Cognitive screening instruments in neuropsychiatry: a report of the Committee on Research of the American Neuropsychiatric Association.
A 1994 survey by the Research Committee of the American Neuropsychiatric Association revealed that 58% of respondents employed formal assessment of cognitive status; the Mini-Mental State Examination (MMSE) and neuropsychological testing were the commonest techniques. Literature review on common cognitive screening instruments found that the MMSE has widespread popularity, ease of use, and a large body of research demonstrating its sensitivity to common neuropsychiatric disorders. The Committee recommends that clinicians who employ the MMSE 1) use it as a minimum screening for cognitive dysfunction; 2) employ age- and education-normative corrections; and 3) supplement it with specific measures of spatial functions, delayed memory, and executive abilities. The Modified MMSE and the Neurobehavioral Cognitive Status Examination also show promise as screening tools.
Malloy
P F
PF
Department of Neuropsychology, Butler Hospital, Providence, RI 02906, USA.
Cummings
J L
JL
Coffey
C E
CE
Duffy
J
J
Fink
M
M
Lauterbach
E C
EC
Lovell
M
M
Royall
D
D
Salloway
S
S
D000293:Adolescent; D000328:Adult; D000368:Aged; D000544:Alzheimer Disease / Q000150:complications; D003072:Cognition Disorders / Q000175:diagnosis*; D003693:Delirium / Q000150:complications; D006801:Humans; D001523:Mental Disorders / Q000150:complications; D008875:Middle Aged; D009483:Neuropsychological Tests; D011570:Psychiatry