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Validation study of the Mini-Mental State Examination in a Malay-speaking elderly population in Malaysia

Background/Aims: In view of the differing sensitivity and specificity of the Mini-Mental State Examination (MMSE) in the non-English-speaking populations, we conducted the first validation study of the Malay version (M-MMSE) in Malaysia among 300 subjects (from the community and outpatient clinic...

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Main Authors: M. Ibrahim, Norlinah, Shohaimi, Shamarina, Heng-Thay, Chong, Abdul Rahman, Abdul Hamid, Razali, Rosdinom, Ebernezer, Esther, B. Basri, Hamidon
Format: Article
Language:English
English
Published: Karger 2009
Online Access:http://psasir.upm.edu.my/id/eprint/17577/1/Validation%20study%20of%20the%20Mini.pdf
http://psasir.upm.edu.my/id/eprint/17577/
http://content.karger.com/ProdukteDB/produkte.asp?Aktion=ShowPDF&ArtikelNr=203888&Ausgabe=246373&ProduktNr=224226&filename=203888.pdf
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spelling my.upm.eprints.175772015-10-23T02:27:11Z http://psasir.upm.edu.my/id/eprint/17577/ Validation study of the Mini-Mental State Examination in a Malay-speaking elderly population in Malaysia M. Ibrahim, Norlinah Shohaimi, Shamarina Heng-Thay, Chong Abdul Rahman, Abdul Hamid Razali, Rosdinom Ebernezer, Esther B. Basri, Hamidon Background/Aims: In view of the differing sensitivity and specificity of the Mini-Mental State Examination (MMSE) in the non-English-speaking populations, we conducted the first validation study of the Malay version (M-MMSE) in Malaysia among 300 subjects (from the community and outpatient clinics). Methods: Three versions were used: M-MMSE-7(serial 7), M-MMSE-3 (serial 3) and M-MMSE-S (spell ‘dunia’backwards). Dementia was assessed using the criteria of the Diagnostic and Statistical Manual of Mental Disorders IV . The optimal cutoff scores were obtained from the receiver operating characteristics curves. Results: Seventy-three patients (24.3%) had dementia and 227 (75.7%) were controls. Three hundred patients completed the M-MMSE-7, 160 the MMMSE-3 and 145 the M-MMSE-S. All 3 versions were valid and reliable in the diagnosis of dementia. The optimal cutoff scores varied with each version and gender. In the control group, significant gender differences were observed in the patients with the lowest educational status. Increasing educational levels significantly improved the M-MMSE performance in both genders. Conclusion: All 3 versions of the M-MMSE are valid and reliable as a screening tool for dementia in the Malaysian population, but at different cutoff scores.In those with the lowest educational background, gender adjusted cutoff scores should be applied. Karger 2009 Article PeerReviewed application/pdf en http://psasir.upm.edu.my/id/eprint/17577/1/Validation%20study%20of%20the%20Mini.pdf M. Ibrahim, Norlinah and Shohaimi, Shamarina and Heng-Thay, Chong and Abdul Rahman, Abdul Hamid and Razali, Rosdinom and Ebernezer, Esther and B. Basri, Hamidon (2009) Validation study of the Mini-Mental State Examination in a Malay-speaking elderly population in Malaysia. Dementia and Geriatric Cognitive Disorders, 27. pp. 247-253. ISSN 1420-8008 http://content.karger.com/ProdukteDB/produkte.asp?Aktion=ShowPDF&ArtikelNr=203888&Ausgabe=246373&ProduktNr=224226&filename=203888.pdf 10.1159/000203888 English
institution Universiti Putra Malaysia
building UPM Library
collection Institutional Repository
continent Asia
country Malaysia
content_provider Universiti Putra Malaysia
content_source UPM Institutional Repository
url_provider http://psasir.upm.edu.my/
language English
English
description Background/Aims: In view of the differing sensitivity and specificity of the Mini-Mental State Examination (MMSE) in the non-English-speaking populations, we conducted the first validation study of the Malay version (M-MMSE) in Malaysia among 300 subjects (from the community and outpatient clinics). Methods: Three versions were used: M-MMSE-7(serial 7), M-MMSE-3 (serial 3) and M-MMSE-S (spell ‘dunia’backwards). Dementia was assessed using the criteria of the Diagnostic and Statistical Manual of Mental Disorders IV . The optimal cutoff scores were obtained from the receiver operating characteristics curves. Results: Seventy-three patients (24.3%) had dementia and 227 (75.7%) were controls. Three hundred patients completed the M-MMSE-7, 160 the MMMSE-3 and 145 the M-MMSE-S. All 3 versions were valid and reliable in the diagnosis of dementia. The optimal cutoff scores varied with each version and gender. In the control group, significant gender differences were observed in the patients with the lowest educational status. Increasing educational levels significantly improved the M-MMSE performance in both genders. Conclusion: All 3 versions of the M-MMSE are valid and reliable as a screening tool for dementia in the Malaysian population, but at different cutoff scores.In those with the lowest educational background, gender adjusted cutoff scores should be applied.
format Article
author M. Ibrahim, Norlinah
Shohaimi, Shamarina
Heng-Thay, Chong
Abdul Rahman, Abdul Hamid
Razali, Rosdinom
Ebernezer, Esther
B. Basri, Hamidon
spellingShingle M. Ibrahim, Norlinah
Shohaimi, Shamarina
Heng-Thay, Chong
Abdul Rahman, Abdul Hamid
Razali, Rosdinom
Ebernezer, Esther
B. Basri, Hamidon
Validation study of the Mini-Mental State Examination in a Malay-speaking elderly population in Malaysia
author_facet M. Ibrahim, Norlinah
Shohaimi, Shamarina
Heng-Thay, Chong
Abdul Rahman, Abdul Hamid
Razali, Rosdinom
Ebernezer, Esther
B. Basri, Hamidon
author_sort M. Ibrahim, Norlinah
title Validation study of the Mini-Mental State Examination in a Malay-speaking elderly population in Malaysia
title_short Validation study of the Mini-Mental State Examination in a Malay-speaking elderly population in Malaysia
title_full Validation study of the Mini-Mental State Examination in a Malay-speaking elderly population in Malaysia
title_fullStr Validation study of the Mini-Mental State Examination in a Malay-speaking elderly population in Malaysia
title_full_unstemmed Validation study of the Mini-Mental State Examination in a Malay-speaking elderly population in Malaysia
title_sort validation study of the mini-mental state examination in a malay-speaking elderly population in malaysia
publisher Karger
publishDate 2009
url http://psasir.upm.edu.my/id/eprint/17577/1/Validation%20study%20of%20the%20Mini.pdf
http://psasir.upm.edu.my/id/eprint/17577/
http://content.karger.com/ProdukteDB/produkte.asp?Aktion=ShowPDF&ArtikelNr=203888&Ausgabe=246373&ProduktNr=224226&filename=203888.pdf
_version_ 1643826560105447424
score 13.211869

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