repositorio.unifesp.br/oai/requestbiblioteca.csp@unifesp.bropendoar:34652024-07-29T12:39:25Repositório Institucional da UNIFESP - Universidade Federal de São Paulo (UNIFESP)false
dc.title.none.fl_str_mv Educational bias in the assessment of severe dementia: Brazilian cutoffs for severe Mini-Mental State Examination
Viés educacional na avaliação da demência grave: pontos de corte brasileiros para o Miniexame do Estado Mental grave
title Educational bias in the assessment of severe dementia: Brazilian cutoffs for severe Mini-Mental State Examination
spellingShingle Educational bias in the assessment of severe dementia: Brazilian cutoffs for severe Mini-Mental State Examination
Wajman, José Roberto
Alzheimer disease
dementia
cognition disorders
neuropsychological tests
doença de Alzheimer
demência
transtornos cognitivos
testes neuropsicológicos
title_short Educational bias in the assessment of severe dementia: Brazilian cutoffs for severe Mini-Mental State Examination
title_full Educational bias in the assessment of severe dementia: Brazilian cutoffs for severe Mini-Mental State Examination
title_fullStr Educational bias in the assessment of severe dementia: Brazilian cutoffs for severe Mini-Mental State Examination
title_full_unstemmed Educational bias in the assessment of severe dementia: Brazilian cutoffs for severe Mini-Mental State Examination
title_sort Educational bias in the assessment of severe dementia: Brazilian cutoffs for severe Mini-Mental State Examination
author Wajman, José Roberto
author_facet Wajman, José Roberto
Oliveira, Fabricio Ferreira de [UNIFESP]
Schultz, Rodrigo Rizek
Marin, Sheilla de Medeiros Correia [UNIFESP]
Bertolucci, Paulo Henrique Ferreira [UNIFESP]
author_role author
author2 Oliveira, Fabricio Ferreira de [UNIFESP]
Schultz, Rodrigo Rizek
Marin, Sheilla de Medeiros Correia [UNIFESP]
Bertolucci, Paulo Henrique Ferreira [UNIFESP]
author2_role author
author
author
author
dc.contributor.none.fl_str_mv Universidade Federal de São Paulo (UNIFESP)
dc.contributor.author.fl_str_mv Wajman, José Roberto
Oliveira, Fabricio Ferreira de [UNIFESP]
Schultz, Rodrigo Rizek
Marin, Sheilla de Medeiros Correia [UNIFESP]
Bertolucci, Paulo Henrique Ferreira [UNIFESP]
dc.subject.por.fl_str_mv Alzheimer disease
dementia
cognition disorders
neuropsychological tests
doença de Alzheimer
demência
transtornos cognitivos
testes neuropsicológicos
topic Alzheimer disease
dementia
cognition disorders
neuropsychological tests
doença de Alzheimer
demência
transtornos cognitivos
testes neuropsicológicos
description Cognitive assessment in advanced stages of Alzheimer’s disease (AD) is limited by the imprecision of most instruments.Objective:To determine objective cognitive responses in moderate and severe AD patients by way of the Severe Mini-Mental State Examination (SMMSE), and to correlate performances with Mini-Mental State Examination (MMSE) scores. Method:Consecutive outpatients in moderate and severe stages of AD (Clinical Dementia Rating 2.0 or 3.0) were evaluated and compared according to MMSE and SMMSE scores. Results:Overall 400 patients were included, 67.5% females, mean age 76.6±6.7 years-old. There was no significant impact of age or gender over MMSE or SMMSE scores. Mean schooling was 4.4±2.5 years, impacting SMMSE scores (p=0.008). Scores on MMSE and SMMSE were significantly correlated (F-ratio=690.6325, p<0.0001). Conclusion:The SMMSE is influenced by schooling, but not by age or gender, and is an accurate test for assessment of moderate and severe AD.
publishDate 2014
dc.date.none.fl_str_mv 2014-04-01
2015-06-14T13:47:05Z
2015-06-14T13:47:05Z
dc.type.driver.fl_str_mv info:eu-repo/semantics/article
dc.type.status.fl_str_mv info:eu-repo/semantics/publishedVersion
format article
status_str publishedVersion
dc.identifier.uri.fl_str_mv http://dx.doi.org/10.1590/0004-282X20140002
Arquivos de Neuro-Psiquiatria. Academia Brasileira de Neurologia - ABNEURO, v. 72, n. 4, p. 273-277, 2014.
10.1590/0004-282X20140002
S0004-282X2014000400273.pdf
0004-282X
S0004-282X2014000400273
http://repositorio.unifesp.br/handle/11600/8363
url http://dx.doi.org/10.1590/0004-282X20140002
http://repositorio.unifesp.br/handle/11600/8363
identifier_str_mv Arquivos de Neuro-Psiquiatria. Academia Brasileira de Neurologia - ABNEURO, v. 72, n. 4, p. 273-277, 2014.
10.1590/0004-282X20140002
S0004-282X2014000400273.pdf
0004-282X
S0004-282X2014000400273
dc.language.iso.fl_str_mv eng
language eng
dc.relation.none.fl_str_mv Arquivos de Neuro-Psiquiatria
dc.rights.driver.fl_str_mv info:eu-repo/semantics/openAccess
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv 273-277
application/pdf
dc.publisher.none.fl_str_mv Academia Brasileira de Neurologia - ABNEURO
publisher.none.fl_str_mv Academia Brasileira de Neurologia - ABNEURO
dc.source.none.fl_str_mv reponame:Repositório Institucional da UNIFESP
instname:Universidade Federal de São Paulo (UNIFESP)
instacron:UNIFESP
instname_str Universidade Federal de São Paulo (UNIFESP)
instacron_str UNIFESP
institution UNIFESP
reponame_str Repositório Institucional da UNIFESP
collection Repositório Institucional da UNIFESP
repository.name.fl_str_mv Repositório Institucional da UNIFESP - Universidade Federal de São Paulo (UNIFESP)
repository.mail.fl_str_mv biblioteca.csp@unifesp.br
_version_ 1814268332955664384

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