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Rehabilitation Practice and Science

Translated Title

「簡短式智能評估」之中文施測與常模建立

Abstract

Since M. F. Folstein & S. E. Folstein (1975) designed the Mini-Mental State Examination (MMSE) for grading evaluation of patients with cognitive impairement, the MMSE test has become the most popularly used test instrument both in clinical and epithological studies. We standiaried the Chinese form of MMSE, this paper reports the norms, and outlines the importances of using different criteria depending on pt's education level. The Chinese MMSE has all the terms and components of the origenal MMSE, namely: time & place orientation, registration, attention & calculation, recall, language & constructional ability, but we increased the total score from 30 to 33, adding one item of writing one's own name and two items of simple calculation. After admistering this form to 441 normal adults with high, low or no education, we found: (1) all three additional items were applicable for those with high and low education when checking cognitive impairement; writing own's name was not suitable for the non-educated. (2) from ANOVA analysis, both education and age factors had significant main effects and interaction effect on total scores, but the education factor accounted for most of the variation; and from linear regression analysis of high and low education groups, we abtained two prediction regression lines which showed that the MMSE scores slightly declined as age increased, but in the non-educated group, only a good regression line for women was found and not for men which will be discussed more in the paper. Findly, we suggest two cut-point scores for checking cognitive impairment, i.e., between 26 and 27 for the literate (23/24 in the original MMSE) and 15/16 for the illiterate (13/14 in the original). The difference in cut-off points of the version is accounted for by the additioned items that were added.

Language

Traditional Chinese

First Page

52

Last Page

59

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