Establishing the Limits of the Mini-Mental State: Examination of 'Subtests'

doi:10.1001/archneur.1992.00530250091022

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Vol. 49 No. 1, January 1992

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Establishing the Limits of the Mini-Mental State

Examination of 'Subtests'

Edward P. Feher, PhD; Roderick K. Mahurin, PhD; Rachelle S. Doody, MD; Norma Cooke, PhD; Jamie Sims; Francis J. Pirozzolo, PhD

Arch Neurol. 1992;49(1):87-92.

Abstract

• It has been suggested that the Mini-Mental State examinationcan be used to examine a patient's cognitive profile. We thereforeexamined the validity of Mini-Mental State subtests and individualitems. The memory item, attention-concentration items, and constructionalitem had satisfactory sensitivity-specificity and correlatedsignificantly with scores on neuropsychological tests. In contrast,four of the five Mini-Mental State language items had very lowsensitivity, and three of five failed to correlate with neuropsychologicaltest scores. These findings establish limits with regard tothe ability of the Mini-Mental State to generate a cognitiveprofile. Our data also provide information regarding validity,difficulty level, and optimal cutoff scores for widely usedmental status tasks.

Author Affiliations

From the Memory Assessment Clinics, Bethesda, Md (Dr Feher); Baylor College of Medicine (Drs Mahurin, Doody, Cooke, and Pirozzolo and Ms Sims), and the Veterans Affairs Medical Center (Dr Doody), Houston, Tex.

Footnotes

Accepted for publication July 8, 1991.

Reprint requests to Memory Assessment Clinics, 8311 WisconsinAve, Bethesda, MD 20814 (Dr Feher).

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