MMSE-2 [EV]

Authors:
- Marshal Folstein, MD
- Susan Folstein, MD

Obtain through PAR
(Psychological Assessment Resources inc.)

FORMAT:

• 90 points
• Standardized & Performance-based
• Cognitive screening

POPULATION:

• Adults 18+
• Often geriatrics
• Commonly used with patients who have dementia

PURPOSE:

• Evaluate cognition by assessing many different areas

ACTIVITY TIME - find a partner

AREAS OF COGNITION BEING TESTED:

• Orientation to time/place
• Recall
• Attention
• Naming
• Repetition
• Comprehension
• Reading/writing/drawing

ENVIRONMENT

• Quiet, non-distracting
• Check if client needs adaptive equipment
• Will need: scoring template, admin form, pencil

ADMINISTRATION

• Trained individuals
• Multiple languages
• 3 versions, 2 forms

SCORING

• Unable/unwilling to answer = 0
• Correct answer = 1
• Admin discretion
• Raw score = add categories
• Look at t-scores

STRENGTHS

• Effectively screens cognitive impairment
• May show improvement/decline
• Evidence backs up (manual)

WEAKNESSES

• Can't diagnose
• Shouldn't replace full mental status exam
• Barriers may cause poor performance

RELIABILITY/VALIDITY

• Valid in testing cognitive functions
• Not able to diagnose
• Clinical validity: development of disorders
• Interrater Reliability .94-.99

REFERENCES

• Folstein, M. F., Folstein, S. E., White, T., & Messer, M. A. (2001). MMSE-2: Mini mental state exam, 2nd edition.
• Psychological Assessment Resources. (2012). Mini mental state examination - 2nd edition.
• Guerra-Berra, E., Lou, X., Schnaider-Beeri, M. (2009). The MMSE orientation for time.