A Useful and Brief Cognitive Assessment for Advanced Dementia in a Population with Low Levels of Education

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art_SALES_A_Useful_and_Brief_Cognitive_Assessment_for_Advanced_2011.PDF (217.85 KB)
Citações na Scopus
9
Tipo de produção
article
Data de publicação
2011
DOI
Scopus
Web of Science
PubMed
Título da Revista
ISSN da Revista
Título do Volume
Editora
KARGER
Autores
MORILLO, Lilian S.
Citação
DEMENTIA AND GERIATRIC COGNITIVE DISORDERS, v.32, n.5, p.295-300, 2011
Projetos de Pesquisa
Unidades Organizacionais
Fascículo
Resumo
Background/Aims: Almost half of community-dwelling patients and 59.6% of institutionalized residents with dementia are in moderate or severe stages of this disease. The Mini-Mental State Examination (MMSE) has limited applicability to these patients due to floor effects. We aimed to determine the correlation between the MMSE and the Severe Mini-Mental State Examination (SMMSE), as well as SMMSE association with functional scales in patients having moderate to severe dementia and low levels of education. Methods: A cross-sectional study of patients 60 years or older attending an outpatient clinic was conducted. The MMSE, SMMSE and functional scales were applied. Clinical and demographic data from medical records were reviewed. Results: Seventy-five patients with a mean of 4.1 +/- 3.6 years of education were analyzed. The mean scores on the MMSE and SMMSE were 7.8 +/- 7.0 and 17.8 +/- 9.4, respectively. The results indicated that the MMSE and SMMSE correlated only in patients who had an MMSE score of less than 10 (r = 0.87; p < 0.001). In addition, significant correlations were found between the SMMSE and functional scales (p < 0.001). It was observed that educational level did not interact with SMMSE performance. Conclusion: The SMMSE is a useful and reliable tool for a brief cognitive assessment of advanced dementia patients with low educational levels.
Palavras-chave
Neuropsychological tests, Alzheimer's disease, Cognition
URI
https://observatorio.fm.usp.br/handle/OPI/22577
Referências
  1. American Psychiatric Association, 2000, DIAGN STAT MAN MENT
  2. BERTOLUCCI PHF, 1994, ARQ NEURO-PSIQUIAT, V52, P1
  3. Wajman JR, 2006, ARQ NEURO-PSIQUIAT, V64, P736, DOI 10.1590/S0004-282X2006000500007
  4. MORRIS JC, 1993, NEUROLOGY, V43, P2412
  5. Harrell LE, 2000, ALZ DIS ASSOC DIS, V14, P168, DOI 10.1097/00002093-200007000-00008
  6. Rodriguez JJL, 2008, LANCET, V372, P464, DOI 10.1016/S0140-6736(08)61002-8
  7. ALBERT M, 1992, J AM GERIATR SOC, V40, P449
  8. CUMMINGS JL, 1994, NEUROLOGY, V44, P2308
  9. PFEFFER RI, 1982, J GERONTOL, V37, P323
  10. Peavy GM, 1996, ARCH NEUROL-CHICAGO, V53, P367
  11. Herrmann N, 2008, CAN MED ASSOC J, V179, P1279, DOI 10.1503/cmaj.070804
  12. BRAYNE C, 1990, AGE AGEING, V19, P91, DOI 10.1093/ageing/19.2.91
  13. KATZ S, 1970, GERONTOLOGIST, V10, P20
  14. AUER SR, 1994, J AM GERIATR SOC, V42, P1266
  15. Carthery Goulart MT, 2007, ARQ NEURO-PSIQUIAT, V65, P912
  16. Draper B, 1999, PSYCHIATR SERV, V50, P1151
  17. FOLSTEIN MF, 1975, J PSYCHIAT RES, V12, P189, DOI 10.1016/0022-3956(75)90026-6
  18. Helmer C, 2006, DEMENT GERIATR COGN, V22, P87, DOI 10.1159/000093459
  19. Pelissier C, 2002, DEMENT GERIATR COGN, V13, P95, DOI 10.1159/000048640
  20. Saxton J., 1990, PSYCHOL ASSESSMENT, V2, P298, DOI 10.1037/10403590.2.3.298
  21. Schmitt Frederick A, 2006, Prim Care Companion J Clin Psychiatry, V8, P158
  22. Sclan S G, 1992, Int Psychogeriatr, V4 Suppl 1, P55

Coleções
Artigos e Materiais de Revistas Científicas - FM/MCM
Artigos e Materiais de Revistas Científicas - FM/MNE
Artigos e Materiais de Revistas Científicas - HC/ICESP
Artigos e Materiais de Revistas Científicas - HC/ICHC
Artigos e Materiais de Revistas Científicas - LIM/15
Artigos e Materiais de Revistas Científicas - LIM/22