Empirical weighting of the Standardized Mini Mental State Examination items among nursing home residents
| Autor: | Anders Foldspang, Søren Juul-Nielsen, Nils Christian Gulmann, Povl Munk-Jørgensen, L Sørensen, Mimi Mehlsen |
|---|---|
| Rok vydání: | 2001 |
| Předmět: |
Male
medicine.medical_specialty Psychometrics Population Logistic regression behavioral disciplines and activities Alzheimer Disease medicine Criterion validity Homes for the Aged Humans Psychiatry education Aged Aged 80 and over education.field_of_study Mini–Mental State Examination medicine.diagnostic_test Receiver operating characteristic business.industry Reproducibility of Results Reference Standards Nursing Homes Weighting Psychiatry and Mental health ROC Curve Female Item score Mental Status Schedule business Nursing homes Clinical psychology |
| Zdroj: | Sørensen, L, Foldspang, A, Gulmann, N C, Juul-Nielsen, S, Mehlsen, M & Munk-Jørgensen, P 2001, ' Empirical weighting of the Standardized Mini Mental State Examination items among nursing home residents ', Nord. J. Psychiatry, vol. 55, pp. 49-54 . Uhrskov Sørensen, L, Foldspang, A, Gulmann, N C, Juul-Nielsen, S, Mehlsen, M & Munk-Jørgensen, P 2001, ' Empirical weighting of Standardised Mini Mental State Examination items among nursing home residents ', Nordic Journal of Psychiatry, vol. 55, no. 1, pp. 49-54 . Sørensen, L U, Foldspang, A, Gulmann, N C, Juul-Nielsen, S, Mehlsen, M & Munk-Jørgensen, P 2001, ' Empirical weighting of the Standadized Mini Mental State Examination items among nursing home residents ' Nordic Journal of Psychiatry, vol. 55, pp. 49-54 . |
| ISSN: | 1502-4725 0803-9488 |
| DOI: | 10.1080/080394801750093760 |
| Popis: | Missing items in the Mini Mental State examination are dealt with in different ways. The main aims of this study were to calculate a weighted item score for organic disorder on the basis of the item score of the Standardized Mini Mental State Examination (SMMSE) test regardless of the completeness of the test and to compare the criterion validity of the weighted scores with the ordinal scores for the SMMSE test. With a participation of 91%, the study included 100 nursing residents. All residents were tested with the SMMSE test and concurrently diagnosed in accordance with the ICD-10 by a consultant psychiatrist. The two assessments were mutually blinded. Multiple conditional forward logistic regression was used to select the items that most strongly predicted organic disorder as assessed by the psychiatrist. The weighted score had significantly better validity parameters, performed better on a receiver operating curve (ROC), and was better at dichotomizing the population into organic disorder than the commonly used ordinal score. We propose that missing items in the SMMSE should be scored as missing and included in empirical weighting on SMMSE items, which will then be substantially more valid than the SMMSE score itself. |
| Databáze: | OpenAIRE |
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