Abstract
A nationally representative survey of living conditions among persons aged 77 to 98 years included a short instrument for cognitive impairment consisting of items from the Mini-Mental state Examination (MMsE). because of the wide range of social, health, and economic domains included in the survey, it was necessary that the instrument could be administered in a short time by interviewers without experience in neuropsychological testing. because of the age of the subjects, the instrument must be relatively independent of sensory or motor disabilities, and be acceptable to both interviewers and older adults. there were very few problems with the use of the instrument and very little missing data. A cut-off point for cognitive impairment was ascertained for the items included in this instrument using other data sets where diagnostic confirmation was available. being able to identify subjects who are probably cognitively impaired is helpful in a multipurpose survey study of the oldest old, both in documenting the cognitive status of the sample and in evaluating the quality of other information being collected in the study.
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References
Vogel J., Sauli H., Andersen A.S.: Welfare Surveys and Social Reporting in the Nordic Countries. Experiences and Potential. Eurostat, Luxembourg, 1993.
Bengtson V., Roberts R.E.L.: Intergenerational solidarity in aging families: an example of formal theory construction. J. Aging Family 53: 856–870, 1991.
Bachman D.L., Wolf P.A., Linn R., Knoefel J.E., Cobb J., Belanger A., D’Agostino R.B., White L.R.: Prevalence of dementia and probable senile dementia of the Alzheimer type in the Framingham Study. Neurology 42: 115–119, 1992.
Wallace R.B., Kohout F.J., Colsher P.L.: Observations on interview surveys of the oldest old. In: Suzman R.M., Willis D.P., Manton K.G. (Eds.), the Oldest Old. Oxford University Press, New York, 1992, pp. 123–134.
Jagger C., Clarke M., Anderson T., Battcock T.: Misclassifica-tion of dementia by the Mini-Mental State Examination - are education and social class the only factors? Age Ageing 21: 404–411, 1992.
Folstein M.F., Folstein S.E., McHugh P.R.: “Mini-Mental State”: A practical method for grading the cognitive state of patients for the clinician. J. Psychiatr. Res. 12: 189–198, 1975.
Ashford J.N., Kolm P., Colliver J.A., Bekian C., Hsu L-N.: Alzheimer patient evaluation and the Mini-Mental State: item Characteristic Curve Analysis. J. Gerontol. 44: P139–P146, 1989.
Braekhus A., Laake K., Engedal K.: The Mini-Mental State Examination: Identifying the most efficient variables for detecting cognitive impairment in the elderly. J. Am. Geriatr. Soc. 40: 1139–1145, 1992.
Fillenbaum G.G., Wilkinson W.E., Welsh K.A., Mohs R.C.: Discrimination between stages of Alzheimer’s disease with subsets of Mini-Mental State Examination items: An analysis of Consortium to Establish a Registry for Alzheimer’s Disease data. Arch. Neurol. 51: 916–921, 1994.
Magaziner J., Bassett S.S., Hebel J.R.: Predicting performance on the Mini-Mental State Examination. J. Am. Geriatr. Soc. 35: 996–1000, 1987.
Erikson R., Berg R.: Welfare in transition, A survey of Living Conditions in sweden 1968–1981. Clarendon Press, Oxford, 1987.
Salmon D.P., Riekkinen P.J., Katzman R., Zhang M., Jin H., Yu E.: Cross-cultural studies of dementia. Arch. Neurol. 46: 769–772, 1989.
Lundberg O., Thorslund M.: Fieldwork and measurement considerations in surveys of the oldest old. Experiences from the Swedish level of living surveys. social Indicators Research 37: 165–187, 1996.
Rodgers W.L., Herzog A.R.: Collecting data about the oldest old: Problems and procedures. In: Suzman R.M., Willis D.P., Manton K.G. (Eds.), the Oldest Old. Oxford University Press, New York, 1992, pp. 135–156.
Anthony J.C., LeResche L., Niaz U., von Korff M.R., Folstein M.F.: Limits of the “Mini-Mental State” as a screening test for dementia and delirium aging hospital patients. Psychol. Med. 12: 397–408, 1982.
Johansson B., Zarit S., Berg S.: Changes in cognitive functioning of the oldest old. J. Gerontol. 47: P75–P80, 1992.
American Psychiatric Association: Diagnostic and statistical manual of mental disorders, ed. 3, revised. Washington, D.C. 1987.
Pedersen N.L., McClearn G.E., Plomin R., Nesselroade J.R., Berg S., DeFaire U.: The Swedish Adoption Twin Study of Aging: An update. Acta Genet. Med. Gemellol. (Roma) 40: 7–20, 1991.
Pedersen N.L., Gatz M., Winblad B., Pearson C.G., Berg S.: Dementias in Swedish twins. In: Iqbal K., Wisniewski H.M., Winblad B. (Eds.), Alzheimer’s disease and related disorders. Alan R. Liss, New York, 1989, pp. 217–222.
Fratiglioni L., Grut M., Forsell Y., Vitanen M., Grafström M., Holmen K., Ericsson K., Bäckman L., Ahlbom A., Winblad B.: Prevalence of Alzheimer’s disease in an elderly urban population: Relationship with age, sex, and education. Neurology 41: 1886–1892, 1991.
Olin J.T., Zelinski E.M.: The 12-month reliability of the MiniMental State Examination. Psychological Assessment: A Journal of Consulting and Clinical Psychology 3: 427–432, 1991.
Gatz M., Reynolds C., Nikolic J., Lowe B., Karel M., Pedersen N.L.: An empirical test of telephone screening to identify potential dementia cases. Int. Psychogeriatr. 7: 429–437, 1995.
Mortimer J.A., Graves A.B.: Education and other socioeconomic determinants of dementia and Alzheimer’s disease. Neurology 43 (Suppl. 4): S39–44, 1993.
Fratiglioni L., Jorm A.F., Grut M., Viitanen M., Homen K., Ahlbom A., Winblad B.: Predicting dementia from the Mini-
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Parker, M.G., Gatz, M. & Thorslund, M. Brief cognitive screening in a field survey of the oldest old. Aging Clin Exp Res 8, 354–359 (1996). https://doi.org/10.1007/BF03339593
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DOI: https://doi.org/10.1007/BF03339593